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CN105303604A - Measuring method and system for single-side osteal damage of human body - Google Patents

Measuring method and system for single-side osteal damage of human body Download PDF

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CN105303604A
CN105303604A CN201510679632.XA CN201510679632A CN105303604A CN 105303604 A CN105303604 A CN 105303604A CN 201510679632 A CN201510679632 A CN 201510679632A CN 105303604 A CN105303604 A CN 105303604A
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bone
image
dimensional model
defect
ipsilateral
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陈辉
朱以明
刘孟孟
张凤军
王宏安
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Institute of Software of CAS
Beijing Jishuitan Hospital
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Beijing Jishuitan Hospital
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Abstract

本发明公开了一种用于人体单侧肢体骨骼骨性损伤测量的方法及系统。利用健侧对应骨骼形态作为模板,将健侧对应骨骼的三维CT图像翻转为镜像后,减去患侧骨骼三维CT图像,以得到患侧骨缺损的精确形态;测量骨缺损处的最大长度、宽度、深度、缺损的空间位置等参数,实现对患侧骨性缺损的全面评估。本发明实现了对人体单侧肢体骨骼中骨缺损的模型重建和三维测量,可以准确、全面地评估骨性缺损,对于有效降低因骨骼骨性缺损造成术后复发的疾病的复发率有重要意义。

The invention discloses a method and system for measuring skeletal bone damage of one side of a human body. Using the shape of the corresponding bone on the healthy side as a template, flip the 3D CT image of the corresponding bone on the healthy side into a mirror image, and subtract the 3D CT image of the bone on the affected side to obtain the precise shape of the bone defect on the affected side; measure the maximum length of the bone defect, Parameters such as width, depth, and spatial position of the defect can be used to achieve a comprehensive assessment of the bony defect on the affected side. The invention realizes the model reconstruction and three-dimensional measurement of bone defects in the human unilateral extremity bones, can accurately and comprehensively evaluate the bony defects, and is of great significance for effectively reducing the recurrence rate of postoperative recurrence of diseases caused by bone bony defects .

Description

一种用于人体单侧肢体骨骼骨性损伤测量的方法及系统A method and system for measuring skeletal bone damage of unilateral limbs of human body

技术领域technical field

本发明属于计算机辅助医学领域,具体涉及一种用于人体单侧肢体骨骼骨性损伤测量的方法及系统。The invention belongs to the field of computer-aided medicine, and in particular relates to a method and a system for measuring skeletal bone damage of one side of a human body.

背景技术Background technique

许多骨科病患,由于创伤、劳损、肿瘤或是自身免疫类疾病等多种原因导致出现单侧肢体骨性损伤,部分骨质结构缺损。这种情况下,为恢复病患肢体功能往往需要重建缺损的骨结构。此时只有精确的了解缺损部位骨性结构的形态特点,才能有效地计划手术重建方式。Many orthopedic patients have unilateral limb bony injuries and partial bony structural defects due to various reasons such as trauma, strain, tumor or autoimmune diseases. In such cases, reconstruction of the defective bone structure is often required in order to restore the function of the affected limb. At this time, only by accurately understanding the morphological characteristics of the bony structure at the defect site can the surgical reconstruction method be effectively planned.

由于这种情况下,患侧骨结构往往已经部分毁损或缺失,单凭借患侧现有骨骼形态难以推知伤前骨骼的精确形态特征。目前,已有针对人体各个部位的大量解剖学研究证实,双侧肢体的对应部位的骨性结构往往互为镜像,形态非常近似。在这种情况下,可以健侧对应部位骨性结构作为患侧未损伤前形态模板,来计算患侧骨性结构缺失部分形态。由于这一模板具有病患本身个性化特征,因而较以该部位骨骼通用参数或通用形态模型为参照模板的方法进行计算更加符合病患的个体特征。Because in this case, the bone structure of the affected side is often partially damaged or missing, it is difficult to infer the precise morphological characteristics of the pre-injury bone based on the existing bone shape of the affected side alone. At present, a large number of anatomical studies on various parts of the human body have confirmed that the bony structures of the corresponding parts of the bilateral limbs are often mirror images of each other, and their shapes are very similar. In this case, the bone structure of the corresponding part of the healthy side can be used as a template of the undamaged shape of the affected side to calculate the missing part of the bone structure of the affected side. Because this template has the individual characteristics of the patient itself, it is more in line with the individual characteristics of the patient than the method of using the general parameters or general shape model of the bone as a reference template for calculation.

发明内容Contents of the invention

本发明针对上述问题,提出一种用于人体单侧肢体骨骼骨性损伤测量的方法及系统,利用健侧对应骨骼形态作为模板,将健侧对应骨骼的三维CT图像翻转为镜像后,减去患侧骨骼三维CT图像,以得到患侧骨缺损的精确形态;测量骨缺损处的最大长度、宽度、深度、缺损的空间位置等参数,实现对患侧骨性缺损的全面评估。Aiming at the above problems, the present invention proposes a method and system for measuring skeletal bone damage on one side of the human body. Using the shape of the corresponding bone on the healthy side as a template, the three-dimensional CT image of the corresponding bone on the healthy side is turned into a mirror image, and subtracted Three-dimensional CT images of the bone on the affected side to obtain the precise shape of the bone defect on the affected side; parameters such as the maximum length, width, depth, and spatial position of the bone defect are measured to achieve a comprehensive assessment of the bone defect on the affected side.

本发明采用的技术方案如下:The technical scheme that the present invention adopts is as follows:

一种用于人体单侧肢体骨骼骨性损伤测量的方法,包括以下步骤:A method for measuring skeletal bone damage of one side of a human body, comprising the following steps:

1)对包含同一患者双侧相同部位目标骨骼的医学图像进行分割,分别提取健侧骨骼区域和患侧骨骼区域。1) Segment the medical image containing the same target bone on both sides of the same patient, and extract the bone area of the healthy side and the bone area of the affected side respectively.

