1,457 research outputs found
Adaptive Segmentation of Knee Radiographs for Selecting the Optimal ROI in Texture Analysis
The purposes of this study were to investigate: 1) the effect of placement of
region-of-interest (ROI) for texture analysis of subchondral bone in knee
radiographs, and 2) the ability of several texture descriptors to distinguish
between the knees with and without radiographic osteoarthritis (OA). Bilateral
posterior-anterior knee radiographs were analyzed from the baseline of OAI and
MOST datasets. A fully automatic method to locate the most informative region
from subchondral bone using adaptive segmentation was developed. We used an
oversegmentation strategy for partitioning knee images into the compact regions
that follow natural texture boundaries. LBP, Fractal Dimension (FD), Haralick
features, Shannon entropy, and HOG methods were computed within the standard
ROI and within the proposed adaptive ROIs. Subsequently, we built logistic
regression models to identify and compare the performances of each texture
descriptor and each ROI placement method using 5-fold cross validation setting.
Importantly, we also investigated the generalizability of our approach by
training the models on OAI and testing them on MOST dataset.We used area under
the receiver operating characteristic (ROC) curve (AUC) and average precision
(AP) obtained from the precision-recall (PR) curve to compare the results. We
found that the adaptive ROI improves the classification performance (OA vs.
non-OA) over the commonly used standard ROI (up to 9% percent increase in AUC).
We also observed that, from all texture parameters, LBP yielded the best
performance in all settings with the best AUC of 0.840 [0.825, 0.852] and
associated AP of 0.804 [0.786, 0.820]. Compared to the current state-of-the-art
approaches, our results suggest that the proposed adaptive ROI approach in
texture analysis of subchondral bone can increase the diagnostic performance
for detecting the presence of radiographic OA
Multimodal Machine Learning-based Knee Osteoarthritis Progression Prediction from Plain Radiographs and Clinical Data
Knee osteoarthritis (OA) is the most common musculoskeletal disease without a
cure, and current treatment options are limited to symptomatic relief.
Prediction of OA progression is a very challenging and timely issue, and it
could, if resolved, accelerate the disease modifying drug development and
ultimately help to prevent millions of total joint replacement surgeries
performed annually. Here, we present a multi-modal machine learning-based OA
progression prediction model that utilizes raw radiographic data, clinical
examination results and previous medical history of the patient. We validated
this approach on an independent test set of 3,918 knee images from 2,129
subjects. Our method yielded area under the ROC curve (AUC) of 0.79 (0.78-0.81)
and Average Precision (AP) of 0.68 (0.66-0.70). In contrast, a reference
approach, based on logistic regression, yielded AUC of 0.75 (0.74-0.77) and AP
of 0.62 (0.60-0.64). The proposed method could significantly improve the
subject selection process for OA drug-development trials and help the
development of personalized therapeutic plans
Automatic knee joint space measurement from plain radiographs
Abstract. Knee osteoarthritis is a common joint disease and one of the leading causes of disability. The disease is characterized by loss of articular cartilage and bone remodeling. Tissue deformations eventually lead to joint space narrowing which can be detected from plain radiographs. Joint space narrowing is typically measured by an experienced radiologist manually, which can be time consuming and error prone process. The aim of this study was to develop and evaluate a fully automatic joint space width measurement method for bilateral knee radiographs.
The knee joint was localized from the x-ray images using template matching and the joint space was delineated using active shape model (ASM). Two different automatic joint space measurement methods were tested and the results were validated against manual measurements performed by an experienced researcher. The first joint space width measurements were done by binarizing the joint space and measuring the local thickness of the binary mask using disk fitting. The second method classified bone pixels to tibia and femur. Classification was based on the ASM delineation. Nearest neighbors between femur and tibia were then used to find the joint space width. An automatic method for tibial region of interest (ROI) selection was also implemented. The algorithms used in this thesis were also made publicly available online.
The automatically obtained joint space widths were in line with manual measurements. Higher accuracy was obtained using the disk fitting algorithm. Automatic Tibial ROI selection was accurate, although the orientation of the joint was ignored in this study. An open source software with a simple graphical user interface and visualization tools was also developed. Computationally efficient and easily explainable methods were utilized in order to improve accessibility and transparency of computer assisted diagnosis of knee osteoarthritis.Tiivistelmä. Polvinivelrikko on eräs yleisimpiä niveltauteja sekä yksi merkittävimmistä liikuntavammojen aiheuttajista. Nivelrikolle ominaisia piirteitä ovat nivelruston vaurioituminen ja muutokset nivelrustonalaisessa luussa. Kudosten muutokset ja vauriot johtavat lopulta niveltilan kaventumiseen, mikä voidaan havaita röntgenkuvista. Tavallisesti kokenut radiologi tekee niveltilan mittaukset manuaalisesti, mikä vaatii usein paljon aikaa ja on lisäksi virhealtis prosessi. Tämän tutkielman tavoitteena oli kehittää täysin automaattinen niveltilan mittausmenetelmä bilateraalisille polven röntgenkuville.
