Computer-assisted quantification of surgical outcome in infants with sagittal craniosynostosis in 3D head CT images using mean normal skull model

Min Jin Lee; Helen Hong; Kyu Won Shim

doi:10.1117/12.2551258

16 March 2020 Computer-assisted quantification of surgical outcome in infants with sagittal craniosynostosis in 3D head CT images using mean normal skull model

Min Jin Lee, Helen Hong, Kyu Won Shim

Author Affiliations +

Proceedings Volume 11314, Medical Imaging 2020: Computer-Aided Diagnosis; 113142Z (2020) https://doi.org/10.1117/12.2551258
Event: SPIE Medical Imaging, 2020, Houston, Texas, United States

Abstract

Sagittal craniosynostosis is the most common craniosynostosis and the premature closure of the sagittal suture makes the skull shape biparietal narrow and elongated. Surgery in infants with sagittal craniosynostosis is a common treatment for correcting the shape of the deformed skull, but the evaluation of the morphological improvement of the skull before and after operation is made by the surgeon’s subjective judgment. Therefore, we propose an efficient method to quantify the shape of the skull before and after surgery based on the mean normal skull model to assess the surgical outcome. In the preprocessing step, to construct the skull model from the pre- and post-operative CT images, each skull model is constructed consisting of the outer surface of the skull. To distinguish individual cranial bones separated by sutures, mean normal skull model is composed of five cranial bones. In the skull model deformation step, to distinguish from the whole bone of the preoperative skull model to the regional bone, the mean normal skull model is deformed into a preoperative skull model, and the deformed mean normal skull model is again deformed into a postoperative skull model. In the regional skull shape index calculation step, to evaluate the degree of expansion and reduction of postoperative skull relative to the preoperative skull, the regional skull shape index is calculated. Experimental results showed that our regional skull shape index can quantify the degree of expansion and reduction of the postoperative skull relative to the preoperative skull of each cranial bone.

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Min Jin Lee, Helen Hong, and Kyu Won Shim "Computer-assisted quantification of surgical outcome in infants with sagittal craniosynostosis in 3D head CT images using mean normal skull model", Proc. SPIE 11314, Medical Imaging 2020: Computer-Aided Diagnosis, 113142Z (16 March 2020); https://doi.org/10.1117/12.2551258

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KEYWORDS

Skull

Bone

Surgery

Computed tomography

Head

3D modeling

3D image processing

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