Evidence map›Paper›PMID 40001707›Full record

ArticleBioengineering (Basel, Switzerland)2025

A Comprehensive AI Framework for Superior Diagnosis, Cranial Reconstruction, and Implant Generation for Diverse Cranial Defects.

Mamta Juneja, Ishaan Singla, Aditya Poddar, Nitin Pandey, Aparna Goel, Agrima Sudhir, Pankhuri Bhatia, Gurzafar Singh, Maanya Kharbanda, Amanpreet Kaur and 6 more

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Mamta JunejaUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.ORCID 0000-0002-2611-9005
Ishaan SinglaUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.ORCID 0009-0005-7751-7723
Aditya PoddarUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.
Nitin PandeyUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.
Aparna GoelUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.
Agrima SudhirUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.ORCID 0009-0002-3888-4035
Pankhuri BhatiaUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.ORCID 0009-0000-9250-8570
Gurzafar SinghUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.
Maanya KharbandaUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.ORCID 0009-0007-9456-012X
Amanpreet KaurUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.
Ira BhatiaUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.
Vipin GuptaDepartment of Neurosurgery, Government Medical College and Hospital, Sector 32, Chandigarh 160032, India.
Sukhdeep Singh DhamiDepartment of Mechanical Engineering, National Institute of Technical Teachers Training and Research, Chandigarh 160019, India.
Yvonne ReinwaldSchool of Science and Technology, Department of Engineering, Nottingham Trent University, Nottingham NG1 4FQ, UK.ORCID 0000-0001-6733-605X
Prashant JindalUniversity Institute of Engineering and Technology, Panjab University, Chandigarh 160014, India.ORCID 0000-0002-3844-3494
Philip BreedonSchool of Science and Technology, Department of Engineering, Nottingham Trent University, Nottingham NG1 4FQ, UK.ORCID 0000-0002-1006-0942

Funding

Nottingham Trent University IPF
6 · The paper itself

Abstract

Cranioplasty enables the restoration of cranial defects caused by traumatic injuries, brain tumour excisions, or decompressive craniectomies. Conventional methods rely on Computer-Aided Design (CAD) for implant design, which requires significant resources and expertise. Recent advancements in Artificial Intelligence (AI) have improved Computer-Aided Diagnostic systems for accurate and faster cranial reconstruction and implant generation procedures. However, these face inherent limitations, including the limited availability of diverse datasets covering different defect shapes spanning various locations, absence of a comprehensive pipeline integrating the preprocessing of medical images, cranial reconstruction, and implant generation, along with mechanical testing and validation. The proposed framework incorporates a robust preprocessing pipeline for easier processing of Computed Tomography (CT) images through data conversion, denoising, Connected Component Analysis (CCA), and image alignment. At its core is CRIGNet (Cranial Reconstruction and Implant Generation Network), a novel deep learning model rigorously trained on a diverse dataset of 2160 images, which was prepared by simulating cylindrical, cubical, spherical, and triangular prism-shaped defects across five skull regions, ensuring robustness in diagnosing a wide variety of defect patterns. CRIGNet achieved an exceptional reconstruction accuracy with a Dice Similarity Coefficient (DSC) of 0.99, Jaccard Similarity Coefficient (JSC) of 0.98, and Hausdorff distance (HD) of 4.63 mm. The generated implants showed superior geometric accuracy, load-bearing capacity, and gap-free fitment in the defected skull compared to CAD-generated implants. Also, this framework reduced the implant generation processing time from 40-45 min (CAD) to 25-30 s, suggesting its application for a faster turnaround time, enabling decisive clinical support systems.

Indexed as

artificial intelligenceaugmentationcomputer-aided diagnosiscranial reconstructionCT imagingdeep learningpreprocessing

Identifiers

PMID40001707
PMCPMC11851381

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.