Improving an Active Shape Model with Random Classification Forest for Segmentation of Cervical Vertebrae

X-ray is a common modality for diagnosing cervical vertebrae injuries. Many injuries are missed by emergency physicians which later causes life threatening complications. Computer aided analysis of X-ray images has the potential to detect missed injuries. Segmentation of the vertebrae is a crucial step towards automatic injury detection system. Active shape model (ASM) is one of the most successful and popular method for vertebrae segmentation. In this work, we propose a new ASM search method based on random classification forest and a kernel density estimation-based prediction technique. The proposed method have been tested on a dataset of 90 emergency room X-ray images containing 450 vertebrae and outperformed the classical Mahalanobis distancebased ASM search and also the regression forest-based method

Hough Forest-based Corner Detection for Cervical Spine Radiographs

The cervical spine (neck region) is highly sensitive to trauma related injuries, which must be analysed carefully by emergency physicians. In this work, we propose a Hough Forest-based corner detection method for cervical spine radiographs, as a first step towards a computer-aided diagnostic tool. We propose a novel patch-based model based on two-stage supervised learning (classification and regression) to estimate the corners of cervical vertebral bodies. Our method is evaluated using 106 cervical x-ray images consisting of 530 vertebrae and 2120 corners, which have been demarcated manually by an expert radiographer. The results show promising performance of the proposed algorithm, with a lowest median error of 1.98 m

Automatic Lumbar Vertebrae Segmentation in Fluoroscopic Images via Optimised Concurrent Hough Transform

Low back pain is a very common problem in the industrialised countries and its associated cost is enormous. Diagnosis of the underlying causes can be extremely difficult. Many studies have focused on mechanical disorders of the spine. Digital videofluoroscopy (DVF) was widely used to obtain images for motion studies. This can provide motion sequences of the lumbar spine, but the images obtained often suffer due to noise, exacerbated by the very low radiation dosage. Thus determining vertebrae position within the image sequence presents a considerable challenge. In this paper, we show how our new approach can automatically detect the positions and borders of vertebrae concurrently, relieving many of the problems experienced in other approaches. First, we use phase congruency to relieve difficulty associated with threshold selection in edge detection of the illumination variant DVF images. Then, our new Hough transform approach is applied to determine the moving vertebrae, concurrently. We include optimisation via a genetic algorithm as without it the extraction of moving multiple vertebrae is computationally daunting. Our results show that this new approach can indeed provide extractions of position and rotation which appear to be of sufficient quality to aid therapy and diagnosis of spinal disorders

Probabilistic Spatial Regression using a Deep Fully Convolutional Neural Network

Probabilistic predictions are often preferred in computer vision problems because they can provide a confidence of the predicted value. The recent dominant model for computer vision problems, the convolutional neural network, produces probabilistic output for classification and segmentation problems. But probabilistic regression using neural networks is not well defined. In this work, we present a novel fully convolutional neural network capable of producing a spatial probabilistic distribution for localizing image landmarks. We have introduced a new network layer and a novel loss function for the network to produce a two-dimensional probability map. The proposed network has been used in a novel framework to localize vertebral corners for lateral cervical Xray images. The framework has been evaluated on a dataset of 172 images consisting 797 vertebrae and 3,188 vertebral corners. The proposed framework has demonstrated promising performance in localizing vertebral corners, with a relative improvement of 38% over the previous state-of-the-art

Fully automatic cervical vertebrae segmentation framework for X-ray images

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record.The cervical spine is a highly flexible anatomy and therefore vulnerable to injuries. Unfortunately, a large number of injuries in lateral cervical X-ray images remain undiagnosed due to human errors. Computer-aided injury detection has the potential to reduce the risk of misdiagnosis. Towards building an automatic injury detection system, in this paper, we propose a deep learning-based fully automatic framework for segmentation of cervical vertebrae in X-ray images. The framework first localizes the spinal region in the image using a deep fully convolutional neural network. Then vertebra centers are localized using a novel deep probabilistic spatial regression network. Finally, a novel shape-aware deep segmentation network is used to segment the vertebrae in the image. The framework can take an X-ray image and produce a vertebrae segmentation result without any manual intervention. Each block of the fully automatic framework has been trained on a set of 124 X-ray images and tested on another 172 images, all collected from real-life hospital emergency rooms. A Dice similarity coefficient of 0.84 and a shape error of 1.69 mm have been achieved

Intelligent Cervical Spine Fracture Detection Using Deep Learning Methods

Cervical spine fractures constitute a critical medical emergency, with the potential for lifelong paralysis or even fatality if left untreated or undetected. Over time, these fractures can deteriorate without intervention. To address the lack of research on the practical application of deep learning techniques for the detection of spine fractures, this study leverages a dataset containing both cervical spine fractures and non-fractured computed tomography images. This paper introduces a two-stage pipeline designed to identify the presence of cervical vertebrae in each image slice and pinpoint the location of fractures. In the first stage, a multi-input network, incorporating image and image metadata, is trained. This network is based on the Global Context Vision Transformer, and its performance is benchmarked against popular deep learning image classification model. In the second stage, a YOLOv8 model is trained to detect fractures within the images, and its effectiveness is compared to YOLOv5. The obtained results indicate that the proposed algorithm significantly reduces the workload of radiologists and enhances the accuracy of fracture detection