Using a Combination of Model Based and Intelligent methods in Automatic Landmark Detection in Cephalometry

This paper introduces a modification on using active shape models (ASM) for automatic landmark detection in cephalometry. In first step, some feature points are extracted to model the size, rotation, and translation of skull. A learning vector quantization (LVQ) neural network is used to classify images according to their geometrical specifications. Using LVQ for every new image, the possible coordinates of landmarks are estimated. Then a modified ASM is applied and a principal component analysis (PCA) is incorporated to analyze each template. The local search to find the best match to the intensity profile is then used and every point is moved to get the best location. Finally a sub image matching procedure is applied to pinpoint the exact location of each landmark. On average 24 percent of the 16 landmarks are within 1 mm of correct coordinates, 61 percent within 2 mm, and 93 percent within 5 mm, which shows a distinct improvement on other proposed methods.