2)分别对分割后的健侧骨骼区域图像和患侧骨骼区域图像进行三维重建,得到健侧骨骼三维模型和患侧骨骼三维模型。2) Three-dimensional reconstruction is performed on the segmented image of the healthy-side bone region and the image of the affected-side bone region to obtain a three-dimensional model of the healthy-side bone and a three-dimensional model of the affected-side bone.

3)依据关键解剖标志点的位置及解剖结构的形态特点,分析与识别健侧骨骼三维模型与患侧骨骼三维模型的重要解剖结构,并且以互为镜像的重要解剖结构为约束,对健侧骨骼三维模型与患侧骨骼三维模型进行配准,得到相应的患侧骨骼配准到健侧对应骨骼的配准矩阵。3) According to the position of the key anatomical landmarks and the morphological characteristics of the anatomical structure, analyze and identify the important anatomical structures of the three-dimensional model of the healthy side bone and the three-dimensional model of the affected side bone, and constrain the important anatomical structure that is a mirror image of each other, and the healthy side bone The three-dimensional model of the bone is registered with the three-dimensional model of the bone on the affected side to obtain a registration matrix in which the corresponding bone on the affected side is registered to the corresponding bone on the healthy side.

4)利用步骤3)得到的配准矩阵,计算健侧骨骼区域图像与患侧骨骼区域图像的差异,得到患侧骨骼的骨缺损断层图像。4) Using the registration matrix obtained in step 3), calculate the difference between the bone area image of the healthy side and the bone area image of the affected side, and obtain the bone defect tomographic image of the affected bone.

5)对骨缺损断层图像进行三维重建,得到骨缺损三维模型。5) Three-dimensional reconstruction is performed on the tomographic image of the bone defect to obtain a three-dimensional model of the bone defect.

6)建立骨缺损所在骨骼的三维坐标系,对骨缺损参数进行测量。6) Establishing a three-dimensional coordinate system of the bone where the bone defect is located, and measuring the parameters of the bone defect.

进一步地,采用医学图像分割算法对医学图像进行分割。Further, a medical image segmentation algorithm is used to segment the medical image.

优选地,步骤1)采用基于阈值的分割算法,并辅以人工手动微调的方法对医学图像进行分割,包括:Preferably, step 1) uses a threshold-based segmentation algorithm, supplemented by a manual fine-tuning method to segment the medical image, including:

1-1)基于阈值的图像分割。选定一个阈值范围对同一序列医学图像执行阈值分割。1-1) Image segmentation based on threshold. Select a threshold range to perform threshold segmentation on the same sequence of medical images.

1-2)手动调整单张图像分割结果。顺序浏览阈值分割后的图像,对于明显存在骨边缘未封闭的情况,采用手动画点或画线方式封闭骨边缘;对于肱骨头与周围组织相粘连的情况,采取手动画直割线方式将相粘连部分分离。1-2) Manually adjust the segmentation results of a single image. Sequentially browse the images after threshold segmentation. For the obvious unclosed bone edge, manually draw dots or draw lines to close the bone edge; Adhesive part is separated.

进一步地,步骤2)和5)中采用计算机图形学中的三维重建技术进行所述的三维建模,如MC(MarchingCube,移动立方体)算法等。Further, in steps 2) and 5), the 3D reconstruction technology in computer graphics is used to perform the 3D modeling, such as MC (MarchingCube, moving cube) algorithm and the like.

进一步地,步骤3)采用计算机科学中的配准算法进行三维模型配准,如ICP(IterativeClosestPoint,迭代最近点)算法等。Further, step 3) uses a registration algorithm in computer science to perform 3D model registration, such as ICP (Iterative Closest Point, Iterative Closest Point) algorithm and the like.

上述配准过程包括:通过计算旋转平移后的患侧点云与健侧点云之间的误差距离,如果误差大于预设阈值则继续迭代整个过程,直至误差小于预设阈值,则认为配准成功;其后可手工对配准进行微调,如进行移位或旋转。The above registration process includes: by calculating the error distance between the point cloud of the affected side and the point cloud of the healthy side after rotation and translation, if the error is greater than the preset threshold, continue to iterate the whole process until the error is less than the preset threshold, then the registration is considered Successful; the registration can then be fine-tuned manually, such as shifting or rotating.

进一步地,步骤4)具体包括以下步骤:Further, step 4) specifically includes the following steps:

4-1)利用步骤3)得到的配准矩阵,对分割后的患侧骨骼区域内的所有体素进行三维空间变换,定位健侧骨骼区域内的相应体素;4-1) using the registration matrix obtained in step 3) to perform three-dimensional space transformation on all voxels in the segmented ipsilateral bone region, and locate corresponding voxels in the healthy side skeletal region;

4-2)依据健侧与患侧骨骼三维模型内的体素对应关系,计算健侧骨骼图像与患侧骨骼图像的差异,得到患侧骨骼的骨缺损断层图像;4-2) According to the voxel correspondence in the three-dimensional model of the healthy side and the affected side bone, calculate the difference between the healthy side bone image and the affected side bone image, and obtain the bone defect tomographic image of the affected side bone;

4-3)利用上步得到的骨缺损断层图像,重建骨缺损三维模型,获得骨缺损的原始形态。4-3) Using the tomographic image of the bone defect obtained in the previous step, reconstruct the three-dimensional model of the bone defect to obtain the original shape of the bone defect.

进一步地,步骤6)采用计算机系统中三维坐标系的建立方法建立缺损所在骨骼的三维坐标系,如以骨骼重心为坐标原点,建立左手坐标系,即x轴向右,y轴向上,z轴向前。Further, step 6) establishes the three-dimensional coordinate system of the bone where the defect is located by adopting the establishment method of the three-dimensional coordinate system in the computer system, such as taking the center of gravity of the bone as the coordinate origin, establishing a left-handed coordinate system, that is, the x axis is rightward, the y axis is upward, and the z axis is axis forward.

