CDUNeXt: efficient ossification segmentation with large kernel and dual cross gate attention.

Journal: Scientific reports
PMID:

Abstract

Ossification of the ligamentum flavum (OLF) is the main causative factor of spinal stenosis, but how to accurately and efficiently identify the ossification region is a clinical pain point and an urgent problem to be solved. Currently, we can only rely on the doctor's subjective experience for identification, with low efficiency and large error. In this study, a deep learning method is introduced for the first time into the diagnosis of ligamentum flavum ossificans, we proposed a lightweight, automatic and efficient method for identifying ossified regions, called CDUNeXt. By designing lightweight module structures, utilizing large-kernel convolutions to extracts the long-distance dependencies of different features of the image, and adopting dual-cross-gate-attention(DCGA) to sequentially capture the channel and spatial dependencies so as to fast and accurate segmentation while maintaining fewer parameters and lower complexity. Experiments show that CDUNeXt achieves the best segmentation performance with an optimal balance of lighter weights and less computational cost compared to existing methods. This work fills the gap in the application of deep learning techniques in the diagnosis of ligamentum flavum ossificans, contributes to the realization of lightweight medical image segmentation networks and lays the foundation for subsequent research.

Authors

  • Hailiang Xia
    School of Mechanical-Electronic and Vehicle Engineering, Beijing University of Civil Engineering and Architecture, Beijing, 102616, China.
  • Chuantao Wang
    School of Mechanical-Electronic and Vehicle Engineering, Beijing University of Civil Engineering and Architecture, Beijing, 102616, China. wangchuantao@bucea.edu.cn.
  • Zhuoyuan Li
    State Key Lab of Manufacturing Systems Engineering, Shaanxi Key Lab of Intelligent Robots, School of Mechanical Engineering, Xi'an Jiaotong University, Xi'an 710049, P. R. China. liboxjtu@xjtu.edu.cn hlchen@xjtu.edu.cn.
  • Yuchen Zhang
    School of Computer Science, Shaanxi Normal University, Xi'an, China.
  • Shihe Hu
    School of Mechanical-Electronic and Vehicle Engineering, Beijing University of Civil Engineering and Architecture, Beijing, 102616, China.
  • Jiliang Zhai
    Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.