Owase Jeelani

Simone Foti, Alexander J. Rickart, Bongjin Koo et al.

The use of deep learning to undertake shape analysis of the complexities of the human head holds great promise. However, there have traditionally been a number of barriers to accurate modelling, especially when operating on both a global and local level. In this work, we will discuss the application of the Swap Disentangled Variational Autoencoder (SD-VAE) with relevance to Crouzon, Apert and Muenke syndromes. Although syndrome classification is performed on the entire mesh, it is also possible, for the first time, to analyse the influence of each region of the head on the syndromic phenotype. By manipulating specific parameters of the generative model, and producing procedure-specific new shapes, it is also possible to simulate the outcome of a range of craniofacial surgical procedures. This opens new avenues to advance diagnosis, aids surgical planning and allows for the objective evaluation of surgical outcomes.

Itxasne Antúnez Sáenz, Ane Alberdi Aramendi, David Dunaway et al.

Craniosynostosis is a medical condition that affects the growth of babies' heads, caused by an early fusion of cranial sutures. In recent decades, surgical treatments for craniosynostosis have significantly improved, leading to reduced invasiveness, faster recovery, and less blood loss. At Great Ormond Street Hospital (GOSH), the main surgical treatment for patients diagnosed with sagittal craniosynostosis (SC) is spring assisted cranioplasty (SAC). This procedure involves a 15x15 mm2 osteotomy, where two springs are inserted to induce distraction. Despite the numerous advantages of this surgical technique for patients, the outcome remains unpredictable due to the lack of efficient preoperative planning tools. The surgeon's experience and the baby's age are currently relied upon to determine the osteotomy location and spring selection. Previous tools for predicting the surgical outcome of SC relied on finite element modeling (FEM), which involved computed tomography (CT) imaging and required engineering expertise and lengthy calculations. The main goal of this research is to develop a real-time prediction tool for the surgical outcome of patients, eliminating the need for CT scans to minimise radiation exposure during preoperative planning. The proposed methodology involves creating personalised synthetic skulls based on three-dimensional (3D) photographs, incorporating population average values of suture location, skull thickness, and soft tissue properties. A machine learning (ML) surrogate model is employed to achieve the desired surgical outcome. The resulting multi-output support vector regressor model achieves a R2 metric of 0.95 and MSE and MAE below 0.13. Furthermore, in the future, this model could not only simulate various surgical scenarios but also provide optimal parameters for achieving a maximum cranial index (CI).