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Buttongkum D, Tangpornprasert P, Virulsri C, Numkarunarunrote N, Amarase C, Kobchaisawat T, Chalidabhongse T. 3D reconstruction of proximal femoral fracture from biplanar radiographs with fractural representative learning. Sci Rep 2023; 13:455. [PMID: 36624184 PMCID: PMC9829664 DOI: 10.1038/s41598-023-27607-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 01/04/2023] [Indexed: 01/11/2023] Open
Abstract
A femoral fracture is a severe injury occurring in traumatic and pathologic causes. Diagnosis and Preoperative planning are indispensable procedures relying on preoperative radiographs such as X-ray and CT images. Nevertheless, CT imaging has a higher cost, radiation dose, and longer acquisition time than X-ray imaging. Thus, the fracture 3D reconstruction from X-ray images had been needed and remains a challenging problem, as well as a lack of dataset. This paper proposes a 3D proximal femoral fracture reconstruction from biplanar radiographs to improve the 3D visualization of bone fragments during preoperative planning. A novel Fracture Reconstruction Network (FracReconNet) is proposed to retrieve the femoral bone shape with fracture details, including the 3D Reconstruction Network (3DReconNet), novel Auxiliary class (AC), and Fractural augmentation (FA). The 3D reconstruction network applies a deep learning-based, fully Convolutional Network with Feature Pyramid Network architecture. Specifically, the auxiliary class is proposed, which refers to fracture representation. It encourages network learning to reconstruct the fracture. Since the samples are scarce to acquire, the fractural augmentation is invented to enlarge the fracture training samples and improve reconstruction accuracy. The evaluation of FracReconNet achieved a mIoU of 0.851 and mASSD of 0.906 mm. The proposed FracReconNet's results show fracture detail similar to the real fracture, while the 3DReconNet cannot offer.
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Affiliation(s)
- Danupong Buttongkum
- grid.7922.e0000 0001 0244 7875Center of Excellence for Prosthetic and Orthopedic Implant, Chulalongkorn University, Bangkok, 10330 Thailand ,grid.7922.e0000 0001 0244 7875Biomedical Engineering Research Center, Faculty of Engineering, Chulalongkorn University, Bangkok, 10330 Thailand
| | - Pairat Tangpornprasert
- Center of Excellence for Prosthetic and Orthopedic Implant, Chulalongkorn University, Bangkok, 10330, Thailand. .,Department of Mechanical Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, 10330, Thailand. .,Biomedical Engineering Research Center, Faculty of Engineering, Chulalongkorn University, Bangkok, 10330, Thailand.
| | - Chanyaphan Virulsri
- grid.7922.e0000 0001 0244 7875Center of Excellence for Prosthetic and Orthopedic Implant, Chulalongkorn University, Bangkok, 10330 Thailand ,grid.7922.e0000 0001 0244 7875Department of Mechanical Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, 10330 Thailand ,grid.7922.e0000 0001 0244 7875Biomedical Engineering Research Center, Faculty of Engineering, Chulalongkorn University, Bangkok, 10330 Thailand
| | - Numphung Numkarunarunrote
- grid.7922.e0000 0001 0244 7875Department of Radiology, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330 Thailand
| | - Chavarin Amarase
- grid.7922.e0000 0001 0244 7875Hip Fracture Research Unit, Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330 Thailand
| | - Thananop Kobchaisawat
- grid.7922.e0000 0001 0244 7875Perceptual Intelligent Computing Lab, Department of Computer Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, 10330 Thailand
| | - Thanarat Chalidabhongse
- grid.7922.e0000 0001 0244 7875Perceptual Intelligent Computing Lab, Department of Computer Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, 10330 Thailand ,grid.7922.e0000 0001 0244 7875Applied Digital Technology in Medicine Research Group, Chulalongkorn University, Bangkok, 10330 Thailand
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Tejapongvorachai T, Tanaviriyachai T, Daniel Riew K, Limthongkul W, Tanavalee C, Keeratihattayakorn S, Buttongkum D, Singhatanadgige W. Curved versus straight-cut hinges for open-door laminoplasty: A finite element and biomechanical study. J Clin Neurosci 2020; 78:371-375. [PMID: 32386863 DOI: 10.1016/j.jocn.2020.04.056] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 04/11/2020] [Indexed: 10/24/2022]
Abstract
In this study, the stabilities of the hinge sides of plate-augmented open-door laminoplasties based on cutting in a curved or straight line were compared using a finite element (FE) model and an experimental assessment. Using FE models generated from CT scans of a human subject, straight and curved techniques for cutting the hinge side were evaluated. Compressive forces were applied to both simulated models, and the stress distributions on the respective hinge sites were evaluated by comparing the maximum von Mises stresses. Biomechanical testing procedures were then carried out on porcine cervical vertebrae, with straight- and curved-cut groups loaded to failure, and the corresponding reaction forces on the hinge sites were recorded using a loading cell. The FE analysis results revealed no significant differences between the straight- and curved-cut groups in terms of maximum stress forces on the superior, middle, or inferior portions of the hinge sites. In the experimental study, the curved-cut group withstood higher loads to failure at the hinge site than the straight-cut group. The ability of the curved-cut laminoplasty hinges to withstand higher compressive loading to failure than straight-cut hinges suggests the potential of the proposed technique to reduce the risk of hinge fracture and displacement.
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Affiliation(s)
- Tawechai Tejapongvorachai
- Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Terdpong Tanaviriyachai
- Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - K Daniel Riew
- Columbia University, 5141 Broadway, New York, NY 10034, USA
| | - Worawat Limthongkul
- Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Chotetawan Tanavalee
- Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Saran Keeratihattayakorn
- Center of Excellence for Prosthetic and Orthopedic Implant, Biomedical Engineering Research Center, Department of Mechanical Engineering, Faculty of Engineering, Chulalongkorn University, Phayathai Road, Pathumwan, Bangkok 10330, Thailand
| | - Danupong Buttongkum
- Center of Excellence for Prosthetic and Orthopedic Implant, Biomedical Engineering Research Center, Department of Mechanical Engineering, Faculty of Engineering, Chulalongkorn University, Phayathai Road, Pathumwan, Bangkok 10330, Thailand
| | - Weerasak Singhatanadgige
- Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, 1873 Rama IV Road, Pathumwan, Bangkok 10330, Thailand.
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