Automatic Spine Segmentation and Parameter Measurement for Radiological Analysis of Whole-Spine Lateral Radiographs Using Deep Learning and Computer Vision.

Radiographic examination is essential for diagnosing spinal disorders, and the measurement of spino-pelvic parameters provides important information for the diagnosis and treatment planning of spinal sagittal deformities. While manual measurement methods are the golden standard for measuring paramet...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 4; pp. 1447 - 1460
Autores principales: Kim, Yong-Tae, Jeong, Tae Seok, Kim, Young Jae, Kim, Woo Seok, Kim, Kwang Gi, Yee, Gi Taek
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
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      pub: Springer Nature
      place: New York, New York
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        atl: Automatic Spine Segmentation and Parameter Measurement for Radiological Analysis of Whole-Spine Lateral Radiographs Using Deep Learning and Computer Vision.
      aug:
        au:
          Kim, Yong-Tae
          Jeong, Tae Seok
          Kim, Young Jae
          Kim, Woo Seok
          Kim, Kwang Gi
          Yee, Gi Taek
        affil: Department of Biomedical Engineering, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
      sug:
        subj:
          Spinal Diseases Radiography
          Pelvis Radiography
          Diagnosis, Computer Assisted
          Automation
          Deep Learning
          Image Processing, Computer Assisted
          Algorithms Evaluation
          Human
          Validation Studies
          Surgeons
          Patient Care Plans
          Descriptive Statistics
          Intraclass Correlation Coefficient
      ab: Radiographic examination is essential for diagnosing spinal disorders, and the measurement of spino-pelvic parameters provides important information for the diagnosis and treatment planning of spinal sagittal deformities. While manual measurement methods are the golden standard for measuring parameters, they can be time consuming, inefficient, and rater dependent. Previous studies that have used automatic measurement methods to alleviate the downsides of manual measurements showed low accuracy or could not be applied to general films. We propose a pipeline for automated measurement of spinal parameters by combining a Mask R-CNN model for spine segmentation with computer vision algorithms. This pipeline can be incorporated into clinical workflows to provide clinical utility in diagnosis and treatment planning. A total of 1807 lateral radiographs were used for the training (n = 1607) and validation (n = 200) of the spine segmentation model. An additional 200 radiographs, which were also used for validation, were examined by three surgeons to evaluate the performance of the pipeline. Parameters automatically measured by the algorithm in the test set were statistically compared to parameters measured manually by the three surgeons. The Mask R-CNN model achieved an average precision at 50% intersection over union (AP50) of 96.2% and a Dice score of 92.6% for the spine segmentation task in the test set. The mean absolute error values of the spino-pelvic parameters measurement results were within the range of 0.4° (pelvic tilt) to 3.0° (lumbar lordosis, pelvic incidence), and the standard error of estimate was within the range of 0.5° (pelvic tilt) to 4.0° (pelvic incidence). The intraclass correlation coefficient values ranged from 0.86 (sacral slope) to 0.99 (pelvic tilt, sagittal vertical axis).
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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