TRACE: Artifact-Robust Statistical Shape Modeling from Imperfect Surface Scans - A Case Study in Craniosynostosis 3D Photography

Craniosynostosis severity analysis increasingly relies on statistical shape models (SSMs) to quantify cranial morphology, but most existing workflows depend on computed tomography or heavily curated three-dimensional (3D) photographs. Raw clinical 3D photographs provide a radiation-free and repeatable alternative, yet often contain shoulders, hands, hair, clothing, scanner noise, and incomplete boundaries that corrupt correspondences. We introduce the Template-constrained Robust Artifact-aware Correspondence Estimation (TRACE) framework, an unsupervised method for constructing SSMs directly from artifact-contaminated clinical 3D head photographs. TRACE predicts sparse anatomically corresponding head-surface control points from the raw point cloud, refines them through a coarse-to-fine Surface-Aware Deformation cascade, and uses thin-plate spline warping to deform a clean template mesh into a subject-specific head reconstruction. This template-constrained formulation keeps dense correspondences on clinically relevant head anatomy while suppressing non-head artifacts. The correspondence module is decoupled from the point-cloud encoder, enabling the same deformation pipeline to be paired with different backbones, including PointNet, DGCNN, and Point Transformer V3. Across all backbones, TRACE substantially improves surface sampling, topology preservation, and shape-model quality over prior SSM methods, providing a scalable foundation for photograph-based craniosynostosis shape analysis and a framework that may extend to other artifact-contaminated surface scans when an appropriate clean template is available.

SCALP: Semi-Supervised Statistical Shape Modeling from Imperfect 3D Photogrammetry via Landmark-Anchored Spectral Warp

Correspondence-based statistical shape modeling (SSM) is vital for population-level morphometric analysis, but conventional pipelines assume clean, fully registered surfaces. Real-world clinical photogrammetry scans are often noisy, partial, and cluttered, hindering the adoption of radiation-free surface imaging as a safe alternative to computed tomography (CT) for infant craniosynostosis. We present SCALP (Semi-supervised Correspondence via lAndmark Localization and sPectral warping), a two-stage framework that constructs consistent shape models directly from raw, imperfect surface scans. First, a semi-supervised Point Transformer leverages a small expert-annotated dataset alongside a large unlabeled cohort to accurately localize craniofacial landmarks with minimal annotation overhead. Second, these landmarks anchor a Laplace--Beltrami spectral deformation of an anatomical template, generating dense correspondences while naturally isolating the cranium from peripheral scanning clutter without manual preprocessing. Experiments on infant photogrammetry scans demonstrate that SCALP consistently outperforms state-of-the-art unsupervised point-cloud approaches, offering a clinically practical pathway toward objective, radiation-free head shape analysis.