Automatic segmentation of inconstant fractured fragments for tibia/fibula from CT images using deep learning.

Journal: Scientific reports
PMID:

Abstract

Orthopaedic surgeons need to correctly identify bone fragments using 2D/3D CT images before trauma surgery. Advances in deep learning technology provide good insights into trauma surgery over manual diagnosis. This study demonstrates the application of the DeepLab v3+ -based deep learning model for the automatic segmentation of fragments of the fractured tibia and fibula from CT images and the results of the evaluation of the performance of the automatic segmentation. The deep learning model, which was trained using over 11 million images, showed good performance with a global accuracy of 98.92%, a weighted intersection over the union of 0.9841, and a mean boundary F1 score of 0.8921. Moreover, deep learning performed 5-8 times faster than the experts' recognition performed manually, which is comparatively inefficient, with almost the same significance. This study will play an important role in preoperative surgical planning for trauma surgery with convenience and speed.

Authors

  • Hyeonjoo Kim
    Department of Medical Device Engineering and Management, College of Medicine, Yonsei University, Seoul, Republic of Korea.
  • Young Dae Jeon
    Department of Orthopedic Surgery, University of Ulsan, College of Medicine, Ulsan University Hospital, Ulsan, Republic of Korea.
  • Ki Bong Park
    Department of Orthopedic Surgery, University of Ulsan, College of Medicine, Ulsan University Hospital, Ulsan, Republic of Korea.
  • Hayeong Cha
    Industrial R&D Center, KAVILAB Co. Ltd., Seoul, Republic of Korea.
  • Moo-Sub Kim
    Industrial R&D Center, KAVILAB Co. Ltd., Seoul, Republic of Korea.
  • Juyeon You
    Industrial R&D Center, KAVILAB Co. Ltd., Seoul, Republic of Korea.
  • Se-Won Lee
    Department of Orthopedic Surgery, Yeouido St. Mary's Hospital,, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
  • Seung-Han Shin
    Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
  • Yang-Guk Chung
    Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
  • Sung Bin Kang
    Industrial R&D Center, KAVILAB Co. Ltd., Seoul, Republic of Korea.
  • Won Seuk Jang
    Department of Medical Device Engineering and Management, College of Medicine, Yonsei University, Seoul, Republic of Korea. WS.JANG@yuhs.ac.
  • Do-Kun Yoon
    Industrial R&D Center, KAVILAB Co. Ltd., Seoul, Republic of Korea. louis_youn@kavilab.ai.