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3D approximation of scapula bone shape from 2D X-ray images using landmark-constrained statistical shape model fitting

Two-dimensional X-ray imaging is the dominant imaging modality in low-resource countries despite the existence of three-dimensional (3D) imaging modalities. This is because fewer hospitals in low-resource countries can afford the 3D imaging systems as their acquisition and operation costs are higher...

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Main Author: Wasswa, William
Other Authors: Mutsvangwa, Tinashe E M
Format: Thesis
Language:English
Published: Division of Biomedical Engineering 2017
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access_status_str Open Access
author Wasswa, William
author2 Mutsvangwa, Tinashe E M
author_browse Mutsvangwa, Tinashe E M
Wasswa, William
author_facet Mutsvangwa, Tinashe E M
Wasswa, William
author_sort Wasswa, William
collection Thesis
description Two-dimensional X-ray imaging is the dominant imaging modality in low-resource countries despite the existence of three-dimensional (3D) imaging modalities. This is because fewer hospitals in low-resource countries can afford the 3D imaging systems as their acquisition and operation costs are higher. However, 3D images are desirable in a range of clinical applications, for example surgical planning. The aim of this research was to develop a tool for 3D approximation of scapula bone from 2D X-ray images using landmark-constrained statistical shape model fitting. First, X-ray stereophotogrammetry was used to reconstruct the 3D coordinates of points located on 2D X-ray images of the scapula, acquired from two perspectives. A suitable calibration frame was used to map the image coordinates to their corresponding 3D realworld coordinates. The 3D point localization yielded average errors of (0.14, 0.07, 0.04) mm in the X, Y and Z coordinates respectively, and an absolute reconstruction error of 0.19 mm. The second phase assessed the reproducibility of the scapula landmarks reported by Ohl et al. (2010) and Borotikar et al. (2015). Only three (the inferior angle, acromion and the coracoid process) of the eight reproducible landmarks considered were selected as these were identifiable from the two different perspectives required for X-ray stereophotogrammetry in this project. For the last phase, an approximation of a scapula was produced with the aid of a statistical shape model (SSM) built from a training dataset of 84 CT scapulae. This involved constraining an SSM to the 3D reconstructed coordinates of the selected reproducible landmarks from 2D X-ray images. Comparison of the approximate model with a CT-derived ground truth 3D segmented volume resulted in surface-to-surface average distances of 4.28 mm and 3.20 mm, using three and sixteen landmarks respectively. Hence, increasing the number of landmarks produces a posterior model that makes better predictions of patientspecific reconstructions. An average Euclidean distance of 1.35 mm was obtained between the three selected landmarks on the approximation and the corresponding landmarks on the CT image. Conversely, a Euclidean distance of 5.99 mm was obtained between the three selected landmarks on the original SSM and corresponding landmarks on the CT image. The Euclidean distances confirm that a posterior model moves closer to the CT image, hence it reduces the search space for a more exact patient-specific 3D reconstruction by other fitting algorithms.
format Thesis
id oai:open.uct.ac.za:11427/23777
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:33:33.643Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2017
publishDateRange 2017
publishDateSort 2017
publisher Division of Biomedical Engineering
publisherStr Division of Biomedical Engineering
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/23777 3D approximation of scapula bone shape from 2D X-ray images using landmark-constrained statistical shape model fitting Wasswa, William Mutsvangwa, Tinashe E M Douglas, Tania S Biomedical Engineering Two-dimensional X-ray imaging is the dominant imaging modality in low-resource countries despite the existence of three-dimensional (3D) imaging modalities. This is because fewer hospitals in low-resource countries can afford the 3D imaging systems as their acquisition and operation costs are higher. However, 3D images are desirable in a range of clinical applications, for example surgical planning. The aim of this research was to develop a tool for 3D approximation of scapula bone from 2D X-ray images using landmark-constrained statistical shape model fitting. First, X-ray stereophotogrammetry was used to reconstruct the 3D coordinates of points located on 2D X-ray images of the scapula, acquired from two perspectives. A suitable calibration frame was used to map the image coordinates to their corresponding 3D realworld coordinates. The 3D point localization yielded average errors of (0.14, 0.07, 0.04) mm in the X, Y and Z coordinates respectively, and an absolute reconstruction error of 0.19 mm. The second phase assessed the reproducibility of the scapula landmarks reported by Ohl et al. (2010) and Borotikar et al. (2015). Only three (the inferior angle, acromion and the coracoid process) of the eight reproducible landmarks considered were selected as these were identifiable from the two different perspectives required for X-ray stereophotogrammetry in this project. For the last phase, an approximation of a scapula was produced with the aid of a statistical shape model (SSM) built from a training dataset of 84 CT scapulae. This involved constraining an SSM to the 3D reconstructed coordinates of the selected reproducible landmarks from 2D X-ray images. Comparison of the approximate model with a CT-derived ground truth 3D segmented volume resulted in surface-to-surface average distances of 4.28 mm and 3.20 mm, using three and sixteen landmarks respectively. Hence, increasing the number of landmarks produces a posterior model that makes better predictions of patientspecific reconstructions. An average Euclidean distance of 1.35 mm was obtained between the three selected landmarks on the approximation and the corresponding landmarks on the CT image. Conversely, a Euclidean distance of 5.99 mm was obtained between the three selected landmarks on the original SSM and corresponding landmarks on the CT image. The Euclidean distances confirm that a posterior model moves closer to the CT image, hence it reduces the search space for a more exact patient-specific 3D reconstruction by other fitting algorithms. 2017-01-31T09:15:53Z 2017-01-31T09:15:53Z 2016 Master Thesis Masters MSc (Med) http://hdl.handle.net/11427/23777 eng application/pdf Division of Biomedical Engineering Faculty of Health Sciences University of Cape Town
spellingShingle Biomedical Engineering
Wasswa, William
3D approximation of scapula bone shape from 2D X-ray images using landmark-constrained statistical shape model fitting
thesis_degree_str Master's
title 3D approximation of scapula bone shape from 2D X-ray images using landmark-constrained statistical shape model fitting
title_full 3D approximation of scapula bone shape from 2D X-ray images using landmark-constrained statistical shape model fitting
title_fullStr 3D approximation of scapula bone shape from 2D X-ray images using landmark-constrained statistical shape model fitting
title_full_unstemmed 3D approximation of scapula bone shape from 2D X-ray images using landmark-constrained statistical shape model fitting
title_short 3D approximation of scapula bone shape from 2D X-ray images using landmark-constrained statistical shape model fitting
title_sort 3d approximation of scapula bone shape from 2d x ray images using landmark constrained statistical shape model fitting
topic Biomedical Engineering
url http://hdl.handle.net/11427/23777
work_keys_str_mv AT wasswawilliam 3dapproximationofscapulaboneshapefrom2dxrayimagesusinglandmarkconstrainedstatisticalshapemodelfitting