@article{AkbariShandizBoulosSavarssonetal.2017, author = {Akbari Shandiz, Mohsen and Boulos, Paul and S{\ae}varsson, Stefan and Ramm, Heiko and Fu, Chun Kit and Miller, Stephen and Zachow, Stefan and Anglin, Carolyn}, title = {Changes in Knee Shape and Geometry Resulting from Total Knee Arthroplasty}, series = {Journal of Engineering in Medicine}, volume = {232}, journal = {Journal of Engineering in Medicine}, number = {1}, doi = {10.1177/0954411917743274}, pages = {67 -- 79}, year = {2017}, abstract = {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.}, language = {en} } @article{SaevarssonSharmaAmirietal.2012, author = {Saevarsson, Stefan and Sharma, Gulshan and Amiri, Shahram and Montgomery, Sigrun and Ramm, Heiko and Lichti, Derek and Lieck, Robert and Zachow, Stefan and Anglin, Carolyn}, title = {Radiological method for measuring patellofemoral tracking and tibiofemoral kinematics before and after total knee replacement}, series = {Bone and Joint Research}, volume = {1}, journal = {Bone and Joint Research}, number = {10}, doi = {10.1302/2046-3758.110.2000117}, pages = {263 -- 271}, year = {2012}, language = {en} } @article{HoSaevarssonRammetal.2012, author = {Ho, Karen and Saevarsson, Stefan and Ramm, Heiko and Lieck, Robert and Zachow, Stefan and Sharma, Gulshan and Rex, Erica and Amiri, Shahram and Wu, Barnabas and Leumann, Andre and Anglin, Carolyn}, title = {Computed tomography analysis of knee pose and geometry before and after total knee arthroplasty}, series = {Journal of biomechanics}, volume = {45}, journal = {Journal of biomechanics}, number = {13}, doi = {10.1016/j.jbiomech.2012.06.004}, pages = {2215 -- 21}, year = {2012}, language = {en} } @article{HildebrandtGoubergritsHepptetal.2013, author = {Hildebrandt, Thomas and Goubergrits, Leonid and Heppt, Werner and Bessler, Stefan and Zachow, Stefan}, title = {Evaluation of the Intranasal Flow Field through Computational Fluid Dynamics (CFD)}, series = {Journal of Facial and Plastic Surgery}, volume = {29}, journal = {Journal of Facial and Plastic Surgery}, number = {2}, publisher = {Thieme}, doi = {10.1055/s-0033-1341591}, pages = {93 -- 98}, year = {2013}, language = {en} } @article{SaevarssonSharmaRammetal.2013, author = {Saevarsson, Stefan and Sharma, Gulshan and Ramm, Heiko and Lieck, Robert and Hutchison, Carol and Werle, Jason and Montgomery, Sigrun and Romeo, Carolina and Zachow, Stefan and Anglin, Carolyn}, title = {Kinematic Differences Between Gender Specific And Traditional Knee Implants}, series = {The Journal of Arthroplasty}, volume = {28}, journal = {The Journal of Arthroplasty}, number = {9}, doi = {10.1016/j.arth.2013.01.021}, pages = {1543 -- 1550}, year = {2013}, language = {en} } @article{GladilinZachowDeuflhardetal.2002, author = {Gladilin, Evgeny and Zachow, Stefan and Deuflhard, Peter and Hege, Hans-Christian}, title = {A nonlinear elastic soft tissue model for craniofacial surgery simulations}, series = {ESAIM, Proc.}, volume = {12}, journal = {ESAIM, Proc.}, doi = {10.1051/proc:2002011}, pages = {61 -- 66}, year = {2002}, language = {en} } @article{DeuflhardWeiserZachow2006, author = {Deuflhard, Peter and Weiser, Martin and Zachow, Stefan}, title = {Mathematics in Facial Surgery}, series = {AMS Notices}, volume = {53}, journal = {AMS Notices}, number = {9}, pages = {1012 -- 1016}, year = {2006}, language = {en} } @article{ZeilhoferZachowFairleyetal.2000, author = {Zeilhofer, Hans-Florian and Zachow, Stefan and Fairley, Jeffrey and Sader, Robert and Deuflhard, Peter}, title = {Treatment Planning and Simulation in Craniofacial Surgery with Virtual Reality Techiques}, series = {Journal of Cranio-Maxillofacial Surgery}, volume = {28 (Suppl. 1)}, journal = {Journal of Cranio-Maxillofacial Surgery}, pages = {82}, year = {2000}, language = {en} } @article{CampoliBakaKapteinetal., author = {Campoli, Gianni and Baka, Nora and Kaptein, Bart and Valstar, Edward and Zachow, Stefan and Weinans, Harrie and Zadpoor, Amir Abbas}, title = {Relationship between the shape and density distribution of the femur and its natural frequencies of vibration}, series = {Journal of Biomechanics}, volume = {47}, journal = {Journal of Biomechanics}, publisher = {Elsevier}, doi = {10.1016/j.jbiomech.2014.08.008}, pages = {3334 -- 3343}, abstract = {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.}, language = {en} } @article{HochfeldLameckerThomaleetal., author = {Hochfeld, Mascha and Lamecker, Hans and Thomale, Ulrich W. and Schulz, Matthias and Zachow, Stefan and Haberl, Hannes}, title = {Frame-based cranial reconstruction}, series = {Journal of Neurosurgery: Pediatrics}, volume = {13}, journal = {Journal of Neurosurgery: Pediatrics}, number = {3}, doi = {10.3171/2013.11.PEDS1369}, pages = {319 -- 323}, abstract = {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.}, language = {en} } @article{HoffmannLemanisFalkenbergetal., author = {Hoffmann, Ren{\´e} and Lemanis, Robert and Falkenberg, Janina and Schneider, Steffen and Wesendonk, Hendrik and Zachow, Stefan}, title = {Integrating 2D and 3D shell morphology to disentangle the palaeobiology of ammonoids: A virtual approach}, series = {Palaeontology}, volume = {61}, journal = {Palaeontology}, number = {1}, doi = {10.1111/pala.12328}, pages = {89 -- 104}, abstract = {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.