Image Registration Technique for Assessing the Accuracy of  Intraoperative Osteotomy for Pelvic Tumors by 3D-Printed Patient-Specific Templates

doi:10.1007/s12204-021-2297-1

J Shanghai Jiaotong Univ Sci ›› 2021, Vol. 26 ›› Issue (3): 306-311.doi: 10.1007/s12204-021-2297-1

Image Registration Technique for Assessing the Accuracy of Intraoperative Osteotomy for Pelvic Tumors by 3D-Printed Patient-Specific Templates

QU Yanga‡ (曲扬), YAN Mengningb‡ (严孟宁), LI Xiaomina (李小敏), WU Binga (吴兵), LIU Siyua (柳思宇), WANG Liaob (王燎), WU Wenb(武文), AI Songtaoa(艾松涛)

(a. Department of Radiology; b. Shanghai Key Laboratory of Orthopaedic Implants; Department of Orthopaedics,
Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China)

出版日期:2021-06-28 发布日期:2021-06-02
通讯作者: WU Wen(武文), AI Songtao(艾松涛) E-mail:13761003720@163.com, ai.songtao@qq.com
基金资助:
the Technology Project of Shanghai Science
and Technology Commission (Nos. 19441902700
and 18441903100), the Clinical Research Plan of SHDC
(No. SHDC2020CR3083B), and the Shanghai Municipal
Education Commission (No. 20152221)

Image Registration Technique for Assessing the Accuracy of Intraoperative Osteotomy for Pelvic Tumors by 3D-Printed Patient-Specific Templates

QU Yanga‡ (曲扬), YAN Mengningb‡ (严孟宁), LI Xiaomina (李小敏), WU Binga (吴兵), LIU Siyua (柳思宇), WANG Liaob (王燎), WU Wenb(武文), AI Songtaoa(艾松涛)

(a. Department of Radiology; b. Shanghai Key Laboratory of Orthopaedic Implants; Department of Orthopaedics,
Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China)

Online:2021-06-28 Published:2021-06-02
Contact: WU Wen(武文), AI Songtao(艾松涛) E-mail:13761003720@163.com, ai.songtao@qq.com
Supported by:
the Technology Project of Shanghai Science
and Technology Commission (Nos. 19441902700
and 18441903100), the Clinical Research Plan of SHDC
(No. SHDC2020CR3083B), and the Shanghai Municipal
Education Commission (No. 20152221)

摘要/Abstract

摘要： The study aimed to explore the feasibility of an image registration technique for assessing the accuracy of intraoperative osteotomy of pelvic tumors by 3-dimensional (3D)-printed patient-specific templates. Patients with malignant pelvic tumors who were admitted to our hospital between March 2014 and December 2020 were retrospectively enrolled. Patients underwent hemi-pelvic resection and reconstruction by 3D-printed individualized prostheses. The registration between the designed model and the postoperative segmented model of the prosthesis was used to obtain the intraoperative osteotomy plane and reduce metal artifacts in postoperative computed tomography (CT) images. The distance and angle between the planned and actual osteotomy planes were then used to assess the accuracy of the intraoperative osteotomy. Eight patients with 13 osteotomy planes were enrolled, including four males and four females. The median age at the time of imaging examination was 44 years (range, 33—54 years). All intraoperative osteotomy planes were assessed successfully. The mean distance between the planned and true intraoperative osteotomy planes was ?0.69 cm (?7.5—7.35 cm), and the mean angle was 6.57?±3.36?(1.05?—11.88?). This new assessment method of registering the designed model and the postoperative CT segmented model of the prosthesis may be used to assess the accuracy of intraoperative osteotomy for pelvic tumors, using 3D printed patient-specific templates.

