基于颅骨CT扫描的颧骨截骨手术设计软件-自我监督算法减少工作量。

IF 2.1 2区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-05-01 Epub Date: 2025-02-05 DOI:10.1016/j.jcms.2025.01.014
Xiaohui Qiu , Chi Zhong , Qiuyang Chen , Yingchao Zhao , Tong Yang , Jianda Zhou , Shenghui Liao , Jing Chen
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引用次数: 0

摘要

背景:颧骨复合体的形态显著影响面部外观,导致对颧骨截骨的关注。目前的技术,“l形”颧骨截骨,需要一个小切口和术前截骨设计的截骨指南。然而,在设计过程中使用多种软件程序使其既耗时又具有临床挑战性。方法:人工智能技术提供了将数字医疗技术融入医学的解决方案。基于点云模型开发人工智能算法,使用2000例三维CT数据进行训练。随机选择80个CT数据集用于人工智能和人工颅骨分割设计。比较手术的有效性、对称性、安全性和美观性。结果:人工智能颧骨截骨术在对称性和美观性方面均优于手工颧骨截骨术。颧骨弓的复杂结构突出了人工智能驱动截骨设计的优势,特别是在复杂的情况下。此外,与人工入路相比,人工智能截骨方案在安全指标上没有妥协。结论:人工智能颧骨截骨术是一种安全有效的替代人工颧骨截骨术的方法,可以增强颧骨的对称性和美观性。人工智能驱动设计在复杂颧骨截骨术中的效率和精度使其成为该领域的一个有前途的进展。
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Zygomatic Osteotomy surgery design software based on skull CT scans - Self-supervised algo reduces workload

Background

The morphology of the zygomatic complex significantly influences facial appearance, leading to a focus on zygomatic osteotomy. The current technique, the “L-shaped” zygomatic osteotomy, requires a small incision and preoperative osteotomy design for an osteotomy guide. However, the use of multiple software programs in the design process makes it time-consuming and clinically challenging.

Method

Artificial intelligence technology offers a solution by integrating digital medical technology into medicine. AI algorithms were developed based on point cloud models, using 2000 cases of three-dimensional CT data for training. Eighty CT data sets were randomly chosen for both AI and manual skull segmentation designs. The effectiveness, symmetry, safety, and aesthetic outcomes were compared.

Result

The AI zygomatic osteotomy showed superior performance in symmetry and aesthetics compared to manual zygomatic osteotomy. The complex structure of the zygomatic arch highlights the advantages of AI-driven osteotomy design, especially in intricate cases. Additionally, the AI osteotomy scheme demonstrated no compromise in safety indicators compared to the manual approach.

Conclusion

AI zygomatic osteotomy proves to be a safe and effective alternative to manual zygomatic osteotomy, showcasing enhanced symmetry and aesthetic outcomes. The efficiency and precision of AI-driven design in complex zygomatic osteotomies make it a promising advancement in this field.
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来源期刊
CiteScore
5.20
自引率
22.60%
发文量
117
审稿时长
70 days
期刊介绍: The Journal of Cranio-Maxillofacial Surgery publishes articles covering all aspects of surgery of the head, face and jaw. Specific topics covered recently have included: • Distraction osteogenesis • Synthetic bone substitutes • Fibroblast growth factors • Fetal wound healing • Skull base surgery • Computer-assisted surgery • Vascularized bone grafts
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