TY - JOUR A1 - Akbari Shandiz, Mohsen A1 - Boulos, Paul A1 - Sævarsson, Stefan A1 - Ramm, Heiko A1 - Fu, Chun Kit A1 - Miller, Stephen A1 - Zachow, Stefan A1 - Anglin, Carolyn T1 - Changes in Knee Shape and Geometry Resulting from Total Knee Arthroplasty JF - Journal of Engineering in Medicine N2 - Changes in knee shape and geometry resulting from total knee arthroplasty can affect patients in numerous important ways: pain, function, stability, range of motion, and kinematics. Quantitative data concerning these changes have not been previously available, to our knowledge, yet are essential to understand individual experiences of total knee arthroplasty and thereby improve outcomes for all patients. The limiting factor has been the challenge of accurately measuring these changes. Our study objective was to develop a conceptual framework and analysis method to investigate changes in knee shape and geometry, and prospectively apply it to a sample total knee arthroplasty population. Using clinically available computed tomography and radiography imaging systems, the three-dimensional knee shape and geometry of nine patients (eight varus and one valgus) were compared before and after total knee arthroplasty. All patients had largely good outcomes after their total knee arthroplasty. Knee shape changed both visually and numerically. On average, the distal condyles were slightly higher medially and lower laterally (range: +4.5 mm to −4.4 mm), the posterior condyles extended farther out medially but not laterally (range: +1.8 to −6.4 mm), patellofemoral distance increased throughout flexion by 1.8–3.5 mm, and patellar thickness alone increased by 2.9 mm (range: 0.7–5.2 mm). External femoral rotation differed preop and postop. Joint line distance, taking cartilage into account, changed by +0.7 to −1.5 mm on average throughout flexion. Important differences in shape and geometry were seen between pre-total knee arthroplasty and post-total knee arthroplasty knees. While this is qualitatively known, this is the first study to report it quantitatively, an important precursor to identifying the reasons for the poor outcome of some patients. Using the developed protocol and visualization techniques to compare patients with good versus poor clinical outcomes could lead to changes in implant design, implant selection, component positioning, and surgical technique. Recommendations based on this sample population are provided. Intraoperative and postoperative feedback could ultimately improve patient satisfaction. Y1 - 2018 UR - http://journals.sagepub.com/eprint/ZVgNrNESA9EjIcaFWSjb/full U6 - https://doi.org/10.1177/0954411917743274 VL - 232 IS - 1 SP - 67 EP - 79 ER - TY - JOUR A1 - Saevarsson, Stefan A1 - Sharma, Gulshan A1 - Amiri, Shahram A1 - Montgomery, Sigrun A1 - Ramm, Heiko A1 - Lichti, Derek A1 - Lieck, Robert A1 - Zachow, Stefan A1 - Anglin, Carolyn T1 - Radiological method for measuring patellofemoral tracking and tibiofemoral kinematics before and after total knee replacement JF - Bone and Joint Research Y1 - 2012 UR - http://www.bjr.boneandjoint.org.uk/content/1/10/263.short U6 - https://doi.org/10.1302/2046-3758.110.2000117 VL - 1 IS - 10 SP - 263 EP - 271 ER - TY - GEN A1 - Sharma, Gulshan A1 - Ho, Karen A1 - Saevarsson, Stefan A1 - Ramm, Heiko A1 - Lieck, Robert A1 - Zachow, Stefan A1 - Anglin, Carolyn T1 - Knee Pose and Geometry Pre- and Post-Total Knee Arthroplasty Using Computed Tomography T2 - 58th Annual Meeting of the Orthopaedic Research Society (ORS) Y1 - 2012 CY - San Francisco, CA ER - TY - GEN A1 - Sharma, Gulshan A1 - Saevarsson, Stefan A1 - Amiri, Shahram A1 - Montgomery, Sigrun A1 - Ramm, Heiko A1 - Lichti, Derek A1 - Zachow, Stefan A1 - Anglin, Carolyn T1 - Sequential-Biplane Radiography for Measuring Pre and Post Total Knee Arthroplasty Kinematics T2 - 58th Annual Meeting of the Orthopaedic Research Society (ORS) Y1 - 2012 CY - San Francisco, CA ER - TY - CHAP A1 - Stefan, Saevarsson A1 - Gulshan, Sharma A1 - Sigrun, Montgomery A1 - Karen, Ho A1 - Ramm, Heiko A1 - Lieck, Robert A1 - Zachow, Stefan A1 - Hutchison, Carol A1 - Jason, Werle A1 - Carolyn, Anglin T1 - Kinematic Comparison Between Gender Specific and Traditional Femoral Implants T2 - 67th Canadian Orthopaedic Association (COA) Annual Meeting Y1 - 2012 ER - TY - JOUR A1 - Ho, Karen A1 - Saevarsson, Stefan A1 - Ramm, Heiko A1 - Lieck, Robert A1 - Zachow, Stefan A1 - Sharma, Gulshan A1 - Rex, Erica A1 - Amiri, Shahram A1 - Wu, Barnabas A1 - Leumann, Andre A1 - Anglin, Carolyn T1 - Computed tomography analysis of knee pose and geometry before and after total knee arthroplasty JF - Journal of biomechanics Y1 - 2012 UR - http://www.ncbi.nlm.nih.gov/pubmed/22796002 U6 - https://doi.org/10.1016/j.jbiomech.2012.06.004 VL - 45 IS - 13 SP - 2215 EP - 21 ER - TY - JOUR A1 - Hildebrandt, Thomas A1 - Goubergrits, Leonid A1 - Heppt, Werner A1 - Bessler, Stefan A1 - Zachow, Stefan T1 - Evaluation of the Intranasal Flow Field through Computational Fluid Dynamics (CFD) JF - Journal of Facial and Plastic Surgery Y1 - 2013 UR - https://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1341591 U6 - https://doi.org/10.1055/s-0033-1341591 VL - 29 IS - 2 SP - 93 EP - 98 PB - Thieme ER - TY - JOUR A1 - Saevarsson, Stefan A1 - Sharma, Gulshan A1 - Ramm, Heiko A1 - Lieck, Robert A1 - Hutchison, Carol A1 - Werle, Jason A1 - Montgomery, Sigrun A1 - Romeo, Carolina A1 - Zachow, Stefan A1 - Anglin, Carolyn T1 - Kinematic Differences Between Gender Specific And Traditional Knee Implants JF - The Journal of Arthroplasty Y1 - 2013 U6 - https://doi.org/10.1016/j.arth.2013.01.021 VL - 28 IS - 9 SP - 1543 EP - 1550 ER - TY - GEN A1 - Kober, Cornelia A1 - Sader, Robert A1 - Zeilhofer, Hans-Florian A1 - Prohaska, Steffen A1 - Zachow, Stefan A1 - Deuflhard, Peter T1 - Anisotrope Materialmodellierung für den menschlichen Unterkiefer N2 - Im Rahmen der biomechanischen Simulation knöcherner Organe ist die Frage nach einer befriedigenden Materialbeschreibung nach wie vor ungelöst. Computertomographische Datensätze liefern eine räumliche Verteilung der (Röntgen-)Dichte und ermöglichen damit eine gute Darstellung der individuellen Geometrie. Weiter können die verschiedenen Materialbestandteile des Knochens, Spongiosa und Kortikalis, voneinander getrennt werden. Aber die richtungsabängige Information der Materialanisotropie ist verloren. In dieser Arbeit wird ein Ansatz für eine anisotrope Materialbeschreibung vorgestellt, die es ermöglicht, den Einfluss der individuellen knöchernen Struktur auf das makroskopische Materialverhalten abzuschätzen. T3 - ZIB-Report - 01-31 KW - menschlicher Unterkiefer KW - Simulation mit der Methode der finiten Elemente KW - innerer Aufbau des Knochens KW - anisotrope Elastizität Y1 - 2001 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-6574 ER - TY - GEN A1 - Hege, Hans-Christian A1 - Merzky, Andre A1 - Zachow, Stefan T1 - Distributed Visualization with OpenGL Vizserver: Practical Experiences N2 - The increasing demand for distributed solutions in computing technology does not stop when it comes to visualization techniques. However, the capabilities of todays applications to perform remote rendering are limited by historical design legacys. Especially the popular X11 protokoll, which has been proven to be extremely flexible and usefull for remote 2D graphics applications, breaks down for the case of remote 3D rendering. In this white paper, we give a short overview of generic remote rendering technologies available today, and compare their performance to the recently released vizserver by SGI: a network extension to the SGI OpenGL rendering engines. T3 - ZIB-Report - 00-31 KW - remote visualization KW - high performance computing Y1 - 2000 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-5992 ER - TY - GEN A1 - Deuflhard, Peter A1 - Dössel, Olaf A1 - Louis, Alfred A1 - Zachow, Stefan T1 - Mehr Mathematik wagen in der Medizin N2 - Der Artikel gibt einen Einblick in das reiche Feld der Zusammenarbeit zwischen Mathematik und Medizin. Beispielhaft werden drei Erfolgsmodelle dargestellt: Medizinische Bildgebung, mathematische Modellierung und Biosignalverarbeitung im Bereich der Dynamik des Herzens sowie mathematische Modellierung und Simulation in der Krebstherapie Hyperthermie und der Mund-Kiefer-Gesichts-Chirurgie. In allen Fällen existiert ein Gleichklang der Interessen von Medizin und Mathematik: Beide Disziplinen wollen die Resultate schnell und zuverlässig. Für die Klinik heißt das, dass notwendige Rechnungen in möglichst kurzer Zeit, und zwar auf dem PC, ablaufen müssen und dass die Resultate so genau und belastbar sein müssen, dass medizinische Entscheidungen darauf aufbauen können. Für die Mathematik folgt daraus, dass höchste Anforderungen an die Effizienz der verwendeten Algorithmen und die darauf aufbauende Software in Numerik und Visualisierung zu stellen sind. Jedes Kapitel endet mit einer Darstellung der Perspektive des jeweiligen Gebietes. Abschließend werden mögliche Handlungsoptionen für Politik und Wirtschaft diskutiert. T3 - ZIB-Report - 08-25 Y1 - 2008 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-10776 SN - 1438-0064 ER - TY - THES A1 - Zachow, Stefan T1 - Computergestützte 3D Osteotomieplanung in der Mund-Kiefer-Gesichtschirurgie unter Berücksichtigung der räumlichen Weichgewebeanordnung T1 - Computer assisted 3D osteotomy planning in cranio-maxillofacial surgery under consideration of facial soft tissue arrangement N2 - In der Arbeit wird die computergestützte Planung von chirurgisch gesetzten Knochenfrakturen bzw. Knochenschnitten (sogenannten Osteotomien) an dreidimensionalen, computergrafischen Schädelmodellen, sowie die Umpositionierung separierter knöcherner Segmente im Kontext der rekonstruktiven MKG-Chirurgie behandelt. Durch die 3D Modellierung und Visualisierung anatomischer Strukturen, sowie der 3D Osteotomie- und Umstellungsplanung unter Einbeziehung der resultierenden Weichgewebedeformation wird den Chirurgen ein Werkzeug an die Hand gegeben, mit dem eine Therapieplanung am Computer durchgeführt und diese in Hinblick auf Funktion und Ästhetik bewertet werden kann. Unterschiedliche Strategien können dabei erprobt und in ihrer Auswirkung erfasst werden. Dazu wird ein methodischer Ansatz vorgestellt, der zum einen die chirurgische Planung im Vergleich zu existierenden Ansätzen deutlich verbessert und zum