Abstract

Abstract Automated fracture detection is an essential part in a computer-aided tele-medicine system. Fractures often occur in human's arbitrary bone due to accidental injuries such as slipping. In fact, many hospitals lack experienced surgeons to diagnose fractures. Therefore, computer-aided diagnosis (CAD) reduces the burden on doctors and identifies fracture. We present a new classification network, Crack-Sensitive Convolutional Neural Network (CrackNet), which is sensitive to fracture lines. In this paper, we propose a new two-stage system to detect fracture. Firstly, we use Faster Region with Convolutional Neutral Network (Faster R-CNN) to detect 20 different types of bone regions in X-ray images, and then we recognize whether each bone region is fractured by using CrackNet. Total of 1052 images are used to test our system, of which 526 are fractured images and the rest are non-fractured images. We assess the performance of our proposed system with X-ray images from Haikou People's Hospital, achieving 90.11% accuracy and 90.14% F-measure. And our system is better than other two-stage systems.

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