Injuries in cervical spine X-ray images are often missed by emergency physicians. Many of these missing injuries cause further complications. Automated analysis of the images has the potential to reduce the chance of missing injuries. Towards this goal, this paper proposes an automatic localization of the spinal column in cervical spine X-ray images. The framework employs a random classification forest algorithm with a kernel density estimation-based voting accumulation method to localize the spinal column and to detect the orientation. The algorithm has been evaluated with 90 emergency room X-ray images and has achieved an average detection accuracy of 91% and an orientation error of 3.6◦. The framework can be used to narrow the search area for other advanced injury detection systems