}, language = {en} } @article{MoldenhauerWeiserZachow, author = {Moldenhauer, Marian and Weiser, Martin and Zachow, Stefan}, title = {Adaptive Algorithms for Optimal Hip Implant Positioning}, series = {PAMM}, volume = {17}, journal = {PAMM}, number = {1}, doi = {10.1002/pamm.201710071}, pages = {203 -- 204}, abstract = {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.}, language = {en} } @article{vonTycowiczAmbellanMukhopadhyayetal., author = {von Tycowicz, Christoph and Ambellan, Felix and Mukhopadhyay, Anirban and Zachow, Stefan}, title = {An Efficient Riemannian Statistical Shape Model using Differential Coordinates}, series = {Medical Image Analysis}, volume = {43}, journal = {Medical Image Analysis}, number = {1}, doi = {10.1016/j.media.2017.09.004}, pages = {1 -- 9}, abstract = {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.}, language = {en} } @article{ZinserZachowSailer2013, author = {Zinser, Max and Zachow, Stefan and Sailer, Hermann}, title = {Bimaxillary "rotation advancement" procedures in patients with obstructive sleep apnea: A 3-dimensional airway analysis of morphological changes}, series = {International Journal of Oral \& Maxillofacial Surgery}, volume = {42}, journal = {International Journal of Oral \& Maxillofacial Surgery}, number = {5}, doi = {10.1016/j.ijom.2012.08.002}, pages = {569 -- 578}, year = {2013}, language = {en} } @article{NguyenKainmuellerLameckeretal.2012, author = {Nguyen, The Duy and Kainm{\"u}ller, Dagmar and Lamecker, Hans and Zachow, Stefan}, title = {Automatic bone and tooth detection for CT-based dental implant planning}, series = {Int. J. Computer Assisted Radiology and Surgery}, volume = {7, Supplement 1}, journal = {Int. J. Computer Assisted Radiology and Surgery}, number = {1}, publisher = {Springer}, pages = {293 -- 294}, year = {2012}, language = {en} } @article{WestermarkZachowEppley2005, author = {Westermark, Anders and Zachow, Stefan and Eppley, Barry}, title = {3D osteotomy planning in maxillofacial surgery, including 3D soft tissue prediction}, series = {Journal of Craniofacial Surgery}, volume = {16(1)}, journal = {Journal of Craniofacial Surgery}, pages = {100 -- 104}, year = {2005}, language = {en} } @article{ZachowHegeDeuflhard2005, author = {Zachow, Stefan and Hege, Hans-Christian and Deuflhard, Peter}, title = {Maxillofacial surgery planning with 3D soft tissue prediction - modeling, planning, simulation}, series = {2. Int. Conf. on Advanced Digital Technology in Head and Neck Reconstruction, Abstract 33}, journal = {2. Int. Conf. on Advanced Digital Technology in Head and Neck Reconstruction, Abstract 33}, address = {Banff, Alberta, CA}, pages = {64}, year = {2005}, language = {en} } @article{HierlZachowWollnyetal.2004, author = {Hierl, Thomas and Zachow, Stefan and Wollny, Gert and Berti, Guntram and Schmidt, Jens-Georg and Fingberg, Jochen}, title = {Computer-based simulation in distraction osteogenesis}, series = {Proc. of 3rd Int. Oxford Distraction Symposium of the Craniofacial Skeleton}, journal = {Proc. of 3rd Int. Oxford Distraction Symposium of the Craniofacial Skeleton}, pages = {33 -- 34}, year = {2004}, language = {en} } @article{HierlZachowWollnyetal.2004, author = {Hierl, Thomas and Zachow, Stefan and Wollny, Gert and Berti, Guntram and Schmidt, Jens-Georg and Fingberg, Jochen}, title = {Concepts of computer-based simulation in orthognathic surgery}, series = {Journal of Cranio-Maxillofacial Surgery 32 Suppl. 1}, journal = {Journal of Cranio-Maxillofacial Surgery 32 Suppl. 1}, pages = {81 -- 82}, year = {2004}, language = {en} } @article{HaberlHellZoeckleretal.2004, author = {Haberl, Hannes and Hell, Bertold and Z{\"o}ckler, Maja and Zachow, Stefan and Lamecker, Hans and Sarrafzadeh, Asita and Riecke, B. and Langsch, Wolfgang and Deuflhard, Peter and Bier, J{\"u}rgen and Brock, Mario}, title = {Technical aspects and results of surgery for craniosynostosis}, series = {Zentralblatt f{\"u}r Neurochirurgie}, volume = {65}, journal = {Zentralblatt f{\"u}r Neurochirurgie}, number = {2}, pages = {65 -- 74}, year = {2004}, language = {en} } @article{NkenkeZachowBenzetal.2004, author = {Nkenke, Emeka and Zachow, Stefan and Benz, Michaela and Maier, Tobias and Veit, Klaus and Kramer, Manuel and Benz, St. and H{\"a}usler, Gerd and Neukam, Friedrich and Lell, Michael}, title = {Fusion of computed tomography data and optical 3D images of the dentition for streak artefact correction in the simulation of orthognathic surgery}, series = {Journal of Dento-Maxillofacial Radiology}, volume = {33}, journal = {Journal of Dento-Maxillofacial Radiology}, doi = {10.1259/dmfr/27071199}, pages = {226 -- 232}, year = {2004}, language = {en} } @article{GladilinZachowDeuflhardetal.2004, author = {Gladilin, Evgeny and Zachow, Stefan and Deuflhard, Peter and Hege, Hans-Christian}, title = {Anatomy- and physics-based facial animation for craniofacial surgery simulations}, series = {Med Biol Eng Comput.}, volume = {42(2)}, journal = {Med Biol Eng Comput.