Deep Vision Network Based CT Image Detection for Aiding Lumbar Herniated Disc Diagnosis

W. Xie, Fei-wei Qin, Yanli Shao
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Abstract

Recently, artificial intelligence (AI) technologies have applied in the field of clinical medicine widely. And some of researches try to use AI to assist the diagnosis of spinal disease. In this study, HerniationDet: an automatic lumbar disc herniation detection method based on two stage detection framework (e.g. R-CNN, Fast R-CNN, Faster R-CNN, etc.) is presented. Firstly, after comparing the performance of various backbone networks such as VGG, ResNet, EfficientNet, etc., a feature extractor based on VGG16 is constructed to automatically and efficiently extract the necessary feature information from medical images. Secondly, we use region proposal network (RPN) to generate region proposals and provide them to the part of Fast R-CNN for classification and regression. After precisely studying the image of disc herniation, we adjust the scale and radio of the anchor, to make them more in line with the characteristics of the lumbar disc image dataset. Finally, the object detection algorithm is first used on CT images which achieved 89.50% mAP, and then applied to MR images of the lumbar disc to achieve the goal of automatically identifying lumbar disc herniation with or without calcification. Hence, artificial intelligence assisted diagnosis of calcified lumbar disc herniation on MR images can be achieved with 81.24% mAP, by further using a multi-modal learning strategy.
基于深度视觉网络的CT图像检测辅助腰椎间盘突出症诊断
近年来,人工智能技术在临床医学领域得到了广泛的应用。一些研究试图使用人工智能来辅助脊柱疾病的诊断。本研究提出了HerniationDet:一种基于两阶段检测框架(如R-CNN、Fast R-CNN、Faster R-CNN等)的腰椎间盘突出症自动检测方法。首先,在比较了VGG、ResNet、EfficientNet等多种骨干网的性能后,构建了基于VGG16的特征提取器,自动高效地提取医学图像中需要的特征信息。其次,我们使用区域建议网络(RPN)生成区域建议,并提供给Fast R-CNN部分进行分类和回归。在对腰椎间盘突出图像进行精确研究后,我们调整了锚点的尺度和比例,使其更符合腰椎间盘图像数据集的特点。最后,首先将目标检测算法应用于CT图像,mAP率达到89.50%,然后将其应用于腰椎间盘MR图像,实现自动识别有无钙化的腰椎间盘突出症的目标。因此,通过进一步使用多模态学习策略,人工智能在MR图像上辅助诊断钙化腰椎间盘突出症的mAP可达到81.24%。
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