"""Standalone CBCT-only reconstruction. INPUT IS A SINGLE CBCT, NOTHING ELSE. This entrypoint proves the system needs only a CBCT -- it loads NO label files and contains NO reference to inst/cinst/solid/canal ground truth. The full chain is: CBCT (.nii.gz or DICOM folder) -> normalize/resample (same as training preprocess) -> Stage-1 (predicts tooth-core descriptors) [image only] -> connected components -> per-tooth centroids -> ROIs [image only] -> Stage-2 encoder -> latent -> dual SDF -> marching cubes [image only] -> per-tooth nested meshes + a full-volume label NIfTI Usage: python -m toothcanal.predict --config configs/default.yaml \ --cbct /path/to/case.nii.gz --out /path/to/output_dir python -m toothcanal.predict --config configs/default.yaml \ --cbct /path/to/dicom_folder --out /path/to/output_dir """ import os, argparse import numpy as np import torch from .utils import load_config, ensure_dir, load_nii, save_nii, resample_to_spacing from .preprocess import normalize_image from .models import get_unet, ImplicitNet from .infer import reconstruct_instance def load_cbct_only(path, cfg): """Load a CBCT from a .nii.gz OR a DICOM directory. Returns (image, meta). NO label is loaded -- this function cannot see ground truth.""" pp = cfg["preprocess"] if os.path.isdir(path): from .download import _build_image_from_dicom built = _build_image_from_dicom(path) if built is None: raise SystemExit(f"[predict] could not build image from DICOM dir {path}") img, meta = load_nii(built) else: img, meta = load_nii(path) img, meta = resample_to_spacing(img, meta, pp["spacing"], is_label=False) img = normalize_image(img, pp["clip_hu"]) return img.astype(np.float32), meta def main(): ap = argparse.ArgumentParser() ap.add_argument("--config", default="configs/default.yaml") ap.add_argument("--cbct", required=True, help=".nii.gz file OR a DICOM folder") ap.add_argument("--out", default=None, help="output directory") args = ap.parse_args() cfg = load_config(args.config) dev = "cuda" if torch.cuda.is_available() else "cpu" out_dir = ensure_dir(args.out or os.path.join(cfg["paths"]["out_dir"], "predict")) # 1) load CBCT only -- d holds ONLY image/spacing/origin, never any label img, meta = load_cbct_only(args.cbct, cfg) d = dict(image=img, spacing=np.asarray(meta["spacing"], np.float32), origin=np.asarray(meta.get("origin", np.zeros(3)), np.float32)) print(f"[predict] loaded CBCT {args.cbct} shape={img.shape}") # 2) Stage-1 -> predicted tooth-core instances (image only) stage1_ckpt = os.path.join(cfg["paths"]["out_dir"], "stage1.pt") if not os.path.exists(stage1_ckpt): raise SystemExit("[predict] missing stage1.pt -- train Stage 1 first") from .roi import predicted_instances # predicted_instances only reads d['image'] + d.get('inst') (absent here -> no match) inst_pred, _ = predicted_instances(d, cfg, dev, stage1_ckpt) d["inst"] = inst_pred d["cinst"] = np.zeros_like(inst_pred) # canal comes purely from the implicit field ids = [int(v) for v in np.unique(inst_pred) if v > 0] print(f"[predict] Stage-1 found {len(ids)} teeth (from CBCT alone)") # 3) Stage-2 -> per-tooth nested meshes (image only) ckpt = torch.load(os.path.join(cfg["paths"]["out_dir"], "stage2.pt"), map_location=dev) n_lat = ckpt["model"]["latents.weight"].shape[0] class _N(ImplicitNet): def __init__(s): super().__init__(n_lat, cfg) net = _N().to(dev); net.load_state_dict(ckpt["model"]); net.eval() mesh_dir = ensure_dir(os.path.join(out_dir, "meshes")) full = np.zeros(img.shape, np.int16) sp = d["spacing"]; origin = d["origin"] for iid in ids: rec = reconstruct_instance(net, d, iid, cfg, dev, do_tto=False) if rec is None: continue off = rec["roi"]["lo_world_mm"] for k in ("tooth", "canal"): if rec[k] is not None: m = rec[k].copy(); m.vertices = m.vertices + off[None, :] m.export(os.path.join(mesh_dir, f"t{iid:02d}_{k}.stl")) # stamp into a full-volume label map for ITK-SNAP actual = rec["roi"].get("actual_size_mm", np.array([cfg["stage2"]["roi_mm"]] * 3)) g = rec["grid"]; gsp = actual / g for nm, occ, val in [("tooth", rec["occ_tooth"], iid + 28), ("canal", rec["occ_canal"], iid)]: pts = np.argwhere(occ > 0) if len(pts) == 0: continue world = off[None, :] + pts * gsp[None, :] vox = np.round((world - origin[None, :]) / sp[None, :]).astype(int) ok = np.all((vox >= 0) & (vox < np.array(img.shape)), axis=1) vox = vox[ok] if nm == "canal": full[vox[:, 0], vox[:, 1], vox[:, 2]] = val else: cur = full[vox[:, 0], vox[:, 1], vox[:, 2]] vv = vox[cur == 0] full[vv[:, 0], vv[:, 1], vv[:, 2]] = val save_nii(img, meta, os.path.join(out_dir, "image.nii.gz")) save_nii(full, meta, os.path.join(out_dir, "pred_label.nii.gz")) print(f"[predict] DONE. meshes in {mesh_dir}, label map at {out_dir}/pred_label.nii.gz") print(f"[predict] open in ITK-SNAP: main=image.nii.gz, segmentation=pred_label.nii.gz, then click Update") if __name__ == "__main__": main()