arXiv:2608.09993eess.IVcs.CV2026-08

基于解剖先验的分步配准方法,提升口腔CT与口扫图像对齐精度。

APCReg: Anatomical-Prior-Guided Coarse-to-Fine CBCT--IOS Registration via Multi-View Projection and Reliability-Controlled Residual Correction

论文配图:APCReg: Anatomical-Prior-Guided Coarse-to-Fine CBCT--IOS Registration via Multi-View Projection and Reliability-Controlled Residual Correction
图 1 · 摘自论文原文
  • 分步投影对齐+可靠性控制残差修正,降低六自由度搜索空间
  • 在60组颌骨数据上实现0.87毫米平均切比雪夫距离
  • 适合口腔外科手术规划,对自动化流程有实用价值

锥形束计算机断层扫描(CBCT)与口内扫描(IOS)之间的配准对个性化手术规划至关重要。然而,成像模态差异、重叠区域有限及大姿态偏移导致自动配准不可靠,临床仍依赖传统几何流程和人工调整。为此,我们提出APCReg,一种基于解剖先验的分步粗调至精调框架,用于全局配准与可靠性控制的残差修正。具体而言,多视角解剖粗配准(MACR)通过颊侧、近中和咬合面有序正交投影对齐,分解六自由度搜索空间后进行三维细化;重叠感知残差配准(OARR)结合共享KPConv特征、折叠牙弓长度提示、重叠门控交叉注意力与Sinkhorn匹配;牙弓结构化假设选择在保留可靠对应点上评估多种姿态,而无真值粗配保全条件则有条件保留几何可靠的粗配姿态。在60组独立测试颌骨对上,APCReg实现了0.87毫米平均切比雪夫距离与2.92毫米豪斯多夫距离,在六项报告指标中均优于所评开源基线,排名第一。

原文摘要 · Abstract (English)

Registration between cone-beam computed tomography (CBCT) and intraoral scans (IOS) is essential for patient-specific surgical planning. However, disparate imaging modalities, limited overlap, and large pose offsets make automated registration unreliable. Consequently, clinical registration remains dependent on conventional geometry pipelines and manual clinician adjustment. To address these challenges, we propose APCReg, an anatomical-prior-guided coarse-to-fine framework for global registration and reliability-controlled residual correction. Specifically, multi-view anatomical coarse registration (MACR) performs ordered orthogonal projection alignment (buccal, proximal, and occlusal) to decompose the six-degree-of-freedom search before three-dimensional refinement. Overlap-aware residual registration (OARR) combines shared KPConv features, a folded arch-length cue, overlap-gated cross-attention, and Sinkhorn matching. Finally, dental-arch-structured hypothesis selection evaluates diverse poses on held-out reliable correspondences, while a ground-truth-free coarse-retention guard conditionally retains a geometrically reliable coarse pose. On 60 held-out jaw pairs, APCReg achieves a submillimeter mean Chamfer distance of 0.87 mm and a Hausdorff distance of 2.92 mm under this evaluation protocol, and ranks first across the six reported metrics among the evaluated open-source baselines.

医学图像配准口腔外科多模态融合解剖先验

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