{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:28:47Z","timestamp":1776094127242,"version":"3.50.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001652","name":"Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001652","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J CARS"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Intraoperative cone-beam CT imaging enables 3D validation of implant positioning and fracture reduction for orthopedic and trauma surgeries. However, the emergence of metal artifacts, especially in the vicinity of metallic objects, severely degrades the clinical value of the imaging modality. In previous works, metal artifact avoidance (MAA) methods have been shown to reduce metal artifacts by adapting the scanning trajectory. Yet, these methods fail to translate to clinical practice due to remaining methodological constraints and missing workflow integration.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this work, we propose a method to compute the spatial distribution and calibrated strengths of expected artifacts for a given tilted circular trajectory. By visualizing this as an overlay changing with the C-Arm\u2019s tilt, we enable the clinician to interactively choose an optimal trajectory while factoring in the procedural context and clinical task. We then evaluate this method in a realistic human cadaver study and compare the achieved image quality to acquisitions optimized using global metrics.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We assess the effectiveness of the compared methods by evaluation of image quality gradings of depicted pedicle screws. We find that both global metrics as well as the proposed visualization of artifact distribution enable a drastic improvement compared to standard non-tilted scans. Furthermore, the novel interactive visualization yields a significant improvement in subjective image quality compared to the state-of-the-art global metrics. Additionally we show that by formulating an imaging task, the proposed method allows to selectively optimize image quality and avoid artifacts in the region of interest.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>We propose a method to spatially resolve predicted artifacts and provide a calibrated measure for artifact strength grading. This interactive MAA method proved practical and effective in reducing metal artifacts in the conducted cadaver study. We believe this study serves as a crucial step toward clinical application of an MAA system to improve image quality and enhance the clinical validation of implant placement.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11548-024-03103-4","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T14:02:18Z","timestamp":1716472938000},"page":"1399-1407","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["An interactive task-based method for the avoidance of metal artifacts in CBCT"],"prefix":"10.1007","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1758-9056","authenticated-orcid":false,"given":"Maximilian","family":"Rohleder","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1364-4337","authenticated-orcid":false,"given":"Mareike","family":"Thies","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2911-3444","authenticated-orcid":false,"given":"Sophie","family":"Riedl","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3539-4839","authenticated-orcid":false,"given":"Benno","family":"Bullert","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3955-0339","authenticated-orcid":false,"given":"Jula","family":"Gierse","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5360-2054","authenticated-orcid":false,"given":"Maxim","family":"Privalov","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7337-2783","authenticated-orcid":false,"given":"Eric","family":"Mandelka","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8024-9276","authenticated-orcid":false,"given":"Sven","family":"Vetter","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9550-5284","authenticated-orcid":false,"given":"Andreas","family":"Maier","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4656-5705","authenticated-orcid":false,"given":"Bjoern","family":"Kreher","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2024,5,23]]},"reference":[{"issue":"4","key":"3103_CR1","doi-asserted-by":"publisher","first-page":"968","DOI":"10.1118\/1.1869652","volume":"32","author":"Y Cho","year":"2005","unstructured":"Cho Y, Moseley DJ, Siewerdsen JH, Jaffray DA (2005) Accurate technique for complete geometric calibration of cone-beam computed tomography systems. 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The authors from BGU Ludwigshafen are part of the research group MINTOS which had grants\/grants pending and technical support from Siemens Healthineers (Erlangen, Germany) and Nuvasive Inc. (San Diego, USA).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The work follows appropriate ethical standards in conducting research and writing the manuscript, following all applicable laws and regulations regarding treatment of animals or human subjects, or cadavers of both kind. All data acquisitions were done in consultation with the Institutional Review Board of the University Hospital of Erlangen, Germany.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}