}, doi = {10.1007/BF02344627}, pages = {167 -- 170}, year = {2004}, language = {en} } @article{ZachowGladilinTrepczynskietal.2002, author = {Zachow, Stefan and Gladilin, Evgeny and Trepczynski, Adam and Sader, Robert and Zeilhofer, Hans-Florian}, title = {3D Osteotomy Planning in Cranio-Maxillofacial Surgery: Experiences and Results of Surgery Planning and Volumetric Finite-Element Soft Tissue Prediction in Three Clinical Cases}, series = {Computer Assisted Radiology and Surgery (CARS)}, journal = {Computer Assisted Radiology and Surgery (CARS)}, publisher = {Springer Verlag}, pages = {983 -- 987}, year = {2002}, language = {en} } @article{EhlkeRammLameckeretal.2013, author = {Ehlke, Moritz and Ramm, Heiko and Lamecker, Hans and Hege, Hans-Christian and Zachow, Stefan}, title = {Fast Generation of Virtual X-ray Images for Reconstruction of 3D Anatomy}, series = {IEEE Transactions on Visualization and Computer Graphics}, volume = {19}, journal = {IEEE Transactions on Visualization and Computer Graphics}, number = {12}, doi = {10.1109/TVCG.2013.159}, url = {http://nbn-resolving.de/urn:nbn:de:0297-zib-35928}, pages = {2673 -- 2682}, year = {2013}, language = {en} } @article{RybakKussLameckeretal.2010, author = {Rybak, J{\"u}rgen and Kuß, Anja and Lamecker, Hans and Zachow, Stefan and Hege, Hans-Christian and Lienhard, Matthias and Singer, Jochen and Neubert, Kerstin and Menzel, Randolf}, title = {The Digital Bee Brain: Integrating and Managing Neurons in a Common 3D Reference System}, series = {Front. Syst. Neurosci.}, volume = {4}, journal = {Front. Syst. Neurosci.}, number = {30}, doi = {10.3389/fnsys.2010.00030}, year = {2010}, language = {en} } @article{GallowayKahntRammetal.2013, author = {Galloway, Francis and Kahnt, Max and Ramm, Heiko and Worsley, Peter and Zachow, Stefan and Nair, Prasanth and Taylor, Mark}, title = {A large scale finite element study of a cementless osseointegrated tibial tray}, series = {Journal of Biomechanics}, volume = {46}, journal = {Journal of Biomechanics}, number = {11}, doi = {/10.1016/j.jbiomech.2013.04.021}, pages = {1900 -- 1906}, year = {2013}, language = {en} } @article{ZachowLameckerZoeckleretal.2009, author = {Zachow, Stefan and Lamecker, Hans and Z{\"o}ckler, Maja and Haberl, Ernst}, title = {Computergest{\"u}tzte Planung zur chirurgischen Korrektur von fr{\"u}hkindlichen Sch{\"a}delfehlbildungen (Craniosynostosen)}, series = {Face 02/09, Int. Mag. of Orofacial Esthetics, Oemus Journale Leipzig}, journal = {Face 02/09, Int. Mag. of Orofacial Esthetics, Oemus Journale Leipzig}, pages = {48 -- 53}, year = {2009}, language = {en} } @article{ZahnGrotjohannRammetal., author = {Zahn, Robert and Grotjohann, Sarah and Ramm, Heiko and Zachow, Stefan and Pumberger, Matthias and Putzier, Michael and Perka, Carsten and Tohtz, Stephan}, title = {Influence of pelvic tilt on functional acetabular orientation}, series = {Technology and Health Care}, volume = {25}, journal = {Technology and Health Care}, number = {3}, publisher = {IOS Press}, doi = {10.3233/THC-161281}, pages = {557 -- 565}, language = {en} } @article{LemanisKornZachowetal., author = {Lemanis, Robert and Korn, Dieter and Zachow, Stefan and Rybacki, Erik and Hoffmann, Ren{\´e}}, title = {The Evolution and Development of Cephalopod Chambers and Their Shape}, series = {PLOS ONE}, volume = {11}, journal = {PLOS ONE}, number = {3}, doi = {10.1371/journal.pone.0151404}, abstract = {The Ammonoidea is a group of extinct cephalopods ideal to study evolution through deep time. The evolution of the planispiral shell and complexly folded septa in ammonoids has been thought to have increased the functional surface area of the chambers permitting enhanced metabolic functions such as: chamber emptying, rate of mineralization and increased growth rates throughout ontogeny. Using nano-computed tomography and synchrotron radiation based micro-computed tomography, we present the first study of ontogenetic changes in surface area to volume ratios in the phragmocone chambers of several phylogenetically distant ammonoids and extant cephalopods. Contrary to the initial hypothesis, ammonoids do not possess a persistently high relative chamber surface area. Instead, the functional surface area of the chambers is higher in earliest ontogeny when compared to Spirula spirula. The higher the functional surface area the quicker the potential emptying rate of the chamber; quicker chamber emptying rates would theoretically permit faster growth. This is supported by the persistently higher siphuncular surface area to chamber volume ratio we collected for the ammonite Amauroceras sp. compared to either S. spirula or nautilids. We demonstrate that the curvature of the surface of the chamber increases with greater septal complexity increasing the potential refilling rates. We further show a unique relationship between ammonoid chamber shape and size that does not exist in S. spirula or nautilids. This view of chamber function also has implications for the evolution of the internal shell of coleoids, relating this event to the decoupling of soft-body growth and shell growth.