Background: Postnatal brain growth is an important predictor of neurodevelopmental outcome in preterm infants. A new reliable proxy for brain volume is cranial volume, which can be measured routinely by 3-D laser scanning. The aim of this study was to develop reference charts for normal cranial volume in newborn infants at different gestational ages starting from late preterm for both sexes.Methods: Cross-sectional cohort study in a German university hospital, including singleton, clinically stable, neonates born after 34 weeks of gestation. Cranial volume was measured in the first week of life by a validated 3-D laser scanner. Cranial volume data was modeled to calculate percentile values by gestational age and birth weight and to develop cranial volume reference charts for girls and boys separately.Results: Of the 1,703 included infants, 846 (50%) were female. Birth weights ranged from 1,370 to 4,830 grams (median 3,370). Median cranial volume ranged from 320 [interquartile range (IQR) 294–347] ml at 34 weeks to 469 [IQR 442–496] ml at 42 weeks and was higher in boys than in girls.Conclusions: This study presents the first reference charts of cranial volume which can be used in clinical practice to monitor brain growth between 34 and 42 weeks gestation in infants.
Cephalometric analysis is an important and routine task in the medical field to assess craniofacial development and to diagnose cranial deformities and midline facial abnormalities. The advance of 3D digital techniques potentiated the development of 3D cephalometry, which includes the localization of cephalometric landmarks in the 3D models. However, manual labeling is still applied, being a tedious and time-consuming task, highly prone to intra/inter-observer variability. In this paper, a framework to automatically locate cephalometric landmarks in 3D facial models is presented. The landmark detector is divided into two stages: (i) creation of 2D maps representative of the 3D model; and (ii) landmarks' detection through a regression convolutional neural network (CNN). In the first step, the 3D facial model is transformed to 2D maps retrieved from 3D shape descriptors. In the second stage, a CNN is used to estimate a probability map for each landmark using the 2D representations as input. The detection method was evaluated in three different datasets of 3D facial models, namely the Texas 3DFR, the BU3DFE, and the Bosphorus databases. An average distance error of 2.3, 3.0, and 3.2 mm were obtained for the landmarks evaluated on each dataset. The obtained results demonstrated the accuracy of the method in different 3D facial datasets with a performance competitive to the state-of-the-art methods, allowing to prove its versability to different 3D models.Clinical Relevance-Overall, the performance of the landmark detector demonstrated its potential to be used for 3D cephalometric analysis.
I. INTRODUCTIONCephalometric analysis refers to the assessment of the craniofacial structure to evaluate its growth and development and to diagnose cranial deformities, midline facial abnormalities, and orthodontic problems [1]. Traditionally, 2D radiographs are used for cephalometric analysis, but Computed Tomography (CT) and Magnetic Resonance (MR) imaging systems have been enabling 3D cephalometry [2]. More recently, some works proposed to use 3D digital models (e.g. laser scans) to perform the cephalometric analysis [3]. To
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.