Model-based segmentation in orbital volume measurement with cone beam computed tomography and evaluation against current concepts

Research output: Contribution to journalArticleResearchpeer review

Authors

  • Maximilian E. H. Wagner
  • Nils-Claudius Gellrich
  • Karl-Ingo Friese
  • Matthias Becker
  • Franz-Erich Wolter
  • Juergen T. Lichtenstein
  • Marcus Stoetzer
  • Majeed Rana
  • Harald Essig

External Research Organisations

  • Hannover Medical School (MHH)
  • University of Geneva
  • Universitätsspital Zürich
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Details

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalInternational journal of computer assisted radiology and surgery
Volume11
Issue number1
Early online date5 Jun 2015
Publication statusPublished - Jan 2016

Abstract

Purpose: Objective determination of the orbital volume is important in the diagnostic process and in evaluating the efficacy of medical and/or surgical treatment of orbital diseases. Tools designed to measure orbital volume with computed tomography (CT) often cannot be used with cone beam CT (CBCT) because of inferior tissue representation, although CBCT has the benefit of greater availability and lower patient radiation exposure. Therefore, a model-based segmentation technique is presented as a new method for measuring orbital volume and compared to alternative techniques. Methods: Both eyes from thirty subjects with no known orbital pathology who had undergone CBCT as a part of routine care were evaluated (n = 60 eyes). Orbital volume was measured with manual, atlas-based, and model-based segmentation methods. Volume measurements, volume determination time, and usability were compared between the three methods. Differences in means were tested for statistical significance using two-tailed Student’s t tests. Results: Neither atlas-based (26.63 ± 3.15 mm3) nor model-based (26.87 ± 2.99 mm3) measurements were significantly different from manual volume measurements (26.65 ± 4.0 mm3). However, the time required to determine orbital volume was significantly longer for manual measurements (10.24 ± 1.21 min) than for atlas-based (6.96 ± 2.62 min, p < 0.001) or model-based (5.73 ± 1.12 min, p < 0.001) measurements. Conclusion: All three orbital volume measurement methods examined can accurately measure orbital volume, although atlas-based and model-based methods seem to be more user-friendly and less time-consuming. The new model-based technique achieves fully automated segmentation results, whereas all atlas-based segmentations at least required manipulations to the anterior closing. Additionally, model-based segmentation can provide reliable orbital volume measurements when CT image quality is poor.

Keywords

    Cone beam computed tomography, Model segmentation, Orbital volume, Pseudoforamina

ASJC Scopus subject areas

Cite this

Model-based segmentation in orbital volume measurement with cone beam computed tomography and evaluation against current concepts. / Wagner, Maximilian E. H.; Gellrich, Nils-Claudius; Friese, Karl-Ingo et al.
In: International journal of computer assisted radiology and surgery, Vol. 11, No. 1, 01.2016, p. 1-9.

Research output: Contribution to journalArticleResearchpeer review

Wagner, M. E. H., Gellrich, N.-C., Friese, K.-I., Becker, M., Wolter, F.-E., Lichtenstein, J. T., Stoetzer, M., Rana, M., & Essig, H. (2016). Model-based segmentation in orbital volume measurement with cone beam computed tomography and evaluation against current concepts. International journal of computer assisted radiology and surgery, 11(1), 1-9. https://doi.org/10.1007/s11548-015-1228-8
Wagner MEH, Gellrich NC, Friese KI, Becker M, Wolter FE, Lichtenstein JT et al. Model-based segmentation in orbital volume measurement with cone beam computed tomography and evaluation against current concepts. International journal of computer assisted radiology and surgery. 2016 Jan;11(1):1-9. Epub 2015 Jun 5. doi: 10.1007/s11548-015-1228-8
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title = "Model-based segmentation in orbital volume measurement with cone beam computed tomography and evaluation against current concepts",
abstract = "Purpose: Objective determination of the orbital volume is important in the diagnostic process and in evaluating the efficacy of medical and/or surgical treatment of orbital diseases. Tools designed to measure orbital volume with computed tomography (CT) often cannot be used with cone beam CT (CBCT) because of inferior tissue representation, although CBCT has the benefit of greater availability and lower patient radiation exposure. Therefore, a model-based segmentation technique is presented as a new method for measuring orbital volume and compared to alternative techniques. Methods: Both eyes from thirty subjects with no known orbital pathology who had undergone CBCT as a part of routine care were evaluated (n = 60 eyes). Orbital volume was measured with manual, atlas-based, and model-based segmentation methods. Volume measurements, volume determination time, and usability were compared between the three methods. Differences in means were tested for statistical significance using two-tailed Student{\textquoteright}s t tests. Results: Neither atlas-based (26.63 ± 3.15 mm3) nor model-based (26.87 ± 2.99 mm3) measurements were significantly different from manual volume measurements (26.65 ± 4.0 mm3). However, the time required to determine orbital volume was significantly longer for manual measurements (10.24 ± 1.21 min) than for atlas-based (6.96 ± 2.62 min, p < 0.001) or model-based (5.73 ± 1.12 min, p < 0.001) measurements. Conclusion: All three orbital volume measurement methods examined can accurately measure orbital volume, although atlas-based and model-based methods seem to be more user-friendly and less time-consuming. The new model-based technique achieves fully automated segmentation results, whereas all atlas-based segmentations at least required manipulations to the anterior closing. Additionally, model-based segmentation can provide reliable orbital volume measurements when CT image quality is poor.",
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author = "Wagner, {Maximilian E. H.} and Nils-Claudius Gellrich and Karl-Ingo Friese and Matthias Becker and Franz-Erich Wolter and Lichtenstein, {Juergen T.} and Marcus Stoetzer and Majeed Rana and Harald Essig",
note = "Funding Information: The work of MEHW and JTL is funded, in part, by the German Federal Ministry of Education and Research. This work was funded by AOCMF. The sponsor or funding organization had no role in the design or conduct of this research. MB contributed to this work while working at the Institute for Man-Machine Communication, Leibniz University Hannover, Germany. ",
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Download

