Automatic segmentation of trabecular and cortical compartments in HR-pQCT images using an embedding-predicting U-Net and morphological post-processing

Abstract High-resolution peripheral quantitative computed tomography (HR-pQCT) is an emerging in vivo imaging modality for quantification of bone microarchitecture. However, extraction of quantitative microarchitectural parameters from HR-pQCT images requires an accurate segmentation of the image. T...

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Main Authors: Nathan J. Neeteson, Bryce A. Besler, Danielle E. Whittier, Steven K. Boyd
Format: Article
Language:English
Published: Nature Portfolio 2023-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-27350-0
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author Nathan J. Neeteson
Bryce A. Besler
Danielle E. Whittier
Steven K. Boyd
author_facet Nathan J. Neeteson
Bryce A. Besler
Danielle E. Whittier
Steven K. Boyd
author_sort Nathan J. Neeteson
collection DOAJ
description Abstract High-resolution peripheral quantitative computed tomography (HR-pQCT) is an emerging in vivo imaging modality for quantification of bone microarchitecture. However, extraction of quantitative microarchitectural parameters from HR-pQCT images requires an accurate segmentation of the image. The current standard protocol using semi-automated contouring for HR-pQCT image segmentation is laborious, introduces inter-operator biases into research data, and poses a barrier to streamlined clinical implementation. In this work, we propose and validate a fully automated algorithm for segmentation of HR-pQCT radius and tibia images. A multi-slice 2D U-Net produces initial segmentation predictions, which are post-processed via a sequence of traditional morphological image filters. The U-Net was trained on a large dataset containing 1822 images from 896 unique participants. Predicted segmentations were compared to reference segmentations on a disjoint dataset containing 386 images from 190 unique participants, and 156 pairs of repeated images were used to compare the precision of the novel and current protocols. The agreement of morphological parameters obtained using the predicted segmentation relative to the reference standard was excellent (R2 between 0.938 and > 0.999). Precision was significantly improved for several outputs, most notably cortical porosity. This novel and robust algorithm for automated segmentation will increase the feasibility of using HR-pQCT in research and clinical settings.
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spelling doaj.art-932dd58ca8dd4c638fb0eca91b72fe022023-01-08T12:12:23ZengNature PortfolioScientific Reports2045-23222023-01-0113111610.1038/s41598-022-27350-0Automatic segmentation of trabecular and cortical compartments in HR-pQCT images using an embedding-predicting U-Net and morphological post-processingNathan J. Neeteson0Bryce A. Besler1Danielle E. Whittier2Steven K. Boyd3McCaig Institute for Bone and Joint Health and Department of Radiology, University of CalgaryMcCaig Institute for Bone and Joint Health and Department of Radiology, University of CalgaryMcCaig Institute for Bone and Joint Health and Department of Radiology, University of CalgaryMcCaig Institute for Bone and Joint Health and Department of Radiology, University of CalgaryAbstract High-resolution peripheral quantitative computed tomography (HR-pQCT) is an emerging in vivo imaging modality for quantification of bone microarchitecture. However, extraction of quantitative microarchitectural parameters from HR-pQCT images requires an accurate segmentation of the image. The current standard protocol using semi-automated contouring for HR-pQCT image segmentation is laborious, introduces inter-operator biases into research data, and poses a barrier to streamlined clinical implementation. In this work, we propose and validate a fully automated algorithm for segmentation of HR-pQCT radius and tibia images. A multi-slice 2D U-Net produces initial segmentation predictions, which are post-processed via a sequence of traditional morphological image filters. The U-Net was trained on a large dataset containing 1822 images from 896 unique participants. Predicted segmentations were compared to reference segmentations on a disjoint dataset containing 386 images from 190 unique participants, and 156 pairs of repeated images were used to compare the precision of the novel and current protocols. The agreement of morphological parameters obtained using the predicted segmentation relative to the reference standard was excellent (R2 between 0.938 and > 0.999). Precision was significantly improved for several outputs, most notably cortical porosity. This novel and robust algorithm for automated segmentation will increase the feasibility of using HR-pQCT in research and clinical settings.https://doi.org/10.1038/s41598-022-27350-0
spellingShingle Nathan J. Neeteson
Bryce A. Besler
Danielle E. Whittier
Steven K. Boyd
Automatic segmentation of trabecular and cortical compartments in HR-pQCT images using an embedding-predicting U-Net and morphological post-processing
Scientific Reports
title Automatic segmentation of trabecular and cortical compartments in HR-pQCT images using an embedding-predicting U-Net and morphological post-processing
title_full Automatic segmentation of trabecular and cortical compartments in HR-pQCT images using an embedding-predicting U-Net and morphological post-processing
title_fullStr Automatic segmentation of trabecular and cortical compartments in HR-pQCT images using an embedding-predicting U-Net and morphological post-processing
title_full_unstemmed Automatic segmentation of trabecular and cortical compartments in HR-pQCT images using an embedding-predicting U-Net and morphological post-processing
title_short Automatic segmentation of trabecular and cortical compartments in HR-pQCT images using an embedding-predicting U-Net and morphological post-processing
title_sort automatic segmentation of trabecular and cortical compartments in hr pqct images using an embedding predicting u net and morphological post processing
url https://doi.org/10.1038/s41598-022-27350-0
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AT danielleewhittier automaticsegmentationoftrabecularandcorticalcompartmentsinhrpqctimagesusinganembeddingpredictingunetandmorphologicalpostprocessing
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