anderen eine robuste Weichgewebeprognose, durch den Einsatz geeigneter Planungsmodelle und eines physikalisch basierten Weichgewebemodells unter Nutzung numerischer Lösungsverfahren in die Planung integriert. Die Visualisierung der Planungsergebnisse erlaubt sowohl eine anschauliche und überzeugende, präoperative Patientenaufklärung, als auch die Demonstration möglicher Vorgehensweisen und deren Auswirkungen für die chirurgische Ausbildung. Ferner ergänzen die Planungsdaten die Falldokumentation und liefern einen Beitrag zur Qualitätssicherung. Die Arbeit ist in sieben Kapitel gegliedert und wie folgt strukturiert: Zuerst wird die medizinische Aufgabenstellung bei der chirurgischen Rekonstruktion von Knochenfehlbildungen und -fehlstellungen in der kraniofazialen Chirurgie sowie die daraus resultierenden Anforderungen an die Therapieplanung beschrieben. Anschließend folgt ein umfassender Überblick über entsprechende Vorarbeiten zur computergestützten Planung knochenverlagernder Operationen und eine kritische Bestandsaufnahme der noch vorhandenen Defizite. Nach der Vorstellung des eigenen Planungsansatzes wird die Generierung individueller, qualitativ hochwertiger 3D Planungsmodelle aus tomografischen Bilddaten beschrieben, die den Anforderungen an eine intuitive, 3D Planung von Umstellungsosteotomien entsprechen und eine Simulation der daraus resultierenden Weichgewebedeformation mittels der Finite-Elemente Methode (FEM) ermöglichen. Die Methoden der 3D Schnittplanung an computergrafischen Modellen werden analysiert und eine 3D Osteotomieplanung an polygonalen Schädelmodellen entwickelt, die es ermöglicht, intuitiv durch Definition von Schnittlinien am 3D Knochenmodell, eine den chirurgischen Anforderungen entsprechende Schnittplanung unter Berücksichtigung von Risikostrukturen durchzuführen. Separierte Knochensegmente lassen sich im Anschluss interaktiv umpositionieren und die resultierende Gesamtanordnung hinsichtlich einer funktionellen Rehabilitation bewerten. Aufgrund des in dieser Arbeit gewählten, physikalisch basierten Modellierungsansatzes kann unter Berücksichtigung des gesamten Weichgewebevolumens aus der Knochenverlagerung direkt die resultierende Gesichtsform berechnet werden. Dies wird anhand von 13 exemplarischen Fallstudien anschaulich demonstriert, wobei die Prognosequalität mittels postoperativer Fotografien und postoperativer CT-Daten überprüft und belegt wird. Die Arbeit wird mit einem Ausblick auf erweiterte Modellierungsansätze und einem Konzept für eine integrierte, klinisch einsetzbare Planungsumgebung abgeschlossen. N2 - In cranio-maxillofacial surgery, physicians are often faced with skeletal malformations that require complex bone relocations. Especially in severe cases of congenital dysgnathia (misalignment of upper and lower jaw) or hemifacial microsomia (asymmetric bone and tissue development), where multiple bone segments are to be mobilized and relocated simultaneously and in relation to each other, careful preoperative planning is mandatory. At present in clinical routine not all possible strategies can be planned and assessed with regard to functional rehabilitation. Moreover, the aesthetic outcome, i.e. the postoperative facial appearance, can only be estimated by a surgeon's experience and hardly communicated to the patient. On this account, a preoperative planning of complex osteotomies with bone relocations on a computerized model of a patient's head, including a reliable three-dimensional prediction and visualization of the post-surgical facial appearance is a highly appreciated possibility cranio-maxillofacial surgeons are longing for. This work, being performed at Zuse Institute Berlin (ZIB), addresses such a computer based 3D~surgery planning. A processing pipeline has been established and a simulation environment has been developed on basis of the software Amira, enabling a surgeon to perform bone cuts and bone rearrangements in an intuitive manner on virtual patient models. In addition, a prediction of the patients' postoperative appearance according to the relocated bone can be simulated and visualized realistically. For a meaningful planning of surgical procedures, anatomically correct patient models providing all relevant details are reconstructed from tomographic data with high fidelity. These patient models reliably represent bony structures as well as the facial soft tissue. Unstructured volumetric grids of the soft tissue are generated for a fast and efficient numerical solution of partial differential equations, describing tissue deformation on the foundation of 3D elastomechanics. The planning of osteotomies (bone cuts) for the mobilization and relocation of bone segments is performed in accordance to the planning on basis of life size replicas of a patient's skull, i.e. stereolitographic models. Osteotomy lines can be drawn on top of the polygonal planning models using suitable input devices. After evaluation of the consequence of a planned cut with regard to vulnerable inner structures (nerves, teeth etc.) the model is separated accordingly. A relocation of bone segments can be performed unrestrictedly in 3D or restricted to a translation or rotation within