EUFormer: Learning Driven 3D Spine Deformity Assessment with Orthogonal Optical Images.

Journal: Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
PMID:

Abstract

In clinical settings, the screening, diagnosis, and monitoring of adolescent idiopathic scoliosis (AIS) typically involve physical or radiographic examinations. However, physical examinations are subjective, while radiographic examinations expose patients to harmful radiation. Consequently, we propose a pipeline that can accurately determine scoliosis severity. This pipeline utilizes posteroanterior (PA) and lateral (LAT) RGB images as input to generate spine curve maps, which are then used to reconstruct the three-dimensional (3D) spine curve for AIS severity grading. To generate the 2D spine curves accurately and efficiently, we further propose an Efficient U-shape transFormer (EUFormer) as the generator. It can efficiently utilize the learned feature across channels, therefore producing consecutive spine curves from both PA and LAT views. Experimental results demonstrate superior performance of EUFormer on spine curve generation against other classical U-shape models. This finding demonstrates that the proposed method for grading the severity of AIS, based on a 3D spine curve, is more accurate when compared to using a 2D spine curve.

Authors

  • Nan Meng
  • Jason P Y Cheung
    Digital Health Laboratory, School of Clinical Medicine, Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.
  • Tao Huang
    The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
  • Moxin Zhao
    Digital Health Laboratory, School of Clinical Medicine, Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.
  • Yue Zhang
    Department of Ophthalmology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.
  • Chenxi Yu
    Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China; Beijing Key Laboratory for Genetic Research of Skeletal Deformity, Beijing 100730, China; Key Laboratory of Big Data for Spinal Deformities, Chinese Academy of Medical Sciences, Beijing 100730, China; DISCO (Deciphering disorders Involving Scoliosis and COmobidities) study group.
  • Chang Shi
  • Teng Zhang
    College of Veterinary Medicine, Hebei Agricultural University, Baoding, Hebei 071000, China.