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Bones
For the reconstruction of bones, CT images and anatomical images have
been used. Reconstruction of the bones on anatomical cross-sections is
easy when they are surrounded by musculature, the white color of the compact
bone contrasts well with the red one of the skeletal muscular tissues.
In this case, reconstruction with Label, the first method presented in
this paper, is almost automatic. Also the method that uses Shape Constrained
Deformable Model gives good results and is faster than Label.
In the case where tendons and fibrous articular capsules cross or attach
to bones, delineation of the osseous surface may become difficult. With
Label, the user has to define the arbitrary boundary on each slice. Segmentation
with Label becomes very slow. The second tool can interpolate missing boundaries
as described early. In some case, the interpolation is not precise enough;
the user can modify the surface by moving a set of vertices to the contour
defined arbitrary. Generally speaking, the second tool is faster than Label
for the reconstruction of bones on anatomical images. The first image below
shows the segmentation of the humerus with Label. For the next two images
we can see the result of reconstruction from anatomical female images with
shape constrained deformable model. The generic model used for this reconstruction
has been created with Label from anatomical male data (Figure
5, Figure 6).
On CT images, distinction between calcified tissue and non-calcified
fibrous structures is easier. Comments on reconstruction from these data
are the same than comments on reconstruction from anatomical data. The
only difficulty we have encountered is that on these images, bones appear
with two contours. These contours are very close to each other. During
the reconstruction process with the second tool, some vertices of the deformable
model move to the internal contour and others to the external contour.
To solve this problem, we need to define an initial model enough bigger
to contain the entire organ in the voxmap. In that way, vertices only detect
the external contour. The figure below shows an example of a 3D reconstruction
of a muscle. The first image represents the 3D model before the fitting
and the second image shows the result of the fitting process (Figure
7).
Muscles
Segmentation of muscles is more difficult than bones. In most cases,
muscles are surrounded by other muscles. The distinction between individual
muscles is often impossible. Thus, it would be illusory to believe that
the contour of every muscle can be clearly and easily identified.
Reconstruction of muscles with Label is very slow. The user has to use the different fiber orientation on anatomical images. In the case where delineation is impossible, the user has to arbitrarily trace a border between muscles where it is expected based on anatomical experience. The user then reconstructs the supposed muscles and judges the correctness of the segmentation with the aid of 3D rendering. When not satisfied, he/she returns to the slices and improves the segmentation until 3D rendering corresponds to the usual muscle size and shape. This segmentation process is very slow.
Reconstruction with shape constrained deformable model is easier. As
described early, this method uses a generic model to interpolate missing
boundaries. The reconstruction gives good results if the initial shape
is closed to the shape of the muscle be reconstructed. In that case, extrapolation
works fine and the segmentation can be done in a few minutes. The two following
images illustrate a reconstruction of the Brachialis with the second tool
(Figure 8).
Skin
The segmentation of the skin surface does not impose problems due to
the fact that the embedding medium (blue) is in clear contrast to the white
color of the skin. With the automatic contouring feature of Label, the
reconstruction of skin on anatomical images is very fast. The second tool
is not adapted to the segmentation of the skin. The shape of the skin surface
depends on the posture of the body. It is impossible to define a generic
model of the skin surface. The surface skin can be easily segmented with
a technique such as Marching Cubes or Region Growing.