进一步地,步骤6)中,所述骨缺损参数包括:骨缺损最大长度、宽度、深度和骨缺损在健康骨骼上的空间位置,选用线形测量工具,以鼠标点选方式确定骨缺损最大长度以及宽度、深度的两个端点,确定参数的数值;选用位置测量工具,以鼠标单击方式确定骨缺损最深处的位置,确定该位置的三维坐标;选用角度测量工具,测量缺损所处方向;选用体积测量工具,测量骨缺损的体积。Further, in step 6), the parameters of the bone defect include: the maximum length, width, depth of the bone defect and the spatial position of the bone defect on the healthy bone. The linear measurement tool is selected to determine the maximum length of the bone defect by clicking with the mouse and The two endpoints of width and depth determine the value of the parameter; select the position measurement tool to determine the deepest position of the bone defect by clicking the mouse, and determine the three-dimensional coordinates of the position; select the angle measurement tool to measure the direction of the defect; select Volume measurement tool to measure the volume of bone defects.

一种测量人体单侧肢体骨骼骨性损伤的系统,包含:显示模块、交互模块、骨缺损处理模块、数据存储模块,其中:A system for measuring skeletal bone damage of one side of a human body, including: a display module, an interaction module, a bone defect processing module, and a data storage module, wherein:

所述骨缺损处理模块又包括:The bone defect processing module further includes:

图像分割子模块,用于对待处理图像进行分割,分别提取健侧骨骼区域和患侧骨骼区域;The image segmentation sub-module is used to segment the image to be processed, and extract the bone area of the healthy side and the bone area of the affected side respectively;

三维重建子模块,用于对分割后的健侧骨骼区域图像和患侧骨骼区域图像以及骨缺损断层图像进行三维重建,分别得到健侧骨骼三维模型、患侧骨骼三维模型和骨缺损三维模型;The three-dimensional reconstruction sub-module is used to perform three-dimensional reconstruction on the segmented healthy-side bone region image, the affected-side bone region image and the tomographic image of the bone defect to obtain the healthy-side bone three-dimensional model, the affected-side bone three-dimensional model and the bone defect three-dimensional model respectively;

配准子模块,用于对健侧骨骼三维模型、患侧骨骼三维模型进行配准,得到相应的患侧骨骼配准到健侧对应骨骼的配准矩阵;The registration sub-module is used to register the three-dimensional model of the healthy bone and the three-dimensional model of the affected bone, and obtain a registration matrix corresponding to the registration of the affected bone to the corresponding bone of the healthy side;

骨缺损断层图像获取子模块,用于获取骨缺损断层图像;The bone defect tomographic image acquisition submodule is used to acquire the bone defect tomographic image;

解剖结构测量子模块,用于构建缺损所在骨结构的三维坐标系,提供测量所需的工具;The anatomical structure measurement sub-module is used to construct the three-dimensional coordinate system of the bone structure where the defect is located, and provide the tools required for measurement;

所述交互模块用于检测用户输入,判断所选测量工具,使用户与系统进行交互,参与完成骨缺损的参数测量;The interaction module is used to detect user input, determine the selected measurement tool, and enable the user to interact with the system to participate in the completion of the parameter measurement of the bone defect;

所述显示模块用于展示图像分割结果,健侧骨骼三维模型、患侧骨骼三维模型及骨缺损三维模型,缺损所在骨结构的三维坐标系。The display module is used to display the image segmentation results, the three-dimensional model of the healthy bone, the three-dimensional model of the affected bone and the three-dimensional model of the bone defect, and the three-dimensional coordinate system of the bone structure where the defect is located.

所述数据存储模块又包括:Described data storage module comprises again:

图像数据库,用于存储患者的医学图像数据,图像分割处理后图像分割数据,骨缺损断层图像;The image database is used to store medical image data of patients, image segmentation data after image segmentation processing, and tomographic images of bone defects;

三维模型数据库,用于存储健侧骨骼三维模型、患侧骨骼三维模型,骨缺损三维模型;The three-dimensional model database is used to store the three-dimensional model of the healthy bone, the three-dimensional model of the affected bone, and the three-dimensional model of the bone defect;

解剖结构数据库,用于存储人体解剖学骨骼骨性标志的重要解剖结构,以及双侧对应的解剖结构标志。The anatomical structure database is used to store important anatomical structures of human anatomical skeletal bony landmarks, as well as bilateral corresponding anatomical structure landmarks.

与现有技术相比,本发明具有如下的优点。Compared with the prior art, the present invention has the following advantages.

1.本发明给出准确测量人体单侧肢体骨骼骨性损伤的方法。1. The present invention provides a method for accurately measuring skeletal bone damage of one side of a human body.

本发明中,优点在于设计并实现了一种将三维CT技术用于人体单侧肢体骨骼骨性损伤的方法。利用三维CT技术可以准确描述人体骨骼骨性结构的形态学特征的特点,实现了以往二维测量方法无法做到的对骨缺损形态以及骨缺损在所在骨结构上的空间位置的三维描述,即实现了对骨缺损的精确、全面的测量。In the present invention, the advantage lies in the design and realization of a method for applying three-dimensional CT technology to the skeletal bone injury of one limb of the human body. The use of 3D CT technology can accurately describe the morphological characteristics of the bone structure of the human skeleton, and realize the 3D description of the shape of the bone defect and the spatial position of the bone defect on the bone structure that cannot be achieved by the previous 2D measurement method, that is, Accurate and comprehensive measurement of bone defects is realized.

2.方法以解剖学相关研究结论为理论依据,可更加个性化、准确的测量个体的骨性损伤。2. The method is based on anatomical related research conclusions, which can measure individual bony injuries more individually and accurately.

本发明中,提出的测量方法以解剖学研究中关于双侧肢体的对应部位的骨性结构往往互为镜像,形态非常近似的结论为依据,以健侧对应部位骨性结构作为患侧未损伤前形态模板,来计算患侧骨性结构缺失部分形态。由于这一模板具有病患本身个性化特征,因而较以该部位骨骼通用参数或通用形态模型为参照模板的方法进行计算更加符合病患的个体特征。In the present invention, the measurement method proposed is based on the conclusion that the bony structures of the corresponding parts of the bilateral limbs in anatomical research are often mirror images of each other, and their shapes are very similar. The former shape template is used to calculate the shape of the missing part of the bony structure on the affected side. Because this template has the individual characteristics of the patient itself, it is more in line with the individual characteristics of the patient than the method of using the general parameters or general shape model of the bone as a reference template for calculation.

