Automatic generation of subject-specific finite element models of the spine from magnetic resonance images

The generation of subject-specific finite element models of the spine is generally a time-consuming process based on computed tomography (CT) images, where scanning exposes subjects to harmful radiation. In this study, a method is presented for the automatic generation of spine finite element models...

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Main Authors: Joeri Kok, Yulia M. Shcherbakova, Tom P. C. Schlösser, Peter R. Seevinck, Tijl A. van der Velden, René M. Castelein, Keita Ito, Bert van Rietbergen
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2023.1244291/full
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author Joeri Kok
Yulia M. Shcherbakova
Tom P. C. Schlösser
Peter R. Seevinck
Peter R. Seevinck
Tijl A. van der Velden
Tijl A. van der Velden
René M. Castelein
Keita Ito
Keita Ito
Bert van Rietbergen
author_facet Joeri Kok
Yulia M. Shcherbakova
Tom P. C. Schlösser
Peter R. Seevinck
Peter R. Seevinck
Tijl A. van der Velden
Tijl A. van der Velden
René M. Castelein
Keita Ito
Keita Ito
Bert van Rietbergen
author_sort Joeri Kok
collection DOAJ
description The generation of subject-specific finite element models of the spine is generally a time-consuming process based on computed tomography (CT) images, where scanning exposes subjects to harmful radiation. In this study, a method is presented for the automatic generation of spine finite element models using images from a single magnetic resonance (MR) sequence. The thoracic and lumbar spine of eight adult volunteers was imaged using a 3D multi-echo-gradient-echo sagittal MR sequence. A deep-learning method was used to generate synthetic CT images from the MR images. A pre-trained deep-learning network was used for the automatic segmentation of vertebrae from the synthetic CT images. Another deep-learning network was trained for the automatic segmentation of intervertebral discs from the MR images. The automatic segmentations were validated against manual segmentations for two subjects, one with scoliosis, and another with a spine implant. A template mesh of the spine was registered to the segmentations in three steps using a Bayesian coherent point drift algorithm. First, rigid registration was applied on the complete spine. Second, non-rigid registration was used for the individual discs and vertebrae. Third, the complete spine was non-rigidly registered to the individually registered discs and vertebrae. Comparison of the automatic and manual segmentations led to dice-scores of 0.93–0.96 for all vertebrae and discs. The lowest dice-score was in the disc at the height of the implant where artifacts led to under-segmentation. The mean distance between the morphed meshes and the segmentations was below 1 mm. In conclusion, the presented method can be used to automatically generate accurate subject-specific spine models.
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spelling doaj.art-8f26a1f66c0e4e6989f4bf5ef5848ea72023-09-05T09:20:47ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852023-09-011110.3389/fbioe.2023.12442911244291Automatic generation of subject-specific finite element models of the spine from magnetic resonance imagesJoeri Kok0Yulia M. Shcherbakova1Tom P. C. Schlösser2Peter R. Seevinck3Peter R. Seevinck4Tijl A. van der Velden5Tijl A. van der Velden6René M. Castelein7Keita Ito8Keita Ito9Bert van Rietbergen10Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsImage Sciences Institute, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, NetherlandsImage Sciences Institute, University Medical Center Utrecht, Utrecht, NetherlandsMRIguidance BV, Utrecht, NetherlandsImage Sciences Institute, University Medical Center Utrecht, Utrecht, NetherlandsMRIguidance BV, Utrecht, NetherlandsDepartment of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsDepartment of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsThe generation of subject-specific finite element models of the spine is generally a time-consuming process based on computed tomography (CT) images, where scanning exposes subjects to harmful radiation. In this study, a method is presented for the automatic generation of spine finite element models using images from a single magnetic resonance (MR) sequence. The thoracic and lumbar spine of eight adult volunteers was imaged using a 3D multi-echo-gradient-echo sagittal MR sequence. A deep-learning method was used to generate synthetic CT images from the MR images. A pre-trained deep-learning network was used for the automatic segmentation of vertebrae from the synthetic CT images. Another deep-learning network was trained for the automatic segmentation of intervertebral discs from the MR images. The automatic segmentations were validated against manual segmentations for two subjects, one with scoliosis, and another with a spine implant. A template mesh of the spine was registered to the segmentations in three steps using a Bayesian coherent point drift algorithm. First, rigid registration was applied on the complete spine. Second, non-rigid registration was used for the individual discs and vertebrae. Third, the complete spine was non-rigidly registered to the individually registered discs and vertebrae. Comparison of the automatic and manual segmentations led to dice-scores of 0.93–0.96 for all vertebrae and discs. The lowest dice-score was in the disc at the height of the implant where artifacts led to under-segmentation. The mean distance between the morphed meshes and the segmentations was below 1 mm. In conclusion, the presented method can be used to automatically generate accurate subject-specific spine models.https://www.frontiersin.org/articles/10.3389/fbioe.2023.1244291/fullsynthetic computed tomographydeep-learningmesh morphingpersonalized medicinevertebraintervertebral disc
spellingShingle Joeri Kok
Yulia M. Shcherbakova
Tom P. C. Schlösser
Peter R. Seevinck
Peter R. Seevinck
Tijl A. van der Velden
Tijl A. van der Velden
René M. Castelein
Keita Ito
Keita Ito
Bert van Rietbergen
Automatic generation of subject-specific finite element models of the spine from magnetic resonance images
Frontiers in Bioengineering and Biotechnology
synthetic computed tomography
deep-learning
mesh morphing
personalized medicine
vertebra
intervertebral disc
title Automatic generation of subject-specific finite element models of the spine from magnetic resonance images
title_full Automatic generation of subject-specific finite element models of the spine from magnetic resonance images
title_fullStr Automatic generation of subject-specific finite element models of the spine from magnetic resonance images
title_full_unstemmed Automatic generation of subject-specific finite element models of the spine from magnetic resonance images
title_short Automatic generation of subject-specific finite element models of the spine from magnetic resonance images
title_sort automatic generation of subject specific finite element models of the spine from magnetic resonance images
topic synthetic computed tomography
deep-learning
mesh morphing
personalized medicine
vertebra
intervertebral disc
url https://www.frontiersin.org/articles/10.3389/fbioe.2023.1244291/full
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