Knee osteoarthritis is a degenerative joint disease that induces chronic pain and disability. Bone morphological analysis is a promising tool to understand the mechanical aspect of this disorder. This study proposes a 2D bone morphological analysis using manually segmented bones to explore morphological features related to distinct pain conditions. Furthermore, six semantic segmentation algorithms are assessed for extracting femur and tibia bones from X-ray images. Our analysis reveals that the morphology of the femur undergoes significant changes in instances where pain worsens. Conversely, improvements in pain may not manifest pronounced alterations in bone shape. The few-shot-learning-based algorithm, UniverSeg, demonstrated superior segmentation results with Dice scores of 99.69% for femur and 99.60% for tibia. Regarding pain condition classification, the zero-shot-learning-based algorithm, CP-SAM, achieved the highest accuracy at 66% among all models. UniverSeg is recommended for automatic knee bone segmentation, while SAM models show potential with prompt encoder modifications for optimized outcomes. These findings highlight the effectiveness of few-shot learning for semantic segmentation and the potential of zero-shot learning in enhancing classification models for knee osteoarthritis diagnosis.
The University of Queensland（昆士兰大学）；Australian e-Health Research Centre（澳大利亚电子健康研究中心）；Commonwealth Scientific and Industrial Research Organisation（联邦科学与工业研究组织）
In medical image analysis, automated segmentation of multi-component anatomical structures, which often have a spectrum of potential anomalies and pathologies, is a challenging task. In this work, we develop a multi-step approach using U-Net-based neural networks to initially detect anomalies (bone marrow lesions, bone cysts) in the distal femur, proximal tibia and patella from 3D magnetic resonance (MR) images of the knee in individuals with varying grades of osteoarthritis. Subsequently, the extracted data are used for downstream tasks involving semantic segmentation of individual bone and c…
Schulich School of Engineering, University of Calgary（卡尔加里大学舒立克工程学院）；Department of Radiology & Diagnostic Imaging, University of Alberta（阿尔伯塔大学放射与诊断成像系）；Alberta Machine Intelligence Institute (AMII), University of Alberta（阿尔伯塔大学阿尔伯塔机器智能研究所（AMII））；Mechanical and Manufacturing Engineering, University of Calgary（卡尔加里大学机械与制造工程系）
Objective assessment of Magnetic Resonance Imaging (MRI) scans of osteoarthritis (OA) can address the limitation of the current OA assessment. Segmentation of bone, cartilage, and joint fluid is necessary for the OA objective assessment. Most of the proposed segmentation methods are not performing instance segmentation and suffer from class imbalance problems. This study deployed Mask R-CNN instance segmentation and improved it (improved-Mask R-CNN (iMaskRCNN)) to obtain a more accurate generalized segmentation for OA-associated tissues. Training and validation of the method were performed usi…
University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）；Aalto University（阿尔托大学）
This paper addresses the challenge of localization of anatomical landmarks in knee X-ray images at different stages of osteoarthritis (OA). Landmark localization can be viewed as regression problem, where the landmark position is directly predicted by using the region of interest or even full-size images leading to large memory footprint, especially in case of high resolution medical images. In this work, we propose an efficient deep neural networks framework with an hourglass architecture utilizing a soft-argmax layer to directly predict normalized coordinates of the landmark points. We provi…
PAII Inc.（PAII 公司）；Chang Gung Memorial Hospital（长庚纪念医院）；Ping An Technology（平安科技）
Knee osteoarthritis (OA) is a common degenerate joint disorder that affects a large population of elderly people worldwide. Accurate radiographic assessment of knee OA severity plays a critical role in chronic patient management. Current clinically-adopted knee OA grading systems are observer subjective and suffer from inter-rater disagreements. In this work, we propose a computer-aided diagnosis approach to provide more accurate and consistent assessments of both composite and fine-grained OA grades simultaneously. A novel semi-supervised learning method is presented to exploit the underlying…
Friedrich-Alexander-Universität Erlangen-Nürnberg（弗里德里希-亚历山大-埃尔兰根-纽伦堡大学）；Siemens Healthcare GmbH（西门子医疗保健有限公司）；Hochschule Furtwangen（富特旺根应用技术大学）；BG Trauma Center Ludwigshafen（路德维希港BG创伤中心）
X-ray based measurement and guidance are commonly used tools in orthopaedic surgery to facilitate a minimally invasive workflow. Typically, a surgical planning is first performed using knowledge of bone morphology and anatomical landmarks. Information about bone location then serves as a prior for registration during overlay of the planning on intra-operative X-ray images. Performing these steps manually however is prone to intra-rater/inter-rater variability and increases task complexity for the surgeon. To remedy these issues, we propose an automatic framework for planning and subsequent ove…
University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）