}, language = {en} } @article{DunlopApanaskevichLehmannetal.2016, author = {Dunlop, Jason and Apanaskevich, Dmitry and Lehmann, Jens and Hoffmann, Rene and Fusseis, Florian and Ehlke, Moritz and Zachow, Stefan and Xiao, Xianghui}, title = {Microtomography of the Baltic amber tick Ixodes succineus reveals affinities with the modern Asian disease vector Ixodes ovatus}, series = {BMC Evolutionary Biology}, volume = {16}, journal = {BMC Evolutionary Biology}, number = {1}, doi = {10.1186/s12862-016-0777-y}, year = {2016}, abstract = {Background: Fossil ticks are extremely rare, whereby Ixodes succineus Weidner, 1964 from Eocene (ca. 44-49 Ma) Baltic amber is one of the oldest examples of a living hard tick genus (Ixodida: Ixodidae). Previous work suggested it was most closely related to the modern and widespread European sheep tick Ixodes ricinus (Linneaus, 1758). Results: Restudy using phase contrast synchrotron x-ray tomography yielded images of exceptional quality. These confirm the fossil's referral to Ixodes Latreille, 1795, but the characters resolved here suggest instead affinities with the Asian subgenus Partipalpiger Hoogstraal et al., 1973 and its single living (and medically significant) species Ixodes ovatus Neumann, 1899. We redescribe the amber fossil here as Ixodes (Partipalpiger) succineus. Conclusions: Our data suggest that Ixodes ricinus is unlikely to be directly derived from Weidner's amber species, but instead reveals that the Partipalpiger lineage was originally more widely distributed across the northern hemisphere. The closeness of Ixodes (P.) succineus to a living vector of a wide range of pathogens offers the potential to correlate its spatial and temporal position (northern Europe, nearly 50 million years ago) with the estimated origination dates of various tick-borne diseases.}, language = {en} } @article{BernardSalamancaThunbergetal., author = {Bernard, Florian and Salamanca, Luis and Thunberg, Johan and Tack, Alexander and Jentsch, Dennis and Lamecker, Hans and Zachow, Stefan and Hertel, Frank and Goncalves, Jorge and Gemmar, Peter}, title = {Shape-aware Surface Reconstruction from Sparse Data}, series = {arXiv}, journal = {arXiv}, pages = {1602.08425v1}, abstract = {The reconstruction of an object's shape or surface from a set of 3D points is a common topic in materials and life sciences, computationally handled in computer graphics. Such points usually stem from optical or tactile 3D coordinate measuring equipment. Surface reconstruction also appears in medical image analysis, e.g. in anatomy reconstruction from tomographic measurements or the alignment of intra-operative navigation and preoperative planning data. In contrast to mere 3D point clouds, medical imaging yields contextual information on the 3D point data that can be used to adopt prior information on the shape that is to be reconstructed from the measurements. In this work we propose to use a statistical shape model (SSM) as a prior for surface reconstruction. The prior knowledge is represented by a point distribution model (PDM) that is associated with a surface mesh. Using the shape distribution that is modelled by the PDM, we reformulate the problem of surface reconstruction from a probabilistic perspective based on a Gaussian Mixture Model (GMM). In order to do so, the given measurements are interpreted as samples of the GMM. By using mixture components with anisotropic covariances that are oriented according to the surface normals at the PDM points, a surface-based tting is accomplished. By estimating the parameters of the GMM in a maximum a posteriori manner, the reconstruction of the surface from the given measurements is achieved. Extensive experiments suggest that our proposed approach leads to superior surface reconstructions compared to Iterative Closest Point (ICP) methods.}, language = {en} } @article{LemanisZachowHoffmann, author = {Lemanis, Robert and Zachow, Stefan and Hoffmann, Ren{\´e}}, title = {Comparative cephalopod shell strength and the role of septum morphology on stress distribution}, series = {PeerJ}, volume = {4}, journal = {PeerJ}, doi = {10.7717/peerj.2434}, pages = {e2434}, abstract = {The evolution of complexly folded septa in ammonoids has long been a controversial topic. Explanations of the function of these folded septa can be divided into physiological and mechanical hypotheses with the mechanical functions tending to find widespread support. The complexity of the cephalopod shell has made it difficult to directly test the mechanical properties of these structures without oversimplification of the septal morphology or extraction of a small sub-domain. However, the power of modern finite element analysis now permits direct testing of mechanical hypothesis on complete, empirical models of the shells taken from computed tomographic data. Here we compare, for the first time using empirical models, the capability of the shells of extant Nautilus pompilius, Spirula spirula, and the extinct ammonite Cadoceras sp. to withstand hydrostatic pressure and point loads. Results show hydrostatic pressure imparts highest stress on the final septum with the rest of the shell showing minimal compression. S. spirula shows the lowest stress under hydrostatic pressure while N. pompilius shows the highest stress. Cadoceras sp. shows the development of high stress along the attachment of the septal saddles with the shell wall. Stress due to point loads decreases when the point force is directed along the suture as opposed to the unsupported chamber wall. Cadoceras sp. shows the greatest decrease in stress between the point loads compared to all