Initial Pose Estimation for Automated 3D Kinematic Analysis of Total Knee Arthroplasty Using X-Ray Fluoroscopic Images

PurposeFor 3D kinematic analysis of total knee arthroplasty (TKA), 2D/3D registration techniques which use X-ray fluoroscopic images and computer-aided design model of the knee implants, have been applied to clinical cases. These techniques are highly valuable for dynamic 3D kinematic analysis, but have needed time-consuming and labor-intensive manual operations in some process. In previous study, we reported a robust method to reduce manual operations to remove spurious edges and noises in edge detection process of X-ray images. In this study, we address another manual operations problem occurred when setting initial pose of TKA implants model for 2D/3D registration. To set appropriate initial pose of the model with manual operations for each X-ray image is important to obtain the good registration results. However, the number of X-ray images for a knee performance is very large, and thus to set initial pose with manual operations is very time-consuming and a problem for practical clinical applications. ...