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Estimating Reference Bony Shape Model for Personalized Surgical Reconstruction of Posttraumatic Facial Defects

  • Deqiang Xiao
  • Li Wang
  • Hannah Deng
  • Kim-Han Thung
  • Jihua Zhu
  • Peng Yuan
  • Yriu L. Rodrigues
  • Leonel PerezJr.
  • Christopher E. Crecelius
  • Jaime Gateno
  • Tiansku Kuang
  • Steve G. F. Shen
  • Daeseung Kim
  • David M. Alfi
  • Pew-Thian Yap
  • James J. XiaEmail author
  • Dinggang ShenEmail author
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 11768)

Abstract

In this paper, we introduce a method for estimating patient-specific reference bony shape models for planning of reconstructive surgery for patients with acquired craniomaxillofacial (CMF) trauma. We propose an automatic bony shape estimation framework using pre-traumatic portrait photographs and post-traumatic head computed tomography (CT) scans. A 3D facial surface is first reconstructed from the patient’s pre-traumatic photographs. An initial estimation of the patient’s normal bony shape is then obtained with the reconstructed facial surface via sparse representation using a dictionary of paired facial and bony surfaces of normal subjects. We further refine the bony shape model by deforming the initial bony shape model to the post-traumatic 3D CT bony model, regularized by a statistical shape model built from a database of normal subjects. Experimental results show that our method is capable of effectively recovering the patient’s normal facial bony shape in regions with defects, allowing CMF surgical planning to be performed precisely for a wider range of defects caused by trauma.

Keywords

Craniomaxillofacial (CMF) Trauma Surgical planning Simulation Facial bone estimation Three-dimensional facial reconstruction Sparse representation Adaptive-focus deformable shape model (AFDSM) 

Notes

Acknowledgment

This work was supported in part by NIH grants (R01 DE022676 and R01 DE027251).

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Deqiang Xiao
    • 1
  • Li Wang
    • 1
  • Hannah Deng
    • 2
  • Kim-Han Thung
    • 1
  • Jihua Zhu
    • 1
    • 3
  • Peng Yuan
    • 2
  • Yriu L. Rodrigues
    • 2
  • Leonel PerezJr.
    • 4
  • Christopher E. Crecelius
    • 4
  • Jaime Gateno
    • 2
    • 5
  • Tiansku Kuang
    • 2
  • Steve G. F. Shen
    • 6
  • Daeseung Kim
    • 2
  • David M. Alfi
    • 2
    • 5
  • Pew-Thian Yap
    • 1
  • James J. Xia
    • 2
    • 5
    Email author
  • Dinggang Shen
    • 1
    Email author
  1. 1.BRIC and Department of RadiologyUniversity of North Carolina at Chapel HillChapel HillUSA
  2. 2.Department of Oral and Maxillofacial SurgeryHouston Methodist HospitalHoustonUSA
  3. 3.School of Software EngineeringXi’an Jiaotong UniversityXi’anChina
  4. 4.Department of Oral and Maxillofacial SurgeryWalter Reed National Military Medical CenterBethesdaUSA
  5. 5.Department of Surgery (Oral and Maxillofacial Surgery), Weill Medical CollegeCornell UniversityNew YorkUSA
  6. 6.Department of Oral and Craniofacial SurgeryShanghai 9th Hospital, Shanghai Jiaotong University College of MedicineShanghaiChina

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