other models. Greater amplitude of septal flutes corresponds with greater stress due to hydrostatic pressure; however, greater amplitude decreases the stress magnitude of point loads directed along the suture. In our models, sutural complexity does not predict greater resistance to hydrostatic pressure but it does seem to increase resistance to point loads, such as would be from predators. This result permits discussion of palaeoecological reconstructions on the basis of septal morphology. We further suggest that the ratio used to characterize septal morphology in the septal strength index and in calculations of tensile strength of nacre are likely insufficient. A better understanding of the material properties of cephalopod nacre may allow the estimation of maximum depth limits of shelled cephalopods through finite element analysis.}, language = {en} } @article{BrueningGoubergritsHepptetal., author = {Br{\"u}ning, Jan and Goubergrits, Leonid and Heppt, Werner and Zachow, Stefan and Hildebrandt, Thomas}, title = {Numerical Analysis of Nasal Breathing - A Pilot Study}, series = {Facial Plastic Surgery}, volume = {33}, journal = {Facial Plastic Surgery}, number = {4}, doi = {doi:10.1055/s-0037-1603789}, pages = {388 -- 395}, abstract = {Background: Currently, there is no fully sufficient way to differentiate between symptomatic and normal nasal breathing. Using the nose's total resistance is disputed as a valid means to objectify nasal airflow, and the need for a more comprehensive diagnostic method is increasing. This work's aim was to test a novel approach considering intranasal wall shear stress as well as static pressure maps obtained by computational fluid dynamics (CFD). Methods: X-ray computed tomography (CT) scan data of six symptom-free subjects and seven symptomatic patients were used. Patient-specific geometries of the nasal cavity were segmented from these data sets. Inspiratory and expiratory steady airflow simulations were performed using CFD. Calculated static pressures and wall shear stresses (WSS) were mapped onto a common template of the nasal septum, allowing for comparison of these parameters between the two patient groups. Results: Significant differences in wall shear stress distributions during the inspiratory phase could be identified between the two groups, whereas no differences were found for the expiratory phase. It is assumed that one essential feature of normal nasal breathing probably consists in distinctively different intranasal flow fields for inspiration and expiration. This is in accordance with previous investigations. Conclusion: The proposed method seems to be a promising tool for developing a new kind of patient-specific assessment of nasal breathing. However, more studies and a greater case number of data with an expanded focus, would be ideal.}, language = {en} } @article{WeiserErdmannSchenkletal., author = {Weiser, Martin and Erdmann, Bodo and Schenkl, Sebastian and Muggenthaler, Holger and Hubig, Michael and Mall, Gita and Zachow, Stefan}, title = {Uncertainty in Temperature-Based Determination of Time of Death}, series = {Heat and Mass Transfer}, volume = {54}, journal = {Heat and Mass Transfer}, number = {9}, publisher = {Springer}, doi = {10.1007/s00231-018-2324-4}, pages = {2815 -- 2826}, abstract = {Temperature-based estimation of time of death (ToD) can be per- formed either with the help of simple phenomenological models of corpse cooling or with detailed mechanistic (thermodynamic) heat transfer mod- els. The latter are much more complex, but allow a higher accuracy of ToD estimation as in principle all relevant cooling mechanisms can be taken into account. The potentially higher accuracy depends on the accuracy of tissue and environmental parameters as well as on the geometric resolution. We in- vestigate the impact of parameter variations and geometry representation on the estimated ToD based on a highly detailed 3D corpse model, that has been segmented and geometrically reconstructed from a computed to- mography (CT) data set, differentiating various organs and tissue types.}, language = {en} } @article{BernardSalamancaThunbergetal., author = {Bernard, Florian and Salamanca, Luis and Thunberg, Johan and Tack, Alexander and Jentsch, Dennis and Lamecker, Hans and Zachow, Stefan and Hertel, Frank and Goncalves, Jorge and Gemmar, Peter}, title = {Shape-aware Surface Reconstruction from Sparse 3D Point-Clouds}, series = {Medical Image Analysis}, volume = {38}, journal = {Medical Image Analysis}, doi = {10.1016/j.media.2017.02.005}, pages = {77 -- 89}, abstract = {The reconstruction of an object's shape or surface from a set of 3D points plays an important role in medical image analysis, e.g. in anatomy reconstruction from tomographic measurements or in the process of aligning intra-operative navigation and preoperative planning data. In such scenarios, one usually has to deal with sparse data, which significantly aggravates the problem of reconstruction. However, medical applications often provide contextual information about the 3D point data that allow to incorporate prior knowledge about the shape that is to be reconstructed. To this end, we propose the use of a statistical shape model (SSM) as a prior for surface reconstruction. The