Automatic generation of personalised skeletal models of the lower limb from three-dimensional bone geometries
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Published version
Author(s)
Modenese, Luca
Renault, Jean-Baptiste
Type
Journal Article
Abstract
The generation of personalised and patient-specific musculoskeletal models is currently a cumbersome and time-consuming task that normally requires several processing hours and trained operators. We believe that this aspect discourages the use of computational models even when appropriate data are available and personalised biomechanical analysis would be beneficial. In this paper we present a computational tool that enables the fully automatic generation of skeletal models of the lower limb from three-dimensional bone geometries, normally obtained by segmentation of medical images. This tool was evaluated against four manually created lower limb models finding remarkable agreement in the computed joint parameters, well within human operator repeatability. The coordinate systems origins were identified with maximum differences between 0.5 mm (hip joint) and 5.9 mm (subtalar joint), while the joint axes presented discrepancies between 1° (knee joint) to 11° (subtalar joint). To prove the robustness of the methodology, the models were built from four datasets including both genders, anatomies ranging from juvenile to elderly and bone geometries reconstructed from high-quality computed tomography as well as lower-quality magnetic resonance imaging scans. The entire workflow, implemented in MATLAB scripting language, executed in seconds and required no operator intervention, creating lower extremity models ready to use for kinematic and kinetic analysis or as baselines for more advanced musculoskeletal modelling approaches, of which we provide some practical examples. We auspicate that this technical advancement, together with upcoming progress in medical image segmentation techniques, will promote the use of personalised models in larger-scale studies than those hitherto undertaken.
Date Issued
2021-02
Date Acceptance
2020-12-11
Citation
Journal of Biomechanics, 2021, 116, pp.1-11
ISSN
0021-9290
Publisher
Elsevier BV
Start Page
1
End Page
11
Journal / Book Title
Journal of Biomechanics
Volume
116
Copyright Statement
© 2021 The Authors. Published by Elsevier Ltd.
This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
License URL
Sponsor
The Academy of Medical Sciences
Identifier
https://www.sciencedirect.com/science/article/pii/S0021929020306102?via%3Dihub
Grant Number
SBF004\1056
Subjects
Biomedical Engineering
0903 Biomedical Engineering
0913 Mechanical Engineering
1106 Human Movement and Sports Sciences
Publication Status
Published
Article Number
110186
Date Publish Online
2020-12-24