A Data-Driven Approach for Assembling Intertrochanteric Fractures by Axis-Position Alignment

In clinics, the reduction of femoral intertrochanteric fractures should meet the medical demands of both axis alignment and position alignment. State-of-the-art approaches are designed for merely position alignment, not allowing for axis alignment. The axis-position alignment can be formulated as a...

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Main Authors: Ziyue Deng, Junfeng Jiang, Hongwei Liu, Zhengming Cheng, Rui Huang, Wenxi Zhang, Kunjin He
Format: Article
Language:English
Published: IEEE 2020-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9149603/
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author Ziyue Deng
Junfeng Jiang
Hongwei Liu
Zhengming Cheng
Rui Huang
Wenxi Zhang
Kunjin He
author_facet Ziyue Deng
Junfeng Jiang
Hongwei Liu
Zhengming Cheng
Rui Huang
Wenxi Zhang
Kunjin He
author_sort Ziyue Deng
collection DOAJ
description In clinics, the reduction of femoral intertrochanteric fractures should meet the medical demands of both axis alignment and position alignment. State-of-the-art approaches are designed for merely position alignment, not allowing for axis alignment. The axis-position alignment can be formulated as a least square optimization problem with the inequality constraints. The main challenges include how to solve this constrained optimization problem and effectively extract the semantic of the randomly fractured bone pieces. To address these problems, a semi-automatic data-driven method is introduced. First, the medical semantic parameters are computed, at the beginning of when the 3D input pieces' anatomical areas are labeled by using the deep neural network. A statistical shape model is leveraged to generate the synthetic training data so as to learn the anatomical landmarks of the pieces, greatly reducing the labeling costs for training. The final reduction position of the pieces is obtained through iterative axis alignment and position alignment. Our method is evaluated by three baselines, i.e., the manual assembly of the orthopaedic specialists and two typical bone assembling methods. The presented method solves an optimization problem for assembling intertrochanteric fracture by axis-position alignment. All cases can be successfully assembled with the developed algorithm which is proved to be capable of reaching the clinical demand.
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spelling doaj.art-a885832f2e6b4b708e9d4f2dab3d67a02022-12-21T19:54:08ZengIEEEIEEE Access2169-35362020-01-01813754913756310.1109/ACCESS.2020.30120479149603A Data-Driven Approach for Assembling Intertrochanteric Fractures by Axis-Position AlignmentZiyue Deng0https://orcid.org/0000-0003-2216-3380Junfeng Jiang1https://orcid.org/0000-0001-5357-7127Hongwei Liu2https://orcid.org/0000-0002-0298-3149Zhengming Cheng3https://orcid.org/0000-0002-5763-1503Rui Huang4https://orcid.org/0000-0001-8430-0227Wenxi Zhang5https://orcid.org/0000-0002-8863-4838Kunjin He6https://orcid.org/0000-0002-0843-858XCollege of Computer Science, Hohai University, Nanjing, ChinaCollege of IOT Engineering, Hohai University, Changzhou, ChinaDepartment of Orthopaedics, The Second People’s Hospital of Changzhou, Changzhou, ChinaCollege of IOT Engineering, Hohai University, Changzhou, ChinaCollege of IOT Engineering, Hohai University, Changzhou, ChinaDepartment of Orthopaedics, The People’s Hospital of Liyang, Changzhou, ChinaCollege of IOT Engineering, Hohai University, Changzhou, ChinaIn clinics, the reduction of femoral intertrochanteric fractures should meet the medical demands of both axis alignment and position alignment. State-of-the-art approaches are designed for merely position alignment, not allowing for axis alignment. The axis-position alignment can be formulated as a least square optimization problem with the inequality constraints. The main challenges include how to solve this constrained optimization problem and effectively extract the semantic of the randomly fractured bone pieces. To address these problems, a semi-automatic data-driven method is introduced. First, the medical semantic parameters are computed, at the beginning of when the 3D input pieces' anatomical areas are labeled by using the deep neural network. A statistical shape model is leveraged to generate the synthetic training data so as to learn the anatomical landmarks of the pieces, greatly reducing the labeling costs for training. The final reduction position of the pieces is obtained through iterative axis alignment and position alignment. Our method is evaluated by three baselines, i.e., the manual assembly of the orthopaedic specialists and two typical bone assembling methods. The presented method solves an optimization problem for assembling intertrochanteric fracture by axis-position alignment. All cases can be successfully assembled with the developed algorithm which is proved to be capable of reaching the clinical demand.https://ieeexplore.ieee.org/document/9149603/3D modelintertrochanteric fracturefracture reductiondata-drivenaxis-position alignment
spellingShingle Ziyue Deng
Junfeng Jiang
Hongwei Liu
Zhengming Cheng
Rui Huang
Wenxi Zhang
Kunjin He
A Data-Driven Approach for Assembling Intertrochanteric Fractures by Axis-Position Alignment
IEEE Access
3D model
intertrochanteric fracture
fracture reduction
data-driven
axis-position alignment
title A Data-Driven Approach for Assembling Intertrochanteric Fractures by Axis-Position Alignment
title_full A Data-Driven Approach for Assembling Intertrochanteric Fractures by Axis-Position Alignment
title_fullStr A Data-Driven Approach for Assembling Intertrochanteric Fractures by Axis-Position Alignment
title_full_unstemmed A Data-Driven Approach for Assembling Intertrochanteric Fractures by Axis-Position Alignment
title_short A Data-Driven Approach for Assembling Intertrochanteric Fractures by Axis-Position Alignment
title_sort data driven approach for assembling intertrochanteric fractures by axis position alignment
topic 3D model
intertrochanteric fracture
fracture reduction
data-driven
axis-position alignment
url https://ieeexplore.ieee.org/document/9149603/
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