arbitrarily chosen planes under consideration of cephalometric guidelines. Bone and tooth collisions can be evaluated for functional analysis or orthodontic treatment planning with possible integration of digitized dental plaster casts. As a result of the preoperative planning, a single transformation matrix, encoding translation and rotation, or a sequence of such matrices are provided for each bone segment. Both the osteotomy paths and the transformation parameters can finally be used for intra-operative navigation. In the course of the planning, the relocated positions of bone segments serve as an input for the simulation of the resulting soft tissue deformation. Since bone and surrounding soft tissue share common boundaries that are either fixed or translocated, the resulting configuration of the entire tissue volume can be computed from the given boundary displacements by numerical minimization of the internal strain energy on basis of a biomechanical model, using a finite-element approach. In collaboration with different surgeons and hospitals more than 25 treatments have been accompanied by preoperative planning so far ranging from mandibular and midfacial hypoplasia to complex hemifacial microsomia. 13 of these cases are presented within this work. Simulation results were validated on the basis of photographs as well as of postoperative CT data, showing a good correlation between simulation and postoperative outcome. Further aspects of improving the modeling approach are discussed. It has been demonstrated that 3D~osteotomy planning on virtual patient models can be performed intuitively, and that 3D~tissue deformation for cranio-maxillofacial osteotomy planning can be predicted numerically without using heuristic ratios. It can be stated that by using 3D~planning software, a surgeon gains a better spatial understanding of complex dysplasia, and the 3D~soft tissue prediction gives an additional criterion for the assessment of the planned strategy. It turned out that, especially in complex cases such as hemifacial microsomia or for decisions bet­ween mono- and bimaxillary advancements, a 3D~planning aid is extremely helpful. The conclusion is, that images and animations created within the planning phase provide a valuable planning criterion for maxillofacial surgeons as well as a demonstrative information for patients and their relatives, thus greatly enhancing patient information, as well as surgical education. All data that result from the planning are also important for documentation and quality assurance. 3D osteotomy planning, including soft tissue prediction, likely will become a new paradigm of plastic and reconstructive surgery planning in the future. An assortment of results can be found under: http://www.zib.de/visual/medical/projects KW - MKG-Chirurgie KW - Mund-Kiefer-Gesichtschirurgie KW - Therapieplanung KW - Osteotomie KW - Weichgewebeprädiktion KW - computer assisted surgery KW - therapy planning KW - osteotomy KW - soft tissue prediction KW - CAS Y1 - 2005 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-10432 SN - 3899631986 ER - TY - GEN A1 - Zachow, Stefan A1 - Zilske, Michael A1 - Hege, Hans-Christian T1 - 3D reconstruction of individual anatomy from medical image data: Segmentation and geometry processing N2 - For medical diagnosis, visualization, and model-based therapy planning three-dimensional geometric reconstructions of individual anatomical structures are often indispensable. Computer-assisted, model-based planning procedures typically cover specific modifications of “virtual anatomy” as well as numeric simulations of associated phenomena, like e.g. mechanical loads, fluid dynamics, or diffusion processes, in order to evaluate a potential therapeutic outcome. Since internal anatomical structures cannot be measured optically or mechanically in vivo, three-dimensional reconstruction of tomographic image data remains the method of choice. In this work the process chain of individual anatomy reconstruction is described which consists of segmentation of medical image data, geometrical reconstruction of all relevant tissue interfaces, up to the generation of geometric approximations (boundary surfaces and volumetric meshes) of three-dimensional anatomy being suited for finite element analysis. All results presented herein are generated with amira ® – a highly interactive software system for 3D data analysis, visualization and geometry reconstruction. T3 - ZIB-Report - 07-41 KW - Medical image segmentation KW - computational geometry KW - virtual anatomy KW - finite element meshes Y1 - 2007 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-10440 SN - 1438-0064 ER - TY - JOUR A1 - Gladilin, Evgeny A1 - Zachow, Stefan A1 - Deuflhard, Peter A1 - Hege, Hans-Christian T1 - A nonlinear elastic soft tissue model for craniofacial surgery simulations JF - ESAIM, Proc. Y1 - 2002 U6 - https://doi.org/10.1051/proc:2002011 VL - 12 SP - 61 EP - 66 ER - TY - CHAP A1 - Gladilin, Evgeny A1 - Zachow, Stefan A1 - Deuflhard, Peter A1 - Hege, Hans-Christian T1 - A nonlinear soft tissue model for craniofacial surgery simulations T2 - Proc. of Modeling and Simulation for Computer-aided Medicine and