Ultrasound and model based acquisition of knee morphology
Orthopedics can profit from precise patient-specific reconstructions in many ways. For example operations can be navigated, executing a pre-operative planning. This increases the reliability as well as precision of the intervention. Use cases include arthroplasty as well as osteotomy. Furthermore an analysis of the patient’s biomechanics requires the bone geometry.
State of the art techniques rely on computed tomography (CT) or magnetic resonance imaging (MRI) in order to obtain the 3-dimensional surface models. However, both techniques suffer from downsides: In case of CT, the patient as well as the clinical personal is exposed to radiation. MRI however can only visualize healing processes of the bone to a certain extent. Ultrasound in contrast allows for real-time visualization of the dynamic behavior of soft tissue like the cruciate ligaments.
At the chair for medical engineering we develop a system that allows for a precise reconstruction of the bone surface. Apart from a registration of the ultrasound images this requires the segmentation of the bone surface. Our model and data based techniques concentrate on the knee joint but are extendable to other body parts.
Publications
- L. Phlippen, B. Hohlmann & K. Radermacher: 3D Reconstruction of Femur using Ultrasound - Hand Guided Evaluation and Autonomous Robotic Approach. In: J.W. Giles (ed.): Proceedings of The 22nd Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, 6, 2024, pp. 75-81 [DOI: 10.29007/7rr8]
- B. Hohlmann, P. Broessner, L. Phlippen, T. Rohde & K. Radermacher: Knee Bone Models From Ultrasound. IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control, 2023, 70(9), pp. 1054-1063 [DOI: 10.1109/TUFFC.2023.3286287]
- B. Hohlmann, J. Glanz & K. Radermacher: Segmentation of the distal femur in ultrasound images. Current Directions in Biomedical Engineering, 6(1), 2020, pp. 1-5 [DOI: 10.1515/cdbme-2020-0034]
- B. Hohlmann & K. Radermacher: Augmented Active Shape Model Search – towards 3D Ultrasound-based Bone Surface Reconstruction. In: F. Rodriguez Y Baena & F. Tatti (ed.): CAOS 2020. The 20th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, 4, 2020, pp. 117-121 [DOI: 10.29007/3px6]
- B. Hohlmann & K. Radermacher: The interleaved partial active shape model (IPASM) search algorithm - towards 3D ultrasound-based bone surface reconstruction. In: P. Meere & F. Rodriguez Y Baena (ed.): CAOS 2019. The 19th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, 3, 2019, pp. 177-180 [DOI: 10.29007/rbgl]
- K. Degen, D. Habor, K. Radermacher, S. Heger, J.-S. Kern, S. Wolfart & J. Marotti: Assessment of cortical bone thickness using ultrasound. Clinical Oral Implants Research, 2017, 28(5), pp. 520-528
- C. Hänisch, B. Hohlmann & K. Radermacher: The interleaved partial active shape model search (IPASM) algorithm – Preliminary results of a novel approach towards 3D ultrasound-based bone surface reconstruction. In: K. Radermacher & F. Rodriguez Y Baena (ed.): CAOS2017. EPiC Series in Health Sciences, 1, 2017, pp. 399-406
- C. Hänisch, J. Hsu, E. Noorman & K. Radermacher: Model Based Reconstruction of the Bony Knee Anatomy from 3D Ultrasound Images. Proceedings of 2015 CAOS Meeting, 2015
- C. Hänisch, J. Hsu & K. Radermacher: Level Set Based Segmentation of the Distal Femur from 3D Ultrasound Volume Images. Proceedings of 2015 CAOS Meeting, 2015
- N. Ayik, D. Habor, T. Vollborn, S. Neuhaus, K. Radermacher, S. Heger & S. Wolfart: Assessment of the Alveolar bone Thickness in Implantologie using Ultrasound. Proceedings of International Association for Dental Research, 2013, pp. 3722
- D. Habor, N. Ayik, S. Neuhaus, T. Vollborn, S. Wolfart, K. Radermacher & S. Heger: Assessment of the Vestibular Jawbone Thickness using High Frequency Ultrasound. Proceedings of International Association for Dental Research, 2013, pp. 3722
- F. Chuembou Pekam, A. Korff, J. Benzenberg, L. Fieten, K. Radermacher & S. Heger: System architecture of ultrasound based real-time bone thickness determination for synergistically operated cutting tools. Proceedings of the 2010 IEEE International Ultrasonics Symposium, 2010, pp. 322-325
- S. Heger: Intraoperative Struktur- und Geometrieerfassung mittels A-Mode Ultraschall in der computerunterstützten Chirurgie. In: S. Leonhardt, K. Radermacher & T. Schmitz-Rode (ed.): 3, Aachener Beiträge zur Medizintechnik (ISBN 978-3-8322-7867-0), Shaker, 2009, pp. 176
- L. Fieten, F. Portheine, R. Müller-Rath, K. Radermacher & S. Heger: Surface-Based Registration Using A-Mode Ultrasound for PAO. Proceedings Biomedizinische Technik, 52 (Ergänzungsband, CD-ROM), 2007
- S. Heger, F. Portheine, J.A. Ohnsorge, E. Schkommodau & K. Radermacher: User-Interactive Registration of Bone with A-Mode Ultrasound. IEEE Engineering in Medicine and Biology Magazine, 2005, 24(2), pp. 85-95