X-ray-transform Invariant Anatomical Landmark Detection for Pelvic Trauma Surgery

Bastian Bier, Mathias Unberath, Jan Nico Zaech, Javad Fotouhi, Mehran Armand, Greg Osgood, Nassir Navab, Andreas Maier

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

Abstract

X-ray image guidance enables percutaneous alternatives to complex procedures. Unfortunately, the indirect view onto the anatomy in addition to projective simplification substantially increase the task-load for the surgeon. Additional 3D information such as knowledge of anatomical landmarks can benefit surgical decision making in complicated scenarios. Automatic detection of these landmarks in transmission imaging is challenging since image-domain features characteristic to a certain landmark change substantially depending on the viewing direction. Consequently and to the best of our knowledge, the above problem has not yet been addressed. In this work, we present a method to automatically detect anatomical landmarks in X-ray images independent of the viewing direction. To this end, a sequential prediction framework based on convolutional layers is trained on synthetically generated data of the pelvic anatomy to predict 23 landmarks in single X-ray images. View independence is contingent on training conditions and, here, is achieved on a spherical segment covering 120° } 90° in LAO/RAO and CRAN/CAUD, respectively, centered around AP. On synthetic data, the proposed approach achieves a mean prediction error of 5.6±4.5 mm. We demonstrate that the proposed network is immediately applicable to clinically acquired data of the pelvis. In particular, we show that our intra-operative landmark detection together with pre-operative CT enables X-ray pose estimation which, ultimately, benefits initialization of image-based 2D/3D registration.

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
Pages55-63
Number of pages9
ISBN (Print)9783030009366
DOIs
StatePublished - 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

ASJC Scopus subject areas

  • Theoretical Computer Science
  • Computer Science(all)

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