Surgery (MS4CMS Y1 - 2002 PB - INRIA CY - Paris, France ER - TY - CHAP A1 - Gladilin, Evgeny A1 - Zachow, Stefan A1 - Deuflhard, Peter A1 - Hege, Hans-Christian T1 - Biomechanical modeling of individual facial emotion expressions T2 - Proc. of Visualization, Imaging, and Image Processing (VIIP) Y1 - 2002 SP - 7 EP - 11 CY - Malaga, Spain ER - TY - JOUR A1 - Deuflhard, Peter A1 - Weiser, Martin A1 - Zachow, Stefan T1 - Mathematics in Facial Surgery JF - AMS Notices Y1 - 2006 VL - 53 IS - 9 SP - 1012 EP - 1016 ER - TY - CHAP A1 - Gladilin, Evgeny A1 - Zachow, Stefan A1 - Deuflhard, Peter A1 - Hege, Hans-Christian ED - Meiler, M. ED - Saupe, D. ED - Krugel, F. ED - Handels, H. ED - Lehmann, T. T1 - Biomechanisches Modell zur Abschätzung der individuellen Gesichtsmimik T2 - Proc.of Workshop Bildverarbeitung für die Medizin (BVM) Y1 - 2002 SP - 25 EP - 28 CY - Leipzig, Germany ER - TY - CHAP A1 - Zachow, Stefan A1 - Weiser, Martin A1 - Hege, Hans-Christian A1 - Deuflhard, Peter ED - Payan, Y. T1 - Soft Tissue Prediction in Computer Assisted Maxillofacial Surgery Planning T2 - Biomechanics Applied to Computer Assisted Surgery Y1 - 2005 SP - 277 EP - 298 PB - Research Signpost ER - TY - CHAP A1 - Zachow, Stefan A1 - Weiser, Martin A1 - Deuflhard, Peter ED - Niederlag, Wolfgang ED - Lemke, Heinz ED - Meixensberger, Jürgen ED - Baumann, Michael T1 - Modellgestützte Operationsplanung in der Kopfchirurgie T2 - Modellgestützte Therapie Y1 - 2008 SP - 140 EP - 156 PB - Health Academy ER - TY - JOUR A1 - Zeilhofer, Hans-Florian A1 - Zachow, Stefan A1 - Fairley, Jeffrey A1 - Sader, Robert A1 - Deuflhard, Peter T1 - Treatment Planning and Simulation in Craniofacial Surgery with Virtual Reality Techiques JF - Journal of Cranio-Maxillofacial Surgery Y1 - 2000 VL - 28 (Suppl. 1) SP - 82 ER - TY - JOUR A1 - Campoli, Gianni A1 - Baka, Nora A1 - Kaptein, Bart A1 - Valstar, Edward A1 - Zachow, Stefan A1 - Weinans, Harrie A1 - Zadpoor, Amir Abbas T1 - Relationship between the shape and density distribution of the femur and its natural frequencies of vibration JF - Journal of Biomechanics N2 - It has been recently suggested that mechanical loads applied at frequencies close to the natural frequencies of bone could enhance bone apposition due to the resonance phenomenon. Other applications of bone modal analysis are also suggested. For the above-mentioned applications, it is important to understand how patient-specific bone shape and density distribution influence the natural frequencies of bones. We used finite element models to study the effects of bone shape and density distribution on the natural frequencies of the femur in free boundary conditions. A statistical shape and appearance model that describes shape and density distribution independently was created, based on a training set of 27 femora. The natural frequencies were then calculated for different shape modes varied around the mean shape while keeping the mean density distribution, for different appearance modes around the mean density distribution while keeping the mean bone shape, and for the 27 training femora. Single shape or appearance modes could cause up to 15% variations in the natural frequencies with certain modes having the greatest impact. For the actual femora, shape and density distribution changed the natural frequencies by up to 38%. First appearance mode that describes the general cortical bone thickness and trabecular bone density had one of the strongest impacts. The first appearance mode could therefore provide a sensitive measure of general bone health and disease progression. Since shape and density could cause large variations in the calculated natural frequencies, patient-specific FE models are needed for accurate estimation of bone natural frequencies. Y1 - 2014 U6 - https://doi.org/10.1016/j.jbiomech.2014.08.008 VL - 47 SP - 3334 EP - 3343 PB - Elsevier ER - TY - JOUR A1 - Hochfeld, Mascha A1 - Lamecker, Hans A1 - Thomale, Ulrich W. A1 - Schulz, Matthias A1 - Zachow, Stefan A1 - Haberl, Hannes T1 - Frame-based cranial reconstruction JF - Journal of Neurosurgery: Pediatrics N2 - The authors report on the first experiences with the prototype of a surgical tool for cranial remodeling. The device enables the surgeon to transfer statistical information, represented in a model, into the disfigured bone. The model is derived from a currently evolving databank of normal head shapes. Ultimately, the databank will provide a set of standard models covering the statistical range of normal head shapes, thus providing the required template for any standard remodeling procedure as well as customized models for intended overcorrection. To date, this technique has been used in the surgical treatment of 14 infants (age range 6-12 months) with craniosynostosis. In all 14 cases, the designated esthetic result, embodied by the selected model, has been achieved, without morbidity or mortality. Frame-based reconstruction provides the required tools to precisely realize the surgical reproduction of the model shape. It enables the establishment of a self-referring system, feeding back postoperative growth patterns, recorded by 3D follow-up, into the model design. Y1 - 2014 