Convolutional neural network-based automated segmentation and labeling of the lumbar spine X-ray

Purpose: This study investigated the segmentation metrics of different segmentation networks trained on 730 manually annotated lateral lumbar spine X-rays to test the generalization ability and robustness which are the basis of clinical decision support algorithms. Methods: Instance segmentation net...

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Main Authors: Sandor Konya, T R Sai Natarajan, Hassan Allouch, Kais Abu Nahleh, Omneya Yakout Dogheim, Heinrich Boehm
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Craniovertebral Junction and Spine
Subjects:
Online Access:http://www.jcvjs.com/article.asp?issn=0974-8237;year=2021;volume=12;issue=2;spage=136;epage=143;aulast=Konya
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author Sandor Konya
T R Sai Natarajan
Hassan Allouch
Kais Abu Nahleh
Omneya Yakout Dogheim
Heinrich Boehm
author_facet Sandor Konya
T R Sai Natarajan
Hassan Allouch
Kais Abu Nahleh
Omneya Yakout Dogheim
Heinrich Boehm
author_sort Sandor Konya
collection DOAJ
description Purpose: This study investigated the segmentation metrics of different segmentation networks trained on 730 manually annotated lateral lumbar spine X-rays to test the generalization ability and robustness which are the basis of clinical decision support algorithms. Methods: Instance segmentation networks were compared to semantic segmentation networks based on different metrics. The study cohort comprised diseased spines and postoperative images with metallic implants. Results: However, the pixel accuracies and intersection over union are similarly high for the best performing instance and semantic segmentation models; the observed vertebral recognition rates of the instance segmentation models statistically significantly outperform the semantic models' recognition rates. Conclusion: The results of the instance segmentation models on lumbar spine X-ray perform superior to semantic segmentation models in the recognition rates even by images of severe diseased spines by allowing the segmentation of overlapping vertebrae, in contrary to the semantic models where such differentiation cannot be performed due to the fused binary mask of the overlapping instances. These models can be incorporated into further clinical decision support pipelines.
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spelling doaj.art-8a9cbd4358e647f3a9606958cafdeac42022-12-21T22:51:43ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372021-01-0112213614310.4103/jcvjs.jcvjs_186_20Convolutional neural network-based automated segmentation and labeling of the lumbar spine X-raySandor KonyaT R Sai NatarajanHassan AllouchKais Abu NahlehOmneya Yakout DogheimHeinrich BoehmPurpose: This study investigated the segmentation metrics of different segmentation networks trained on 730 manually annotated lateral lumbar spine X-rays to test the generalization ability and robustness which are the basis of clinical decision support algorithms. Methods: Instance segmentation networks were compared to semantic segmentation networks based on different metrics. The study cohort comprised diseased spines and postoperative images with metallic implants. Results: However, the pixel accuracies and intersection over union are similarly high for the best performing instance and semantic segmentation models; the observed vertebral recognition rates of the instance segmentation models statistically significantly outperform the semantic models' recognition rates. Conclusion: The results of the instance segmentation models on lumbar spine X-ray perform superior to semantic segmentation models in the recognition rates even by images of severe diseased spines by allowing the segmentation of overlapping vertebrae, in contrary to the semantic models where such differentiation cannot be performed due to the fused binary mask of the overlapping instances. These models can be incorporated into further clinical decision support pipelines.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2021;volume=12;issue=2;spage=136;epage=143;aulast=Konyaconvolutional neural networksdeep neural networksinstance segmentationlumbar vertebraemachine learningpostoperative image analysissemantic segmentationx-ray
spellingShingle Sandor Konya
T R Sai Natarajan
Hassan Allouch
Kais Abu Nahleh
Omneya Yakout Dogheim
Heinrich Boehm
Convolutional neural network-based automated segmentation and labeling of the lumbar spine X-ray
Journal of Craniovertebral Junction and Spine
convolutional neural networks
deep neural networks
instance segmentation
lumbar vertebrae
machine learning
postoperative image analysis
semantic segmentation
x-ray
title Convolutional neural network-based automated segmentation and labeling of the lumbar spine X-ray
title_full Convolutional neural network-based automated segmentation and labeling of the lumbar spine X-ray
title_fullStr Convolutional neural network-based automated segmentation and labeling of the lumbar spine X-ray
title_full_unstemmed Convolutional neural network-based automated segmentation and labeling of the lumbar spine X-ray
title_short Convolutional neural network-based automated segmentation and labeling of the lumbar spine X-ray
title_sort convolutional neural network based automated segmentation and labeling of the lumbar spine x ray
topic convolutional neural networks
deep neural networks
instance segmentation
lumbar vertebrae
machine learning
postoperative image analysis
semantic segmentation
x-ray
url http://www.jcvjs.com/article.asp?issn=0974-8237;year=2021;volume=12;issue=2;spage=136;epage=143;aulast=Konya
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AT trsainatarajan convolutionalneuralnetworkbasedautomatedsegmentationandlabelingofthelumbarspinexray
AT hassanallouch convolutionalneuralnetworkbasedautomatedsegmentationandlabelingofthelumbarspinexray
AT kaisabunahleh convolutionalneuralnetworkbasedautomatedsegmentationandlabelingofthelumbarspinexray
AT omneyayakoutdogheim convolutionalneuralnetworkbasedautomatedsegmentationandlabelingofthelumbarspinexray
AT heinrichboehm convolutionalneuralnetworkbasedautomatedsegmentationandlabelingofthelumbarspinexray