Abstract

Precise vertebrae segmentation is essential for the image-related analysis of spine pathologies such as vertebral compression fractures and other abnormalities, as well as for clinical diagnostic treatment and surgical planning. An automatic and objective system for vertebra segmentation is required, but its development is likely to run into difficulties such as low segmentation accuracy and the requirement of prior knowledge or human intervention. Recently, vertebral segmentation methods have focused on deep learning-based techniques. To mitigate the challenges involved, we propose deep learning primitives and stacked Sparse autoencoder-based patch classification modeling for Vertebrae segmentation (SVseg) from Computed Tomography (CT) images. After data preprocessing, we extract overlapping patches from CT images as input to train the model. The stacked sparse autoencoder learns high-level features from unlabeled image patches in an unsupervised way. Furthermore, we employ supervised learning to refine the feature representation to improve the discriminability of learned features. These high-level features are fed into a logistic regression classifier to fine-tune the model. A sigmoid classifier is added to the network to discriminate the vertebrae patches from non-vertebrae patches by selecting the class with the highest probabilities. We validated our proposed SVseg model on the publicly available MICCAI Computational Spine Imaging (CSI) dataset. After configuration optimization, our proposed SVseg model achieved impressive performance, with 87.39% in Dice Similarity Coefficient (DSC), 77.60% in Jaccard Similarity Coefficient (JSC), 91.53% in precision (PRE), and 90.88% in sensitivity (SEN). The experimental results demonstrated the method’s efficiency and significant potential for diagnosing and treating clinical spinal diseases.

Highlights

  • Vertebrae segmentation is an essential step for spine image analysis and modeling such as spinal abnormalities identification, image-based biomechanical model analysis, vertebrae fracture detection [1], intervertebral disc labeling, and image-guided spine intervention [2]

  • We evaluated true positives (TP), true negatives (TN), false positives (FP), and false negatives (FN) by comparing the true labels with predicted labels: Dice Similarity Coefficient (DSC) = 2|A ∩ B| = 2TP (5) |A| + |B| 2TP + FP + FN

  • (i) Autoencoder plus sigmoid classifier (AE + SC): The sparsity constraint on the hidden layer of AE as controlled by the parameter σ in Equation (2)

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Summary

Introduction

Vertebrae segmentation is an essential step for spine image analysis and modeling such as spinal abnormalities identification, image-based biomechanical model analysis, vertebrae fracture detection [1], intervertebral disc labeling, and image-guided spine intervention [2]. Spine analysis requires precise vertebral segmentation; for example, imageguided vertebrae intervention often involves precision to the submillimeter level. Manual segmentation of vertebrae is a subjective and time-consuming process, so fully automatic or semi-automatic techniques are needed for many clinical applications. In the diagnosis and treatment of spinal diseases, medical imaging techniques have been used extensively [3]. Segmenting individual vertebrae from 3D scans is a tedious and time-consuming process. Computational techniques can be used for automatic quantitative analysis of spine images to enhance physicians’ capability to improve spinal healthcare. Many vertebrae segmentation methods for computed tomography (CT) have been proposed [4]. It remains a challenging task due to the architectural variation of the spine across the population, the complex shape and pathology, the same structures being in close vicinity, and the spatial relationships between the ribs and vertebrae

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