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A semi-automated method using interpolation and optimisation for the 3D reconstruction of the spine from bi-planar radiography: a precision and accuracy study

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Abstract

The 3D reconstruction of the spine in upright posture can be obtained by bi-planar radiographic methods, developed since the 1970s. The principle is to identify 4–25 anatomical landmarks per vertebrae and per images. This identification time is hardly manageable in clinical practice. A semi-automated method is used: 3D standard vertebral models are positioned along with a 3D curve (identified all the way through the vertebral bodies). The silhouettes of the models of C7 and L5 vertebrae are first adjusted and the positions of the other vertebrae are interpolated and optimised. The inter- and intra-operator variabilities and the errors between the semi-automated method and the manual identification of six anatomical landmarks per vertebra are evaluated on 20 pairs of X-ray images of subjects with different spinal deformities. The identification time for the semi-automated method is 5 min. For scolitic subjects, the precision is under 2.2° and the accuracy is under 3.2° for all lateral, sagittal and axial rotations.

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Acknowledgements

The authors gratefully acknowledge G. Duval-Beaupère, J. Legaye, M. De Seze, and B. Lavignolle for their constructive advices.

The authors would also like to thank O. Hauger, N. Grenier, and F. Diard, form the Service de Radiologie et Imagerie Médicale, Os et Articulations at Hôpital Pellegrin (Centre Hospitalier Universitaire, Bordeaux) and C. Vallée from the Service de Radiologie et Imagerie Médicale at Hôpital Raymond Poincaré (Assistance Publique - Hôpitaux de Paris, Garches).

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Authors and Affiliations

  1. Laboratoire de Biomécanique et Mécanique des Chocs, UMR_T 9406, Université de Lyon, Université Lyon 1/INRETS, Villeurbanne, France

    Raphaël Dumas

  2. AXS INGENIERIE, Bordeaux, France

    Bertrand Blanchard

  3. Service de Radiologie et Imagerie Médicale, Hôpital Raymond Poincaré (Assistance Publique, Hôpitaux de Paris), Garches, France

    Robert Carlier

  4. Service d’Orthopédie et de Traumatologie, Hôpital Raymond Poincaré (Assistance Publique, Hôpitaux de Paris), Garches, France

    Christian Garreau de Loubresse

  5. Unité de Chirurgie de la Colonne Vertébrale, Hôpital Pellegrin (Centre Hospitalier Universitaire), Bordeaux, France

    Jean-Charles Le Huec

  6. Service de Rééducation Fonctionnelle, Rééducation Scolioses, Hôpital Raymond Poincaré (Assistance Publique, Hôpitaux de Paris), Garches, France

    Catherine Marty

  7. Service de Radiologie et Imagerie Médicale, Os et Articulations, Hôpital Pellegrin (Centre Hospitalier Universitaire), Bordeaux, France

    Maryse Moinard

  8. Unité de Pathologie Rachidienne, Chirurgie Orthopédique et Réparatrice, Hôpital Pellegrin (Centre Hospitalier Universitaire), Bordeaux, France

    Jean-Marc Vital

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  1. Raphaël Dumas
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  2. Bertrand Blanchard
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  4. Christian Garreau de Loubresse
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  5. Jean-Charles Le Huec
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Correspondence to Raphaël Dumas.

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Dumas, R., Blanchard, B., Carlier, R. et al. A semi-automated method using interpolation and optimisation for the 3D reconstruction of the spine from bi-planar radiography: a precision and accuracy study. Med Bio Eng Comput 46, 85–92 (2008). https://doi.org/10.1007/s11517-007-0253-3

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