Knee osteoarthritis (OA) is the most common musculoskeletal disease in the world. In primary healthcare, knee OA is diagnosed using clinical examination and radiographic assessment. Osteoarthritis Research Society International (OARSI) atlas of OA radiographic features allows to perform independent assessment of knee osteophytes, joint space narrowing and other knee features. This provides a fine-grained OA severity assessment of the knee, compared to the gold standard and most commonly used Kellgren-Lawrence (KL) composite score. However, both OARSI and KL grading systems suffer from moderate…
University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）；Medical Research Center, University of Oulu and Oulu University Hospital（奥卢大学与奥卢大学医院医学研究中心）
Knee osteoarthritis (OA) is very common progressive and degenerative musculoskeletal disease worldwide creates a heavy burden on patients with reduced quality of life and also on society due to financial impact. Therefore, any attempt to reduce the burden of the disease could help both patients and society. In this study, we propose a fully automated novel method, based on combination of joint shape and convolutional neural network (CNN) based bone texture features, to distinguish between the knee radiographs with and without radiographic osteoarthritis. Moreover, we report the first attempt a…
Utah State University（犹他州立大学）；University of Idaho（爱达荷大学）；Nanchang Hangkong University（南昌航空大学）；Collingwood General and Marine Hospital（科林伍德综合与海军医院）；McMaster University（麦克马斯特大学）
Osteoarthritis (OA) is one of the major health issues among the elderly population. MRI is the most popular technology to observe and evaluate the progress of OA course. However, the extreme labor cost of MRI analysis makes the process inefficient and expensive. Also, due to human error and subjective nature, the inter- and intra-observer variability is rather high. Computer-aided knee MRI segmentation is currently an active research field because it can alleviate doctors and radiologists from the time consuming and tedious job, and improve the diagnosis performance which has immense potential…
Temporal Evolution of Knee Osteoarthritis: A Diffusion-based Morphing Model for X-ray Medical Image Synthesis
Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；University of Orleans（奥尔良大学）；IDP Institute（IDP研究所）；Jiangsu Institute of Hematology（江苏省血液研究所）；First Affiliated Hospital of Soochow University（苏州大学附属第一医院）；Cancer Hospital of Pernambuco（伯南布哥癌症医院）
University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）；Medical Research Center, University of Oulu and Oulu University Hospital（奥卢大学与奥卢大学医院医学研究中心）
Objective: To assess the ability of imaging-based deep learning to predict radiographic patellofemoral osteoarthritis (PFOA) from knee lateral view radiographs. Design: Knee lateral view radiographs were extracted from The Multicenter Osteoarthritis Study (MOST) (n = 18,436 knees). Patellar region-of-interest (ROI) was first automatically detected, and subsequently, end-to-end deep convolutional neural networks (CNNs) were trained and validated to detect the status of patellofemoral OA. Patellar ROI was detected using deep-learning-based object detection method. Manual PFOA status assessment p…
Unsupervised Domain Adaptation for Automated Knee Osteoarthritis Phenotype Classification
The Chinese University of Hong Kong（香港中文大学）；Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine（上海交通大学医学院附属第六人民医院）
Background: Object detection in radiograph computer vision has largely benefited from progress in deep convolutional neural networks and can, for example, annotate a radiograph with a box around a knee joint or intervertebral disc. Is deep learning capable of detect small (less than 1% of the image) in radiographs? And how many radiographs do we need use when re-training a deep learning model? Methods: We annotated 396 radiographs of left and right carpi dorsal 75 medial to palmarolateral oblique (DMPLO) projection with the location of radius, proximal row of carpal bones, distal row of carpal…
A Progressive Risk Formulation for Enhanced Deep Learning based Total Knee Replacement Prediction in Knee Osteoarthritis
Center for Data Science, New York University（纽约大学数据科学中心）；Department of Radiology, New York University Langone Health（纽约大学朗格尼健康放射科）；Bernard and Irene Schwartz Center for Biomedical Imaging, New York University Langone Health（纽约大学朗格尼健康伯纳德与艾琳·施瓦茨生物医学影像中心）
The severity of knee osteoarthritis is graded using the 5-point Kellgren-Lawrence (KL) scale where healthy knees are assigned grade 0, and the subsequent grades 1-4 represent increasing severity of the affliction. Although several methods have been proposed in recent years to develop models that can automatically predict the KL grade from a given radiograph, most models have been developed and evaluated on datasets not sourced from India. These models fail to perform well on the radiographs of Indian patients. In this paper, we propose a novel method using convolutional neural networks to auto…
We present a transductive learning approach for morphometric osteophyte grading based on geometric deep learning. We formulate the grading task as semi-supervised node classification problem on a graph embedded in shape space. To account for the high-dimensionality and non-Euclidean structure of shape space we employ a combination of an intrinsic dimension reduction together with a graph convolutional neural network. We demonstrate the performance of our derived classifier in comparisons to an alternative extrinsic approach.
