THA-Flow Generative Model: Prosthesis Geometry Prediction from Preoperative CT

THA-Flow is a conditional flow-matching model that generates 3‑D prosthesis geometry directly from preoperative CT scans for total hip arthroplasty. It uses separate AutoencoderKL models to compress bone anatomy and prosthesis shapes, and a 3‑D UNet to learn a flow from Gaussian noise to the prosthesis latent space conditioned on bone geometry. In a retrospective cohort of 1,355 hips, the model produced accurate acetabular and femoral geometries for 93.4% of cases, preserving component position and alignment while allowing limited local variation.

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• diffusion
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