3.本发明实现了一种基于三维CT技术的肱骨头骨性缺损测量的系统。3. The present invention realizes a system for measuring humeral head bony defect based on three-dimensional CT technology.

本发明采用三维CT技术,运用解剖学中关于双侧肢体的对应部位的骨性结构往往互为镜像,形态非常近似的结论,结合计算机视觉技术,实现人体单侧肢体骨骼骨性损伤测量的系统。The present invention adopts three-dimensional CT technology, utilizes the conclusion in anatomy that the bony structures of the corresponding parts of the bilateral limbs are often mirror images of each other, and the shape is very similar, combined with computer vision technology, realizes the system for measuring the skeletal bone damage of the human body’s unilateral limbs .

4.针对特定临床问题专门设计软件,具有简单易用的特点,方便临床应用。4. The software is specially designed for specific clinical problems, which is easy to use and convenient for clinical application.

系统处理流程相对简单,易于操作。由于实时处理,系统可以对处理结果进行实时反馈,提升了用户体验效果。The system processing flow is relatively simple and easy to operate. Due to real-time processing, the system can provide real-time feedback on the processing results, which improves the user experience effect.

附图说明Description of drawings

用于描述的目的,而非限制的目的,本发明的前述和其他方面将参照附图更加详细地进行解释,其中:For purposes of illustration and not limitation, the foregoing and other aspects of the invention will be explained in more detail with reference to the accompanying drawings, in which:

图1为本发明系统的单机模式操作场景示意图。FIG. 1 is a schematic diagram of a stand-alone mode operation scenario of the system of the present invention.

图2为本发明系统的远程模式操作场景示意图。FIG. 2 is a schematic diagram of a remote mode operation scenario of the system of the present invention.

图3为本发明测量单侧肢体骨缺损的系统框架图。Fig. 3 is a frame diagram of the system for measuring unilateral limb bone defect according to the present invention.

图4为本发明测量单侧肢体骨缺损的方法流程图。Fig. 4 is a flow chart of the method for measuring unilateral limb bone defect according to the present invention.

图5(a)为本发明原始的肱骨头CT图像;图5(b)为通过图像分割后得到的图像;图5(c)为三维交互过程展示图像;图5(d)为双侧肱骨头配准效果图;图5(e)为患侧骨及骨缺损示意图;图5(f)为骨缺损图像。Fig. 5 (a) is the original humeral head CT image of the present invention; Fig. 5 (b) is the image obtained after image segmentation; Fig. 5 (c) is the three-dimensional interactive process display image; Fig. 5 (d) is bilateral humerus Head registration effect diagram; Figure 5(e) is a schematic diagram of the affected bone and bone defect; Figure 5(f) is an image of a bone defect.

具体实施方式detailed description

为了使本技术领域的技术人员更好的理解本发明,以下结合实施例和附图进一步详细描述本发明,但不构成对本发明的限制。In order to enable those skilled in the art to better understand the present invention, the present invention will be described in further detail below in conjunction with the examples and accompanying drawings, but this does not constitute a limitation to the present invention.

图1和图2分别为本发明系统的单机模式操作场景和远程模式操作场景。该系统处理和分析来源于同一患者的双侧目标骨骼图像,用于还原骨缺损形态及参数测量。其中,医学成像装置由用户使用以通过对患者扫描或成像而获取医学图像。不同的支持DICOM标准的医学成像模态可以用于本系统。例如,医学图像可以是计算机断层照相法(CT)图像和MRI图像或来自合适的图像或数据获取装置的任何图像。Fig. 1 and Fig. 2 are the stand-alone mode operation scene and the remote mode operation scene of the system of the present invention respectively. The system processes and analyzes bilateral target bone images from the same patient to restore bone defect morphology and parameter measurement. Among them, the medical imaging apparatus is used by a user to obtain medical images by scanning or imaging a patient. Different medical imaging modalities supporting DICOM standard can be used in this system. For example, medical images may be computed tomography (CT) images and MRI images or any image from a suitable image or data acquisition device.

通过医学成像装置获取的图像数据通过存储介质或访问医学图像数据服务器提供给计算机或工作站以进行处理。计算机或工作站提供用户界面,准许用户浏览医学图像,操作这些图像并与系统互动而处理这些图像。用户界面包括显示器,该显示器可以是显示屏,或图像保护器,或可以是能够向用户可视呈现医学图像并向用户呈现图形和文本内容的任何其他合适的显示装置。远程模式操作时系统具有访问医学图像数据服务器的权限。医学图像数据服务器可以是系统的部分。其也可以由外来服务器供应者提供,如医院信息系统。尽管图1中仅示出了单机计算机,但计算机可以是任何一般目的的计算机或专用计算机。其也可以是嵌入式系统,如在包括医学成像仪的图像获取系统中的嵌入式系统。The image data acquired by the medical imaging device is provided to a computer or a workstation for processing through a storage medium or accessing a medical image data server. The computer or workstation provides a user interface that allows the user to view the medical images, manipulate the images and interact with the system to process the images. The user interface includes a display, which may be a display screen, or an image protector, or may be any other suitable display device capable of visually presenting medical images to the user and presenting graphical and textual content to the user. When operating in remote mode, the system has the authority to access the medical image data server. A medical image data server may be part of the system. It can also be provided by external server providers, such as hospital information systems. Although only a stand-alone computer is shown in FIG. 1, the computer may be any general purpose or special purpose computer. It may also be an embedded system, such as in an image acquisition system including a medical imager.

