JZUS - Journal of Zhejiang University SCIENCE

Journal of Zhejiang University SCIENCE C 2010 Vol.11 No.7 P.504-513

Cranio-maxillofacial surgery simulation based on pre-specified target face configurations

Author(s): Sheng-zheng Wang, Jie Yang, James C. Gee
Affiliation(s): Institute of Image Processing & Pattern Recognition, Shanghai Jiao Tong University, Shanghai 200240, China, Merchant Marine College, Shanghai Maritime University, Shanghai 200235, China, Department of Radiology, University of Pennsylvania, Philadelphia 19104, PA, USA
Corresponding email(s): szwang.smu@gmail.com
Key Words: Surgical planning, Biomechanical modeling, Soft tissue deformation, Plastic surgery

Share this article to： More <<< Previous Article \|Next Article >>>

Abstract: This paper presents a novel method for assisting surgeons in automatically computing an optimal surgical plan by directly specifying the desired correction to a facial outline. First, the desired facial appearance is designed using a 3D sculpturing tool, while the cut regions of the skull are defined based on facial anatomy. Then, the deformation of the face meshes is performed using an improved biomechanical model in which virtual external forces are driven by the displacements corresponding to the differences of node coordinates between the original and specified face meshes, and free nodes and fixed nodes are defined in terms of the contact surfaces between the soft tissues and the bones within the cut regions. Finally, the shape of the contact surfaces is updated following the deformation of the soft tissues. After registering the deformable contact surfaces and the cut surfaces, the final positions of the cut bones are estimated. Evaluation of preliminary experimental results quantitatively shows the effectiveness of the proposed approach.

Reference

[1]Chabanas, M., Payan, Y., Marecaux, C., Swider, P., Boutault, F., 2004. Comparison of linear and non-linear soft tissue models with post-operative CT scan in maxillofacial surgery. LNCS, 3078:19-27.

[2]Cotin, S., Delingette, H., Ayache, N., 2000. A hybrid elastic model allowing real-time cutting, deformations and force-feedback for surgery training and simulation. The Vis. Comput., 16(8):437-452.

[3]Everett, P., Seldin, E.B., Troulis, M., Kaban, L.B., Kikinis, R., 2000. A 3D System for Planning and Simulating Minimally-Invasive Distraction Osteogenesis of the Facial Skeleton. LNCS, 1935:1029-1039.

[4]Fung, Y., 1993. Biomechanics: Mechanical Properties of Living Tissue. Springer, New York.

[5]Gladilin, E., Zachow, S., Deuflhard, P., Hege, H.C., 2001. A Biomechanical Model for Soft Tissue Simulation in Craniofacial Surgery. Proc. Int. Workshop on Medical Imaging and Augmented Reality, p.137-141.

[6]ITK-SNAP, 2009. Penn Image Computing and Science Laboratory (PICSL). University of Pennsylvania. Available from http://www.itksnap.org/ [Accessed on Nov. 18, 2009].

[7]Keeve, E., Girod, S., Pfeifle, P., Girod, B., 1996. Anatomy-Based Facial Tissue Modeling Using the Finite Element Method. Proc. 7th Conf. on Visualization, p.21-28.

[8]Keeve, E., Schaller, S., Girod, S., Girod, B., 1997. Adaptive surface data compression. Signal Process., 59(2):211-220.

[9]Koch, R.M., Gross, M.H., Carls, F.R., von Buren, D.F., Fankhauser, G., Parish, Y.I.H., 1996. Simulating Facial Surgery Using Finite Element Models. Proc. 23rd Annual Conf. on Computer Graphics and Interactive Techniques, p.421-428.

[10]Kvistedal, Y.A., Nielsen, P.M., 2004. Investigating Stress-Strain Properties of In-Vivo Human Skin Using Multiaxial Loading Experiments and Finite Element Modeling. Proc. 26th IEEE EMBS, p.5096-5099.