U6 - https://doi.org/10.3171/2013.11.PEDS1369 VL - 13 IS - 3 SP - 319 EP - 323 ER - TY - CHAP A1 - Joachimsky, Robert A1 - Ambellan, Felix A1 - Zachow, Stefan T1 - Computerassistierte Auswahl und Platzierung von interpositionalen Spacern zur Behandlung früher Gonarthrose T2 - Proceedings of the Jahrestagung der Deutschen Gesellschaft für Computer- und Roboterassistierte Chirurgie (CURAC) N2 - Degenerative Gelenkerkrankungen, wie die Osteoarthrose, sind ein häufiges Krankheitsbild unter älteren Erwachsenen. Hierbei verringert sich u.a. der Gelenkspalt aufgrund degenerierten Knorpels oder geschädigter Menisci. Ein in den Gelenkspalt eingebrachter interpositionaler Spacer soll die mit der Osteoarthrose einhergehende verringerte Gelenkkontaktfläche erhöhen und so der teilweise oder vollständige Gelenkersatz hinausgezögert oder vermieden werden. In dieser Arbeit präsentieren wir eine Planungssoftware für die Auswahl und Positionierung eines interpositionalen Spacers am Patientenmodell. Auf einer MRT-basierten Bildsegmentierung aufbauend erfolgt eine geometrische Rekonstruktion der 3D-Anatomie des Kniegelenks. Anhand dieser wird der Gelenkspalt bestimmt, sowie ein Spacer ausgewählt und algorithmisch vorpositioniert. Die Positionierung des Spacers ist durch den Benutzer jederzeit interaktiv anpassbar. Für jede Positionierung eines Spacers wird ein Fitness-Wert zur Knieanatomie des jeweiligen Patienten berechnet und den Nutzern Rückmeldung hinsichtlich Passgenauigkeit gegeben. Die Software unterstützt somit als Entscheidungshilfe die behandelnden Ärzte bei der patientenspezifischen Spacerauswahl. KW - Osteoarthrose KW - Kniegelenk KW - Medizinische Planung KW - Visualisierung Y1 - 2017 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-65321 VL - 16 SP - 106 EP - 111 ER - TY - JOUR A1 - Hoffmann, René A1 - Lemanis, Robert A1 - Falkenberg, Janina A1 - Schneider, Steffen A1 - Wesendonk, Hendrik A1 - Zachow, Stefan T1 - Integrating 2D and 3D shell morphology to disentangle the palaeobiology of ammonoids: A virtual approach JF - Palaeontology N2 - We demonstrate, based on data derived from computed tomography, that integrating 2D and 3D morphological data of ammonoid shells represent an important new approach to disentangle the palaeobiology of ammonoids. Characterization of ammonite morphology has long been constrained to 2D data and only a few studies collect ontogenetic data in 180° steps. We combine this traditional approach with 3D data collected from high-resolution nano-computed tomography. For this approach, ontogenetic morphological data of the hollow shell of a juvenile ammonite Kosmoceras (Jurassic, Callovian) is collected. 2D data is collected in 10° steps and show significant changes in shell morphology. Preserved hollow spines show multiple mineralized membranes never reported before, representing temporal changes of the ammonoid mantle tissue. 3D data show that chamber volumes do not always increase exponentially, as was generally assumed, but may represent a proxy for life events, e.g. stress phases. Furthermore, chamber volume cannot be simply derived from septal spacing in forms comparable to Kosmoceras. Vogel numbers, a 3D parameter for chamber shape, of Kosmoceras are similar to other ammonoids (Arnsbergites, Amauroceras) and modern cephalopods (Nautilus, Spirula). Two methods to virtually document the suture line ontogeny, used to document phylogenetic relationships of larger taxonomic entities, were applied for the first time and seem a promising alternative to hand drawings. The curvature of the chamber surfaces increases during ontogeny due to increasing strength of ornamentation and septal complexity. As increasing curvature may allow for faster handling of cameral liquid, it could compensate for decreasing SA/V ratios through ontogeny. Y1 - 2017 UR - http://dx.doi.org/10.1111/pala.12328 U6 - https://doi.org/10.1111/pala.12328 VL - 61 IS - 1 SP - 89 EP - 104 ER - TY - JOUR A1 - Moldenhauer, Marian A1 - Weiser, Martin A1 - Zachow, Stefan T1 - Adaptive Algorithms for Optimal Hip Implant Positioning JF - PAMM N2 - In an aging society where the number of joint replacements rises, it is important to also increase the longevity of implants. In particular hip implants have a lifetime of at most 15 years. This derives primarily from pain due to implant migration, wear, inflammation, and dislocation, which is affected by the positioning of the implant during the surgery. Current joint replacement practice uses 2D software tools and relies on the experience of surgeons. Especially the 2D tools fail to take the patients’ natural range of motion as well as stress distribution in the 3D joint induced by different daily motions into account. Optimizing the hip joint implant position for all possible parametrized motions under the constraint of a contact problem is prohibitively expensive as there are too many motions and every position change demands a recalculation of the contact problem. For the reduction of the computational effort, we use adaptive refinement on the parameter domain coupled with the interpolation method of Kriging. A coarse initial grid is to be locally refined using goal-oriented error