系统也可以包括多个外围设备,以便于用户可以重现或记录中间处理的结果或者系统的其他输出结果。例如,输出外围设备可以是基于纸张的打印机,可用于产生硬拷贝报告,用于与其他医师共享或者用于归档目的。另外,输出外围设备可以包括存储介质和医学图像数据服务器,用于转换或存储经过处理的结果。The system may also include a number of peripheral devices so that the user may reproduce or record the results of intermediate processing or other output of the system. For example, an output peripheral may be a paper-based printer that may be used to produce hard copy reports for sharing with other physicians or for archival purposes. Additionally, output peripherals may include storage media and medical image data servers for converting or storing processed results.

图3为本发明的测量单侧肢体骨骼骨性损伤测量的软件系统框架图。包括界面交互层、逻辑处理层和数据资源层。Fig. 3 is a frame diagram of a software system for measuring unilateral extremity bone damage of the present invention. Including interface interaction layer, logic processing layer and data resource layer.

界面交互层是用户与系统交互的界面。其中界面设计包括菜单条和工具条的布局以及二维图像和三维模型的显示设计,包括图像分割结果的图形化反馈,原始三维模型及目标三维模型的展示,缺损所在骨骼的三维坐标系的展示。交互工具包括手动进行图像分割时的交互图像处理工具箱,如点选、填充和擦除;以及手动微调配准时的交互配准工具箱,如移动和旋转。测量工具包括骨缺损形态的测量工具箱,可在断层图像和三维模型空间进行测量,如长度、宽度、角度、体积等测量工具。过程记录实现处理流程的数据记录,包括患者CT图像序列、交互工具的参数、中间处理结果如图像分割结果、重建的三维模型、模型配准得到配准矩阵及解剖结构测量单元获得所有的测量参数。The interface interaction layer is the interface for users to interact with the system. The interface design includes the layout of the menu bar and tool bar, the display design of 2D images and 3D models, including the graphical feedback of image segmentation results, the display of the original 3D model and the target 3D model, and the display of the 3D coordinate system of the bone where the defect is located. . Interactive tools include an interactive image manipulation toolbox, such as picking, filling, and erasing, for manual image segmentation, and an interactive registration toolbox, such as move and rotate, for manual fine-tuning of registration. Measurement tools include a measurement toolbox for bone defect morphology, which can be measured in tomographic images and 3D model space, such as length, width, angle, volume and other measurement tools. Process recording realizes the data recording of the processing process, including patient CT image sequences, parameters of interactive tools, intermediate processing results such as image segmentation results, reconstructed 3D models, model registration to obtain registration matrix and anatomical structure measurement unit to obtain all measurement parameters .

在逻辑处理层,图像分割单元对健侧、患侧骨骼原始CT图像完成预处理操作,提取出感兴趣部位,用户交互确认后,将处理后的分割图像进行三维重建。配准单元对健侧、患侧三维模型进行配准,得到相应的患侧骨结构配准到健侧对应骨骼的配准矩阵。骨缺损重建单元利用上步变换矩阵,对健侧、患侧预处理后的CT图像进行配准,获得骨缺损部分的断层图像,重建骨缺损部分三维模型;解剖结构测量单元和交互处理单元,建立缺损所在骨结构的坐标系,根据用户所选测量工具,交互式地完成对骨缺损的位置、长度、宽度、角度等参数信息的测量,并提供参数反馈。In the logical processing layer, the image segmentation unit completes the preprocessing operation on the original CT images of the healthy side and the affected side bones, extracts the interested parts, and performs three-dimensional reconstruction of the processed segmented images after interactive confirmation by the user. The registration unit registers the three-dimensional models of the healthy side and the affected side, and obtains a registration matrix in which the bone structure of the affected side is registered to the corresponding bone of the healthy side. The bone defect reconstruction unit uses the transformation matrix of the previous step to register the preprocessed CT images of the healthy side and the affected side, obtains the tomographic image of the bone defect, and reconstructs the three-dimensional model of the bone defect; the anatomical structure measurement unit and the interactive processing unit, Establish the coordinate system of the bone structure where the defect is located, and interactively complete the measurement of the position, length, width, angle and other parameters of the bone defect according to the measurement tool selected by the user, and provide parameter feedback.

在数据资源层,图像数据库中包含患者的医学断层扫描图像数据如CT图像,图像分割处理后图像分割数据,骨缺损部分CT图像;三维模型数据库用于存放健侧、患侧对应部位骨骼的三维模型,骨缺损部分三维模型;解剖结构数据库存放的人体骨骼的重要解剖结构,以及人体双侧对应的解剖结构标志。In the data resource layer, the image database contains the patient’s medical tomography image data such as CT images, image segmentation data after image segmentation processing, and CT images of bone defects; the 3D model database is used to store the 3D images of the corresponding parts of the healthy side and the affected side. Model, the three-dimensional model of the bone defect; the important anatomical structure of the human skeleton stored in the anatomical structure database, and the corresponding anatomical structure landmarks on both sides of the human body.

图4为应用上述方案进行单侧肢体骨骼骨性损伤测量的步骤流程图。其分为四个阶段:预处理阶段、模型配准阶段、骨缺损获取阶段、缺损测量阶段。以肱骨头骨缺损的测量为例具体说明。Fig. 4 is a flow chart of steps for measuring unilateral extremity skeletal bone damage by applying the above scheme. It is divided into four stages: preprocessing stage, model registration stage, bone defect acquisition stage, and defect measurement stage. Take the measurement of humeral head bone defect as an example to illustrate.

预处理阶段,主要完成图像分割功能。在原始的肱骨头CT图像(如图5(a)所示)中往往存在肱骨头与肩胛骨的分界线不明显、骨缺损图像中骨松质与周围组织相混淆等情况,通过图像分割,解决以上所述的问题,提取出仅包含肱骨头部分的图像,为后续步骤做准备。其中,分割后的图像效果如图5(b)所示,箭头所指示部位为目标肱骨头部分。In the preprocessing stage, the image segmentation function is mainly completed. In the original CT image of the humeral head (as shown in Figure 5(a)), there are often situations where the boundary line between the humeral head and the scapula is not obvious, and the spongy bone in the bone defect image is confused with the surrounding tissue. Through image segmentation, solve the problem of For the above-mentioned problems, an image containing only the humeral head is extracted to prepare for the next step. Wherein, the segmented image effect is shown in FIG. 5( b ), and the part indicated by the arrow is the target humeral head part.

