Abstract

3D deformity of the spine-like scoliosis is commonly assessed using stereo-radiographic technique. The Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) modelling fail in this case, as they are obtained with the patient in sleeping position. Also, they are associated with heavy cost and radiation hazards. We have developed two models namely, feature-based model and a Combined Stereo-Corresponding Point And Geometric (CSCPG) model for 3D spine reconstruction using biplanar x-rays. The spinal disorder is quantified using two parameters, namely axial vertebral rotation and spinal curvature using both these methods. Their performance is compared by considering Non-Stereo-Corresponding Point (NSCP) model as the gold standard method. The feature-based model is less accurate compared to the CSCPG model. The performance of the feature-based model is also poor in the case of deformity quantification. A statistical significance test is conducted in order to verify its suitability in diagnosis of the spinal disorders. The accuracy of feature-based model can be improved by incorporating additional landmark features from the biplanar radiographs. The proposed CSCPG model has accuracy closer to the gold standard technique and can be used a diagnostic tool for the spinal disorders.

Highlights

  • The deformities of the human spine are three dimensional (3D) in nature

  • Feature-based models are obtained by deforming the CAD-based generic models according to the stereo-corresponding point (SCP) reconstruction, whereas the Combined Stereo-Corresponding Point And Geometric (CSCPG) models are obtained by deforming biomedical spine models according to SCP reconstruction and the features extracted automatically from the x-rays

  • The standard 3D reconstruction methods like Computed Tomography (CT)/Magnetic Resonance Imaging (MRI) cannot be used as the reference as they are obtained in supine position which alters the spine anatomy

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Summary

Introduction

The deformities of the human spine are three dimensional (3D) in nature. They are diagnosed wrongly using biplanar x-rays which give only a projection of the actual deformation (Boisvert, Cheriet, & Pennec, 2008). The advanced diagnostic methods like Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) has limited application in the case of spinal disorders. This is due to the fact that they are acquired from the subject in sleeping position (Seoud, Cheriet, Labelle, & Dansereau, 2011). We have developed NSCP models from 10 scoliotic subject data using the method mentioned in Mitton, Landry, Véron, & Skalli (2000). This is used as a reference model for future validation. The most accurate CSCPG model can be used to develop a diagnostic tool for spinal disorders

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