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Automatic Semantic Segmentation of the Lumbar Spine. Clinical Applicability in a Multi-parametric and Multi-centre MRI study

2021-11-16 17:33:05
Jhon Jairo Saenz-Gamboa (1), Julio Domenech (2), Antonio Alonso-Manjarrez (3), Jon A. Gómez (4), Maria de la Iglesia-Vayá (1 and 5) ((1) FISABIO-CIPF Joint Research Unit in Biomedical Imaging - València Spain, (2) Orthopedic Surgery Department Hospital Arnau de Vilanova - València Spain, (3) Radiology Department Hospital Arnau de Vilanova - València Spain, (4) Pattern Recognition and Human Language Technology research center - Universitat Politècnica de València, (5) Regional ministry of Universal Health and Public Health in Valencia)

Abstract

One of the major difficulties in medical image segmentation is the high variability of these images, which is caused by their origin (multi-centre), the acquisition protocols (multi-parametric), as well as the variability of human anatomy, the severity of the illness, the effect of age and gender, among others. The problem addressed in this work is the automatic semantic segmentation of lumbar spine Magnetic Resonance images using convolutional neural networks. The purpose is to assign a classes label to each pixel of an image. Classes were defined by radiologists and correspond to different structural elements like vertebrae, intervertebral discs, nerves, blood vessels, and other tissues. The proposed network topologies are variants of the U-Net architecture. Several complementary blocks were used to define the variants: Three types of convolutional blocks, spatial attention models, deep supervision and multilevel feature extractor. This document describes the topologies and analyses the results of the neural network designs that obtained the most accurate segmentations. Several of the proposed designs outperform the standard U-Net used as baseline, especially when used in ensembles where the output of multiple neural networks is combined according to different strategies.

Abstract (translated)

URL

https://arxiv.org/abs/2111.08712

PDF

https://arxiv.org/pdf/2111.08712.pdf


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