其中图像分割方法,采用基于阈值的分割算法,并辅以人工手动微调的方法。Among them, the image segmentation method adopts a threshold-based segmentation algorithm, supplemented by a manual fine-tuning method.

(1)基于阈值的图像分割。选定一个阈值范围对同一序列CT图像执行阈值分割。(1) Image segmentation based on threshold. Select a threshold range to perform threshold segmentation on the same sequence of CT images.

(2)手动调整单张图像分割结果。顺序浏览阈值分割后的图像,对于明显存在骨边缘未封闭的情况,采用手动画线方式封闭骨边缘;对于肱骨头与周围组织相粘连的情况,采取手动画直割线方式将相粘连部分分离。(2) Manually adjust the segmentation results of a single image. Sequentially browse the images after threshold segmentation. For the obvious unclosed bone edge, use manual drawing to close the bone edge; for the case where the humeral head is adhered to the surrounding tissue, use manual drawing straight secant line to separate the adhered part .

模型配准阶段,主要对患者健侧、患侧肱骨头三维模型进行配准。In the model registration stage, the three-dimensional models of the humeral head on the healthy side and the affected side of the patient are mainly registered.

(1)重建健侧、患侧肱骨头三维模型。分别利用图像分割后的健侧、患侧肱骨头图像,采用MarchingCube算法,重建获得健侧、患侧肱骨头三维模型。(1) Reconstruct the three-dimensional model of the humeral head on the healthy side and the affected side. The three-dimensional models of the humeral head on the healthy side and the affected side were reconstructed using the MarchingCube algorithm using the images of the healthy and affected humeral heads after image segmentation.

(2)配准健侧与患侧肱骨头的三维模型。采用ICP配准算法,根据算法原理,通过计算旋转平移后的患侧点云与健侧点云之间的误差距离,如果误差大于预设阈值则继续迭代整个过程,直至误差小于预设阈值,则认为配准成功;其后可手工对配准进行微调,如进行移位或旋转;确认后获得的变换矩阵提供给骨缺损获取阶段使用。双侧肱骨头配准后的效果如图5(d)所示。(2) Register the three-dimensional models of the healthy side and the affected side humeral head. Using the ICP registration algorithm, according to the algorithm principle, by calculating the error distance between the point cloud of the affected side and the point cloud of the healthy side after rotation and translation, if the error is greater than the preset threshold, continue to iterate the whole process until the error is less than the preset threshold, Then it is considered that the registration is successful; then the registration can be manually fine-tuned, such as shifting or rotating; the transformation matrix obtained after confirmation is provided to the bone defect acquisition stage. The effect after bilateral humeral head registration is shown in Fig. 5(d).

骨缺损获取阶段是系统的重要阶段。在该阶段通过使用健侧肱骨头图像减去患侧肱骨头图像,以获得骨缺损部分磨损前的原始形态。下面将详细说明骨缺损获取阶段的执行步骤:The bone defect acquisition phase is an important phase of the system. At this stage, the image of the humeral head on the affected side is subtracted from the image of the humeral head on the healthy side to obtain the original shape of the bone defect before partial wear. The following will detail the execution steps of the bone defect acquisition phase:

(1)配准断层图像。该步骤目的在于将患者双侧肱骨头图像进行“镜像对齐”。利用模型配准阶段获得的将患侧肱骨头配准到健侧肱骨头的匹配矩阵,对分割后的患侧骨骼区域内的所有体素进行三维空间变换,定位健侧骨骼区域内的相应体素。(1) Registration of tomographic images. The purpose of this step is to "mirror align" the images of the patient's bilateral humeral heads. Using the matching matrix obtained in the model registration stage to register the humeral head on the affected side to the humeral head on the healthy side, perform three-dimensional space transformation on all the voxels in the bone area on the affected side after segmentation, and locate the corresponding voxels in the bone area on the healthy side. white.

(2)依据健侧与患侧骨骼模型内的体素对应关系,计算健侧骨骼图像与患侧骨骼图像的差异,得到患侧骨骼骨缺损的断层图像。(2) Calculate the difference between the bone image of the healthy side and the bone image of the affected side according to the voxel corresponding relationship between the healthy side and the affected side bone model, and obtain the tomographic image of the bone defect of the affected side bone.

(3)重建骨缺损的三维模型。利用上步得到的骨缺损断层图像,重建骨缺损三维模型,获得骨缺损的原始形态。图5(f)展示了重建后的骨缺损形态。(3) Reconstruct the three-dimensional model of the bone defect. Using the tomographic image of the bone defect obtained in the previous step, the three-dimensional model of the bone defect is reconstructed to obtain the original shape of the bone defect. Figure 5(f) shows the bone defect morphology after reconstruction.

骨缺损测量阶段,在本阶段主要建立肱骨头的三维坐标系,测量骨缺损的最大长度、宽度、深度、缺损在肱骨头的位置以及缺损长轴与肱骨干长轴夹角五个参数。In the bone defect measurement stage, the three-dimensional coordinate system of the humeral head is mainly established to measure the maximum length, width, depth of the bone defect, the position of the defect in the humeral head, and the angle between the long axis of the defect and the long axis of the humeral shaft.

(1)建立肱骨头三维坐标系。采用如下方式建立肱骨头三维坐标系:采用计算机系统中三维坐标系的建立方法建立肱骨头三维坐标系,如以肱骨头重心为坐标原点,建立左手坐标系,即x轴向右,y轴向上,z轴向前。(1) Establish the three-dimensional coordinate system of the humeral head. Use the following method to establish the three-dimensional coordinate system of the humeral head: use the establishment method of the three-dimensional coordinate system in the computer system to establish the three-dimensional coordinate system of the humeral head. Up, z-axis forward.