Knee Osteoarthritis Severity Prediction using an Attentive Multi-Scale Deep Convolutional Neural Network
Indian Institute of Technology Guwahati（印度古瓦哈蒂印度理工学院）；Cleveland Clinic（克利夫兰诊所）；Duke-NUS Medical School（杜克-新加坡国立大学医学院）；National University of Singapore（新加坡国立大学）
Diffusion-based Counterfactual Augmentation: Towards Robust and Interpretable Knee Osteoarthritis Grading
Department of Radiology, Harvard Medical School（哈佛医学院放射科）；Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University（苏州大学第一附属医院江苏血液研究所）；L2TI Laboratory, University Sorbonne Paris Nord（巴黎-萨克雷大学L2TI实验室）；department of Medical School, Henan University of Chinese Medicine（河南中医药大学医学院）；Institute for Diagnostic and Interventional Radiology, Faculty of Medicine and University Hospital Cologne, University of Cologne（科隆大学医学院和科隆大学医院诊断与介入放射学研究所）；Department of Electrical and Electronic Engineering, University of Hong Kong（香港大学电子与电气工程系）；Nuclear Medicine Division, Geneva University Hospital（日内瓦大学医院核医学科）；IDP Institute, UMR CNRS 7013, University of Orleans（奥尔良大学IDP研究所，CNRS UMR 7013）
Insight Centre for Data Analytics（洞察数据分析中心）；National University of Ireland Galway（爱尔兰国立高威大学）；Dublin City University（都柏林城市大学）；School of Health and Human Performance（健康与人类表现学院）；ZB MED – Information Centre for Life Sciences（ZB MED——生命科学信息中心）；University of Cologne（科隆大学）；School of Mathematics, Statistics and Applied Mathematics（数学、统计与应用数学学院）
Knee osteoarthritis (KOA) is a disease that impairs knee function and causes pain. A radiologist reviews knee X-ray images and grades the severity level of the impairments according to the Kellgren and Lawrence grading scheme; a five-point ordinal scale (0--4). In this study, we used Elastic Net (EN) and Random Forests (RF) to build predictive models using patient assessment data (i.e. signs and symptoms of both knees and medication use) and a convolution neural network (CNN) trained using X-ray images only. Linear mixed effect models (LMM) were used to model the within subject correlation bet…
CT-based Subchondral Bone Microstructural Analysis in Knee Osteoarthritis via MR-Guided Distillation Learning
School of Biomedical Engineering, Shanghai Jiao Tong University（上海交通大学生物医学工程学院）；Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine（上海交通大学医学院附属第九人民医院）
Transformer with Selective Shuffled Position Embedding and Key-Patch Exchange Strategy for Early Detection of Knee Osteoarthritis
IDP Institute（IDP研究所）；UMR CNRS 7013（法国国家科学研究中心UMR 7013）；University of Orleans（奥尔良大学）；PRISME Laboratory（PRISME实验室）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；Geneva University Hospital（日内瓦大学医院）
The aim of this study was to investigate the influence of MRI and patient data on the prediction of knee osteoarthritis (OA) incidence using different deep learning architectures. Knee OA incidence within 24 months was predicted using the intermediate-weighted turbo spin-echo (IW-TSE) sequence of 593 patients from the Osteoarthritis Initiative. To extract a region of interest containing the knee joint from the IW-TSE sequence, a U-Net model was trained and used to segment bone on a dual echo steady state (DESS) sequence. Subsequently, IW-TSE and DESS sequences were registered and the DESS segm…
Confidence-Driven Deep Learning Framework for Early Detection of Knee Osteoarthritis
Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；University Sorbonne Paris Nord（巴黎北索邦大学）；Jiangsu Institute of Hematology（江苏血液学研究所）；The First Affiliated Hospital of Soochow University（苏州大学附属第一医院）；Henan University of Chinese Medicine（河南中医药大学）；German Cancer Research Center（德国癌症研究中心）；Athinoula A. Martinos Centre for Biomedical Imaging（阿西诺拉·A.马蒂诺斯生物医学影像中心）；Geneva University Hospital（日内瓦大学医院）；IDP Institute（IDP研究所）；University of Orleans（奥尔良大学）
