System and method for image segmentation in generating computer models of a joint to undergo arthroplasty

• US 9,208,263 B2
• Filed: 12/31/2012
• Issued: 12/08/2015
• Est. Priority Date: 04/30/2008
• Status: Active Grant

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Inventors: Pavlovskaia, Elena, Mishin, Oleg, Shpungin, Boris E.
• Primary Examiner(s): FULLER, RODNEY EVAN
• Application Number:
  US13/731,697
• Publication Number:
  US 20130197687A1
• Time in Patent Office: 1,072 Days
• Field of Search: 382/128, 382/131
• US Class Current: 1/1
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 17/1703 using imaging means, e.g. by X-rays
• CPC Class Codes: A61B 17/7013 the shape of the element being adjustable before use adjustable length plates A61B17/7014
• CPC Class Codes: A61B 2017/1602 Mills
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 2090/3762 using computed tomography systems [CT]
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 6/032 Transmission computed tomography [CT]
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation
• CPC Class Codes: B33Y 10/00 Processes of additive manufacturing
• CPC Class Codes: B33Y 50/00 Data acquisition or data processing for additive manufacturing
• CPC Class Codes: B33Y 50/02 for controlling or regulating additive manufacturing processes
• CPC Class Codes: B33Y 80/00 Products made by additive manufacturing
• CPC Class Codes: G06F 30/00 Computer-aided design [CAD]
• CPC Class Codes: G06F 30/20 : Design optimisation, verification or simulation optimisation, verification or simulation of circuit designs G06F30/30
• CPC Class Codes: G06T 17/00 : Three dimensional [3D] modelling, e.g. data description of 3D objects
• CPC Class Codes: G06T 17/20 : Finite element generation, e.g. wire-frame surface description, tesselation
• CPC Class Codes: G06T 2200/08 : involving all processing steps from image acquisition to 3D model generation
• CPC Class Codes: G06T 2207/30008 : Bone
• CPC Class Codes: G06T 7/0012 : Biomedical image inspection
• CPC Class Codes: G06T 7/12 : Edge-based segmentation
• CPC Class Codes: G06T 7/13 : Edge detection
• CPC Class Codes: G06T 7/70 : Determining position or orientation of objects or cameras camera calibration G06T7/80
• CPC Class Codes: G06V 10/46 : Descriptors for shape, contour or point-related descriptors, e.g. scale invariant feature transform [SIFT] or bags of words [BoW]; Salient regional features colour feature extraction G06V10/56
• CPC Class Codes: G06V 10/471 : using approximation functions
• CPC Class Codes: G06V 2201/033 : of skeletal patterns
• CPC Class Codes: G16H 50/50 : for simulation or modelling of medical disorders
• CPC Class Codes: Y10T 29/49826 : Assembling or joining

Abstract

A custom arthroplasty guide and a method of manufacturing such a guide are disclosed herein. The method of manufacturing the custom arthroplasty guide includes: a) generating medical imaging slices of the portion of the patient bone; b) identifying landmarks on bone boundaries in the medical imaging slices; c) providing model data including image data associated with a bone other than the patient bone; d) adjusting the model data to match the landmarks; e) using the adjusted model data to generate a three dimensional computer model of the portion of the patient bone; f) using the three dimensional computer model to generate design data associated with the custom arthroplasty guide; and g) using the design data in manufacturing the custom arthroplasty guide.

Claims

1. A method of generating design data associated with a custom arthroplasty guide, the method comprising:

receiving patient data associated with a portion of a patient bone having a surface contour of an arthroplasty target area, the patient data captured using a medical imaging system;

generating a model of the portion of the patient bone from golden bone data that has been modified using the patient data, the golden bone data being associated with an exemplary bone other than the patient bone; and

generating arthroplasty guide design data from the model using a processor, the arthroplasty guide design data including a mating region having a surface contour that is generally a negative of the surface contour of the arthroplasty target area such that the surface contour of the mating region is configured to matingly receive the surface contour of the arthroplasty target area in a generally matching or interdigitating manner.

2. The method of claim 1, wherein the patient data includes image slices of the portion of the patient bone.

3. The method of claim 1, wherein the golden bone data is modified by adjusting the golden bone data to match landmarks identified on bone boundaries in the patient data.

4. The method of claim 1, wherein the golden bone data includes a model of the exemplary bone.

5. The method of claim 4, wherein the model of the exemplary bone includes at least one of a golden femur mesh and a golden tibia mesh.

6. The method of claim 1, wherein the exemplary bone is a bone type that is the same as the patient bone and is representative of what is considered to be generally normal with respect to the bone type.

7. The method of claim 6, wherein what is considered to be generally normal is determined based on at least one of:

size, condition, shape, weight, age, height, race, gender, or diagnosed disease condition.

8. The method of claim 1, wherein the golden bone data includes a golden mesh that is geometrically representative of the exemplary bone.

9. The method of claim 8, wherein the golden bone data is modified by deforming the golden mesh to match landmarks associated with the portion of the patient bone and by modifying spline curves to match the landmarks.

10. The method of claim 9, wherein the spline curves are approximated with segmentation curves generated using the deformed golden mesh.

11. The method of claim 1, wherein the model of the portion of the patient bone is generating using curves modified to match landmarks associated with bone boundaries in the patient data.

12. The method of claim 11, wherein the curves are generated from golden bone mesh deformed to match the landmarks, the golden bone mesh being generated from the golden bone data.

13. The method of claim 12, wherein the golden bone data is segmented.

14. One or more tangible computer-readable storage media storing computer-executable instructions for performing a computer process on a computing system, the computer process comprising:

receiving patient data associated with a portion of a patient bone having a surface contour of an arthroplasty target area;

modifying golden bone data associated with an exemplary bone other than the patient bone using the patient data;

generating a model of the portion of the patient bone from the modified golden bone data; and

generating arthroplasty guide design data using the model, the arthroplasty guide design data including a mating region having a surface contour that is generally a negative of the surface contour of the arthroplasty target area such that the surface contour of the mating region is configured to matingly receive the surface contour of the arthroplasty target area in a generally matching or interdigitating manner.

15. The one or more tangible computer-readable storage media of claim 14, wherein the golden bone data is modified by adjusting the golden bone data to match landmarks identified on bone boundaries in the patient data.

16. The one or more tangible computer-readable storage media of claim 14, wherein the exemplary bone is a same bone type as the patient bone and is representative of what is considered to be generally normal with respect to the bone type for at least one of size, condition, shape, weight, age, height, race, gender, or diagnosed disease condition.

17. A method of manufacturing a custom arthroplasty guide, the method comprising:

receiving arthroplasty guide design data generated based on a patient bone model, the patient bone model being generated using golden bone data that has been modified using patient data associated with a portion of a patient bone having a surface contour of an arthroplasty target area, the golden bone data being associated with an exemplary bone other than the patient bone;

receiving a blank arthroplasty guide; and

manufacturing the custom arthroplasty guide from the blank arthroplasty guide using the arthroplasty guide design data, the custom arthroplasty guide including a mating region having a surface contour that is generally a negative of the surface contour of the arthroplasty target area such that the surface contour of the mating region is adapted to matingly receive the surface contour of the arthroplasty target area in a generally matching or interdigitating manner.

18. The method of claim 17, wherein the patient data includes image slices of the portion of the patient bone.

19. The method of claim 17, wherein the golden bone data is modified by adjusting the golden bone data to match landmarks identified on bone boundaries in the patient data.

20. The method of claim 17, wherein the exemplary bone is a same bone type as the patient bone and is representative of what is considered to be generally normal with respect to the bone type for at least one of:

size, condition, shape, weight, age, height, race, gender, or diagnosed disease condition.

21. The method of claim 17, wherein the arthroplasty guide design data further includes saw cut and drill hole data, and the custom arthroplasty guide further includes one or more cut slots and drill holes adapted to facilitate preparing the arthroplasty target area in a manner that allows an arthroplasty implant to generally restore a joint associated with the portion of the patient bone to a pre-degenerated state.

22. The method of claim 17, wherein the custom arthroplasty guide is a tibia arthroplasty guide.

23. The method of claim 17, wherein the custom arthroplasty guide is a femur arthroplasty guide.

24. A system for manufacturing a custom arthroplasty guide, the system comprising:

a computer controlled machining system configured to manufacture the custom arthroplasty guide from a blank arthroplasty guide using arthroplasty guide design data generated based on a patient bone model, the patient bone model being generated using golden bone data that has been modified using patient data associated with a portion of a patient bone having a surface contour of an arthroplasty target area, the golden bone data being associated with an exemplary bone other than the patient bone, the custom arthroplasty guide including a mating region having a surface contour that is generally a negative of the surface contour of the arthroplasty target area such that the surface contour of the mating region is configured to matingly receive the surface contour of the arthroplasty target area in a generally matching or interdigitating manner.

25. The system of claim 24, wherein the computer controlled machining system is a CNC milling machine.

26. The system of claim 24, wherein the patient data includes image slices of the portion of the patient bone obtained using a medical imaging system.

27. The system of claim 26, wherein the medical imaging system is at least one of a CT machine or a MRI machine.