Segmentation of the Proximal Femur from MR Images using Deep Convolutional Neural Networks.

Journal: Scientific reports
Published Date:

Abstract

Magnetic resonance imaging (MRI) has been proposed as a complimentary method to measure bone quality and assess fracture risk. However, manual segmentation of MR images of bone is time-consuming, limiting the use of MRI measurements in the clinical practice. The purpose of this paper is to present an automatic proximal femur segmentation method that is based on deep convolutional neural networks (CNNs). This study had institutional review board approval and written informed consent was obtained from all subjects. A dataset of volumetric structural MR images of the proximal femur from 86 subjects were manually-segmented by an expert. We performed experiments by training two different CNN architectures with multiple number of initial feature maps, layers and dilation rates, and tested their segmentation performance against the gold standard of manual segmentations using four-fold cross-validation. Automatic segmentation of the proximal femur using CNNs achieved a high dice similarity score of 0.95 ± 0.02 with precision = 0.95 ± 0.02, and recall = 0.95 ± 0.03. The high segmentation accuracy provided by CNNs has the potential to help bring the use of structural MRI measurements of bone quality into clinical practice for management of osteoporosis.

Authors

  • Cem M Deniz
    Department of Radiology, New York University Grossman School of Medicine, 227 E 30th St, 7th Floor, New York, NY 10016, United States.
  • Siyuan Xiang
    Center for Data Science, New York University, New York, NY, 10012, USA.
  • R Spencer Hallyburton
    Harvard College, Cambridge, MA, 02138, USA.
  • Arakua Welbeck
    Bernard and Irene Schwartz Center for Biomedical Imaging, New York University School of Medicine, New York, NY, 10016, USA.
  • James S Babb
    Department of Radiology (M.K., W.M., K.F., J.S.B., G.M., J.P.K.), Department of Medicine, Division of Hematology and Medical Oncology, Laura and Isaac Perlmutter Cancer Center (D.K.), and Center for Healthcare Innovation and Delivery Science (L.I.H.), NYU Langone Health, 550 First Ave, New York, NY 10016; Division of Healthcare Delivery Science, Department of Population Health and Division of General Internal Medicine and Clinical Innovation, Department of Medicine, NYU Grossman School of Medicine, New York, NY (L.I.H.); and Garden State Urology, Wayne, NJ (A.K.).
  • Stephen Honig
    New York University School of Medicine, New York, New York, USA.
  • Kyunghyun Cho
    Department of Information and Computer Science, Aalto University School of Science, Finland.
  • Gregory Chang
    New York University School of Medicine, New York, New York, USA.