NURBS curves with the application of multiple bones fracture reconstruction

The challenging task of treating trauma to cranio-maxillofacial requires advanced radiological imaging and high clinical skills. The reconstruction of facial fractures focuses on the rehabilitation of patients functionally as well as in aesthetics. In this article we used NURBS curves to construct the multiple bones fracture using CT scan data in Digital Imaging and Communications in Medicine (DICOM) format. The reconstruction process of multiple bones fracture start with the boundary extraction followed by corner detection, optimization of knots, weights, construction of fractured part inner outer curve for each CT scan slice using NURBS curves and finally the construction of fractured part in DICOM format. The construction process using proposed method is based on DICOM data only that does not require any technique such as technical help, mirror imaging, to take average thickness of skull bone or reference skull, etc. The constructed fractured implant is custom made for each patient. We present a real case in which multiple bones fracture has been constructed using NURBS curves. The proposed method has also been validated quantitatively and qualitatively using self supposed fractured data. (C) 2017 Elsevier Inc. All rights reserved.