Statistical Shape Modelling of the Nasosinusal Anatomy

The human nose exhibits a huge variation in shape among individuals. All these variants alter the airflow through the nasal cavity and can impact how we smell odors. To acquire a better understanding of physiological and pathological functioning, it is important to study the effects of these modifications. SSM, or Statistical Shape Modelling, is a widely used methodology for considering morphological differences within a population. In the literature, only a few studies analyze nasal anatomy in its entirety, including paranasal sinuses, whose segmentation is particularly challenging due to their complexity and variability. This work aims at creating a highly accurate SSM for the nasosinusal complex. A traditional, greyscale thresholding-based segmentation approach was chosen, relying on Mimics software (Leuven, Belgium). 40 computed tomography (CT) datasets were considered. After segmentation, post-processing was performed to obtain watertight meshes using 3-Matic software (Leuven, Belgium), which was also used for the SSM generation. The generated model shows all relevant landmarks that typically characterize a nasosinual complex. 32 different modes are needed to explain 95% of the total variance. As a preliminary output, this study showed the feasibility and consistency of a statistical model of the nasosinusal anatomy. However, additional studies involving a larger sample size and a more robust validation process could be conducted.