Gokce Guven

Gokce Guven, Hasan Fehmi Ates, Deniz Karasahin et al.

Accurate segmentation and statistical shape modeling of hand anatomy have significant implications for medical diagnostics, ergonomics, and biomechanics. This study proposes an AI-assisted reconstruction pipeline for segmenting and analyzing hand anatomy from 1,271 elbow-to-hand (e2h-CT) computed tomography scans. A Pix2Pix-based conditional generative adversarial network is first employed to remove plaster cast and background artifacts from CT volumes. The cleaned scans are then processed in 3D Slicer to extract skin and bone masks, which are converted into closed-surface mesh models. Segmented bone meshes are used to construct skeletal representations, enabling implicit skinning to align all hand models into a standardized anatomical configuration. Subsequently, non-rigid registration is performed on the hand skin surfaces using the Geodesic Based Coherent Point Drift++ (GBCPD++) algorithm to establish point-wise correspondence across subjects. Principal Component Analysis (PCA) is then applied to the registered models to quantify anatomical shape variability. The Pix2Pix preprocessing stage achieved a Dice coefficient of 0.9856 and an IoU of 0.9720 on the held-out test set. Statistical modeling was performed on a subset of 90 scans in which the fingers were fully visible and anatomically separated. The resulting statistical shape distributions demonstrate strong agreement with the U.S. Army Anthropometric Survey (ANSUR II), supporting the anatomical validity of the reconstructed models. The proposed methodology demonstrates significant potential for advancing biomechanical modeling, ergonomic optimization, prosthetic design, and precision medical diagnostics.

Gokce Guven, H. Fatih Ugurdag, Hasan F. Ates

Accurate 3D bone reconstruction from a single planar X-ray remains a challenge due to anatomical complexity and limited input data. We propose X2BR, a hybrid neural implicit framework that combines continuous volumetric reconstruction with template-guided non-rigid registration. The core network, X2B, employs a ConvNeXt-based encoder to extract spatial features from X-rays and predict high-fidelity 3D bone occupancy fields without relying on statistical shape models. To further refine anatomical accuracy, X2BR integrates a patient-specific template mesh, constructed using YOLOv9-based detection and the SKEL biomechanical skeleton model. The coarse reconstruction is aligned to the template using geodesic-based coherent point drift, enabling anatomically consistent 3D bone volumes. Experimental results on a clinical dataset show that X2B achieves the highest numerical accuracy, with an IoU of 0.952 and Chamfer-L1 distance of 0.005, outperforming recent baselines including X2V and D2IM-Net. Building on this, X2BR incorporates anatomical priors via YOLOv9-based bone detection and biomechanical template alignment, leading to reconstructions that, while slightly lower in IoU (0.875), offer superior anatomical realism, especially in rib curvature and vertebral alignment. This numerical accuracy vs. visual consistency trade-off between X2B and X2BR highlights the value of hybrid frameworks for clinically relevant 3D reconstructions.