Language

English

Publication Date

4-1-2024

Journal

Medical Image Analysis

DOI

10.1016/j.media.2024.103094

PMID

38306802

PMCID

PMC11265218

PubMedCentral® Posted Date

4-1-2025

PubMedCentral® Full Text Version

Author MSS

Abstract

In orthognathic surgical planning for patients with jaw deformities, it is crucial to accurately simulate the changes in facial appearance that follow the bony movement. Compared with the traditional biomechanics-based methods like the finite-element method (FEM), which are both labor-intensive and computationally inefficient, deep learning-based methods offer an efficient and robust modeling alternative. However, current methods do not account for the physical relationship between facial soft tissue and bony structure, causing them to fall short in accuracy compared to FEM. In this work, we propose an Attentive Correspondence assisted Movement Transformation network (ACMT-Net) to predict facial changes by correlating facial soft tissue changes with bony movement through a point-to-point attentive correspondence matrix. To ensure efficient training, we also introduce a contrastive loss for self-supervised pre-training of the ACMT-Net with a k-Nearest Neighbors (k-NN) based clustering. Experimental results on patients with jaw deformities show that our proposed solution can achieve significantly improved computational efficiency over the state-of-the-art FEM-based method with comparable facial change prediction accuracy.

Keywords

Humans, Face, Biomechanical Phenomena, Computer Simulation, Movement, Surgical planning, Facial simulation, Image-guided surgery, Attentive correspondence

Published Open-Access

yes

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