Abstract
Personalized 3D reconstruction of the spine from biplanar radiographs is of great interest for characterizing scoliosis and has potential for early diagnosis of disease progression. However, due to the tedious manual intervention, this technique is not widely used in clinical routine. In this work, we proposed to partially automate this method thanks to the use of deep learning to leverage the burden of manual landmarking of the radiographs. Manual intervention remained necessary but limited to quality control and manual rigid adjustment of the 3D models. The proposed method was trained and validated on 135 subjects and tested on 34 subjects, including 10 scoliotic subjects. The reconstructed 3D models were compared with reference reconstructions obtained with a validated method. We found no major biases in the position and orientation of the vertebral bodies. The uncertainty in the position of the vertebral body centers was limited to 2 mm. Further efforts are needed to obtain reliable estimates of axial rotation in the severe scoliotic population.
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References
Humbert, L., et al.: 3D reconstruction of the spine from biplanar X-rays using parametric models based on transversal and longitudinal inferences. Med. Eng. Phys. 31, 681–687 (2009)
Nault, M.-L., et al.: A predictive model of progression for adolescent idiopathic scoliosis based on 3D spine parameters at first visit. Spine (Phila Pa 1976) 45(9), 605–611 (2020)
Carreau, J., et al.: Computer-generated, three-dimensional spine model from biplanar radiographs: a validity study in idiopathic scoliosis curves greater than 50 degrees. Spine Deform. 2, 81–88 (2014)
Gajny, L., et al.: Quasi-automatic 3D reconstruction of the full spine from low-dose biplanar X-rays based on statistical inferences and image analysis. Eur. Spine J. 28, 658–664 (2019)
Vergari, C., et al.: Effect of curve location on the severity index for adolescent idiopathic scoliosis: a longitudinal cohort study. Eur. Radiol. 31, 8488–8497 (2021)
Gille, O., et al.: Sagittal balance using position and orientation of each vertebra in an asymptomatic population. Spine 47(16), 551–559 (2022)
Aubert, B., et al.: Toward automated 3D spine reconstruction from biplanar radiographs using CNN for statistical spine model fitting. IEEE Trans. Med. Imaging 38(12), 2796–2806 (2019)
Aubert, B., et al.: X-ray to DRR images translation for efficient multiple objects similarity measures in deformable model 3D/2D registration. IEEE Trans. Med. Imaging 42(4), 897–909 (2022)
Isensee, F., et al.: nnU-Net: a self-configuring method for deep learning-based biomedical image segmentation. Nat. Methods 18, 203–211 (2021)
Chaibi, Y., et al.: Fast 3D reconstruction of the lower limb using a parametric model and statistical inferences and clinical measurements calculation from biplanar X-rays. Comput. Methods Biomech. Biomed. Eng. 15(5), 457–466 (2012)
Lee, T.-C., et al.: Building skeleton models via 3-D medial surface/axis thinning algorithms. Comput. Vis. Graph. Image Process. 56(6), 462–478 (1994)
Trochu, R., et al.: A contouring program based on dual kriging interpolation. Eng. Comput. 9, 160–177 (1993)
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Bovio, M., Skalli, W., Gajny, L. (2024). Deep Learning Based 3D Reconstruction of the Spine from Low Dose Biplanar Radiographs. In: Skalli, W., Laporte, S., Benoit, A. (eds) Computer Methods in Biomechanics and Biomedical Engineering II. CMBBE 2023. Lecture Notes in Computational Vision and Biomechanics, vol 39. Springer, Cham. https://doi.org/10.1007/978-3-031-55315-8_17
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DOI: https://doi.org/10.1007/978-3-031-55315-8_17
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