Stanford University（斯坦福大学）；University of Central Florida（中佛罗里达大学）；Columbia University（哥伦比亚大学）；University of Pennsylvania（宾夕法尼亚大学）；University of Minnesota（明尼苏达大学）；University of Copenhagen（哥本哈根大学）；Cleveland Clinic（克利夫兰诊所）；New York University（纽约大学）；Langone Health（朗格尼健康中心）
Purpose: To organize a knee MRI segmentation challenge for characterizing the semantic and clinical efficacy of automatic segmentation methods relevant for monitoring osteoarthritis progression. Methods: A dataset partition consisting of 3D knee MRI from 88 subjects at two timepoints with ground-truth articular (femoral, tibial, patellar) cartilage and meniscus segmentations was standardized. Challenge submissions and a majority-vote ensemble were evaluated using Dice score, average symmetric surface distance, volumetric overlap error, and coefficient of variation on a hold-out test set. Simil…
Convolutional neural networks for semantic segmentation suffer from low performance at object boundaries. In medical imaging, accurate representation of tissue surfaces and volumes is important for tracking of disease biomarkers such as tissue morphology and shape features. In this work, we propose a novel distance map derived loss penalty term for semantic segmentation. We propose to use distance maps, derived from ground truth masks, to create a penalty term, guiding the network's focus towards hard-to-segment boundary regions. We investigate the effects of this penalizing factor against cro…
Adaptive Variance Thresholding: A Novel Approach to Improve Existing Deep Transfer Vision Models and Advance Automatic Knee-Joint Osteoarthritis Classification
University of Jyväskylä（于韦斯屈莱大学）；University of Helsinki（赫尔辛基大学）
Universitat Politècnica de Catalunya (UPC)（加泰罗尼亚理工大学）；Insight Centre for Data Analytics（Insight数据分析中心）；Dublin City University (DCU)（都柏林城市大学）
This work proposes a novel end-to-end convolutional neural network (CNN) architecture to automatically quantify the severity of knee osteoarthritis (OA) using X-Ray images, which incorporates trainable attention modules acting as unsupervised fine-grained detectors of the region of interest (ROI). The proposed attention modules can be applied at different levels and scales across any CNN pipeline helping the network to learn relevant attention patterns over the most informative parts of the image at different resolutions. We test the proposed attention mechanism on existing state-of-the-art CN…
University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）；KU Leuven（鲁汶大学）；Ailean Technologies Oy
Knee osteoarthritis (OA) is one of the highest disability factors in the world. This musculoskeletal disorder is assessed from clinical symptoms, and typically confirmed via radiographic assessment. This visual assessment done by a radiologist requires experience, and suffers from moderate to high inter-observer variability. The recent literature has shown that deep learning methods can reliably perform the OA severity assessment according to the gold standard Kellgren-Lawrence (KL) grading system. However, these methods require large amounts of labeled data, which are costly to obtain. In thi…
The Robotics Institute, Carnegie Mellon University（卡内基梅隆大学机器人研究所）
Pose Priors are critical in human pose estimation, since they are able to enforce constraints that prevent estimated poses from tending to physically impossible positions. Human pose generally consists of up to 22 Joint Angles of various segments, and their respective bone lengths, but the way these various segments interact can affect the validity of a pose. Looking at the Knee-Ankle segment alone, we can observe that clearly, the Knee cannot bend forward beyond it's roughly 90 degree point, amongst various other impossible poses below.