estimation, reducing locally high variances. This approach will be combined with multi-grid optimization such that numerical errors are reduced. Y1 - 2017 U6 - https://doi.org/10.1002/pamm.201710071 VL - 17 IS - 1 SP - 203 EP - 204 ER - TY - CHAP A1 - Ambellan, Felix A1 - Tack, Alexander A1 - Wilson, Dave A1 - Anglin, Carolyn A1 - Lamecker, Hans A1 - Zachow, Stefan T1 - Evaluating two methods for Geometry Reconstruction from Sparse Surgical Navigation Data T2 - Proceedings of the Jahrestagung der Deutschen Gesellschaft für Computer- und Roboterassistierte Chirurgie (CURAC) N2 - In this study we investigate methods for fitting a Statistical Shape Model (SSM) to intraoperatively acquired point cloud data from a surgical navigation system. We validate the fitted models against the pre-operatively acquired Magnetic Resonance Imaging (MRI) data from the same patients. We consider a cohort of 10 patients who underwent navigated total knee arthroplasty. As part of the surgical protocol the patients’ distal femurs were partially digitized. All patients had an MRI scan two months pre-operatively. The MRI data were manually segmented and the reconstructed bone surfaces used as ground truth against which the fit was compared. Two methods were used to fit the SSM to the data, based on (1) Iterative Closest Points (ICP) and (2) Gaussian Mixture Models (GMM). For both approaches, the difference between model fit and ground truth surface averaged less than 1.7 mm and excellent correspondence with the distal femoral morphology can be demonstrated. KW - Total Knee Arthoplasty KW - Sparse Geometry Reconstruction KW - Statistical Shape Models Y1 - 2017 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0297-zib-65339 VL - 16 SP - 24 EP - 30 ER - TY - JOUR A1 - von Tycowicz, Christoph A1 - Ambellan, Felix A1 - Mukhopadhyay, Anirban A1 - Zachow, Stefan T1 - An Efficient Riemannian Statistical Shape Model using Differential Coordinates JF - Medical Image Analysis N2 - We propose a novel Riemannian framework for statistical analysis of shapes that is able to account for the nonlinearity in shape variation. By adopting a physical perspective, we introduce a differential representation that puts the local geometric variability into focus. We model these differential coordinates as elements of a Lie group thereby endowing our shape space with a non-Euclidean structure. A key advantage of our framework is that statistics in a manifold shape space becomes numerically tractable improving performance by several orders of magnitude over state-of-the-art. We show that our Riemannian model is well suited for the identification of intra-population variability as well as inter-population differences. In particular, we demonstrate the superiority of the proposed model in experiments on specificity and generalization ability. We further derive a statistical shape descriptor that outperforms the standard Euclidean approach in terms of shape-based classification of morphological disorders. Y1 - 2018 U6 - https://doi.org/10.1016/j.media.2017.09.004 VL - 43 IS - 1 SP - 1 EP - 9 ER - TY - JOUR A1 - Zinser, Max A1 - Zachow, Stefan A1 - Sailer, Hermann T1 - Bimaxillary "rotation advancement" procedures in patients with obstructive sleep apnea: A 3-dimensional airway analysis of morphological changes JF - International Journal of Oral & Maxillofacial Surgery Y1 - 2013 U6 - https://doi.org/10.1016/j.ijom.2012.08.002 VL - 42 IS - 5 SP - 569 EP - 578 ER - TY - GEN A1 - Deuflhard, Peter A1 - Zachow, Stefan T1 - Mathematische Therapie- und Operationsplanung Y1 - 2012 SP - 89 EP - 90 PB - Berliner Wirtschaftsgespräche e.V. CY - Berlin ER - TY - GEN A1 - Bindernagel, Matthias A1 - Kainmüller, Dagmar A1 - Ramm, Heiko A1 - Lamecker, Hans A1 - Zachow, Stefan T1 - Analysis of inter-individual anatomical shape variations of joint structures T2 - Proc. Int. Society of Computer Assisted Orthopaedic Surgery (CAOS) Y1 - 2012 IS - 210 ER - TY - CHAP A1 - Nguyen, The Duy A1 - Lamecker, Hans A1 - Kainmüller, Dagmar A1 - Zachow, Stefan ED - Ayache, Nicholas ED - Delingette, Hervé ED - Golland, Polina ED - Mori, Kensaku T1 - Automatic Detection and Classification of Teeth in CT Data T2 - Proc. Medical Image Computing and Computer Assisted Intervention (MICCAI) Y1 - 2012 VL - 7510 SP - 609 EP - 616 ER - TY - JOUR A1 - Nguyen, The Duy A1 - Kainmüller, Dagmar A1 - Lamecker, Hans A1 - Zachow, Stefan T1 - Automatic bone and tooth detection for CT-based dental implant planning JF - Int. J. Computer Assisted Radiology and Surgery Y1 - 2012 VL - 7, Supplement 1 IS - 1 SP - 293 EP - 294 PB - Springer ER - TY - CHAP A1 - Lamecker, Hans A1 - Zöckler, Maja A1 - Haberl, Hannes A1 - Zachow, Stefan A1 - Hege, Hans-Christian T1 - Statistical shape modeling for craniosynostosis planning T2 - 2nd International Conference Advanced Digital Technology in Head and Neck Reconstruction 2005, Abstract Volume Y1 - 2005 SP - 64 CY - Banff, Alberta ER - TY - JOUR A1 - Westermark, Anders A1 - Zachow, Stefan A1 - Eppley, Barry T1 - 3D osteotomy planning in maxillofacial surgery, including 3D soft tissue prediction JF - Journal of Craniofacial Surgery Y1 - 2005 VL - 16(1) SP - 100 EP - 104 ER - TY - JOUR