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PENGWIN: Pelvic Bone Fragments with Injuries Segmentation Challenge

Authors: Sang, Yudi; Zhu, Gang; Liu, Yanzhen; Yibulayimu, Sutuke; Wang, Yu; Liu, Mingxu; Ku, Ping-Cheng; +8 Authors

PENGWIN: Pelvic Bone Fragments with Injuries Segmentation Challenge

Abstract

Pelvic fractures, typically resulting from high-energy traumas, are among the most severe injuries, characterized by a disability rate over 50% and a mortality rate above 13%, ranking them as the deadliest of all compound fractures. The complexity of pelvic anatomy, along with surrounding soft tissues, makes surgical interventions especially challenging. Recent years have seen a shift towards the use of robotic-assisted closed fracture reduction surgeries, which have shown improved surgical outcomes. Accurate segmentation of pelvic fractures is essential, serving as a critical step in trauma diagnosis and aiding in image-guided surgery. In 3D CT scans, fracture segmentation is crucial for fracture classification, pre-operative planning for fracture reduction, and screw fixation planning. For 2D X-ray images, segmentation plays a vital role in transferring the surgical plan to the operating room via registration, a key step for precise surgical navigation. The task of segmenting fractured pelvic fragments is technically challenging due to the diverse shapes and positions of bone fragments and the complex fracture surfaces caused by bone collisions. Despite the success of deep learning in many domains, its application in pelvic fracture segmentation is still limited. This is primarily attributed to the lack of extensive image datasets and annotations specific to fractured pelvises. The PENGWIN segmentation challenge is designed to advance the development of automated pelvic fracture segmentation techniques in both 3D CT scans (Task 1) and 2D X-ray images (Task 2), aiming to enhance their accuarcy and robustness. Our dataset comprises CT scans from 150 patients scheduled for pelvic reduction surgery, collected from multiple institutions using a variety of scanning equipment. This dataset represents a diverse range of patient cohorts and fracture types. Ground-truth segmentations for sacrum and hipbone fragments have been semi-automatically annotated and subsequently validated by medical experts. Furthermore, we have generated high-quality, realistic X-ray images and corresponding 2D labels from the CT data using the DeepDRR method, incorporating a range of virtual C-arm camera positions and surgical tools. The primary objective of the PENGWIN challenge is to foster innovative research in image segmentation while establishing a foundational resource for future studies and cross-disciplinary collaborations in pelvis-related research.

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Keywords

MICCAI 2024 challenges, Pelvic fracture, Computer-assisted orthopedic surgery, Image Segmentation

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average