This invention discloses an
intelligent planning method and
system for spinal
pedicle screw placement based on
medical imaging. The method first acquires spinal medical images, target
vertebral body segmentation results, and screw planning
annotation data. Based on the target
vertebral body segmentation results, the target vertebral region is extracted and divided into left and right pedicle sub-blocks along the left-right direction. The right pedicle sub-block is mirror-mapped, and its screw start and end coordinates are simultaneously transformed to mirror coordinates, thereby unifying the samples from both sides into a standard
sample space with the same orientation. This reduces the interference of anatomical orientation differences on model training and improves sample utilization efficiency. Then, a three-dimensional
deep learning model is trained using the standard sample set, simultaneously predicting screw start, end, and
diameter-related parameters. The screw
diameter is output using ordinal regression, and the predicted
diameter value is solved through ordered thresholds and cumulative probabilities, making the prediction results more consistent with the ordered attributes of clinical specifications. For the case to be planned, the model output results are restored to the original coordinate
system according to the corresponding relationship to obtain the placement path and diameter parameters of both pedicles. This invention can simultaneously improve the positioning accuracy of the placement path, directional consistency, and screw specification prediction stability, and is suitable for
preoperative planning and assisted surgical systems for the spine.