Computing the trajectories of mandibular condyles directly from MRI could provide a comprehensive examination, allowing for the extraction of both anatomical and kinematic details. This study aimed to investigate the feasibility of extracting 3D condylar trajectories from 2D real-time MRI and to assess their precision.Twenty healthy subjects underwent real-time MRI while opening and closing their jaws. One axial and two sagittal slices were segmented using a U-Net-based algorithm. The centers of mass of the resulting masks were projected onto the coordinate system based on anatomical markers and temporally adjusted using a common projection. The quality of the computed trajectories was evaluated using metrics designed to estimate movement reproducibility, head motion, and slice placement symmetry.The segmentation of the axial slices demonstrated good-to-excellent quality; however, the segmentation of the sagittal slices required some fine-tuning. The movement reproducibility was acceptable for most cases; nevertheless, head motion displaced the trajectories by 1 mm on average. The difference in the superior-inferior coordinate of the condyles in the closed jaw position was 1.7 mm on average.Despite limitations in precision, real-time MRI enables the extraction of condylar trajectories with sufficient accuracy for evaluating clinically relevant parameters such as condyle displacement, trajectories aspect, and symmetry.

Surgical treatment of complicated knee fractures is guided by real-time imaging using a mobile C-arm. Immediate and continuous control is achieved via 2D anatomy-specific standard views that correspond to a specific C-arm pose relative to the patient positioning, which is currently determined manually, following a trial-and-error approach at the cost of time and radiation dose. The characteristics of the standard views of the knee suggests that the shape information of individual bones could guide an automatic positioning procedure, reducing time and the amount of unnecessary radiation during C-arm positioning. To fully automate the C-arm positioning task during knee surgeries, we propose a complete framework that enables (1) automatic laterality and standard view classification and (2) automatic shape-based pose regression toward the desired standard view based on a single initial X-ray. A suitable shape representation is proposed to incorporate semantic information into the pose regression pipeline. The pipeline is designed to handle two distinct standard views simultaneously. Experiments were conducted to assess the performance of the proposed system on 3528 synthetic and 1386 real X-rays for the a.-p.

This study presents a novel approach to bone age assessment (BAA) using a multi-view, multi-task classification model based on the Sauvegrain method. A straightforward solution to automating the Sauvegrain method, which assesses a maturity score for each landmark in the elbow and predicts the bone age, is to train classifiers independently to score each region of interest (RoI), but this approach limits the accessible information to local morphologies and increases computational costs. As a result, this work proposes a self-accumulative vision transformer (SAT) that mitigates anisotropic behavior, which usually occurs in multi-view, multi-task problems and limits the effectiveness of a vision transformer, by applying token replay and regional attention bias. A number of experiments show that SAT successfully exploits the relationships between landmarks and learns global morphological features, resulting in a mean absolute error of BAA that is 0.11 lower than that of the previous work. Additionally, the proposed SAT has four times reduced parameters than an ensemble of individual classifiers of the previous work. Lastly, this work also provides informative implications for clinical practice, improving the accuracy and efficiency of BAA in diagnosing abnormal growth in adolescents.