A1 - Zachow, Stefan A1 - Hege, Hans-Christian A1 - Deuflhard, Peter T1 - Maxillofacial surgery planning with 3D soft tissue prediction - modeling, planning, simulation JF - 2. Int. Conf. on Advanced Digital Technology in Head and Neck Reconstruction, Abstract 33 Y1 - 2005 SP - 64 CY - Banff, Alberta, CA ER - TY - CHAP A1 - Gladilin, Evgeny A1 - Zachow, Stefan A1 - Deuflhard, Peter A1 - Hege, Hans-Christian ED - Galloway, Robert T1 - Realistic prediction of individual facial emotion expressions for craniofacial surgery simulations T2 - Proc. SPIE medical Imaging 2003 Y1 - 2003 U6 - https://doi.org/10.1117/12.479584 VL - 5029 SP - 520 EP - 527 CY - San Diego, CA, USA ER - TY - CHAP A1 - Gladilin, Evgeny A1 - Zachow, Stefan A1 - Deuflhard, Peter A1 - Hege, Hans-Christian T1 - On constitutive modeling of soft tissue for the long-term prediction of cranio-maxillofacial surgery outcome T2 - International Congress Series, CARS2003, Computer Assisted Radiology and Surgery, Proceedings of the 17th International Congress and Exhibition Y1 - 2003 U6 - https://doi.org/10.1016/S0531-5131(03)00500-4 VL - 1256 SP - 343 EP - 348 ER - TY - CHAP A1 - Zachow, Stefan A1 - Gladilin, Evgeny A1 - Sader, Robert A1 - Zeilhofer, Hans-Florian T1 - Draw & Cut: Intuitive 3D Osteotomy Planning on Polygonal Bone Models T2 - Computer Assisted Radiology and Surgery (CARS) Y1 - 2003 U6 - https://doi.org/10.1016/S0531-5131(03)00272-3 SP - 362 EP - 369 CY - London, UK ER - TY - CHAP A1 - Zachow, Stefan A1 - Hege, Hans-Christian A1 - Deuflhard, Peter T1 - Computergestützte Operationsplanung in der Gesichtschirurgie T2 - Proc. VDE Kongress 2004 - Innovationen für Menschen, Band 2, Fachtagungsberichte DGBMT - GMM - GMA Y1 - 2004 SP - 53 EP - 58 ER - TY - CHAP A1 - Zachow, Stefan A1 - Hierl, Thomas A1 - Erdmann, Bodo T1 - A quantitative evaluation of 3D soft tissue prediction in maxillofacial surgery planning T2 - Proc. 3. Jahrestagung der Deutschen Gesellschaft für Computer- und Roboter-assistierte Chirurgie e.V. Y1 - 2004 CY - München ER - TY - JOUR A1 - Hierl, Thomas A1 - Zachow, Stefan A1 - Wollny, Gert A1 - Berti, Guntram A1 - Schmidt, Jens-Georg A1 - Fingberg, Jochen T1 - Computer-based simulation in distraction osteogenesis JF - Proc. of 3rd Int. Oxford Distraction Symposium of the Craniofacial Skeleton Y1 - 2004 SP - 33 EP - 34 ER - TY - JOUR A1 - Hierl, Thomas A1 - Zachow, Stefan A1 - Wollny, Gert A1 - Berti, Guntram A1 - Schmidt, Jens-Georg A1 - Fingberg, Jochen T1 - Concepts of computer-based simulation in orthognathic surgery JF - Journal of Cranio-Maxillofacial Surgery 32 Suppl. 1 Y1 - 2004 SP - 81 EP - 82 ER - TY - JOUR A1 - Haberl, Hannes A1 - Hell, Bertold A1 - Zöckler, Maja A1 - Zachow, Stefan A1 - Lamecker, Hans A1 - Sarrafzadeh, Asita A1 - Riecke, B. A1 - Langsch, Wolfgang A1 - Deuflhard, Peter A1 - Bier, Jürgen A1 - Brock, Mario T1 - Technical aspects and results of surgery for craniosynostosis JF - Zentralblatt für Neurochirurgie Y1 - 2004 VL - 65 IS - 2 SP - 65 EP - 74 ER - TY - JOUR A1 - Nkenke, Emeka A1 - Zachow, Stefan A1 - Benz, Michaela A1 - Maier, Tobias A1 - Veit, Klaus A1 - Kramer, Manuel A1 - Benz, St. A1 - Häusler, Gerd A1 - Neukam, Friedrich A1 - Lell, Michael T1 - Fusion of computed tomography data and optical 3D images of the dentition for streak artefact correction in the simulation of orthognathic surgery JF - Journal of Dento-Maxillofacial Radiology Y1 - 2004 U6 - https://doi.org/10.1259/dmfr/27071199 VL - 33 SP - 226 EP - 232 ER - TY - CHAP A1 - Zachow, Stefan A1 - Hierl, Thomas A1 - Erdmann, Bodo T1 - On the Predictability of tissue changes after osteotomy planning in maxillofacial surgery T2 - Computer Assisted Radiology and Surgery (CARS) Y1 - 2004 U6 - https://doi.org/10.1016/j.ics.2004.03.043 SP - 648 EP - 653 CY - Chicago, USA ER - TY - CHAP A1 - Zachow, Stefan A1 - Hierl, Thomas A1 - Erdmann, Bodo T1 - Über die Genauigkeit einer 3D Weichgewebeprädiktion in der MKG-Cirurgie T2 - Workshop ’Bildverarbeitung für die Medizin’ (BVM) Y1 - 2004 SP - 75 EP - 79 CY - Berlin, Germany ER - TY - CHAP A1 - Gladilin, Evgeny A1 - Zachow, Stefan A1 - Deuflhard, Peter A1 - Hege, Hans-Christian ED - K. Mun, Seong T1 - Adaptive Nonlinear Elastic FEM for Realistic Prediction of Soft Tissue in Craniofacial Surgery Simulations T2 - Proc. SPIE Medical Imaging 2002 Y1 - 2002 U6 - https://doi.org/10.1117/12.466906 VL - 4681 SP - 1 EP - 8 CY - San Diego, USA ER - TY - CHAP A1 - Gladilin, Evgeny A1 - Zachow, Stefan A1 - Deuflhard, Peter A1 - Hege, Hans-Christian ED - Mun, Seong T1 - Shape-based Modeling Approach for the Estimation of Individual Facial Mimics in Craniofacial Surgery Planning T2 - Proc. SPIE Medical Imaging 2002: Visualization, Image-Guided Procedures, and Display Y1 - 2002 VL - 4681 SP - 242 EP - 248 CY - San Diego, USA target ER - TY - CHAP A1 - Hege, Hans-Christian A1 - Schirmacher, Hartmut A1 - Westerhoff, Malte A1 - Lamecker, Hans A1 - Prohaska, Steffen A1 - Zachow, Stefan T1 - From Image Data to Three-Dimensional Models - Case Studies on the Impact of 3D Patient Models T2 - Proceedings of the Japan Korea Computer Graphics Conference 2002 Y1 - 2002 PB - Kanazawa University CY - Kanazawa City, Ishikawa, Japan ER -