(2)测量骨缺损参数。选用线形测量工具,以鼠标点选方式确定骨缺损最大长度(以及宽度、深度)的两个端点,确定参数的数值;选用位置测量工具,以鼠标单击方式确定缺损最深处的位置,确定该位置的三维坐标;选用角度测量工具,测量缺损长轴与肱骨干长轴的夹角;选用体积测量工具,测量骨缺损的体积。(2) Measure bone defect parameters. Use the linear measurement tool to determine the two endpoints of the maximum length (and width, depth) of the bone defect by clicking with the mouse to determine the value of the parameters; use the position measurement tool to determine the deepest position of the defect by clicking the mouse to determine the The three-dimensional coordinates of the position; use the angle measurement tool to measure the angle between the long axis of the defect and the long axis of the humeral shaft; use the volume measurement tool to measure the volume of the bone defect.

至此,完成了整个骨缺损三维形态的测量全流程。So far, the entire process of measuring the three-dimensional shape of the bone defect has been completed.

综上所述,本发明给出了一种准确测量单侧肢体骨骼骨性损伤的方法及系统。用户采用本方法可以准确获得骨缺损的三维形态,大大减少了测量的工作量和处理时间。其中,实施例仅用以说明本发明的技术方案而非对其进行限制,本领域的普通技术人员可以对本发明的技术方案进行修改或者等同替换,而不脱离本发明的精神和范围,本发明的保护范围应以权利要求所述为准。In summary, the present invention provides a method and system for accurately measuring unilateral extremity bone damage. By adopting the method, the user can accurately obtain the three-dimensional shape of the bone defect, which greatly reduces the workload and processing time of the measurement. Among them, the embodiments are only used to illustrate the technical solution of the present invention rather than to limit it. Those skilled in the art can modify or equivalently replace the technical solution of the present invention without departing from the spirit and scope of the present invention. The scope of protection should be based on the claims.

Claims (10)

