Bolun Zeng , Huixiang Wang , Leo Joskowicz , Xiaojun Chen
{"title":"用于骨盆骨折自动分割的片段距离引导双流学习。","authors":"Bolun Zeng , Huixiang Wang , Leo Joskowicz , Xiaojun Chen","doi":"10.1016/j.compmedimag.2024.102412","DOIUrl":null,"url":null,"abstract":"<div><p>Pelvic fracture is a complex and severe injury. Accurate diagnosis and treatment planning require the segmentation of the pelvic structure and the fractured fragments from preoperative CT scans. However, this segmentation is a challenging task, as the fragments from a pelvic fracture typically exhibit considerable variability and irregularity in the morphologies, locations, and quantities. In this study, we propose a novel dual-stream learning framework for the automatic segmentation and category labeling of pelvic fractures. Our method uniquely identifies pelvic fracture fragments in various quantities and locations using a dual-branch architecture that leverages distance learning from bone fragments. Moreover, we develop a multi-size feature fusion module that adaptively aggregates features from diverse receptive fields tailored to targets of different sizes and shapes, thus boosting segmentation performance. Extensive experiments on three pelvic fracture datasets from different medical centers demonstrated the accuracy and generalizability of the proposed method. It achieves a mean Dice coefficient and mean Sensitivity of 0.935<span><math><mo>±</mo></math></span>0.068 and 0.929<span><math><mo>±</mo></math></span>0.058 in the dataset FracCLINIC, and 0.955<span><math><mo>±</mo></math></span>0.072 and 0.912<span><math><mo>±</mo></math></span>0.125 in the dataset FracSegData, which are superior than other comparing methods. Our method optimizes the process of pelvic fracture segmentation, potentially serving as an effective tool for preoperative planning in the clinical management of pelvic fractures.</p></div>","PeriodicalId":50631,"journal":{"name":"Computerized Medical Imaging and Graphics","volume":"116 ","pages":"Article 102412"},"PeriodicalIF":5.4000,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Fragment distance-guided dual-stream learning for automatic pelvic fracture segmentation\",\"authors\":\"Bolun Zeng , Huixiang Wang , Leo Joskowicz , Xiaojun Chen\",\"doi\":\"10.1016/j.compmedimag.2024.102412\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Pelvic fracture is a complex and severe injury. Accurate diagnosis and treatment planning require the segmentation of the pelvic structure and the fractured fragments from preoperative CT scans. However, this segmentation is a challenging task, as the fragments from a pelvic fracture typically exhibit considerable variability and irregularity in the morphologies, locations, and quantities. In this study, we propose a novel dual-stream learning framework for the automatic segmentation and category labeling of pelvic fractures. Our method uniquely identifies pelvic fracture fragments in various quantities and locations using a dual-branch architecture that leverages distance learning from bone fragments. Moreover, we develop a multi-size feature fusion module that adaptively aggregates features from diverse receptive fields tailored to targets of different sizes and shapes, thus boosting segmentation performance. Extensive experiments on three pelvic fracture datasets from different medical centers demonstrated the accuracy and generalizability of the proposed method. It achieves a mean Dice coefficient and mean Sensitivity of 0.935<span><math><mo>±</mo></math></span>0.068 and 0.929<span><math><mo>±</mo></math></span>0.058 in the dataset FracCLINIC, and 0.955<span><math><mo>±</mo></math></span>0.072 and 0.912<span><math><mo>±</mo></math></span>0.125 in the dataset FracSegData, which are superior than other comparing methods. Our method optimizes the process of pelvic fracture segmentation, potentially serving as an effective tool for preoperative planning in the clinical management of pelvic fractures.</p></div>\",\"PeriodicalId\":50631,\"journal\":{\"name\":\"Computerized Medical Imaging and Graphics\",\"volume\":\"116 \",\"pages\":\"Article 102412\"},\"PeriodicalIF\":5.4000,\"publicationDate\":\"2024-06-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Computerized Medical Imaging and Graphics\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0895611124000892\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Computerized Medical Imaging and Graphics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0895611124000892","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
Fragment distance-guided dual-stream learning for automatic pelvic fracture segmentation
Pelvic fracture is a complex and severe injury. Accurate diagnosis and treatment planning require the segmentation of the pelvic structure and the fractured fragments from preoperative CT scans. However, this segmentation is a challenging task, as the fragments from a pelvic fracture typically exhibit considerable variability and irregularity in the morphologies, locations, and quantities. In this study, we propose a novel dual-stream learning framework for the automatic segmentation and category labeling of pelvic fractures. Our method uniquely identifies pelvic fracture fragments in various quantities and locations using a dual-branch architecture that leverages distance learning from bone fragments. Moreover, we develop a multi-size feature fusion module that adaptively aggregates features from diverse receptive fields tailored to targets of different sizes and shapes, thus boosting segmentation performance. Extensive experiments on three pelvic fracture datasets from different medical centers demonstrated the accuracy and generalizability of the proposed method. It achieves a mean Dice coefficient and mean Sensitivity of 0.9350.068 and 0.9290.058 in the dataset FracCLINIC, and 0.9550.072 and 0.9120.125 in the dataset FracSegData, which are superior than other comparing methods. Our method optimizes the process of pelvic fracture segmentation, potentially serving as an effective tool for preoperative planning in the clinical management of pelvic fractures.
期刊介绍:
The purpose of the journal Computerized Medical Imaging and Graphics is to act as a source for the exchange of research results concerning algorithmic advances, development, and application of digital imaging in disease detection, diagnosis, intervention, prevention, precision medicine, and population health. Included in the journal will be articles on novel computerized imaging or visualization techniques, including artificial intelligence and machine learning, augmented reality for surgical planning and guidance, big biomedical data visualization, computer-aided diagnosis, computerized-robotic surgery, image-guided therapy, imaging scanning and reconstruction, mobile and tele-imaging, radiomics, and imaging integration and modeling with other information relevant to digital health. The types of biomedical imaging include: magnetic resonance, computed tomography, ultrasound, nuclear medicine, X-ray, microwave, optical and multi-photon microscopy, video and sensory imaging, and the convergence of biomedical images with other non-imaging datasets.