Abstract: The study aimed to explore the feasibility of an image registration technique for assessing the accuracy of intraoperative osteotomy of pelvic tumors by 3-dimensional (3D)-printed patient-specific templates. Patients with malignant pelvic tumors who were admitted to our hospital between March 2014 and December 2020 were retrospectively enrolled. Patients underwent hemi-pelvic resection and reconstruction by 3D-printed individualized prostheses. The registration between the designed model and the postoperative segmented model of the prosthesis was used to obtain the intraoperative osteotomy plane and reduce metal artifacts in postoperative computed tomography (CT) images. The distance and angle between the planned and actual osteotomy planes were then used to assess the accuracy of the intraoperative osteotomy. Eight patients with 13 osteotomy planes were enrolled, including four males and four females. The median age at the time of imaging examination was 44 years (range, 33—54 years). All intraoperative osteotomy planes were assessed successfully. The mean distance between the planned and true intraoperative osteotomy planes was ?0.69 cm (?7.5—7.35 cm), and the mean angle was 6.57?±3.36?(1.05?—11.88?). This new assessment method of registering the designed model and the postoperative CT segmented model of the prosthesis may be used to assess the accuracy of intraoperative osteotomy for pelvic tumors, using 3D printed patient-specific templates.

中图分类号:

R 445

QU Yang (曲扬), YAN Mengning (严孟宁), LI Xiaomin (李小敏), WU Bing (吴兵), LIU Siyu (柳思宇), WANG Liao (王燎), WU Wen(武文), AI Songtao(艾松涛). Image Registration Technique for Assessing the Accuracy of Intraoperative Osteotomy for Pelvic Tumors by 3D-Printed Patient-Specific Templates[J]. J Shanghai Jiaotong Univ Sci, 2021, 26(3): 306-311.

