Effectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis

Background:. The surgical correction of metopic craniosynostosis usually relies on the subjective judgment of surgeons to determine the configuration of the cranial bone fragments and the degree of overcorrection. This study evaluates the effectiveness of a new approach for automatic planning of fro...

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Autores principales:	David García-Mato, PhD, Antonio R. Porras, PhD, Santiago Ochandiano, MD, DMD, PhD, Gary F. Rogers, MD, Roberto García-Leal, MD, José I. Salmerón, MD PhD, Javier Pascau, PhD, Marius George Linguraru, DPhil
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/f1fe907c52ed47a9aceed3435c4eb44b
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spelling	oai:doaj.org-article:f1fe907c52ed47a9aceed3435c4eb44b2021-11-25T07:58:04ZEffectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis2169-757410.1097/GOX.0000000000003937https://doaj.org/article/f1fe907c52ed47a9aceed3435c4eb44b2021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003937https://doaj.org/toc/2169-7574Background:. The surgical correction of metopic craniosynostosis usually relies on the subjective judgment of surgeons to determine the configuration of the cranial bone fragments and the degree of overcorrection. This study evaluates the effectiveness of a new approach for automatic planning of fronto-orbital advancement based on statistical shape models and including overcorrection. Methods:. This study presents a planning software to automatically estimate osteotomies in the fronto-orbital region and calculate the optimal configuration of the bone fragments required to achieve an optimal postoperative shape. The optimal cranial shape is obtained using a statistical head shape model built from 201 healthy subjects (age 23 ± 20 months; 89 girls). Automatic virtual plans were computed for nine patients (age 10.68 ± 1.73 months; four girls) with different degrees of overcorrection, and compared with manual plans designed by experienced surgeons. Results:. Postoperative cranial shapes generated by automatic interventional plans present accurate matching with normative morphology and enable to reduce the malformations in the fronto-orbital region by 82.01 ± 6.07%. The system took on average 19.22 seconds to provide the automatic plan, and allows for personalized levels of overcorrection. The automatic plans with an overcorrection of 7 mm in minimal frontal breadth provided the closest match (no significant difference) to the manual plans. Conclusions:. The automatic software technology effectively achieves correct cranial morphometrics and volumetrics with respect to normative cranial shapes. The automatic approach has the potential to reduce the duration of preoperative planning, reduce inter-surgeon variability, and provide consistent surgical outcomes.David García-Mato, PhDAntonio R. Porras, PhDSantiago Ochandiano, MD, DMD, PhDGary F. Rogers, MDRoberto García-Leal, MDJosé I. Salmerón, MD PhDJavier Pascau, PhDMarius George Linguraru, DPhilWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3937 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 David García-Mato, PhD Antonio R. Porras, PhD Santiago Ochandiano, MD, DMD, PhD Gary F. Rogers, MD Roberto García-Leal, MD José I. Salmerón, MD PhD Javier Pascau, PhD Marius George Linguraru, DPhil Effectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis
description	Background:. The surgical correction of metopic craniosynostosis usually relies on the subjective judgment of surgeons to determine the configuration of the cranial bone fragments and the degree of overcorrection. This study evaluates the effectiveness of a new approach for automatic planning of fronto-orbital advancement based on statistical shape models and including overcorrection. Methods:. This study presents a planning software to automatically estimate osteotomies in the fronto-orbital region and calculate the optimal configuration of the bone fragments required to achieve an optimal postoperative shape. The optimal cranial shape is obtained using a statistical head shape model built from 201 healthy subjects (age 23 ± 20 months; 89 girls). Automatic virtual plans were computed for nine patients (age 10.68 ± 1.73 months; four girls) with different degrees of overcorrection, and compared with manual plans designed by experienced surgeons. Results:. Postoperative cranial shapes generated by automatic interventional plans present accurate matching with normative morphology and enable to reduce the malformations in the fronto-orbital region by 82.01 ± 6.07%. The system took on average 19.22 seconds to provide the automatic plan, and allows for personalized levels of overcorrection. The automatic plans with an overcorrection of 7 mm in minimal frontal breadth provided the closest match (no significant difference) to the manual plans. Conclusions:. The automatic software technology effectively achieves correct cranial morphometrics and volumetrics with respect to normative cranial shapes. The automatic approach has the potential to reduce the duration of preoperative planning, reduce inter-surgeon variability, and provide consistent surgical outcomes.
format	article
author	David García-Mato, PhD Antonio R. Porras, PhD Santiago Ochandiano, MD, DMD, PhD Gary F. Rogers, MD Roberto García-Leal, MD José I. Salmerón, MD PhD Javier Pascau, PhD Marius George Linguraru, DPhil
author_facet	David García-Mato, PhD Antonio R. Porras, PhD Santiago Ochandiano, MD, DMD, PhD Gary F. Rogers, MD Roberto García-Leal, MD José I. Salmerón, MD PhD Javier Pascau, PhD Marius George Linguraru, DPhil
author_sort	David García-Mato, PhD
title	Effectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis
title_short	Effectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis
title_full	Effectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis
title_fullStr	Effectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis
title_full_unstemmed	Effectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis
title_sort	effectiveness of automatic planning of fronto-orbital advancement for the surgical correction of metopic craniosynostosis
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/f1fe907c52ed47a9aceed3435c4eb44b
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Effectiveness of Automatic Planning of Fronto-orbital Advancement for the Surgical Correction of Metopic Craniosynostosis

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