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Main Authors: Graf, Robert, Lerchl, Tanja, Nispel, Kati, Möller, Hendrik, Atad, Matan, McGinnis, Julian, Watrinet, Julius Maria, Paetzold, Johannes, Rueckert, Daniel, Kirschke, Jan S.
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2508.14708
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author Graf, Robert
Lerchl, Tanja
Nispel, Kati
Möller, Hendrik
Atad, Matan
McGinnis, Julian
Watrinet, Julius Maria
Paetzold, Johannes
Rueckert, Daniel
Kirschke, Jan S.
author_facet Graf, Robert
Lerchl, Tanja
Nispel, Kati
Möller, Hendrik
Atad, Matan
McGinnis, Julian
Watrinet, Julius Maria
Paetzold, Johannes
Rueckert, Daniel
Kirschke, Jan S.
contents Digital twins offer a powerful framework for subject-specific simulation and clinical decision support, yet their development often hinges on accurate, individualized anatomical modeling. In this work, we present a rule-based approach for subpixel-accurate key-point extraction from MRI, adapted from prior CT-based methods. Our approach incorporates robust image alignment and vertebra-specific orientation estimation to generate anatomically meaningful landmarks that serve as boundary conditions and force application points, like muscle and ligament insertions in biomechanical models. These models enable the simulation of spinal mechanics considering the subject's individual anatomy, and thus support the development of tailored approaches in clinical diagnostics and treatment planning. By leveraging MR imaging, our method is radiation-free and well-suited for large-scale studies and use in underrepresented populations. This work contributes to the digital twin ecosystem by bridging the gap between precise medical image analysis with biomechanical simulation, and aligns with key themes in personalized modeling for healthcare.
format Preprint
id arxiv_https___arxiv_org_abs_2508_14708
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Rule-based Key-Point Extraction for MR-Guided Biomechanical Digital Twins of the Spine
Graf, Robert
Lerchl, Tanja
Nispel, Kati
Möller, Hendrik
Atad, Matan
McGinnis, Julian
Watrinet, Julius Maria
Paetzold, Johannes
Rueckert, Daniel
Kirschke, Jan S.
Image and Video Processing
Computer Vision and Pattern Recognition
Digital twins offer a powerful framework for subject-specific simulation and clinical decision support, yet their development often hinges on accurate, individualized anatomical modeling. In this work, we present a rule-based approach for subpixel-accurate key-point extraction from MRI, adapted from prior CT-based methods. Our approach incorporates robust image alignment and vertebra-specific orientation estimation to generate anatomically meaningful landmarks that serve as boundary conditions and force application points, like muscle and ligament insertions in biomechanical models. These models enable the simulation of spinal mechanics considering the subject's individual anatomy, and thus support the development of tailored approaches in clinical diagnostics and treatment planning. By leveraging MR imaging, our method is radiation-free and well-suited for large-scale studies and use in underrepresented populations. This work contributes to the digital twin ecosystem by bridging the gap between precise medical image analysis with biomechanical simulation, and aligns with key themes in personalized modeling for healthcare.
title Rule-based Key-Point Extraction for MR-Guided Biomechanical Digital Twins of the Spine
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2508.14708