Spinal Vertebral Fracture Detection and Fracture Level Assessment Based on Deep Learning

This paper addresses the common orthopedic trauma of spinal vertebral fractures and aims to enhance doctors’diagnostic efficiency.Therefore,a deep-learning-based automated diagnostic systemwithmulti-label segmentation is proposed to recognize the condition of vertebral fractures.The whole spine Computed Tomography(CT)image is segmented into the fracture,normal,and background using U-Net,and the fracture degree of each vertebra is evaluated(Genant semi-qualitative evaluation).The main work of this paper includes:First,based on the spatial configuration network(SCN)structure,U-Net is used instead of the SCN feature extraction network.The attention mechanismandthe residual connectionbetweenthe convolutional layers are added in the local network(LN)stage.Multiple filtering is added in the global network(GN)stage,and each layer of the LN decoder feature map is filtered separately using dot product,and the filtered features are re-convolved to obtain the GN output heatmap.Second,a network model with improved SCN(M-SCN)helps automatically localize the center-of-mass position of each vertebra,and the voxels around each localized vertebra were clipped,eliminating a large amount of redundant information(e.g.,background and other interfering vertebrae)and keeping the vertebrae to be segmented in the center of the image.Multilabel segmentation of the clipped portion was subsequently performed using U-Net.This paper uses VerSe’19,VerSe’20(using only data containing vertebral fractures),and private data(provided by Guizhou Orthopedic Hospital)for model training and evaluation.Compared with the original SCN network,the M-SCN reduced the prediction error rate by 1.09%and demonstrated the effectiveness of the improvement in ablation experiments.In the vertebral segmentation experiment,the Dice Similarity Coefficient(DSC)index reached 93.50%and the Maximum Symmetry Surface Distance(MSSD)index was 4.962 mm,with accuracy and recall of 95.82%and 91.73%,respectively.Fractured vertebrae were also marked as red and normal vertebrae were marked as white in the experiment,and the semi-qualitative assessment results of Genant were provided,as well as the results of spinal localization visualization and 3D reconstructed views of the spine to analyze the actual predictive ability of the model.It provides a promising tool for vertebral fracture detection.

An attention-based cascade R-CNN model for sternum fracture detection in X-ray images

Fracture is one of the most common and unexpected traumas.If not treated in time,it may cause serious consequences such as joint stiffness,traumatic arthritis,and nerve injury.Using computer vision technology to detect fractures can reduce the workload and misdiagnosis of fractures and also improve the fracture detection speed.However,there are still some problems in sternum fracture detection,such as the low detection rate of small and occult fractures.In this work,the authors have constructed a dataset with 1227 labelled X-ray images for sternum fracture detection.The authors designed a fully automatic fracture detection model based on a deep convolution neural network(CNN).The authors used cascade R-CNN,attention mechanism,and atrous convolution to optimise the detection of small fractures in a large X-ray image with big local variations.The authors compared the detection results of YOLOv5 model,cascade R-CNN and other state-of-the-art models.The authors found that the convolution neural network based on cascade and attention mechanism models has a better detection effect and arrives at an mAP of 0.71,which is much better than using the YOLOv5 model(mAP=0.44)and cascade R-CNN(mAP=0.55).

P-wave fracture prediction algorithm using pre-stack data with limited azimuth distribution:A case study in the TZ45 area,Tarim Basin,China

Fractured reservoirs always show anisotropic amplitude features,i.e.the reflection amplitude of seismic waves varies with offset and azimuth （AVOZ）.A noise attenuation fracture inversion algorithm is presented for fracture detection based on P-wave AVOZ.The conventional inversion method always fails when applied to limited azimuth data because of the existence of noise.In our inversion algorithm,special attention is paid to suppressing the noise during inversion,to overcome the limitation of the conventional inversion method on limited azimuth data.Numerical models are employed to illustrate the effectiveness of the method.The inversion algorithm is then applied to Tazhong 45 area field data which is acquired under limited azimuth distribution.Compared with cores and fullbore formation microimage （FMI）,the inverted results （fracture density and orientation） are reasonable,suggesting that the inversion algorithm is feasible for fracture prediction in the Tarim Basin.