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VertXNet: Automatic Segmentation and Identification of Lumbar and Cervical Vertebrae from Spinal X-ray Images

2022/07/12 by Yao Chen, Chen, Yao, Yuanhan Mo +9
Engineering · Medicine · #Bone and Joint Diseases #Computer Vision and Pattern Recognition (cs.CV) #FOS: Computer and information sciences #FOS: Electrical engineering #Image and Video Processing (eess.IV) #Medical Imaging and Analysis #Osteomyelitis and Bone Disorders Research #electronic engineering #information engineering

paper · pdf · doi:10.48550/arxiv.2207.05476

openalex publication_date 2022/07/12 · openalex created_date 2022/07/15 · openalex updated_date 2026/07/28

Abstract

Manual annotation of vertebrae on spinal X-ray imaging is costly and time-consuming due to bone shape complexity and image quality variations. In this study, we address this challenge by proposing an ensemble method called VertXNet, to automatically segment and label vertebrae in X-ray spinal images. VertXNet combines two state-of-the-art segmentation models, namely U-Net and Mask R-CNN to improve vertebrae segmentation. A main feature of VertXNet is to also infer vertebrae labels thanks to its Mask R-CNN component (trained to detect 'reference' vertebrae) on a given spinal X-ray image. VertXNet was evaluated on an in-house dataset of lateral cervical and lumbar X-ray imaging for ankylosing spondylitis (AS) patients. Our results show that VertXNet can accurately label spinal X-rays (mean Dice of 0.9). It can be used to circumvent the lack of annotated vertebrae without requiring human expert review. This step is crucial to investigate clinical associations by solving the lack of segmentation, a common bottleneck for most computational imaging projects.

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