Rigid and Non-Rigid Motion Compensation in Weight-Bearing CBCT of the Knee Using Simulated Inertial Measurements

Jennifer Maier, Marlies Nitschke, Jang Hwan Choi, Garry Gold, Rebecca Fahrig, Bjoern M. Eskofier, Andreas Maier

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Objective: Involuntary subject motion is the main source of artifacts in weight-bearing cone-beam CT of the knee. To achieve image quality for clinical diagnosis, the motion needs to be compensated. We propose to use inertial measurement units (IMUs) attached to the leg for motion estimation. Methods: We perform a simulation study using real motion recorded with an optical tracking system. Three IMU-based correction approaches are evaluated, namely rigid motion correction, non-rigid 2D projection deformation and non-rigid 3D dynamic reconstruction. We present an initialization process based on the system geometry. With an IMU noise simulation, we investigate the applicability of the proposed methods in real applications. Results: All proposed IMU-based approaches correct motion at least as good as a state-of-the-art marker-based approach. The structural similarity index and the root mean squared error between motion-free and motion corrected volumes are improved by 24-35% and 78-85%, respectively, compared with the uncorrected case. The noise analysis shows that the noise levels of commercially available IMUs need to be improved by a factor of 105 which is currently only achieved by specialized hardware not robust enough for the application. Conclusion: Our simulation study confirms the feasibility of this novel approach and defines improvements necessary for a real application. Significance: The presented work lays the foundation for IMU-based motion compensation in cone-beam CT of the knee and creates valuable insights for future developments.

Original languageEnglish
Pages (from-to)1608-1619
Number of pages12
JournalIEEE Transactions on Biomedical Engineering
Issue number5
StatePublished - 1 May 2022

Bibliographical note

Publisher Copyright:
© 2022 IEEE.


  • CT reconstruction
  • inertial measurements
  • motion compensation
  • noise
  • non-rigid motion


Dive into the research topics of 'Rigid and Non-Rigid Motion Compensation in Weight-Bearing CBCT of the Knee Using Simulated Inertial Measurements'. Together they form a unique fingerprint.

Cite this