SLD: Segmentation-Based Landmark Detection for Spinal Ligaments

Abstract: In biomechanical modeling, the representation of ligament attachments is crucial for a realistic simulation of the forces acting between the vertebrae. These forces are typically modeled as vectors connecting ligament landmarks on adjacent vertebrae, making precise identification of these landmarks a key requirement for constructing reliable spine models. Existing automated detection methods are either limited to specific spinal regions or lack sufficient accuracy. This work presents a novel approach for detecting spinal ligament landmarks, which first performs shape-based segmentation of 3D vertebrae and subsequently applies domain-specific rules to identify different types of attachment points. The proposed method outperforms existing approaches by achieving high accuracy and demonstrating strong generalization across all spinal regions. Validation on two independent spinal datasets from multiple patients yielded a mean absolute error (MAE) of 0.7 mm and a root mean square error (RMSE) of 1.1 mm.