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F-AHG-1: Medical imaging and 3D computer graphics - registration of the human femur

This project should appeal to 3G4 students, since it encompasses medical imaging (CT), shape analysis and graphical rendering. The motivation is to establish how structural properties of an individual's femur might predispose that person to hip fracture. This is a hugely important health and wealth issue: hip fracture amongst the elderly causes significant physical and emotional distress, and the cost to health services is considerable, with annual cases forecast to rise to 6.3 million worldwide by 2050. High risk individuals could receive targeted therapy (drugs, exercise), but current screening methods fail to spot the majority of individuals who go on to fracture.

Our recent pioneering research demonstrates the power of cortical thickness maps. These are coloured renderings of the bone surface that show the thickness of the stiff, outer shell (cortex) which is responsible for most of the bone's strength. However, in order to answer the important questions (what type of cortical thickness distribution might predispose an individual to fracture, does any particular therapy increase cortical thickness in the right regions?) it is necessary to compare cortical thickness maps across many individuals. And before we can compare one individual with another, we must first register (spatially align) their cortical thickness maps.

Registration is a key topic in medical imaging research, and we have already implemented an algorithm that does an excellent job of aligning two femur surfaces using a global affine transformation followed by a nonrigid B-spline free-form deformation. What is less clear is how well the technique aligns corresponding landmarks on the two surfaces: just because the surfaces align closely, it does not necessarily follow that point A on surface 1 aligns with the corresponding point A on surface 2. This project will investigate a range of alternative registration algorithms and assess their performance with regards to landmark alignment.

The project will be supported by data and advice from the Bone Research Group at Addenbrooke's Hospital.

Our recent research has shown how to extract cortical thickness maps (top right, pink is thin, blue is thick) from CT data (top left) by deconvolution (bottom). The result is a detailed, accurate map of an individual bone.
For cohort studies, we need to register individual femurs onto a common morphology. We currently do this using a global affine transformation (left, first nine frames) followed by a nonrigid B-spline free-form deformation (left, last eight frames). While this aligns the surfaces nicely, it is not clear whether we are optimally aligning corresponding landmarks on the surfaces.
© Cambridge University Engineering Dept
Information provided by Andrew Gee (ahg)
Last updated: February 2012