Int J Comput Assist Radiol Surg - Outcome quantification using SPHARM-PDM toolbox in orthognathic surgery.

Tópicos

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Resumo

RPOSE: Quantification of surgical outcomes in longitudinal studies has led to significant progress in the treatment of dentofacial deformity, both by offering options to patients who might not otherwise have been recommended for treatment and by clarifying the selection of appropriate treatment methods. Most existing surgical treatments have not been assessed in a systematic way. This paper presents the quantification of surgical outcomes in orthognathic surgery via our localized shape analysis framework.METHODS: In our setting, planning and surgical simulation is performed using the surgery planning software CMFapp. We then employ the SPHARM-PDM to measure the difference between pre-surgery and virtually simulated post-surgery models. This SPHARM-PDM shape framework is validated for use with craniofacial structures via simulating known 3D surgical changes within CMFapp.RESULTS: Our results show that SPHARM-PDM analysis accurately measures surgical displacements, compared with known displacement values. Visualization of color maps of virtually simulated surgical displacements describe corresponding surface distances that precisely describe location of changes, and difference vectors indicate directionality and magnitude of changes.CONCLUSIONS: SPHARM-PDM-based quantification of surgical outcome is feasible. When compared to prior solutions, our method has the potential to make the surgical planning process more flexible, increase the level of detail and accuracy of the plan, yield higher operative precision and control and enhance the follow-up and documentation of clinical cases.

Resumo Limpo

rpose quantif surgic outcom longitudin studi led signific progress treatment dentofaci deform offer option patient might otherwis recommend treatment clarifi select appropri treatment method exist surgic treatment assess systemat way paper present quantif surgic outcom orthognath surgeri via local shape analysi frameworkmethod set plan surgic simul perform use surgeri plan softwar cmfapp employ spharmpdm measur differ presurgeri virtual simul postsurgeri model spharmpdm shape framework valid use craniofaci structur via simul known d surgic chang within cmfappresult result show spharmpdm analysi accur measur surgic displac compar known displac valu visual color map virtual simul surgic displac describ correspond surfac distanc precis describ locat chang differ vector indic direct magnitud changesconclus spharmpdmbas quantif surgic outcom feasibl compar prior solut method potenti make surgic plan process flexibl increas level detail accuraci plan yield higher oper precis control enhanc followup document clinic case

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