Volume rendering using surface guided cropping

Abstract

Disclosed is surface guided cropping in volume rendering of 3D volumetric data from intervening anatomical structures in the patient's body. A digital 3D representation expressing the topography of a first anatomical structure is used to define a clipping surface or a bounding volume which then is used in the volume rendering to exclude data from an intervening structure when generating a 2D projection of the first anatomical structure.

Claims

1. A computer implemented method comprising the steps of: retrieving from a memory a 3D volumetric data set comprising data for a first and a second anatomical structure in a patient's body; retrieving from a memory 3D surface scan data corresponding to at least one of the first or second anatomical structure of the patient, wherein the 3D surface scan data comprises topography information of at least an occlusal surface of the at least one of the first or second anatomical structure; generating a clipping surface using a topography surface generated only from the 3D surface scan data, wherein the clipping surface includes at least a portion of the 3D surface scan data; and selecting a portion of the 3D volumetric data using the generated clipping surface, wherein the generated clipping surface is applied to exclude 3D volumetric data relating to another of the first or second anatomical structures.

2. The method of claim 1, further comprising displaying a volume rendering of the selected portion of the 3D volumetric data in one window area of a graphical user interface.

3. The method according to claim 2, wherein displaying the volume rendering of the selected portion of the 3D volumetric data comprises displaying a 2D projection of the selected portion of the 3D volumetric data.

4. The method according to claim 3, wherein the 2D projection is generated only from the selected portion of the 3D volumetric data.

5. The method according to claim 2, wherein displaying comprises displaying in a second window area of the graphical user interface at least one of a slice of the 3D volumetric data taken from a panoramic, axial, tangential or orthogonal view, wherein the second window area is different from the one window area displaying the rendering of the selected portion of the 3D volumetric data.

6. The method according to claim 5, wherein the axial, orthogonal or tangential view is configured as a 2D slice of the 3D volumetric data.

7. The method according to claim 1, wherein an occlusal surface of the first anatomical or second anatomical structure has a topography surface.

8. The method according to claim 7, wherein the portion of the 3D surface scan data represents the topography surface of the occlusal surface of the first anatomical structure or the second anatomical structure.

9. The method according to claim 1, further comprising defining a bounding box having a first clipping surface and a second clipping surface, the bounding box defining a portion of the 3D volumetric data set to be used in volume rendering.

10. The method according to claim 1, wherein the first anatomical structure comprises dental structures in a first one of the patient's jaws and the second anatomical structure comprises dental structures in the opposing second one of the patient's jaws.

11. The method according to claim 1, wherein the anatomical structures comprise a jaw bone or at least part of teeth of the anatomical structures.

12. The method according to claim 11, wherein the 3D surface scan data expresses a topography of one or more teeth in a first one of the patient's jaws.

13. The method according to claim 1, wherein the method further comprises creating a bounding volume arranged to enclose the 3D volumetric data included in a volume rendering, where at least part of one surface of the bounding volume is formed by the clipping surface.

14. The method according to claim 1, wherein a volume rendering of the selected portion of the 3D volumetric data at least partially is based on ray tracing.

15. The method according to claim 1, wherein an offset is provided between the clipping surface and the 3D volumetric data such that the clipping surface is displaced away from the first anatomical structure.

16. The method of claim 1, further comprising orienting and resizing the identified clipping surface to have a same scale and orientation as the 3D volumetric data set.

17. The method according to claim 1, wherein the method further comprises excluding scatter defects in the 3D volumetric data in a volume rendering.

18. A computer implemented method comprising the steps of: retrieving from a memory a 3D volumetric data set comprising data for a first and a second anatomical structure in a patient's body; retrieving from a memory 3D surface scan data corresponding to at least one of the first or second anatomical structure of the patient, wherein the 3D surface scan data comprises topography information of at least an occlusal surface of the at least one of the first or second anatomical structure; generating a clipping surface using the 3D surface scan data, wherein the clipping surface includes at least a portion of the 3D surface scan data; and selecting a portion of the 3D volumetric data using the generated clipping surface, wherein the generated clipping surface is applied to exclude 3D volumetric data relating to another of the first or second anatomical structures; defining a bounding box having a first clipping surface and a second clipping surface, the bounding box defining a portion of the 3D volumetric data set to be used in volume rendering; and replacing the first clipping surface at least partly with a topography surface of the occlusal surface of the first anatomical structure, wherein the topography surface that replaced the first clipping surface is generated only from the 3D surface scan data.

19. A computer implemented method comprising the steps of: retrieving from a memory a 3D volumetric data set comprising data for a first and a second anatomical structure in a patient's body; retrieving from a memory 3D surface scan data corresponding to at least one of the first or second anatomical structure of the patient, wherein the 3D surface scan data comprises topography information of at least an occlusal surface of the at least one of the first or second anatomical structure; generating a clipping surface using a topography surface generated only from the 3D surface scan data, wherein the clipping surface includes at least a portion of the 3D surface scan data; selecting a portion of the 3D volumetric data using the generated clipping surface, wherein the generated clipping surface is applied to exclude 3D volumetric data relating to another of the first or second anatomical structures; and displaying a 2D projection of the selected portion of the 3D volumetric data in one area of a display while displaying the selected portion of the 3D volumetric data with additional views in another area of the display.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) The above and/or additional objects, features and advantages of the present disclosure, will be further elucidated by the following illustrative and non-limiting detailed description of embodiments of the present disclosure, with reference to the appended drawings, wherein

(2) FIG. 1 shows a 2D projection of 3D volumetric data recorded from a patient according to an embodiment;

(3) FIGS. 2A-2D illustrate a prior art method for separating 3D volumetric data relating to the two jaws;

(4) FIG. 3 shows data from a surface scan according to an embodiment;

(5) FIGS. 4A-4C illustrate how a bounding volume can be defined from a structured clipping surface according to an embodiment;

(6) FIGS. 5A-5C show 2D projections of the 3D volumetric data with the improved selectivity according to an embodiment;

(7) FIG. 6 shows a 2D projection of the 3D volumetric data with the improved selectivity according to an embodiment;

(8) FIG. 7 shows steps according to an embodiment; and

(9) FIG. 8 illustrates a system according to an embodiment.

DETAILED DESCRIPTION

(10) In the following description, reference is made to the accompanying figures, which show by way of illustration how the disclosure may be practiced.

(11) FIG. 1 shows a 2D projection of 3D volumetric data recorded from a patient by Computed tomography (CT) X-ray scanning according to an embodiment. Computed tomography, particularly x-ray computed tomography, is a widely used volumetric imaging principle. In general terms, a radiation source and a radiation-sensitive image sensor are arranged on a line, with the subject of the examination positioned in between. The subject attenuates the radiation. The source-detector arrangement is typically moved into several positions, often on a circle or segment thereof, around the subject of the examination, and images are taken at every position. A 3D volumetric data set expressing the spatial, volumetric distribution of the attenuation coefficient within the subject can then be generated from the recorded images. CT scanning of a patient's set of teeth is commonly used to extract information regarding the structure of the patient's dental structures, such as teeth topography and jaw bone densities. The CT data may relate both to outer surfaces of the teeth or internal structures such as teeth roots or nerves.

(12) The 3D volumetric data 100 illustrated in FIG. 1 has data for the maxillary teeth 101 (i.e. the teeth in the upper jaw), for the mandibular teeth 102 (i.e. the teeth in the lower jaw) and for the mandibular jaw bone 103. The 3D volumetric data are provided as a grid of voxels each having a CT number value relating to the attenuation of the X-rays in the material for the corresponding position in the scanned volume. The CT number is given by:
CT number=K*(u.sub.voxelu.sub.water)/u.sub.water

(13) where u.sub.voxel and u.sub.water are the calculated voxel attenuation coefficient and the attenuation coefficient of water, respectively, and K is an integer constant. The 2D projection is generated using ray tracing where rays are traced from the chosen viewpoint through the 3D volumetric data for each pixel in a virtual screen. The final pixel color is the result of accumulating (front to back) the color from each voxel that the ray intersects when moving through the volume. To determine the color of each voxel a color function is used, which translates the voxel intensity to a color. Using such a color function allows for air voxels to be regarded as (semi-)transparent, as well as assigning the desired colors to, e.g., skin, bone and teeth.

(14) The CT data may e.g. be acquired for planning the position of an implant in the patient's lower jaw and the operator wishes to view a volume rendering of the data from teeth and jaw bone in this jaw only. Commercially available software for handling volume rendering of CT scan data often allow the operator to select a volume for the rendering. This volume can be indicated by clipping planes clipping through the scan data relating to the upper and lower jaws and/or a simple bounding box enclosing the relevant volume.

(15) When the CT data are recorded while the patient's teeth are in occlusion, such a bounding box or clipping plane cannot provide the correct separation of data for many patients. This may be with respect to the anterior teeth where the upper anterior teeth extend below the occlusal surfaces of several teeth in the lower jaw. Or at the occlusal surfaces of several or the pre-molar or molar teeth, where often no clipping plane which fully separates the occlusal surfaces of the teeth in the upper and lower jaws can be defined.

(16) FIG. 2 illustrates the problem that may occur when attempting to separate 3D volumetric data relating one jaw from data relating to the opposing jaw using a simple clipping plane. In this example, the objective is to generate a 2D projection of the 3D volumetric data for the lower jaw, but the encountered problem would evidently also occur if the objective was to select data from the upper jaw only.

(17) In FIG. 2A, the horizontal lines 205a and 205b are both cross sectional representations of a clipping plane extending into the plane of the figure. Considering initially the result of a volume rendering based on a clipping plane arranged according to line 205a it can be seen in FIG. 2B that this arrangement provides that all 3D volumetric data relating to the teeth and jaw bone of the lower jaw are included in the 2D projection 208. However, as also seen the 3D volumetric data relating to the teeth 201 in the opposing jaw are also included in the generated 2D projection blocking the visual access to some surfaces of the teeth 202 in the lower jaw.

(18) FIGS. 2C and 2D show a 2D projection generated by volume rendering of the 3D volumetric data 200 applying a first clipping plane according to line 205b. FIG. 2C shows the 2D projection generated when the viewpoint is from the side of the patent, while FIG. 2D shows it when the viewpoint is in front of the patient's face. The first clipping plane according to line 205b is arranged such that all 3D volumetric data relating to the teeth in the upper jaw are located above the clipping plane. Applying such a clipping plane in the volume rendering thus ensures that the teeth of the opposing jaw does not block the visual access to the teeth 202 of the lower jaw. However, as also illustrated in FIGS. 2C and 2D, the generated projection does not include volumetric data for the occlusal and incisal surfaces of the posterior and 202a anterior teeth 202b of the lower jaw, respectively.

(19) FIG. 3 shows visual representation of a surface scan of the teeth in the lower jaw according to an embodiment.

(20) The surface scan 311 illustrated in FIG. 3 has teeth data 312 expressing the topography of the teeth and gingiva data 313 for the gingiva in the lower jaw. The surface scan can be recorded for example using an intraoral scanner, such as the TRIOS scanner manufactured by 3Shape A/S.

(21) FIG. 4 illustrates how a bounding volume with a structured clipping surface can be used to provide a more selective volume rendering according to an embodiment.

(22) FIG. 4A shows the 3D volumetric data 400 and a simple bounding box 415 defining the portion of the 3D volumetric data which are to be used in a volume rendering. The bounding box 415 has a first clipping surface 405 and a second clipping surface 416. The first clipping surface is planar and is arranged like the first clipping plane 205a illustrated in FIG. 2A. As also illustrated in FIG. 2 this arrangement of the first clipping surface provides that some 3D volumetric data for the teeth of the upper jaw will be included in the volume rendering.

(23) FIG. 4B illustrates how bounding volume created by modifying the simple bounding 415 to have a first clipping surface defined from a surface scan of the teeth in the lower jaw. The bounding box is modified by replacing a part of the first clipping plane with the surface scan such that the first clipping surface of the bounding volume 418 has a section 419 shaped according to the topography of the patient's teeth and behind that a section 420 which is maintained and provide that the part of the jaw bone located behind the teeth can be included in the volume rendering.

(24) The bounding volume 418 with the tooth structured first clipping surface is also depicted in FIG. 4C showing the tooth shaped part 419, the maintained section 420, and the section 421 surrounding the tooth shaped part.

(25) The structured first clipping surface which at least in one region is shaped according to the topography of the first portion of the teeth has the advantage that the volume rendering more precisely can select the appropriate 3D volumetric data for the volume rendering as described below in relation to FIG. 5.

(26) FIG. 5 shows 2D projections of the 3D volumetric data with the improved selectivity according to an embodiment.

(27) FIGS. 5A and 5B show 2D projections of the 3D volumetric data when the bounding volume takes the topography of the teeth into account when cropping the 3D volumetric data. The bounding volume with the structured first clipping surface illustrated in FIGS. 4B and 4C is used when these 2D projections are generated.

(28) In FIG. 5A, the 2D projection 524 shows the rendered 3D volumetric data as seen from a viewpoint located at the side of the patient's face. A comparison between this 2D projection and the 2D projections seen in FIGS. 2B and 2C (where a bounding box with a simple planar first clipping surface was used) illustrates how the teeth-shaped first clipping surface provides a cropping with a highly selective volume rendering of the 3D volumetric data relating to the lower jaw. The improved selection of 3D volumetric data provides that the occlusal surfaces of the posterior teeth 525 can be included in a 2D projection where the incisal surfaces of the anterior teeth 526 are seen without the volumetric data from the opposing upper jaw interfering in the view.

(29) The improvement is also clearly seen in the 2D projection 527 of FIG. 5B which shows a 2D projection of the volume rendered 3D volumetric data as seen from a viewpoint located in front of the patient's face. This 2D projection should be compared with that illustrated in FIG. 2D and the use of the improved first clipping plane evidently provides for a higher selectivity when volume rendering the 3D volumetric data such that the occlusal surfaces of the posterior teeth 525 can be included in the 2D projection 527 and the incisal surfaces of the anterior teeth 526 can be seen free of the volumetric data from opposing upper jaw interfering in the view.

(30) FIG. 5C shows a 2D projection generated using threshold values for the different types of tissue, i.e. jaw bone, dentine and enamel of the teeth which provide that the 2D projection also expresses the internal structure of the teeth in the lower jaw. This confirm that the rendered 3D volumetric data still includes data for these internal structures which is one of the advantages of the disclosed method over prior art approaches in which a new 3D model is generated by deleting volumetric data not relating to the surface of the teeth. In the disclosed method where a new 2D projection is generated for each viewpoint by volume rendering, all 3D volumetric data are maintained, the selection only relates to which data are included in the volume rendering.

(31) FIG. 6 shows parts of a user interface 629 configured for viewing 3D volumetric data recorded from a patient according to an embodiment.

(32) The 2D projection 624 is generated by using the improved first clipping plane in the volume rendering to select 3D volumetric data relating to dental structures in the lower jaw only. In addition to displaying the 2D projection, the user interface also shows a panoramic view 631 and three 2D slices providing an axial view 632, an orthogonal view 633 and a tangential view 634 of the 3D volumetric data set. This Figure illustrates that the disclosed method provides the advantage that all 3D volumetric data are maintained and can be represented in different views 631, 632, 633 and 634 together with the generated 2D projection 624.

(33) FIG. 7, according to an embodiment, shows a flowchart 740 with steps of the method when applied to selectively volume render 3D volumetric data from the patient's lower jaw, i.e. where a cropping provides that data from the upper jaw are excluded in the volume rendering.

(34) In step 741 a 3D volumetric data set of the patient's teeth and jaw bones is obtained. The 3D volumetric data may be provided by X-ray Computed Tomography scanning and loaded into a microprocessor of a data processing system configured for implementing the method.

(35) In step 742 a surface scan of teeth in lower jaw is obtained, e.g. by intra oral scanning using a TRIOS scanner supplied by 3Shape A/S and loaded into the microprocessor. The surface scan comprises data expressing the topography of the teeth in the lower jaw.

(36) In step 743 a first clipping surface is defined from the obtained surface scan. The first clipping surface can be defined part of a bounding volume and formed by replacing a portion of a bounding box with the surface scan as illustrated in FIG. 4B above. The surface scan or the defined clipping surface is oriented and resized to have the same scale and orientation as the 3D volumetric data such that the teeth surfaces on the surface scan are aligned with the corresponding 3D volumetric data. The alignment can be performed using an Iterative Closest Point algorithm to minimize the difference between the surface scan and the corresponding part of the 3D volumetric data, by detecting corresponding points in the surface scan and 3D volumetric data and aligning these points, or by a manual process.

(37) In Step 744 a 2D projection of 3D volumetric data of lower jaw is generated by applying the first clipping plane in a volume rendering of the 3D volumetric data. When the first clipping surface is part of a bounding volume, the bounding volume is arranged such that the first clipping surface follows the teeth while the second clipping surface of the volume is located opposite to the volumetric data of the lower jaw.

(38) FIG. 8, according to an embodiment, shows a schematic of a system according to an embodiment where a selective volume rendering of 3D volumetric data from a patient's set of teeth is based on an intraoral scan of the teeth. The system 850 comprises a computer device 851 comprising a computer readable medium 852 and an electronic data processing device in the form of a microprocessor 853. The system further has a visual display unit 856, and at least one access device and/or interface that allow the operator to utilize the functionality of the computer system and for entering data and activating virtual buttons of a user interface visualized on the visual display unit 856. The access device and/or interface can include but is not limited to a keyboard, mouse, touch screen, stylus, joystick, light pen, trackball, voice interactive function, three-dimensional glove, solid three-dimensional mouse ball, graphical user interface (GUI), display screen, printer, and other known input or output devices and interfaces. In FIG. 8 the access devices are a computer keyboard 854 and a computer mouse 855. The visual display unit 856 can e.g. be a computer screen. The computer may be a general purpose computer capable of running a wide variety of different software applications or a specialized device limited to particular functions. The computer may include any type, number, form, or configuration of processors, system memory, computer-readable mediums, peripheral devices, and operating systems. The computer may include a personal computer (PC), which may be in the form of a desktop, laptop, tablet PC, or other known forms of personal computers.

(39) The computer device 851 can receive both a surface scan and a 3D volumetric data set of the patient's teeth which both can be stored in the computer readable medium 852 and loaded to the microprocessor 853 for processing. The surface scan can be obtained as a digital 3D representation of the teeth recorded for example using an intraoral scanner 857, such as the TRIOS 3 intra-oral scanner manufactured by 3Shape TRIOS A/S. The 3D volumetric can be recorded using e.g. a cone beam CT scanner 858.

(40) A computer program product with computer instructions for causing the microprocessor to perform several of the steps of the inventive method is stored on the non-transitory computer readable medium 852. For example, the computer program product can have algorithms for manipulating and aligning surface scan and 3D volumetric data set, and for performing the ray tracing used in the volume rendering to produce the 2D projection. The computer system provides for the execution of the method steps by which the obtained can be, either automatically or in response to operator commands.

(41) In case of a user assisted alignment of the surface scan and the 3D volumetric data, the system 850 provides that an operator can arrange the surface scan and the 3D volumetric data according to the spatial arrangement which best reflects to anatomical correct arrangement using e.g. a computer mouse to drag or rotate visualizations of the surface scan and the 3D volumetric data on the visual display unit 856. When the operator is satisfied with the relative arrangement he activates a virtual push button in the user interface and the spatial relationship is stored in the computer readable medium 852. The computer readable medium 852 can also have instructions for performing the alignment automatically, e.g. such as ICP based algorithms.

(42) Although some embodiments have been described and shown in detail, the disclosure is not restricted to them, but may also be embodied in other ways within the scope of the subject matter defined in the following claims. In particular, it is to be understood that other embodiments may be utilized and structural and functional modifications may be made without departing from the scope of the present disclosure.

(43) A claim may refer to any of the preceding claims, and any is understood to mean any one or more of the preceding claims.

(44) It should be emphasized that the term comprises/comprising when used in this specification is taken to specify the presence of stated features, integers, steps or components but does not preclude the presence or addition of one or more other features, integers, steps, components or groups thereof.

(45) The features of the method described above and in the following may be implemented in software and carried out on a data processing system or other processing means caused by the execution of computer-executable instructions. The instructions may be program code means loaded in a memory, such as a RAM, from a storage medium or from another computer via a computer network. Alternatively, the described features may be implemented by hardwired circuitry instead of software or in combination with software.