Polvinivel paikallistettiin röntgenkuvista muotoon perustuvalla hahmontunnistuksella ja nivelväli rajattiin käyttämällä aktiivista muodon sovitusta (active shape model, ASM). Nivelvälin mittaukseen käytettiin kahta eri menetelmää, joita verrattiin kokeneen tutkijan tekemiin manuaalisiin mittauksiin. Ensimmäinen nivelvälin mittausmenetelmä sovitti ympyränmuotoisia maskeja niveltilasta tehtyyn binäärimaskiin. Toinen mittausmenetelmä luokitteli luuhun kuuluvat pikselit sääri- ja reisiluuhun. Luokittelu perustui aikaisemmin tehtyyn automaattiseen nivelvälin rajaukseen. Nivelvälin mittaukseen käytettiin lähimpiä naapuripikseleitä sääri- ja reisiluusta. Työssä kehitettiin myös menetelmä automaattiseen sääriluun mielenkiintoalueiden (region of interest, ROI) valintaan. Käytetyt algoritmit ovat julkisesti saatavilla verkossa.
Automaattiset nivelväli mittaukset vastasivat manuaalisia mittauksia hyvin. Parempi tarkkuus saatiin käyttämällä ympyrän sovitusta hyödyntävää algoritmia nivelvälin mittaukseen. Sääriluun mielenkiintoalueet onnistuttiin määrittämään automaattisesti, tosin nivelen orientaatiota ei huomioitu tässä työssä. Lisäksi kehitettiin avoimen lähdekoodin ohjelmisto yksinkertaisella graafisella käyttöliittymällä ja visualisointityökaluilla. Työssä käytettiin laskennallisesti tehokkaita ja helposti selitettäviä menetelmiä, mikä edesauttaa tietokoneavusteisen menetelmien käyttöä polvinivelrikon tutkimuksessa
A review of arthritis diagnosis techniques in artificial intelligence era: Current trends and research challenges
Deep learning, a branch of artificial intelligence, has achieved unprecedented performance in several domains including medicine to assist with efficient diagnosis of diseases, prediction of disease progression and pre-screening step for physicians. Due to its significant breakthroughs, deep learning is now being used for the diagnosis of arthritis, which is a chronic disease affecting young to aged population. This paper provides a survey of recent and the most representative deep learning techniques (published between 2018 to 2020) for the diagnosis of osteoarthritis and rheumatoid arthritis. The paper also reviews traditional machine learning methods (published 2015 onward) and their application for the diagnosis of these diseases. The paper identifies open problems and research gaps. We believe that deep learning can assist general practitioners and consultants to predict the course of the disease, make treatment propositions and appraise their potential benefits
Automated Grading of Radiographic Knee Osteoarthritis Severity Combined with Joint Space Narrowing
The assessment of knee osteoarthritis (KOA) severity on knee X-rays is a
central criteria for the use of total knee arthroplasty. However, this
assessment suffers from imprecise standards and a remarkably high inter-reader
variability. An algorithmic, automated assessment of KOA severity could improve
overall outcomes of knee replacement procedures by increasing the
appropriateness of its use. We propose a novel deep learning-based five-step
algorithm to automatically grade KOA from posterior-anterior (PA) views of
radiographs: (1) image preprocessing (2) localization of knees joints in the
image using the YOLO v3-Tiny model, (3) initial assessment of the severity of
osteoarthritis using a convolutional neural network-based classifier, (4)
segmentation of the joints and calculation of the joint space narrowing (JSN),
and (5), a combination of the JSN and the initial assessment to determine a
final Kellgren-Lawrence (KL) score. Furthermore, by displaying the segmentation
masks used to make the assessment, our algorithm demonstrates a higher degree
of transparency compared to typical "black box" deep learning classifiers. We
perform a comprehensive evaluation using two public datasets and one dataset
from our institution, and show that our algorithm reaches state-of-the art
performance. Moreover, we also collected ratings from multiple radiologists at
our institution and showed that our algorithm performs at the radiologist
level.
The software has been made publicly available at
https://github.com/MaciejMazurowski/osteoarthritis-classification
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