[11]Lee, Y., Terzopoulos, D., Walters, K., 1995. Realistic Modeling for Facial Animation. Computer Graphics Proc., Annual Conf. Series, p.55-62.

[12]Maes, F., Collignon, A., Vandermeulen, D., Marchal, G., Suetens, P., 1997. Multimodality image registration by maximization of mutual information. IEEE Trans. Med. Imag., 16(2):187-198.

[13]Mollemans, W., Schutyser, F., Nadjmi, N., Maes, F., Suetens, P., 2007. Predicting soft tissue deformations for a maxillofacial surgery planning system: from computational strategies to a complete clinical validation. Med. Image Anal., 11(3):282-301.

[14]Natali, A., Carniel, E., Pavan, P., Dario, P., Izzo, I., 2006. Hyperelastic Models for the Analysis of Soft Tissue Mechanics: Definition of Constitutive Parameters. First IEEE/RAS-EMBS Int. Conf. on Biomedical Robotics and Biomechatronics, p.188-191.

[15]Paiva, A., Lopes, H., Lewiner, T., 2006. Robust Adaptive Meshes for Implicit Surfaces. IEEE Proc. 19th Brazilian Symp. on Computer Graphics and Image Processing, p.205-212.

[16]Picinbono, G., Delingette, H., Ayache, N., 2001. Non-linear and Anisotropic Elastic Soft Tissue Models for Medical Simulation. IEEE Int. Conf. on Robotics and Automation, p.1370-1375.

[17]Picinbono, G., Delingette, H., Ayache, N., 2003. Non-linear anisotropic elasticity for real-time surgery simulation. Graph. Models, 65(5):305-321.

[18]Schutyser, F., van Cleynenbreugel, J., Ferrant, M., Schoenaers, J., Suetens, P., 2000. Image-based 3D planning of maxillofacial distraction procedures including soft tissue implications. LNCS, 1935:999-1007.

[19]Sokhanvar, S., Dargahi, J., Packirisamy, M., 2008. Hyperelastic modeling and parametric study of soft tissue embedded lump for MIS applications. Int. J. Med. Rob. Comput. Assist. Surg., 4(3):232-241.

[20]Wang, S., Yang, J., 2009. An improved finite element model for craniofacial surgery simulation. Int. J. Comput. Assist. Radiol. Surg., 4(6):579-587.

[21]Wang, S., Yang, J., 2010. Simulating cranio-maxillofacial surgery based on mixed-element biomechanical modeling. Comput. Methods Biomech. Biomed. Eng., online.

[22]Wang, S., Yang, J., Gee, J.C., 2010. Advances in collision detection and non-linear finite mixed element modelling for improved soft tissue simulation in craniomaxillofacial surgical planning. Int. J. Med. Rob. Comput. Assist. Surg., 6(1):28-41.

[23]Westermark, A., Zachow, S., Eppley, B., 2005. Three-dimensional osteotomy planning in maxillofacial surgery including soft tissue prediction. J. Craniofac. Surg., 16(1):100-104.

[24]Zachow, S., Gladiline, E., Hege, H.C., Deuflhard, P., 2000. Finite Element Simulation of Soft Tissue Deformation. Proc. 14th Int. Symp. on Computer Assisted Radiology and Surgery, p.23-28.

[25]Zachow, S., Hierl, T., Erdmann, B., 2004. A Quantitative Evaluation of 3D Soft Tissue Prediction in Maxillofacial Surgery Planning. Proc. 3rd Jahrestagung der Deautschen Gesellschaft fur Computer- und Robotor-Assistierte Chirurgie, p.75-79.

[26]Zachow, S., Hege, H.C., Deuflhard, P., 2006. Computer-assisted planning in cranio-maxillofacial surgery. J. Comput. Inform. Technol., 14(1):53-64.

Open peer comments: Debate/Discuss/Question/Opinion

<1>

Similar articles

- Go to

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference