The reconstruction of a patient-specific 3D anatomy is the crucial step in the computer-aided preoperative planning based on plain X-ray images. In this paper, we propose a robust and fast reconstruction methods based on fitting the statistical shape and intensity model of a femoral bone onto a pair of calibrated X-ray images. We formulate the registration as a non-linear least squares problem, allowing for the involvement of Levenberg-Marquardt optimisation. The proposed methods have been tested on a set of 96 virtual X-ray images. The reconstruction accuracy was evaluated using the symmetric Hausdorff distance between reconstructed and ground-truth bones. The accuracy of the intensity-based method reached 1.18 ± 1.57mm on average, the registration took 8.76 seconds on average.
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