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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Segmentation of Temporal Bone Anatomy for Patient-Specific Virtual Reality Simulation

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OBJECTIVES: Virtual reality (VR) simulation for patient-specific pre-surgical planning and rehearsal requires accurate segmentation of key surgical landmark structures such as the facial nerve, ossicles, and cochlea. The aim of this study was to explore different approaches to segmentation of temporal bone surgical anatomy for patient-specific VR simulation.

METHODS: De-identified, clinical computed tomography imaging of 9 pediatric patients aged 3 months to 12 years were obtained retrospectively. The patients represented normal anatomy and key structures were manually segmented using open source software. The OTOPLAN (CAScination AG, Bern, Switzerland) otological planning software was used for guided segmentation. An atlas-based algorithm was used for computerized, automated segmentation. Experience with the different approaches as well as time and resulting models were compared.

RESULTS: Manual segmentation was time consuming but also the most flexible. The OTOPLAN software is not designed specifically for our purpose and therefore the number of structures that can be segmented is limited, there was some user-to-user variation as well as volume differences compared with manual segmentation. The atlas-based automated segmentation potentially allows a full range of structures to be segmented and produces segmentations comparable to those of manual segmentation with a processing time that is acceptable because of the minimal user interaction.

CONCLUSION: Segmentation is fundamental for patient-specific VR simulation for pre-surgical planning and rehearsal in temporal bone surgery. The automated segmentation algorithm currently offers the most flexible and feasible approach and should be implemented. Further research is needed in relation to cases of abnormal anatomy.

LEVEL OF EVIDENCE: 4.

Original languageEnglish
JournalAnnals of Otology, Rhinology and Laryngology
Volume130
Issue number7
Pages (from-to)724-730
Number of pages7
ISSN0003-4894
DOIs
Publication statusPublished - Jul 2021

    Research areas

  • Child, Child, Preschool, Female, Humans, Infant, Male, Retrospective Studies, Software, Temporal Bone/anatomy & histology, Virtual Reality, virtual reality surgical simulation, pre-surgical planning, pediatric otology, temporal bone anatomy, patient-specific rehearsal, segmentation

ID: 66965152