参考文献 27

	[1]
	LEWIS V O. What’s new in musculoskeletal oncology [J]. The Journal of Bone and
	Joint Surgery -American Volume, 2009, 91(6): 1546-1556.
	[2]
	PRING M E, WEBER K L, UNNI K K, et al. Chondrosarcoma of the pelvis. A review
	of sixty-four cases [J]. The Journal of Bone and Joint Surgery American Volume,
20	01, 83(11): 1630-1642.
	[3]
	CARTIAUX O, PAUL L, DOCQUIER P L, et al. Computer-assisted and robot-assisted
	technologies to improve bone-cutting accuracy when integrated with a freehand
	process using an oscillating saw [J]. Journal of Bone and Joint Surgery, 2010,
92	(11): 2076-2082.
	[4]
	CARTIAUX O, DOCQUIER P L, PAUL L, et al. Surgical inaccuracy of tumor resection
	and reconstruction within the pelvis: An experimental study [J]. Acta
	Orthopaedica, 2008, 79(5): 695-702.
[5]	WONG
	K C, KUMTA S M, CHIU K H, et al. Precision tumor resection and reconstruction
	using image-guided computer navigation [J]. The Journal of Bone and Joint
	Surgery -British Volume, 2007, 89-B(7): 943- 947.
[6]	FU L
	J, HAO Y Q. Development and prospect of 3D printing technique in bone tumors
[J]	Chinese Journal of Bone and Joint, 2018, 7(1): 4-6 (in Chinese).
	[7]
	WYLIE J D, FERRER M G, MCCLINCY M P, et al. What is the reliability and
	accuracy of intraoperative fluoroscopy in evaluating anterior, lateral, and posterior
	coverage during periacetabular osteotomy? [J]. Clinical Orthopaedics and
	Related Research, 2019, 477(5): 1138-1144.
	[8]
	HAYASHI S, HASHIMOTO S, MATSUMOTO T, et al. Computer-assisted surgery prevents
	complications during peri-acetabular osteotomy [J]. International Orthopaedics,
20	18, 42(11): 2555-2561.
	[9]
	HOLZAPFEL B M, PILGE H, PRODINGER P M, et al. Customised osteotomy guides and
	endoprosthetic reconstruction for periacetabular tumors [J]. International Orthopaedics,
	14, 38(7): 1435-1442.
[10]	GAO
	L G, NI X Y. Study of metal artifacts reduction method of CT image [J].
	International Journal of Biomedical Engineering, 2015, 38(2): 124-128 (in Chinese).
[11]	YIN
	B X, CHEN X C. Comparison of clinical values of spectral CT with metal
	artifacts reduction system and high-spatial resolution algorithm CT scans in
	reducing metallic artifacts [J]. Chinese Journal of Anatomy and Clinics, 2017,
22	(6): 448-451(in Chinese).
	[12]
	RITACCO L E, MILANO F E, FARFALLI G L, et al. Accuracy of 3-D planning and
	navigation in bone tumor resection [J]. Orthopedics, 2013, 36(7): e942- e950.
[13]	LIN
	F, LU S B, WANG J F. Classification and related operation procedures of pelvic
	tumor treated with partial pelvic resection [J]. Chiese Journal of Surgery, 1998,
36	(10): 582-584 (in Chinese).
	[14]
	O’CONNOR M I, SIM F H. Salvage of the limb in the treatment of malignant pelvic
	tumors [J]. The Journal of Bone and Joint Surgery -American Volume, 1989, 71(4):
48	1-494. [15] MALAWER M M, CHOU L B. Prosthetic survival and clinical results
	with use of large-segment replacements in the treatment of high-grade bone
	sarcomas [J]. The Journal of Bone & Joint Surgery, 1995, 77(8): 1154- 1165.
	[16]
	DELLOYE C, BANSE X, BRICHARD B, et al. Pelvic reconstruction with a structural
	pelvic allograft after resection of a malignant bone tumor [J]. The Journal of
	Bone and Joint Surgery -American Volume, 2007, 89(3): 579-587.
	[17]
	HILLMANN A, HOFFMANN C, GOSHEGER G, et al. Tumors of the pelvis: Complications
	after reconstruction [J]. Archives of Orthopaedic and Trauma Surgery, 2003,
12	3(7): 340-344.
	[18]
	HENDERSON E R, GROUNDLAND J S, PALA E, et al. Failure mode classification for
	tumor endoprostheses: Retrospective review of five institutions and a literature
	review [J]. The Journal of Bone and Joint Surgery -American Volume, 2011,
93	(5): 418-429.
[19]	SO
	T Y, LAM Y L, MAK K L. Computer-assisted navigation in bone tumor surgery:
	Seamless workflow model and evolution of technique [J]. Clinical Orthopaedics and
	Related Research, 2010, 468(11): 2985- 2991.
	[20]
	GIBSON I, CHEUNG L K, CHOW S P, et al. The use of rapid prototyping to assist
	medical applications [J]. Rapid Prototyping Journal, 2006, 12(1): 53-58.
[21]	DAI
	K R, YAN M N, ZHU Z N, et al. Computer-aided custom-made hemipelvic prosthesis
	used in extensive pelvic lesions [J]. The Journal of Arthroplasty, 2007, 22(7):
98	1-986.
[22]	GUO
	W, WANG Y F, ZHANG Y D, et al. Reconstruction with 3D-printed modular pelvic
	endoprostheses after pelvic tumor resection [J]. Chinese Journal of Orthopaedics,
20	16(20): 1302-1311 (in Chinese).
[23]	LEE
	Y H, PARK K K, SONG H T, et al. Metal artifact reduction in gemstone spectral
	imaging dual-energy CT with and without metal artifact reduction software [J].
	European Radiology, 2012, 22(6): 1331-1340.
	[24]
	VETH R P, NIELSEN H K, OLDHOFF J, et al. Megaprostheses in the treatment of
	primary malignant and metastatic tumors in the hip region [J]. Journal of Surgical
	Oncology, 1989, 40(3): 214-218.
	[25]
	WATTS H G. Introduction to resection of musculoskeletal sarcomas [J]. Clinical
	Orthopaedics and Related Research, 1980, 153: 31-38.
	[26]
	JIANG Z M, ZHANG H Z, HUANG J, et al. Values and limitations of intraoperative
	frozen section diagnosis in orthopedics pathology [J]. Chinese Journal of Pathology,
20	06, 35(6): 365-368 (in Chinese).
[27]	XIE B, ZHOU J S. The margining of
	osteosarcoma on MRI and its significance in surgical planning [J]. Chinese
	Journal of Bone Tumor and Bone Disease, 2008(1): 14-18 (in Chinese).

Image Registration Technique for Assessing the Accuracy of Intraoperative Osteotomy for Pelvic Tumors by 3D-Printed Patient-Specific Templates

Image Registration Technique for Assessing the Accuracy of Intraoperative Osteotomy for Pelvic Tumors by 3D-Printed Patient-Specific Templates

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