Three-dimensional orbital wall modeling using paranasal sinus segmentation
- Three-dimensional orbital wall modeling using paranasal sinus segmentation
- 조현철; 김영준; 손태근; 김한나; 이정환; 김현아; 정우식; 최종우
- Orbital reconstruction surgery; Orbital fracture; Maxillofacial segmentation; Three-dimensional orbital wall modeling
- Issue Date
- Journal of cranio-maxillo-facial surgery / official publication of the European Association for Cranio-Maxillo-Facial Surgery
- VOL 47, NO 6-967
- Purpose: Three-dimensional orbital wall modeling is a time-consuming process because of the presence of pseudoforamina. We developed an automated three-dimensional modeling software to characterize the orbital wall, and evaluated it using data from fracture patients.
Methods: We first characterized the air and face regions using multiphase segmentation; the sinuses were segmented by applying morphological operations to air regions. Pseudoforamina of the orbital wall were offset with the segmented sinuses. Finally, the three-dimensional facial bone model, with orbital wall, was reconstructed from the segmented images.
Results: Ten computed tomography data sets were used to evaluate the proposed method. Results were compared with those obtained using the active contour model and manual segmentation. The process took 31.7 ± 8.0 s, which was 30e60 times faster than other methods. The average distances between surfaces obtained with the proposed method and those obtained with manual segmentation (normal side: 0.20 ± 0.06 mm; fractured side: 0.28 ± 0.10 mm) were approximately half those obtained using the active contour model.
Conclusions: Three-dimensional orbital wall models, which were very similar to the manually segmented models, were archived within 1 min using the developed software, regardless of fracture presence. The proposed method might improve the safety and accuracy of surgical procedures.
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