Skip to main content

Utilizing Pre- and Postoperative CT to Validate an Instrument for Quantifying Pectus Excavatum Severity

  • Conference paper
  • First Online:
Theory, Methodology, Tools and Applications for Modeling and Simulation of Complex Systems (AsiaSim 2016, SCS AutumnSim 2016)

Abstract

An instrument that objectively quantifies a condition’s severity and its improvement after treatment is of great use. This is also the case for pectus excavatum (PE), a congenital chest wall deformity, for which several severity indices have been introduced. This work describes a system that utilizes chest surface scans generated from CT-data or optical scanning to provide a gauge and visualization of chest wall deviations. A validation experiment is conducted to evaluate the fidelity of such an instrument utilizing pre- and postoperative CT scans. Statistical analysis shows the ability of the instrument to accurately recognize changes in the chest surface profile.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Pretorius, S.E., Haller, A.J., Fishman, E.K.: Spiral CT with 3D reconstruction in children requiring reoperation for failure of chest wall growth after pectus excavatum surgery. Clin. Imaging 22, 108–116 (1998)

    Article  Google Scholar 

  2. Protopapas, A.D., Athanasiou, T.: Peri-operative data on the Nuss procedure in children with pectus excavatum: independent survey of the first 20 years’ data. J. Cardiothorac. Surg. 3, 40 (2008)

    Article  Google Scholar 

  3. Haller, J.A., Kramer, S.S., Lietman, S.: Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J. Pediatr. Surg. 22, 904–906 (1987)

    Article  Google Scholar 

  4. Haecker, F.-M.: The vacuum bell for conservative treatment of pectus excavatum: the Basle experience. Pediatr. Surg. Int. 27, 623–627 (2011)

    Article  Google Scholar 

  5. Harrison, M.R., Curran, P., Jamshidi, R., Christensen, D., Bratton, B., Fechter, R., Hirose, S.: Magnetic mini-mover procedure for pectus excavatum: initial findings of a Food and Drug administration–sponsored trial. J. Pediatr. Surg. 45, 185–192 (2010)

    Article  Google Scholar 

  6. Martinez-Ferro, M.: Indexes for pectus deformities. In: Kolvekar, S., Pilegaard, H. (eds.) Chest Wall Deformities and Corrective Procedures, pp. 35–60. Springer International Publishing, New York (2016)

    Chapter  Google Scholar 

  7. Brigato, R.R., Campos, J.R.M., Jatene, F.B., Moreira, L.F.P., Rebeis, E.B.: Pectus excavatum: evaluation of Nuss technique by objective methods. Interact. CardioVasc. Thorac. Surg. 7, 1084–1088 (2008)

    Article  Google Scholar 

  8. Poncet, P., Kravarusic, D., Richart, T., Evison, R., Ronsky, J.L., Alassiri, A., Sigalet, D.: Clinical impact of optical imaging with 3-D reconstruction of torso topography in common anterior chest wall anomalies. J. Pediatr. Surg. 42, 898–903 (2007)

    Article  Google Scholar 

  9. Glinkowski, W., Sitnik, R., Witkowski, M., Kocoń, H., Bolewicki, P., Górecki, A.: Method of pectus excavatum measurement based on structured light technique. J. Biomed. Opt. 14, 044041 (2009)

    Article  Google Scholar 

  10. Obeid, M.F., Kidane, N., Rechowicz, K.J., Chemlal, S., Kelly, R.E., McKenzie, F.D.: Validation of an objective assessment instrument for non-surgical treatments of chest wall deformities. Stud. Health Technol. Inform. Med. Meets Virtual Reality 220, 273–280 (2016)

    Google Scholar 

  11. Cartoski, M.J., Nuss, D., Goretsky, M.J., Proud, V.K., Croitoru, D.P., Gustin, T., Mitchell, K., Vasser, E., Kelly Jr., R.E.: Classification of the dysmorphology of pectus excavatum. J. Pediatr. Surg. 41, 1573–1581 (2006)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohammad F. Obeid .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer Science+Business Media Singapore

About this paper

Cite this paper

Zeng, Q. et al. (2016). Utilizing Pre- and Postoperative CT to Validate an Instrument for Quantifying Pectus Excavatum Severity. In: Zhang, L., Song, X., Wu, Y. (eds) Theory, Methodology, Tools and Applications for Modeling and Simulation of Complex Systems. AsiaSim SCS AutumnSim 2016 2016. Communications in Computer and Information Science, vol 645. Springer, Singapore. https://doi.org/10.1007/978-981-10-2669-0_48

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-2669-0_48

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-2668-3

  • Online ISBN: 978-981-10-2669-0

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics