Automation in tibial implant loosening detection using deep-learning segmentation.

Journal: International journal of computer assisted radiology and surgery
Published Date:

Abstract

PURPOSE: Patients with recurrent complaints after total knee arthroplasty may suffer from aseptic implant loosening. Current imaging modalities do not quantify looseness of knee arthroplasty components. A recently developed and validated workflow quantifies the tibial component displacement relative to the bone from CT scans acquired under valgus and varus load. The 3D analysis approach includes segmentation and registration of the tibial component and bone. In the current approach, the semi-automatic segmentation requires user interaction, adding complexity to the analysis. The research question is whether the segmentation step can be fully automated while keeping outcomes indifferent.

Authors

  • C Magg
    Quantitative Healthcare Analysis (QurAI) Group, Informatics Institute, University of Amsterdam, Amsterdam, The Netherlands. c.magg@amsterdamumc.nl.
  • M A Ter Wee
    Biomedical Engineering and Physics, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
  • G S Buijs
    Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
  • A J Kievit
    Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
  • M U Schafroth
    Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
  • J G G Dobbe
    Biomedical Engineering and Physics, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
  • G J Streekstra
    Biomedical Engineering and Physics, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
  • C I Sánchez
    Quantitative Healthcare Analysis (QurAI) Group, Informatics Institute, University of Amsterdam, Amsterdam, The Netherlands.
  • L Blankevoort
    Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.

Keywords

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