Integration of statistical shape modeling and alternating interpolation-based model tracking technique for measuring knee kinematics in vivo using clinical interleaved bi-plane fluoroscopy

PeerJ

article

Hsuan-Yu Lu¹  Cheng-Chung Lin²  Kao-Shang Shih³  Tung-Wu Lu¹  Mei-Ying Kuo⁵  Song-Ying Li¹  Horng-Chaung Hsu⁶ 

[1] Department of Biomedical Engineering, National Taiwan University;Department of Electrical Engineering, Fu-Jen Catholic University;Department of Orthopedics, Shin Kong Wu Ho-Su Memorial Hospital;Department of Orthopaedic Surgery, School of Medicine, National Taiwan University;Department of Physical Therapy, China Medical University;Department of Orthopaedic Surgery, China Medical University

关键词: Statistical shape model-based model;    Asynchronous fluoroscopy image;    3D/2D image registration;    Knee kinematics;   

DOI  :  10.7717/peerj.15371

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

BackgroundA 2D fluoroscopy/3D model-based registration with statistical shape modeling (SSM)-reconstructed subject-specific bone models will help reduce radiation exposure for 3D kinematic measurements of the knee using clinical alternating bi-plane fluoroscopy systems. The current study aimed to develop such an approach and evaluate in vivo its accuracy and identify the effects of the accuracy of SSM models on the kinematic measurements.MethodsAn alternating interpolation-based model tracking (AIMT) approach with SSM-reconstructed subject-specific bone models was used for measuring 3D knee kinematics from dynamic alternating bi-plane fluoroscopy images. A two-phase optimization scheme was used to reconstruct subject-specific knee models from a CT-based SSM database of 60 knees using one, two, or three pairs of fluoroscopy images. Using the CT-reconstructed model as a benchmark, the performance of the AIMT with SSM-reconstructed models in measuring bone and joint kinematics during dynamic activity was evaluated in terms of mean target registration errors (mmTRE) for registered bone poses and the mean absolute differences (MAD) for each motion component of the joint poses.ResultsThe mmTRE of the femur and tibia for one image pair were significantly greater than those for two and three image pairs without significant differences between two and three image pairs. The MAD was 1.16 to 1.22° for rotations and 1.18 to 1.22 mm for translations using one image pair. The corresponding values for two and three image pairs were 0.75 to 0.89° and 0.75 to 0.79 mm; and 0.57 to 0.79° and 0.6 to 0.69 mm, respectively. The MAD values for one image pair were significantly greater than those for two and three image pairs without significant differences between two and three image pairs.ConclusionsAn AIMT approach with SSM-reconstructed models was developed, enabling the registration of interleaved fluoroscopy images and SSM-reconstructed models from more than one asynchronous fluoroscopy image pair. This new approach had sub-millimeter and sub-degree measurement accuracy when using more than one image pair, comparable to the accuracy of CT-based methods. This approach will be helpful for future kinematic measurements of the knee with reduced radiation exposure using 3D fluoroscopy with clinically alternating bi-plane fluoroscopy systems.

【 授权许可】

CC BY