RSIP Vision（RSIP Vision 公司）；Weizmann Institute of Science（魏茨曼科学研究所）
We present an end-to-end Convolutional Neural Network (CNN) approach for 3D reconstruction of knee bones directly from two bi-planar X-ray images. Clinically, capturing the 3D models of the bones is crucial for surgical planning, implant fitting, and postoperative evaluation. X-ray imaging significantly reduces the exposure of patients to ionizing radiation compared to Computer Tomography (CT) imaging, and is much more common and inexpensive compared to Magnetic Resonance Imaging (MRI) scanners. However, retrieving 3D models from such 2D scans is extremely challenging. In contrast to the commo…
School of Biomedical Engineering, Shanghai Jiao Tong University（上海交通大学生物医学工程学院）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能医疗科技有限公司）；Department of Imaging, Tongren Hospital, Shanghai Jiao Tong University School of Medicine（上海交通大学医学院附属同仁医院影像科）；School of Biomedical Engineering, ShanghaiTech University（上海科技大学生物医学工程学院）
Knee osteoarthritis (OA) is the most common osteoarthritis and a leading cause of disability. Cartilage defects are regarded as major manifestations of knee OA, which are visible by magnetic resonance imaging (MRI). Thus early detection and assessment for knee cartilage defects are important for protecting patients from knee OA. In this way, many attempts have been made on knee cartilage defect assessment by applying convolutional neural networks (CNNs) to knee MRI. However, the physiologic characteristics of the cartilage may hinder such efforts: the cartilage is a thin curved layer, implying…
Rethinking Knee Osteoarthritis Severity Grading: A Few Shot Self-Supervised Contrastive Learning Approach
Science Foundation Ireland Centre for Research Training in Machine Learning（爱尔兰科学基金会机器学习研究培训中心）；School of Medicine（医学院）；School of Computer Science, University College Dublin（都柏林大学学院计算机科学学院）；Insight Centre for Data Analytics, University College Dublin（都柏林大学学院洞察数据分析中心）
Deep Learning for Predicting Progression of Patellofemoral Osteoarthritis Based on Lateral Knee Radiographs, Demographic Data and Symptomatic Assessments
University of Oulu（奥卢大学）；Lund University（隆德大学）；Diakonhjemmet Hospital（迪亚科涅米特医院）；Juntendo University（顺天堂大学）；Oulu University Hospital（奥卢大学医院）
Duke University（杜克大学）；Duke Clinical Research Institute（杜克临床研究所）；Duke-Margolis Center for Health Policy（杜克-马戈利斯卫生政策中心）；Duke Cancer Institute（杜克癌症研究所）
The assessment of knee osteoarthritis (KOA) severity on knee X-rays is a central criteria for the use of total knee arthroplasty. However, this assessment suffers from imprecise standards and a remarkably high inter-reader variability. An algorithmic, automated assessment of KOA severity could improve overall outcomes of knee replacement procedures by increasing the appropriateness of its use. We propose a novel deep learning-based five-step algorithm to automatically grade KOA from posterior-anterior (PA) views of radiographs: (1) image preprocessing (2) localization of knees joints in the im…
Harbin Institute of Technology（哈尔滨工业大学）；University of Western Ontario（西安大略大学）
The morphological changes in knee cartilage (especially femoral and tibial cartilages) are closely related to the progression of knee osteoarthritis, which is expressed by magnetic resonance (MR) images and assessed on the cartilage segmentation results. Thus, it is necessary to propose an effective automatic cartilage segmentation model for longitudinal research on osteoarthritis. In this research, to relieve the problem of inaccurate discontinuous segmentation caused by the limited receptive field in convolutional neural networks, we proposed a novel position-prior clustering-based self-atte…
University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）；Medical Research Center（医学研究中心）
Objective is to assess the ability of texture features for detecting radiographic patellofemoral osteoarthritis (PFOA) from knee lateral view radiographs. We used lateral view knee radiographs from MOST public use datasets (n = 5507 knees). Patellar region-of-interest (ROI) was automatically detected using landmark detection tool (BoneFinder). Hand-crafted features, based on LocalBinary Patterns (LBP), were then extracted to describe the patellar texture. First, a machine learning model (Gradient Boosting Machine) was trained to detect radiographic PFOA from the LBP features. Furthermore, we u…
