论文标题

使用更快的R-CNN在超声脊柱图像上进行自动脊柱曲率测量

Automatic spinal curvature measurement on ultrasound spine images using Faster R-CNN

论文作者

Liu, Zhichao, Qian, Liyue, Jing, Wenke, Zhou, Desen, He, Xuming, Lou, Edmond, Zheng, Rui

论文摘要

超声脊柱成像技术已应用于脊柱畸形的评估。但是,超声图像上脊柱侧角的手动测量是耗时的,并且在很大程度上依赖评估者的经验。这项研究的目的是基于更快的R-CNN构建一个全自动框架,用于检测椎骨层,并测量检测到的椎板对的拟合脊柱曲线。该框架由两个紧密链接的模块组成:1)用于识别和定位超声冠图上的每个椎板对的薄片检测器,以及2)2)脊柱曲率估计器,用于根据检测到的椎板链计算基于脊柱侧角的脊柱曲率估计器。鉴定了从AIS患者获得的200个超声图像,并用于训练和评估所提出的方法。实验结果显示了测试集的0.76 AP,以及在临床接受误差范围内的自动和手动测量之间的平均绝对差(MAD)。同时,自动测量与X光片的COBB角之间的相关性为0.79。结果表明,我们提出的技术可以在超声脊柱图像上提供准确,可靠的自动曲率测量,以实现脊柱畸形。

Ultrasound spine imaging technique has been applied to the assessment of spine deformity. However, manual measurements of scoliotic angles on ultrasound images are time-consuming and heavily rely on raters experience. The objectives of this study are to construct a fully automatic framework based on Faster R-CNN for detecting vertebral lamina and to measure the fitting spinal curves from the detected lamina pairs. The framework consisted of two closely linked modules: 1) the lamina detector for identifying and locating each lamina pairs on ultrasound coronal images, and 2) the spinal curvature estimator for calculating the scoliotic angles based on the chain of detected lamina. Two hundred ultrasound images obtained from AIS patients were identified and used for the training and evaluation of the proposed method. The experimental results showed the 0.76 AP on the test set, and the Mean Absolute Difference (MAD) between automatic and manual measurement which was within the clinical acceptance error. Meanwhile the correlation between automatic measurement and Cobb angle from radiographs was 0.79. The results revealed that our proposed technique could provide accurate and reliable automatic curvature measurements on ultrasound spine images for spine deformities.

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