轮廓到边缘配准:口腔内扫描模型与头影测量X光片的对齐
Silhouette-to-Contour Registration: Aligning Intraoral Scan Models with Cephalometric Radiographs
AI总结:
针对口腔内扫描模型与头影测量X光片3D-2D对齐的临床挑战,提出DentalSCR轮廓引导框架,通过UMDA坐标系、类X光投影及分层优化,在34例病例中实现更优的地标精度与轮廓一致性,优于传统方法。
摘要:
口腔内扫描(IOS)模型与侧位头影测量X光片之间可靠的3D-2D对齐对正畸诊断至关重要,但传统的强度驱动配准方法在实际临床条件下表现不佳,头影图存在投影放大、几何畸变、低对比度牙冠和采集相关变异等问题。这些因素阻碍了基于外观的相似性度量的稳定性,常导致收敛失败或解剖学上不合理的对齐。为解决这些局限,我们提出DentalSCR,一种姿态稳定、轮廓引导的框架,用于准确且可解释的轮廓到边缘配准。该方法首先构建U型中线牙轴(UMDA)以建立统一的跨牙弓解剖坐标系,从而稳定初始化并标准化不同病例的投影几何。利用该参考框架,通过基于表面的DRR公式(带冠状轴透视和高斯喷涂)生成类X光片投影,保留临床源-物-探测器放大率并强调外部轮廓。配准随后被表述为2D相似变换,在分层从粗到细的调度下用对称双向Chamfer距离优化,实现大捕获范围和亚像素级边缘一致性。我们在34个专家注释的临床病例上评估DentalSCR,实验结果显示地标误差大幅减少(尤其是后牙处)、下颌分散度更紧密,曲线层面的Chamfer距离和受控Hausdorff距离较低。这些发现表明DentalSCR能稳健处理真实世界头影图,提供高保真、临床可检查的3D-2D对齐,优于传统基线。
英文摘要:
Reliable 3D-2D alignment between intraoral scan (IOS) models and lateral cephalometric radiographs is critical for orthodontic diagnosis, yet conventional intensity-driven registration methods struggle under real clinical conditions, where cephalograms exhibit projective magnification, geometric distortion, low-contrast dental crowns, and acquisition-dependent variation. These factors hinder the stability of appearance-based similarity metrics and often lead to convergence failures or anatomically implausible alignments. To address these limitations, we propose DentalSCR, a pose-stable, contour-guided framework for accurate and interpretable silhouette-to-contour registration. Our method first constructs a U-Midline Dental Axis (UMDA) to establish a unified cross-arch anatomical coordinate system, thereby stabilizing initialization and standardizing projection geometry across cases. Using this reference frame, we generate radiograph-like projections via a surface-based DRR formulation with coronal-axis perspective and Gaussian splatting, which preserves clinical source-object-detector magnification and emphasizes external silhouettes. Registration is then formulated as a 2D similarity transform optimized with a symmetric bidirectional Chamfer distance under a hierarchical coarse-to-fine schedule, enabling both large capture range and subpixel-level contour agreement. We evaluate DentalSCR on 34 expert-annotated clinical cases. Experimental results demonstrate substantial reductions in landmark error-particularly at posterior teeth-tighter dispersion on the lower jaw, and low Chamfer and controlled Hausdorff distances at the curve level. These findings indicate that DentalSCR robustly handles real-world cephalograms and delivers high-fidelity, clinically inspectable 3D--2D alignment, outperforming conventional baselines.
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