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arXiv 2012.07947cs.CV
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基于脊椎矫正和解剖约束优化的CT椎体自动定位与识别

Automatic Vertebra Localization and Identification in CT by Spine Rectification and Anatomically-constrained Optimization

PAII Inc(PAII公司);Ping An Technology(平安科技)

Fakai Wang, Kang Zheng, Le Lu, Jing Xiao, Min Wu, Shun Miao

摘要:

在脊柱疾病的诊断和手术规划的许多临床应用中,需要精确的椎骨定位和识别。然而,由于高度变化的病理(如椎体压缩性骨折、脊柱侧凸和椎体固定)和成像条件(如有限的视野和金属条纹伪影),这项任务面临着重大挑战。本文提出了一种鲁棒和准确的方法,有效地利用脊柱的解剖知识,以促进椎骨定位和识别。训练关键点定位模型以产生椎骨中心的激活图。然后,沿着脊柱中心线对它们进行重新采样,以产生脊柱校正的激活图,这些激活图被进一步聚合成1-D激活信号。在此之后,引入解剖学约束优化模块,以在调节椎骨之间的距离的软约束和对连续椎骨指数的硬约束下联合搜索最佳椎骨中心。当在302个高度病理性CT图像的主要公共基准上进行评估时,所提出的方法报告了最先进的识别(同上)。识别率为97.4%,相对识别出错率降低了一半,优于最佳竞争方法的识别率94.7%。

英文摘要:

Accurate vertebra localization and identification are required in many clinical applications of spine disorder diagnosis and surgery planning. However, significant challenges are posed in this task by highly varying pathologies (such as vertebral compression fracture, scoliosis, and vertebral fixation) and imaging conditions (such as limited field of view and metal streak artifacts). This paper proposes a robust and accurate method that effectively exploits the anatomical knowledge of the spine to facilitate vertebra localization and identification. A key point localization model is trained to produce activation maps of vertebra centers. They are then re-sampled along the spine centerline to produce spine-rectified activation maps, which are further aggregated into 1-D activation signals. Following this, an anatomically-constrained optimization module is introduced to jointly search for the optimal vertebra centers under a soft constraint that regulates the distance between vertebrae and a hard constraint on the consecutive vertebra indices. When being evaluated on a major public benchmark of 302 highly pathological CT images, the proposed method reports the state of the art identification (id.) rate of 97.4%, and outperforms the best competing method of 94.7% id. rate by reducing the relative id. error rate by half.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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