Effective automatic detection of anterior cruciate ligament injury using convolutional neural network with two attention mechanism modules

Abstract Background To develop a fully automated CNN detection system based on magnetic resonance imaging (MRI) for ACL injury, and to explore the feasibility of CNN for ACL injury detection on MRI images. Methods Including 313 patients aged 16 – 65 years old, the raw data are 368 pieces with injure...

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Main Authors: Chen Liang, Xiang Li, Yong Qin, Minglei Li, Yingkai Ma, Ren Wang, Xiangning Xu, Jinping Yu, Songcen Lv, Hao Luo
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Medical Imaging
Subjects:
Online Access:https://doi.org/10.1186/s12880-023-01091-6
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author Chen Liang
Xiang Li
Yong Qin
Minglei Li
Yingkai Ma
Ren Wang
Xiangning Xu
Jinping Yu
Songcen Lv
Hao Luo
author_facet Chen Liang
Xiang Li
Yong Qin
Minglei Li
Yingkai Ma
Ren Wang
Xiangning Xu
Jinping Yu
Songcen Lv
Hao Luo
author_sort Chen Liang
collection DOAJ
description Abstract Background To develop a fully automated CNN detection system based on magnetic resonance imaging (MRI) for ACL injury, and to explore the feasibility of CNN for ACL injury detection on MRI images. Methods Including 313 patients aged 16 – 65 years old, the raw data are 368 pieces with injured ACL and 100 pieces with intact ACL. By adding flipping, rotation, scaling and other methods to expand the data, the final data set is 630 pieces including 355 pieces of injured ACL and 275 pieces of intact ACL. Using the proposed CNN model with two attention mechanism modules, data sets are trained and tested with fivefold cross-validation. Results The performance is evaluated using accuracy, precision, sensitivity, specificity and F1 score of our proposed CNN model, with results of 0.8063, 0.7741, 0.9268, 0.6509 and 0.8436. The average accuracy in the fivefold cross-validation is 0.8064. For our model, the average area under curves (AUC) for detecting injured ACL has results of 0.8886. Conclusion We propose an effective and automatic CNN model to detect ACL injury from MRI of human knees. This model can effectively help clinicians diagnose ACL injury, improving diagnostic efficiency and reducing misdiagnosis and missed diagnosis.
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spelling doaj.art-6ab002d17de14ee0922868143e351f5b2023-11-20T11:18:40ZengBMCBMC Medical Imaging1471-23422023-09-0123111310.1186/s12880-023-01091-6Effective automatic detection of anterior cruciate ligament injury using convolutional neural network with two attention mechanism modulesChen Liang0Xiang Li1Yong Qin2Minglei Li3Yingkai Ma4Ren Wang5Xiangning Xu6Jinping Yu7Songcen Lv8Hao Luo9Department of Minimally Invasive Surgery and Sports Medicine, The 2Nd Affiliated Hospital of Harbin Medical UniversityDepartment of Control Science and Engineering, Harbin Institute of TechnologyDepartment of Minimally Invasive Surgery and Sports Medicine, The 2Nd Affiliated Hospital of Harbin Medical UniversityDepartment of Control Science and Engineering, Harbin Institute of TechnologyDepartment of Minimally Invasive Surgery and Sports Medicine, The 2Nd Affiliated Hospital of Harbin Medical UniversityDepartment of Minimally Invasive Surgery and Sports Medicine, The 2Nd Affiliated Hospital of Harbin Medical UniversityDepartment of Minimally Invasive Surgery and Sports Medicine, The 2Nd Affiliated Hospital of Harbin Medical UniversityDepartment of Minimally Invasive Surgery and Sports Medicine, The 2Nd Affiliated Hospital of Harbin Medical UniversityDepartment of Minimally Invasive Surgery and Sports Medicine, The 2Nd Affiliated Hospital of Harbin Medical UniversityDepartment of Control Science and Engineering, Harbin Institute of TechnologyAbstract Background To develop a fully automated CNN detection system based on magnetic resonance imaging (MRI) for ACL injury, and to explore the feasibility of CNN for ACL injury detection on MRI images. Methods Including 313 patients aged 16 – 65 years old, the raw data are 368 pieces with injured ACL and 100 pieces with intact ACL. By adding flipping, rotation, scaling and other methods to expand the data, the final data set is 630 pieces including 355 pieces of injured ACL and 275 pieces of intact ACL. Using the proposed CNN model with two attention mechanism modules, data sets are trained and tested with fivefold cross-validation. Results The performance is evaluated using accuracy, precision, sensitivity, specificity and F1 score of our proposed CNN model, with results of 0.8063, 0.7741, 0.9268, 0.6509 and 0.8436. The average accuracy in the fivefold cross-validation is 0.8064. For our model, the average area under curves (AUC) for detecting injured ACL has results of 0.8886. Conclusion We propose an effective and automatic CNN model to detect ACL injury from MRI of human knees. This model can effectively help clinicians diagnose ACL injury, improving diagnostic efficiency and reducing misdiagnosis and missed diagnosis.https://doi.org/10.1186/s12880-023-01091-6Anterior cruciate ligament (ACL) injuryConvolutional neural network (CNN)Magnetic resonance imaging (MRI)Artificial intelligence (AI)
spellingShingle Chen Liang
Xiang Li
Yong Qin
Minglei Li
Yingkai Ma
Ren Wang
Xiangning Xu
Jinping Yu
Songcen Lv
Hao Luo
Effective automatic detection of anterior cruciate ligament injury using convolutional neural network with two attention mechanism modules
BMC Medical Imaging
Anterior cruciate ligament (ACL) injury
Convolutional neural network (CNN)
Magnetic resonance imaging (MRI)
Artificial intelligence (AI)
title Effective automatic detection of anterior cruciate ligament injury using convolutional neural network with two attention mechanism modules
title_full Effective automatic detection of anterior cruciate ligament injury using convolutional neural network with two attention mechanism modules
title_fullStr Effective automatic detection of anterior cruciate ligament injury using convolutional neural network with two attention mechanism modules
title_full_unstemmed Effective automatic detection of anterior cruciate ligament injury using convolutional neural network with two attention mechanism modules
title_short Effective automatic detection of anterior cruciate ligament injury using convolutional neural network with two attention mechanism modules
title_sort effective automatic detection of anterior cruciate ligament injury using convolutional neural network with two attention mechanism modules
topic Anterior cruciate ligament (ACL) injury
Convolutional neural network (CNN)
Magnetic resonance imaging (MRI)
Artificial intelligence (AI)
url https://doi.org/10.1186/s12880-023-01091-6
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