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Fully automated 3D segmentation and separation of multiple cervical vertebrae in CT images using a 2D convolutional neural network

Authors
 Hyun-Jin Bae  ;  Heejung Hyun  ;  Younghwa Byeon  ;  Keewon Shin  ;  Yongwon Cho  ;  Young Ji Song  ;  Seong Yi  ;  Sung-Uk Kuh  ;  Jin S Yeom  ;  Namkug Kim 
Citation
 COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE, Vol.184 : e105119, 2020-02 
Journal Title
 COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 
ISSN
 0169-2607 
Issue Date
2020-02
Keywords
Cervical vertebrae ; Convolutional neural network ; Deep learning ; Spine CT ; Spine segmentation
Abstract
Background and objective: We investigated a novel method using a 2D convolutional neural network (CNN) to identify superior and inferior vertebrae in a single slice of CT images, and a post-processing for 3D segmentation and separation of cervical vertebrae. Methods: The cervical spines of patients (N == 17, 1684 slices) from Severance and Gangnam Severance Hospitals (S/GSH) and healthy controls (N == 24, 3490 slices) from Seoul National University Bundang Hospital (SNUBH) were scanned by using various volumetric CT protocols. To prepare gold standard masks of cervical spine in CT images, each spine was segmented by using conventional image-processing methods and manually corrected by an expert. The gold standard masks were preprocessed and labeled into superior and inferior cervical vertebrae separately in the axial slices. The 2D U-Net model was trained by using the disease dataset (S/GSH) and additional validation was performed by using the healthy control dataset (SNUBH), and then the training and validation were repeated by switching the two datasets. Results: In case of the model was trained with the disease dataset (S/GSH) and validated with the healthy control (SNUBH), the mean and standard deviation (SD) of the Dice similarity coefficient (DSC), Jaccard similarity coefficient (JSC), mean surface distance (MSD), and Hausdorff surface distance (HSD) were 94.37%% ± 1.45%, 89.47%% ± 2.55%, 0.33 ± 0.12 mm and 20.89 ± 3.98 mm, and 88.67%% ± 5.82%, 80.83%% ± 8.09%, 1.05 ± 0.63 mm and 29.17 ± 19.74 mm, respectively. In case of the model was trained with the healthy control (SNUBH) and validated with the disease dataset (S/GSH), the mean and SD of DSC, JSC, MSD, and HSD were 96.23%% ± 1.55%, 92.95%% ± 2.58%, 0.39 ± 0.20 mm and 16.23 ± 6.72 mm, and 93.15%% ± 3.09%, 87.54%% ± 5.11%, 0.38 ± 0.17 mm and 20.85 ± 7.11 mm, respectively. Conclusions: The results demonstrated that our fully automated method achieved comparable accuracies with inter- and intra-observer variabilities of manual segmentation by human experts, which is time consuming.
Full Text
https://www.sciencedirect.com/science/article/pii/S0169260719312246
DOI
10.1016/j.cmpb.2019.105119
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kuh, Sung Uk(구성욱) ORCID logo https://orcid.org/0000-0003-2566-3209
Yi, Seong(이성)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179018
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