SSM is represented by a point distribution model (PDM), which is associated with a surface mesh. Using the shape distribution that is modelled by the PDM, we formulate the problem of surface reconstruction from a probabilistic perspective based on a Gaussian Mixture Model (GMM). In order to do so, the given points are interpreted as samples of the GMM. By using mixture components with anisotropic covariances that are "oriented" according to the surface normals at the PDM points, a surface-based fitting is accomplished. Estimating the parameters of the GMM in a maximum a posteriori manner yields the reconstruction of the surface from the given data points. We compare our method to the extensively used Iterative Closest Points method on several different anatomical datasets/SSMs (brain, femur, tibia, hip, liver) and demonstrate superior accuracy and robustness on sparse data.}, language = {en} } @article{LubeFlackCotofanaetal., author = {Lube, Juliane and Flack, Natasha and Cotofana, Sebastian and {\"O}zkurtul, Orkun and Woodley, Stephanie and Zachow, Stefan and Hammer, Niels}, title = {Pelvic and lower extremity physiological cross-sectional areas: An MRI study of the living young and comparison to published research literature}, series = {Surgical and Radiologic Anatomy}, volume = {39}, journal = {Surgical and Radiologic Anatomy}, number = {8}, doi = {10.1007/s00276-016-1807-6}, pages = {849 -- 857}, abstract = {Purpose: Morphological data pertaining to the pelvis and lower extremity muscles are increasingly being used in biomechanical modeling to compare healthy and pathological conditions. Very few data sets exist that encompass all of the muscles of the lower limb, allowing for comparisons between regions. The aims of this study were to (a) provide physiological cross-sectional area (PCSA) data for the pelvic, thigh, and leg muscles in young, healthy participants, using magnetic resonance imaging (MRI), and (b) to compare these data with summarized PCSAs obtained from the literature. Materials and Methods: Six young and healthy volunteers participated and were scanned using 3 T MRI. PCSAs were calculated from volumetric segmentations obtained bilaterally of 28 muscles/muscle groups of the pelvis, thigh, and leg. These data were compared to published, summarized PCSA data derived from cadaveric, computed tomography, MRI and ultrasound studies. Results: The PCSA of the pelvis, thigh, and leg muscles tended to be 20-130\% larger in males than in females, except for the gemelli which were 34\% smaller in males, and semitendinosus and triceps surae which did not differ (<20\% different). The dominant and the non-dominant sides showed similar and minutely different PCSA with less than 18\% difference between sides. Comparison to other studies revealed wide ranges within, and large differences between, the cadaveric and imaging PCSA data. Comparison of the PCSA of this study and published literature revealed major differences in the iliopsoas, gluteus minimus, tensor fasciae latae, gemelli, obturator internus, biceps femoris, quadriceps femoris, and the deep leg flexor muscles. Conclusions: These volume-derived PCSAs of the pelvic and lower limb muscles alongside the data synthesised from the literature may serve as a basis for comparative and biomechanical studies of the living and healthy young, and enable calculation of muscle forces. Comparison of the literature revealed large variations in PCSA from each of the different investigative modalities, hampering omparability between studies. Sample size, age, post-mortem changes of muscle tone, chemical fixation of cadaveric tissues, and the underlying physics of the imaging techniques may potentially influence PCSA calculations.}, language = {en} } @article{SahuMukhopadhyaySzengeletal., author = {Sahu, Manish and Mukhopadhyay, Anirban and Szengel, Angelika and Zachow, Stefan}, title = {Addressing multi-label imbalance problem of Surgical Tool Detection using CNN}, series = {International Journal of Computer Assisted Radiology and Surgery}, volume = {12}, journal = {International Journal of Computer Assisted Radiology and Surgery}, number = {6}, publisher = {Springer}, doi = {10.1007/s11548-017-1565-x}, pages = {1013 -- 1020}, abstract = {Purpose: A fully automated surgical tool detection framework is proposed for endoscopic video streams. State-of-the-art surgical tool detection methods rely on supervised one-vs-all or multi-class classification techniques, completely ignoring the co-occurrence relationship of the tools and the associated class imbalance. Methods: In this paper, we formulate tool detection as a multi-label classification task where tool co-occurrences are treated as separate classes. In addition, imbalance on tool co-occurrences is analyzed and stratification techniques are employed to address the imbalance during Convolutional Neural Network (CNN) training. Moreover, temporal smoothing is introduced as an online post-processing step to enhance run time prediction. Results: Quantitative analysis is performed on the M2CAI16 tool detection dataset to highlight the importance of stratification, temporal smoothing and the overall framework for tool detection. Conclusion: The analysis on tool imbalance, backed by the empirical results indicates the need and superiority of the proposed framework over state-of-the-art techniques.