Key-Exchange Convolutional Auto-Encoder for Data Augmentation in Early Knee Osteoarthritis Detection
Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；University Sorbonne Paris Nord（巴黎北部索邦大学）；Jiangsu Institute of Hematology（江苏血液学研究所）；The First Affiliated Hospital of Soochow University（苏州大学附属第一医院）；Henan University of Chinese Medicine（河南中医药大学）；German Cancer Research Center（德国癌症研究中心）；Athinoula A. Martinos Centre for Biomedical Imaging（阿西努拉·A.马蒂诺斯生物医学成像中心）；Geneva University Hospital（日内瓦大学医院）；IDP Institute（IDP研究所）；University of Orleans（奥尔良大学）
The anatomical axis of long bones is an important reference line for guiding fracture reduction and assisting in the correct placement of guide pins, screws, and implants in orthopedics and trauma surgery. This study investigates an automatic approach for detection of such axes on X-ray images based on the segmentation contour of the bone. For this purpose, we use the medically established two-line method and translate it into a learning-based approach. The proposed method is evaluated on 38 clinical test images of the femoral and tibial bone and achieves a median angulation error of 0.19° and…
Semi-Supervised Bone Marrow Lesion Detection from Knee MRI Segmentation Using Mask Inpainting Models
Gordon Center for Medical Imaging, Harvard Medical School and Massachusetts General Hospital（哈佛医学院与麻省总医院戈登医学成像中心）；Boston University（波士顿大学）；Seidenberg School of CSIS, Pace University（佩斯大学塞登伯格计算机科学与信息系统学院）；Ewha Womans University（梨花女子大学）
University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）；Erasmus MC, University Medical Center（伊拉斯谟医学中心大学医院）；Medical Research Center, University of Oulu and Oulu University Hospital（奥卢大学与奥卢大学医院医学研究中心）
The purposes of this study were to investigate: 1) the effect of placement of region-of-interest (ROI) for texture analysis of subchondral bone in knee radiographs, and 2) the ability of several texture descriptors to distinguish between the knees with and without radiographic osteoarthritis (OA). Bilateral posterior-anterior knee radiographs were analyzed from the baseline of OAI and MOST datasets. A fully automatic method to locate the most informative region from subchondral bone using adaptive segmentation was developed. We used an oversegmentation strategy for partitioning knee images int…
Validation of musculoskeletal segmentation model with uncertainty estimation for bone and muscle assessment in hip-to-knee clinical CT images
Nara Institute of Science and Technology（奈良先端科学技术大学院大学）；Osaka University（大阪大学）；Keio University School of Medicine（庆应义塾大学医学部）；Hitachi Ltd.（日立制作所）；Ehime University（爱媛大学）
Johns Hopkins University（约翰斯·霍普金斯大学）；University of British Columbia（不列颠哥伦比亚大学）
Due to imaging artifacts and low signal-to-noise ratio in ultrasound images, automatic bone surface segmentation networks often produce fragmented predictions that can hinder the success of ultrasound-guided computer-assisted surgical procedures. Existing pixel-wise predictions often fail to capture the accurate topology of bone tissues due to a lack of supervision to enforce connectivity. In this work, we propose an orientation-guided graph convolutional network to improve connectivity while segmenting the bone surface. We also propose an additional supervision on the orientation of the bone …
Precise segmentation of knee tissues from magnetic resonance imaging (MRI) is critical in quantitative imaging and diagnosis. Convolutional neural networks (CNNs), which are state of the art, have limitations owing to the lack of image-specific adaptation, such as low tissue contrasts and structural inhomogeneities, thereby leading to incomplete segmentation results. This paper presents a deep learning based automatic segmentation framework for knee tissue segmentation. A novel multipath CNN-based method is proposed, which consists of an encoder decoder-based segmentation network in combinatio…
