Exploiting Partial Structural Symmetry for Patient-Specific Image Augmentation in Trauma Interventions

Javad Fotouhi, Mathias Unberath, Giacomo Taylor, Arash Ghaani Farashahi, Bastian Bier, Russell H Taylor, Greg Osgood, Mehran Armand, Nassir Navab

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

In unilateral pelvic fracture reductions, surgeons attempt to reconstruct the bone fragments such that bilateral symmetry in the bony anatomy is restored. We propose to exploit this “structurally symmetric” nature of the pelvic bone, and provide intra-operative image augmentation to assist the surgeon in repairing dislocated fragments. The main challenge is to automatically estimate the desired plane of symmetry within the patient’s pre-operative CT. We propose to estimate this plane using a non-linear optimization strategy, by minimizing Tukey’s biweight robust estimator, relying on the partial symmetry of the anatomy. Moreover, a regularization term is designed to enforce the similarity of bone density histograms on both sides of this plane, relying on the biological fact that, even if injured, the dislocated bone segments remain within the body. The experimental results demonstrate the performance of the proposed method in estimating this “plane of partial symmetry” using CT images of both healthy and injured anatomy. Examples of unilateral pelvic fractures are used to show how intra-operative X-ray images could be augmented with the forward-projections of the mirrored anatomy, acting as objective road-map for fracture reduction procedures.

Original languageEnglish (US)
Title of host publicationMedical Image Computing and Computer Assisted Intervention – MICCAI 2018 - 21st International Conference, 2018, Proceedings
EditorsAlejandro F. Frangi, Gabor Fichtinger, Julia A. Schnabel, Carlos Alberola-López, Christos Davatzikos
PublisherSpringer Verlag
Pages107-115
Number of pages9
ISBN (Print)9783030009366
DOIs
StatePublished - Jan 1 2018
Event21st International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2018 - Granada, Spain
Duration: Sep 16 2018Sep 20 2018

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume11073 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Other

Other21st International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2018
CountrySpain
CityGranada
Period9/16/189/20/18

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Keywords

  • CT
  • Orthopedics
  • Robust estimation
  • Symmetry
  • X-ray

ASJC Scopus subject areas

  • Theoretical Computer Science
  • Computer Science(all)

Cite this

Fotouhi, J., Unberath, M., Taylor, G., Farashahi, A. G., Bier, B., Taylor, R. H., Osgood, G., Armand, M., & Navab, N. (2018). Exploiting Partial Structural Symmetry for Patient-Specific Image Augmentation in Trauma Interventions. In A. F. Frangi, G. Fichtinger, J. A. Schnabel, C. Alberola-López, & C. Davatzikos (Eds.), Medical Image Computing and Computer Assisted Intervention – MICCAI 2018 - 21st International Conference, 2018, Proceedings (pp. 107-115). (Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics); Vol. 11073 LNCS). Springer Verlag. https://doi.org/10.1007/978-3-030-00937-3_13