}, language = {en} } @article{SchenklMuggenthalerHubigetal.2017, author = {Schenkl, Sebastian and Muggenthaler, Holger and Hubig, Michael and Erdmann, Bodo and Weiser, Martin and Zachow, Stefan and Heinrich, Andreas and G{\"u}ttler, Felix Victor and Teichgr{\"a}ber, Ulf and Mall, Gita}, title = {Automatic CT-based finite element model generation for temperature-based death time estimation: feasibility study and sensitivity analysis}, series = {International Journal of Legal Medicine}, volume = {131}, journal = {International Journal of Legal Medicine}, number = {3}, doi = {doi:10.1007/s00414-016-1523-0}, pages = {699 -- 712}, year = {2017}, abstract = {Temperature based death time estimation is based either on simple phenomenological models of corpse cooling or on detailed physical heat transfer models. The latter are much more complex, but allow a higher accuracy of death time estimation as in principle all relevant cooling mechanisms can be taken into account. Here, a complete work flow for finite element based cooling simulation models is presented. The following steps are demonstrated on CT-phantoms: • CT-scan • Segmentation of the CT images for thermodynamically relevant features of individual geometries • Conversion of the segmentation result into a Finite Element (FE) simulation model • Computation of the model cooling curve • Calculation of the cooling time For the first time in FE-based cooling time estimation the steps from the CT image over segmentation to FE model generation are semi-automatically performed. The cooling time calculation results are compared to cooling measurements performed on the phantoms under controlled conditions. In this context, the method is validated using different CTphantoms. Some of the CT phantoms thermodynamic material parameters had to be experimentally determined via independent experiments. Moreover the impact of geometry and material parameter uncertainties on the estimated cooling time is investigated by a sensitivity analysis.}, language = {en} } @article{Zachow, author = {Zachow, Stefan}, title = {Computational Planning in Facial Surgery}, series = {Facial Plastic Surgery}, volume = {31}, journal = {Facial Plastic Surgery}, number = {5}, doi = {10.1055/s-0035-1564717}, pages = {446 -- 462}, abstract = {This article reflects the research of the last two decades in computational planning for cranio-maxillofacial surgery. Model-guided and computer-assisted surgery planning has tremendously developed due to ever increasing computational capabilities. Simulators for education, planning, and training of surgery are often compared with flight simulators, where maneuvers are also trained to reduce a possible risk of failure. Meanwhile, digital patient models can be derived from medical image data with astonishing accuracy and thus can serve for model surgery to derive a surgical template model that represents the envisaged result. Computerized surgical planning approaches, however, are often still explorative, meaning that a surgeon tries to find a therapeutic concept based on his or her expertise using computational tools that are mimicking real procedures. Future perspectives of an improved computerized planning may be that surgical objectives will be generated algorithmically by employing mathematical modeling, simulation, and optimization techniques. Planning systems thus act as intelligent decision support systems. However, surgeons can still use the existing tools to vary the proposed approach, but they mainly focus on how to transfer objectives into reality. Such a development may result in a paradigm shift for future surgery planning.}, language = {en} } @article{ZahnGrotjohannRammetal., author = {Zahn, Robert and Grotjohann, Sarah and Ramm, Heiko and Zachow, Stefan and Putzier, Michael and Perka, Carsten and Tohtz, Stephan}, title = {Pelvic tilt compensates for increased acetabular anteversion}, series = {International Orthopaedics}, volume = {40}, journal = {International Orthopaedics}, number = {8}, doi = {10.1007/s00264-015-2949-6}, pages = {1571 -- 1575}, abstract = {Pelvic tilt determines functional orientation of the acetabulum. In this study, we investigated the interaction of pelvic tilt and functional acetabular anteversion (AA) in supine position.}, language = {en} } @article{ZachowHeppt, author = {Zachow, Stefan and Heppt, Werner}, title = {The Facial Profile}, series = {Facial Plastic Surgery}, volume = {31}, journal = {Facial Plastic Surgery}, number = {5}, doi = {10.1055/s-0035-1566132}, pages = {419 -- 420}, abstract = {Facial appearance in our societies is often associated with notions of attractiveness, juvenileness, beauty, success, and so forth. Hence, the role of facial plastic surgery is highly interrelated to a patient's desire to feature many of these positively connoted attributes, which of course, are subject of different cultural perceptions or social trends. To judge about somebody's facial appearance, appropriate quantitative measures as well as methods to obtain and compare individual facial features are required. This special issue on facial profile is intended to provide an overview on how facial characteristics are surgically managed in an interdisciplinary way based on experience, instrumentation, and modern technology to obtain an aesthetic facial appearance with harmonious facial proportions. The facial profile will be discussed within the context of facial aesthetics. Latest concepts for capturing facial morphology in high speed and impressive detail are presented for quantitative analysis of even subtle changes, aging effects, or facial expressions. In addition, the perception of facial profiles is evaluated based on eye tracking technology.