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Towards Robust Measurement Of Pelvic Parameters From AP Radiographs Using Articulated 3D Models

  • Patient-specific parameters such as the orientation of the acetabulum or pelvic tilt are useful for custom planning for total hip arthroplasty (THA) and for evaluating the outcome of surgical interventions. The gold standard in obtaining pelvic parameters is from three-dimensional (3D) computed tomography (CT) imaging. However, this adds time and cost, exposes the patient to a substantial radiation dose, and does not allow for imaging under load (e.g. while the patient is standing). If pelvic parameters could be reliably derived from the standard anteroposterior (AP) radiograph, preoperative planning would be more widespread, and research analyses could be applied to retrospective data, after a postoperative issue is discovered. The goal of this work is to enable robust measurement of two surgical parameters of interest: the tilt of the anterior pelvic plane (APP) and the orientation of the natural acetabulum. We present a computer-aided reconstruction method to determine the APP and natural acetabular orientation from a single, preoperative X-ray. It can easily be extended to obtain other important preoperative and postoperative parameters solely based on a single AP radiograph.
Author:Moritz Ehlke, Thomas Frenzel, Heiko Ramm, Mohsen Akbari Shandiz, Carolyn Anglin, Stefan ZachowORCiD
Document Type:In Proceedings
Parent Title (English):Computer Assisted Radiology and Surgery (CARS)
Tag:Articulated Models, Statistical Shape And Intensity Models, 2D/3D Anatomy Reconstruction, Pelvic Parameters Measurement, Total Hip Arthroplasty
Year of first publication:2015
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