Motion correction for separate mandibular and cranial movements in cone beam CT reconstructions.


Journal

Medical physics
ISSN: 2473-4209
Titre abrégé: Med Phys
Pays: United States
ID NLM: 0425746

Informations de publication

Date de publication:
Jun 2023
Historique:
revised: 24 01 2023
received: 10 06 2022
accepted: 01 02 2023
medline: 15 6 2023
pubmed: 17 3 2023
entrez: 16 3 2023
Statut: ppublish

Résumé

Patient motions are a repeatedly reported phenomenon in oral and maxillofacial cone beam CT scans, leading to reconstructions of limited usability. In certain cases, independent movements of the mandible induce unpredictable motion patterns. Previous motion correction methods are not able to handle such complex cases of patient movements. Our goal was to design a combined motion estimation and motion correction approach for separate cranial and mandibular motions, solely based on the 2D projection images from a single scan. Our iterative three-step motion correction algorithm models the two articulated motions as independent rigid motions. First of all, we segment cranium and mandible in the projection images using a deep neural network. Next, we compute a 3D reconstruction with the poses of the object's trajectories fixed. Third, we improve all poses by minimizing the projection error while keeping the reconstruction fixed. Step two and three are repeated alternately. We find that our marker-free approach delivers reconstructions of up to 85% higher quality, with respect to the projection error, and can improve on already existing techniques, which model only a single rigid motion. We show results of both synthetic and real data created in different scenarios. The reconstruction of motion parameters in a real environment was evaluated on acquisitions of a skull mounted on a hexapod, creating a realistic, easily reproducible motion profile. The proposed algorithm consistently enhances the visual quality of motion impaired cone beam computed tomography scans, thus eliminating the need for a re-scan in certain cases, considerably lowering radiation dosage for the patient. It can flexibly be used with differently sized regions of interest and is even applicable to local tomography.

Sections du résumé

BACKGROUND BACKGROUND
Patient motions are a repeatedly reported phenomenon in oral and maxillofacial cone beam CT scans, leading to reconstructions of limited usability. In certain cases, independent movements of the mandible induce unpredictable motion patterns. Previous motion correction methods are not able to handle such complex cases of patient movements.
PURPOSE OBJECTIVE
Our goal was to design a combined motion estimation and motion correction approach for separate cranial and mandibular motions, solely based on the 2D projection images from a single scan.
METHODS METHODS
Our iterative three-step motion correction algorithm models the two articulated motions as independent rigid motions. First of all, we segment cranium and mandible in the projection images using a deep neural network. Next, we compute a 3D reconstruction with the poses of the object's trajectories fixed. Third, we improve all poses by minimizing the projection error while keeping the reconstruction fixed. Step two and three are repeated alternately.
RESULTS RESULTS
We find that our marker-free approach delivers reconstructions of up to 85% higher quality, with respect to the projection error, and can improve on already existing techniques, which model only a single rigid motion. We show results of both synthetic and real data created in different scenarios. The reconstruction of motion parameters in a real environment was evaluated on acquisitions of a skull mounted on a hexapod, creating a realistic, easily reproducible motion profile.
CONCLUSIONS CONCLUSIONS
The proposed algorithm consistently enhances the visual quality of motion impaired cone beam computed tomography scans, thus eliminating the need for a re-scan in certain cases, considerably lowering radiation dosage for the patient. It can flexibly be used with differently sized regions of interest and is even applicable to local tomography.

Identifiants

pubmed: 36924349
doi: 10.1002/mp.16347
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3511-3525

Subventions

Organisme : Deutsche Forschungsgemeinschaft
ID : SCHU1496/7-1

Informations de copyright

© 2023 The Authors. Medical Physics published by Wiley Periodicals LLC on behalf of American Association of Physicists in Medicine.

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Auteurs

Lukas Birklein (L)

Institute of Computer Science, Johannes Gutenberg University, Mainz, Germany.

Stefan Niebler (S)

Institute of Computer Science, Johannes Gutenberg University, Mainz, Germany.

Elmar Schömer (E)

Institute of Computer Science, Johannes Gutenberg University, Mainz, Germany.

Robert Brylka (R)

Computer Vision & Mixed Reality Group, RheinMain University of Applied Sciences, Wiesbaden, Germany.

Ulrich Schwanecke (U)

Computer Vision & Mixed Reality Group, RheinMain University of Applied Sciences, Wiesbaden, Germany.

Ralf Schulze (R)

Devision of Oral Diagnostic Sciences, Department of Oral Surgery and Stomatology, University of Bern, Bern, Switzerland.

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