1., for a method for human body one-sided bones of extremities ilium damage measurement, comprise the following steps:
1) medical image comprising same patient's bilateral same area target bone is split, extract strong side bony areas and Ipsilateral bony areas respectively;
2) respectively three-dimensional reconstruction is carried out to the strong side bone region image after segmentation and Ipsilateral bone region image, obtain strong side seam bone three-dimensional model and Ipsilateral bone three-dimensional model;
3) according to the position of key anatomical landmarks point and the Morphological Features of anatomical structure, analyze and the important anatomy structure identifying strong side seam bone three-dimensional model and Ipsilateral bone three-dimensional model, and with the important anatomy structure of mirror image each other for constraint, registration is carried out to strong side seam bone three-dimensional model and Ipsilateral bone three-dimensional model, obtains the registration matrix that corresponding Ipsilateral bone is registrated to the corresponding bone in strong side;
4) step 3 is utilized) the registration matrix that obtains, calculate the difference of strong side bone region image and Ipsilateral bone region image, obtain the Cranial defect faultage image of Ipsilateral bone;
5) three-dimensional reconstruction is carried out to Cranial defect faultage image, obtain Cranial defect three-dimensional model;
6) set up the three-dimensional system of coordinate of Cranial defect place bone, Cranial defect parameter is measured.
2. as claimed in claim 1 for the method for human body one-sided bones of extremities ilium damage measurement, it is characterized in that, adopt Medical image segmentation algorithm to split medical image.
3., as claimed in claim 1 for the method for human body one-sided bones of extremities ilium damage measurement, it is characterized in that, step 1) adopt partitioning algorithm based on threshold value, and be aided with the method for finely tuning manually medical image is split, comprising:
1-1) a selected threshold range performs Threshold segmentation to same sequence medical image;
1-2) sequentially browsing the image after Threshold segmentation, for obviously there is the untight situation in bone edge, adopting manually picture point or setting-out mode to close bone edge; For the situation of the head of humerus with the adhesion of surrounding tissue phase, take manually to draw straight secant mode and phase adhesion part is separated.
4., as claimed in claim 1 for the method for human body one-sided bones of extremities ilium damage measurement, it is characterized in that, step 2) and 5) in three-dimensional reconstruction in employing computer graphics carry out described three-dimensional modeling.
5., as claimed in claim 1 for the method for human body one-sided bones of extremities ilium damage measurement, it is characterized in that, step 3) adopt the registration Algorithm in computer science to carry out three-dimensional model registration.
6. as claimed in claim 5 for the method for human body one-sided bones of extremities ilium damage measurement, it is characterized in that, described registration process comprises: by calculating the Ipsilateral point cloud after rotating translation and the error distance between the some cloud of strong side, if error is greater than predetermined threshold value, continue the whole process of iteration, until error is less than predetermined threshold value, then think that registration is successful.
7., as claimed in claim 1 for the method for human body one-sided bones of extremities ilium damage measurement, it is characterized in that, step 4) specifically comprise the following steps:
4-1) utilize step 3) the registration matrix that obtains, carries out three dimensions conversion to all voxels in the Ipsilateral bony areas after segmentation, the corresponding voxel in the bony areas of strong side, location;
4-2) according to the voxel corresponding relation in strong side and Ipsilateral bone three-dimensional model, calculate the difference of strong side seam bone image and Ipsilateral skeletal graph picture, obtain the Cranial defect faultage image of Ipsilateral bone;
4-3) utilization above walks the Cranial defect faultage image obtained, and rebuilds Cranial defect three-dimensional model, obtains the original form of Cranial defect.
8., as claimed in claim 1 for the method for human body one-sided bones of extremities ilium damage measurement, it is characterized in that, step 6) adopt the method for building up of three-dimensional system of coordinate in computer system to set up the three-dimensional system of coordinate of defect place bone.
9. as claimed in claim 1 for the method for human body one-sided bones of extremities ilium damage measurement, it is characterized in that, step 6) in, described Cranial defect parameter comprises: Cranial defect maximum length, width, the degree of depth and the Cranial defect locus on healthy bone; Select linear measurement instrument, click two end points of mode determination Cranial defect maximum length and width, the degree of depth with mouse, determine the numerical value of parameter; Preferred site survey instrument, with the innermost position of mouse-click mode determination Cranial defect, determines the three-dimensional coordinate of this position; Select angle measurement tool, measure direction residing for defect; Select volume measurement tool, measure the volume of Cranial defect.
10. measure a system for the one-sided bones of extremities ilium damage of human body, comprise: display module, interactive module, Cranial defect processing module, data memory module, wherein:
Described Cranial defect processing module comprises again:
Iamge Segmentation submodule, for pending Image Segmentation Using, extracts strong side bony areas and Ipsilateral bony areas respectively;
Three-dimensional reconstruction submodule, for carrying out three-dimensional reconstruction to the strong side bone region image after segmentation and Ipsilateral bone region image and Cranial defect faultage image, obtains strong side seam bone three-dimensional model, Ipsilateral bone three-dimensional model and Cranial defect three-dimensional model respectively;
Registration submodule, for carrying out registration to strong side seam bone three-dimensional model, Ipsilateral bone three-dimensional model, obtains the registration matrix that corresponding Ipsilateral bone is registrated to the corresponding bone in strong side;
Cranial defect faultage image obtains submodule, for obtaining Cranial defect faultage image;
Anatomical structure measures submodule, for building the three-dimensional system of coordinate of defect place bone structure, provides the instrument needed for measurement;
Described interactive module, for detecting user's input, judges selected survey instrument, makes user and system carry out alternately, having participated in the parameter measurement of Cranial defect;
Described display module, for showing image segmentation result, is good for side seam bone three-dimensional model, Ipsilateral bone three-dimensional model and Cranial defect three-dimensional model, the three-dimensional system of coordinate of defect place bone structure.
Described data memory module comprises again:
Image data base, for the medical image of store patient, Iamge Segmentation data after Iamge Segmentation process, Cranial defect faultage image;
Three-dimensional modeling data storehouse, for storing strong side seam bone three-dimensional model, Ipsilateral bone three-dimensional model, Cranial defect three-dimensional model;
Anatomical structure database, for storing the important anatomy structure of human anatomy bone bone mark, and the anatomical structure mark that bilateral is corresponding.
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Cited By (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105852971A (en) * 2016-05-04 2016-08-17 苏州点合医疗科技有限公司 Registration navigation method based on skeleton three-dimensional point cloud
CN106097428A (en) * 2016-06-03 2016-11-09 青岛海信医疗设备股份有限公司 The mask method of threedimensional model metrical information and device
CN106097428B (en) * 2016-06-03 2022-07-12 青岛海信医疗设备股份有限公司 Method and device for labeling three-dimensional model measurement information
CN106204726A (en) * 2016-07-08 2016-12-07 贵港市人民医院 A kind of analogy method reproducing finger model
CN106780715A (en) * 2016-11-08 2017-05-31 四川大学华西医院 Method for establishing pelvis CT three-dimensional coordinate system
CN107045594A (en) * 2017-04-25 2017-08-15 吉林大学 The digitization system of X-ray mark in a kind of spinal injury measurement
CN107045594B (en) * 2017-04-25 2018-06-26 吉林大学 The digitization system of X ray marker during a kind of spinal injury measures
CN110945562A (en) * 2017-06-16 2020-03-31 艾瑟瑞孚知识产权管理公司 Establishing a judgment support material indicative of damage to an anatomical joint
CN107358608A (en) * 2017-08-23 2017-11-17 西安邮电大学 Bone tissue geometric state parameter auto-testing device and method based on image processing techniques
CN107358608B (en) * 2017-08-23 2023-07-21 西安邮电大学 Device and method for automatic measurement of geometric and morphological parameters of bone tissue based on image processing technology
CN111226220B (en) * 2017-09-07 2023-06-20 港大科桥有限公司 Skeleton model, modeling process and its system
CN111226220A (en) * 2017-09-07 2020-06-02 港大科桥有限公司 Bone model, modeling process and system thereof
CN107967678A (en) * 2017-09-18 2018-04-27 广州慧扬健康科技有限公司 Osteoclasia degree Feature Extraction System
CN107967678B (en) * 2017-09-18 2021-11-02 广州慧扬健康科技有限公司 Bone destruction degree feature extraction system
CN108171714B (en) * 2017-11-13 2021-09-21 广东三维家信息科技有限公司 Fracture area identification method and system based on pair-wise comparison
CN108171714A (en) * 2017-11-13 2018-06-15 合肥阿巴赛信息科技有限公司 It is a kind of based on the fracture area recognition methods compared in pairs and system
CN108245288A (en) * 2018-03-26 2018-07-06 江苏天行增材制造科技有限公司 A kind of 3D printing prosthese for treating distal radius tumour and manufacturing method
CN110648329A (en) * 2019-03-29 2020-01-03 中国科学院深圳先进技术研究院 Target image extraction method, system and terminal equipment
CN110648329B (en) * 2019-03-29 2023-12-26 中国科学院深圳先进技术研究院 Target image extraction method, system and terminal equipment
JP7463510B2 (en) 2019-11-26 2024-04-08 ホウメディカ・オステオニクス・コーポレイション Preoperative planning and intraoperative guidance for orthopedic surgery in cases of bone fragmentation
CN110910379A (en) * 2019-11-29 2020-03-24 珠海大横琴科技发展有限公司 Incomplete detection method and device
CN110910379B (en) * 2019-11-29 2020-07-17 珠海大横琴科技发展有限公司 Incomplete detection method and device
CN112120789B (en) * 2020-09-08 2022-08-05 杭州三坛医疗科技有限公司 Broken bone reduction simulation method and broken bone reduction simulation device
CN112120789A (en) * 2020-09-08 2020-12-25 杭州三坛医疗科技有限公司 Broken bone reduction simulation method and broken bone reduction simulation device
CN112381922A (en) * 2020-10-27 2021-02-19 济南大学 Method, system and terminal for obtaining skeleton model of human skeleton missing part
CN116109628A (en) * 2023-04-10 2023-05-12 北京爱康宜诚医疗器材有限公司 Method and device for constructing bone defect prosthesis and storage medium

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