}, language = {en} } @article{KainmuellerLameckerHelleretal.2013, author = {Kainm{\"u}ller, Dagmar and Lamecker, Hans and Heller, Markus O. and Weber, Britta and Hege, Hans-Christian and Zachow, Stefan}, title = {Omnidirectional Displacements for Deformable Surfaces}, series = {Medical Image Analysis}, volume = {17}, journal = {Medical Image Analysis}, number = {4}, publisher = {Elsevier}, doi = {10.1016/j.media.2012.11.006}, pages = {429 -- 441}, year = {2013}, language = {en} } @article{LamasRodriguezHerasArgueelloetal.2013, author = {Lamas-Rodr{\´i}guez, Juli{\´a}n and Heras, Dora Blanco and Arg{\"u}ello, Francisco and Kainm{\"u}ller, Dagmar and Zachow, Stefan and B{\´o}o, Montserrat}, title = {GPU-accelerated level-set segmentation}, series = {Journal of Real-Time Image Processing}, journal = {Journal of Real-Time Image Processing}, publisher = {Springer Berlin Heidelberg}, issn = {1861-8200}, doi = {10.1007/s11554-013-0378-6}, pages = {1 -- 15}, year = {2013}, language = {en} } @article{HoffmannSchultzSchellhornetal., author = {Hoffmann, Ren{\´e} and Schultz, Julia A. and Schellhorn, Rico and Rybacki, Erik and Keupp, Helmut and Gerden, S. R. and Lemanis, Robert and Zachow, Stefan}, title = {Non-invasive imaging methods applied to neo- and paleontological cephalopod research}, series = {Biogeosciences}, volume = {11}, journal = {Biogeosciences}, number = {10}, doi = {10.5194/bg-11-2721-2014}, pages = {2721 -- 2739}, abstract = {Several non-invasive methods are common practice in natural sciences today. Here we present how they can be applied and contribute to current topics in cephalopod (paleo-) biology. Different methods will be compared in terms of time necessary to acquire the data, amount of data, accuracy/resolution, minimum/maximum size of objects that can be studied, the degree of post-processing needed and availability. The main application of the methods is seen in morphometry and volumetry of cephalopod shells. In particular we present a method for precise buoyancy calculation. Therefore, cephalopod shells were scanned together with different reference bodies, an approach developed in medical sciences. It is necessary to know the volume of the reference bodies, which should have similar absorption properties like the object of interest. Exact volumes can be obtained from surface scanning. Depending on the dimensions of the study object different computed tomography techniques were applied.}, language = {en} } @article{RammKahntZachow2012, author = {Ramm, Heiko and Kahnt, Max and Zachow, Stefan}, title = {Patientenspezifische Simulationsmodelle f{\"u}r die funktionelle Analyse von k{\"u}nstlichem Gelenkersatz}, series = {Computer Aided Medical Engineering (CaMe)}, volume = {3}, journal = {Computer Aided Medical Engineering (CaMe)}, number = {2}, pages = {30 -- 36}, year = {2012}, language = {de} } @article{KainmuellerLameckerSeimetal.2009, author = {Kainm{\"u}ller, Dagmar and Lamecker, Hans and Seim, Heiko and Zachow, Stefan}, title = {Multi-object segmentation of head bones}, series = {MIDAS Journal}, journal = {MIDAS Journal}, year = {2009}, language = {en} } @article{KainmuellerLameckerZachow2009, author = {Kainm{\"u}ller, Dagmar and Lamecker, Hans and Zachow, Stefan}, title = {Multi-object Segmentation with Coupled Deformable Models}, series = {Annals of the British Machine Vision Association (BMVA)}, volume = {5}, journal = {Annals of the British Machine Vision Association (BMVA)}, pages = {1 -- 10}, year = {2009}, language = {en} } @article{ZachowMuiggHildebrandtetal.2009, author = {Zachow, Stefan and Muigg, Philipp and Hildebrandt, Thomas and Doleisch, Helmut and Hege, Hans-Christian}, title = {Visual Exploration of Nasal Airflow}, series = {IEEE Transactions on Visualization and Computer Graphics}, volume = {15}, journal = {IEEE Transactions on Visualization and Computer Graphics}, number = {8}, doi = {10.1109/TVCG.2009.198}, pages = {1407 -- 1414}, year = {2009}, language = {en} } @article{ZachowDeuflhard2008, author = {Zachow, Stefan and Deuflhard, Peter}, title = {Computergest{\"u}tzte Planung in der kraniofazialen Chirurgie}, series = {Face 01/08, Int. Mag. of Orofacial Esthetics}, journal = {Face 01/08, Int. Mag. of Orofacial Esthetics}, publisher = {Oemus Journale Leipzig}, pages = {43 -- 49}, year = {2008}, language = {en} } @article{SteinmannBartschZachowetal.2008, author = {Steinmann, Alexander and Bartsch, Peter and Zachow, Stefan and Hildebrandt, Thomas}, title = {Breathing Easily: Simulation of airflow in human noses can become a useful rhinosurgery planning tool}, series = {ANSYS Advantage}, volume = {Vol. II, No. 1}, journal = {ANSYS Advantage}, pages = {30 -- 31}, year = {2008}, language = {en} }