用神经隐式模型精准预测正颌手术后脸型变化,提升临床规划效果。
NICE: Neural Implicit Craniofacial Model for Orthognathic Surgery Prediction
- 用区域特异性隐式SDF和形变解码器重建面部与骨骼结构
- 通过共享手术潜码建模软组织非线性响应,关键部位预测更准
- 适合正颌外科医生用于术前模拟与患者沟通
正颌手术是矫正牙颌面骨骼畸形、改善咬合功能与面部美观的关键手段。由于骨骼移动与面部软组织之间存在复杂的非线性相互作用,术后面部外观预测仍具挑战。现有生物力学、参数化模型及深度学习方法或计算效率低,或无法充分捕捉这些复杂关系。为此,我们提出神经隐式颅面模型(NICE),采用隐式神经表示实现精确的解剖结构重建与手术结果预测。NICE包含形状模块,利用区域特异性隐式符号距离函数(SDF)解码器重建面部表面、上颌骨和下颌骨;以及手术模块,通过区域特异性形变解码器建模软组织对骨骼移动的非线性响应。这些解码器由共享的手术潜码驱动,融合解剖先验知识,输出点级位移场,实现高精度手术结果建模。大量实验表明,NICE显著优于当前最先进方法,在唇部、下巴等关键区域预测精度更高,同时保持解剖完整性。该工作为正颌手术的临床规划与患者沟通提供了可行工具。
原文摘要 · Abstract (English)
Orthognathic surgery is a crucial intervention for correcting dentofacial skeletal deformities to enhance occlusal functionality and facial aesthetics. Accurate postoperative facial appearance prediction remains challenging due to the complex nonlinear interactions between skeletal movements and facial soft tissue. Existing biomechanical, parametric models and deep-learning approaches either lack computational efficiency or fail to fully capture these intricate interactions. To address these limitations, we propose Neural Implicit Craniofacial Model (NICE) which employs implicit neural representations for accurate anatomical reconstruction and surgical outcome prediction. NICE comprises a shape module, which employs region-specific implicit Signed Distance Function (SDF) decoders to reconstruct the facial surface, maxilla, and mandible, and a surgery module, which employs region-specific deformation decoders. These deformation decoders are driven by a shared surgical latent code to effectively model the complex, nonlinear biomechanical response of the facial surface to skeletal movements, incorporating anatomical prior knowledge. The deformation decoders output point-wise displacement fields, enabling precise modeling of surgical outcomes. Extensive experiments demonstrate that NICE outperforms current state-of-the-art methods, notably improving prediction accuracy in critical facial regions such as lips and chin, while robustly preserving anatomical integrity. This work provides a clinically viable tool for enhanced surgical planning and patient consultation in orthognathic procedures.
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