Semi-automatic segmentation of fractured pelvic bones for surgical planning

  • Authors:
  • Jürgen Fornaro;Gábor Székely;Matthias Harders

  • Affiliations:
  • Institute of Diagnostic Radiology, University Hospital Zurich;Computer Vision Lab, ETH Zurich, Switzerland;Computer Vision Lab, ETH Zurich, Switzerland

  • Venue:
  • ISBMS'10 Proceedings of the 5th international conference on Biomedical Simulation
  • Year:
  • 2010

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Abstract

The segmentation of bones and bone fragments in clinical computed tomography datasets is an important first step in order to carry out computer-based surgical planning using patient-specific anatomical models. While semi-automatic and automatic methods have been proposed for the intact pelvic bone, the segmentation of bone fragments in the fractured pelvic bone still is a challenge due to weak boundaries and the diversity of injury patterns. We propose a semi-automatic multi-step segmentation method using bone and fracture gap enhancement filtering and a graph cut based bone fragment separation approach. The key contribution is a technique for automated detection of incorrect bone fragment separation in the case of incomplete pelvic fractures based on fracture gap planes detected in Hessian filtered images. Moreover, we propose a new sheetness measure based on a modified Hessian matrix. Our system is capable of segmenting fragments of complex hip fractures with only minimal user interaction.