Intelligent analysis of coronal alignment in lower limbs based on radiographic image with convolutional neural network.

Journal: Computers in biology and medicine
Published Date:

Abstract

One of the first tasks in osteotomy and arthroplasty is to identify the lower limb varus and valgus deformity status. The measurement of a set of angles to determine this status is generally performed manually with the measurement accuracy depending heavily on the experience of the person performing the measurements. This study proposes a method for calculating the required angles in lower limb radiographic (X-ray) images supported by the convolutional neural network. To achieved high accuracy in the measuring process, not only is a decentralized deep learning algorithm, including two orders for the radiographic, utilized, but also a training dataset is built based on the geometric knowledge related to the deformity correction principles. The developed algorithm performance is compared with standard references consisting of manually measured values provided by doctors in 80 radiographic images exhibiting an impressively low deviation of less than 1.5° in 82.3% of the cases.

Authors

  • Thong Phi Nguyen
    Department of Mechanical Design Engineering, Hanyang University, 222, Wangsimni-ro, Seongdongsu, Seoul, 04763, Republic of Korea.
  • Dong-Sik Chae
    Department of Orthopedic Surgery, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea.
  • Sung-Jun Park
    Department of Mechanical Engineering, Korea National University of Transportation, 50 Daehak-ro, Chungju, Chungcheongbuk-do, 380-702, Republic of Korea.
  • Kyung-Yil Kang
    Department of Medicine, Catholic Kwandong Graduate School, 24, Beomil-ro, 579 beon-gil, Gangneung-si, Gangwon-do, 25601, Republic of Korea.
  • Woo-Suk Lee
    Department of Orthopedic Surgery, Yonsei University College of Medicine Gangnam Severence Hospital, Seoul, Republic of Korea.
  • Jonghun Yoon
    Department of Mechanical Engineering, Hanyang University, 55, Hanyangdaehak-ro, Sangnok-gu, Ansan-si, Gyeonggi-do, 15588, Republic of Korea. Electronic address: yooncsmd@gmail.com.