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T1 - Model-based segmentation in orbital volume measurement with cone beam computed tomography and evaluation against current concepts

AU - Wagner, Maximilian E. H.

AU - Gellrich, Nils-Claudius

AU - Friese, Karl-Ingo

AU - Becker, Matthias

AU - Wolter, Franz-Erich

AU - Lichtenstein, Juergen T.

AU - Stoetzer, Marcus

AU - Rana, Majeed

AU - Essig, Harald

N1 - Funding Information: The work of MEHW and JTL is funded, in part, by the German Federal Ministry of Education and Research. This work was funded by AOCMF. The sponsor or funding organization had no role in the design or conduct of this research. MB contributed to this work while working at the Institute for Man-Machine Communication, Leibniz University Hannover, Germany.

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N2 - Purpose: Objective determination of the orbital volume is important in the diagnostic process and in evaluating the efficacy of medical and/or surgical treatment of orbital diseases. Tools designed to measure orbital volume with computed tomography (CT) often cannot be used with cone beam CT (CBCT) because of inferior tissue representation, although CBCT has the benefit of greater availability and lower patient radiation exposure. Therefore, a model-based segmentation technique is presented as a new method for measuring orbital volume and compared to alternative techniques. Methods: Both eyes from thirty subjects with no known orbital pathology who had undergone CBCT as a part of routine care were evaluated (n = 60 eyes). Orbital volume was measured with manual, atlas-based, and model-based segmentation methods. Volume measurements, volume determination time, and usability were compared between the three methods. Differences in means were tested for statistical significance using two-tailed Student’s t tests. Results: Neither atlas-based (26.63 ± 3.15 mm3) nor model-based (26.87 ± 2.99 mm3) measurements were significantly different from manual volume measurements (26.65 ± 4.0 mm3). However, the time required to determine orbital volume was significantly longer for manual measurements (10.24 ± 1.21 min) than for atlas-based (6.96 ± 2.62 min, p < 0.001) or model-based (5.73 ± 1.12 min, p < 0.001) measurements. Conclusion: All three orbital volume measurement methods examined can accurately measure orbital volume, although atlas-based and model-based methods seem to be more user-friendly and less time-consuming. The new model-based technique achieves fully automated segmentation results, whereas all atlas-based segmentations at least required manipulations to the anterior closing. Additionally, model-based segmentation can provide reliable orbital volume measurements when CT image quality is poor.

AB - Purpose: Objective determination of the orbital volume is important in the diagnostic process and in evaluating the efficacy of medical and/or surgical treatment of orbital diseases. Tools designed to measure orbital volume with computed tomography (CT) often cannot be used with cone beam CT (CBCT) because of inferior tissue representation, although CBCT has the benefit of greater availability and lower patient radiation exposure. Therefore, a model-based segmentation technique is presented as a new method for measuring orbital volume and compared to alternative techniques. Methods: Both eyes from thirty subjects with no known orbital pathology who had undergone CBCT as a part of routine care were evaluated (n = 60 eyes). Orbital volume was measured with manual, atlas-based, and model-based segmentation methods. Volume measurements, volume determination time, and usability were compared between the three methods. Differences in means were tested for statistical significance using two-tailed Student’s t tests. Results: Neither atlas-based (26.63 ± 3.15 mm3) nor model-based (26.87 ± 2.99 mm3) measurements were significantly different from manual volume measurements (26.65 ± 4.0 mm3). However, the time required to determine orbital volume was significantly longer for manual measurements (10.24 ± 1.21 min) than for atlas-based (6.96 ± 2.62 min, p < 0.001) or model-based (5.73 ± 1.12 min, p < 0.001) measurements. Conclusion: All three orbital volume measurement methods examined can accurately measure orbital volume, although atlas-based and model-based methods seem to be more user-friendly and less time-consuming. The new model-based technique achieves fully automated segmentation results, whereas all atlas-based segmentations at least required manipulations to the anterior closing. Additionally, model-based segmentation can provide reliable orbital volume measurements when CT image quality is poor.

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