Heatmap-Based Active Shape Model for Landmark Detection in Lumbar X-ray Images.

Medical staff inspect lumbar X-ray images to diagnose lumbar spine diseases, and the analysis process is currently automated using deep-learning techniques. The detection of landmarks is necessary in the automatic process of localizing the position and identifying the morphological features of the v...

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Publicado en:Journal of Imaging Informatics in Medicine Vol. 38; no. 1; pp. 291 - 309
Autores principales: Choi, Minho, Jang, Jun-Su
Formato: algorithm diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2025
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      pub: Springer Nature
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          Choi, Minho
          Jang, Jun-Su
        affil: https://ror.org/005rpmt10 Digital Health Research Division, Korea Institute of Oriental Medicine, 1672 Yuseong-daero, Yuseong-gu, 34054, Daejeon, Republic of Korea
      sug:
        subj:
          Image Processing, Computer Assisted
          Lumbar Vertebrae Radiography
          Deep Learning
          Outcome Assessment Evaluation
          Human
          Male
          Female
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          Aged, 80 and Over
          Data Analysis Software
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          Computer Simulation
          Descriptive Statistics
          Spondylolisthesis
          Radiologists
          Orthopedics
          Validation Studies
          Comparative Studies
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
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      ab: Medical staff inspect lumbar X-ray images to diagnose lumbar spine diseases, and the analysis process is currently automated using deep-learning techniques. The detection of landmarks is necessary in the automatic process of localizing the position and identifying the morphological features of the vertebrae. However, detection errors may occur owing to the noise and ambiguity of images, as well as individual variations in the shape of the lumbar vertebrae. This study proposes a method to improve the robustness of landmark detection results. This method assumes that landmarks are detected by a convolutional neural network-based two-step model consisting of Pose-Net and M-Net. The model generates a heatmap response to indicate the probable landmark positions. The proposed method then corrects the landmark positions using the heatmap response and active shape model, which employs statistical information on the landmark distribution. Experiments were conducted using 3600 lumbar X-ray images, and the results showed that the landmark detection error was reduced by the proposed method. The average value of maximum errors decreased by 5.58% after applying the proposed method, which combines the outstanding image analysis capabilities of deep learning with statistical shape constraints on landmark distribution. The proposed method could also be easily integrated with other techniques to increase the robustness of landmark detection results such as CoordConv layers and non-directional part affinity field. This resulted in a further enhancement in the landmark detection performance. These advantages can improve the reliability of automatic systems used to inspect lumbar X-ray images. This will benefit both patients and medical staff by reducing medical expenses and increasing diagnostic efficiency.
      pubtype: Academic Journal
      doctype:
        algorithm
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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