Detection and Localization of Spine Disorders from Plain Radiography.

Spine disorders can cause severe functional limitations, including back pain, decreased pulmonary function, and increased mortality risk. Plain radiography is the first-line imaging modality to diagnose suspected spine disorders. Nevertheless, radiographical appearance is not always sufficient due t...

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Publicado en:Journal of Digital Imaging Vol. 37; no. 6; pp. 2967 - 2983
Autores principales: Yıldız Potter, İlkay, Yeritsyan, Diana, Rodriguez, Edward K., Wu, Jim S., Nazarian, Ara, Vaziri, Ashkan
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
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      pub: Springer Nature
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        atl: Detection and Localization of Spine Disorders from Plain Radiography.
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          Yıldız Potter, İlkay
          Yeritsyan, Diana
          Rodriguez, Edward K.
          Wu, Jim S.
          Nazarian, Ara
          Vaziri, Ashkan
        affil: https://ror.org/01s2ng935 BioSensics, LLC, 57 Chapel Street, 02458, Newton, MA, USA
      sug:
        subj:
          Spinal Diseases Diagnosis
          Radiography Methods
          Human
          Deep Learning
          Diagnosis, Computer Assisted
          Convolutional Neural Networks
          Image Processing, Computer Assisted
          Fractures, Vertebral Compression
          Spondylolisthesis
          ROC Curve
          Predictive Value of Tests
          Sensitivity and Specificity
          Mann-Whitney U Test
          Confidence Intervals
          Nonparametric Statistics
          Funding Source
          Descriptive Statistics
      ab: Spine disorders can cause severe functional limitations, including back pain, decreased pulmonary function, and increased mortality risk. Plain radiography is the first-line imaging modality to diagnose suspected spine disorders. Nevertheless, radiographical appearance is not always sufficient due to highly variable patient and imaging parameters, which can lead to misdiagnosis or delayed diagnosis. Employing an accurate automated detection model can alleviate the workload of clinical experts, thereby reducing human errors, facilitating earlier detection, and improving diagnostic accuracy. To this end, deep learning-based computer-aided diagnosis (CAD) tools have significantly outperformed the accuracy of traditional CAD software. Motivated by these observations, we proposed a deep learning-based approach for end-to-end detection and localization of spine disorders from plain radiographs. In doing so, we took the first steps in employing state-of-the-art transformer networks to differentiate images of multiple spine disorders from healthy counterparts and localize the identified disorders, focusing on vertebral compression fractures (VCF) and spondylolisthesis due to their high prevalence and potential severity. The VCF dataset comprised 337 images, with VCFs collected from 138 subjects and 624 normal images collected from 337 subjects. The spondylolisthesis dataset comprised 413 images, with spondylolisthesis collected from 336 subjects and 782 normal images collected from 413 subjects. Transformer-based models exhibited 0.97 Area Under the Receiver Operating Characteristic Curve (AUC) in VCF detection and 0.95 AUC in spondylolisthesis detection. Further, transformers demonstrated significant performance improvements against existing end-to-end approaches by 4–14% AUC (p-values < 10−13) for VCF detection and by 14–20% AUC (p-values < 10−9) for spondylolisthesis detection.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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