Conference Paper2023Cited by 2

Pelvic bone region segmentation (PBRS) from X-ray image using convolutional neural network (CNN)

Syed Alif Ul Alam, Saadia Binte Alam, Sourav Saha, Mahmudul Haque, Rashedur Rahman, Syoji Kobashi

2023 26th International Conference on Computer and Information Technology (ICCIT)

IEEE, pp. 1-6

Abstract

Pelvic and hip fractures offer considerable public health risks with high morbidity and mortality rates. Because of the complicated bone structure of the pelvic bone region, detecting fractures is difficult. Though X-ray imaging is routinely utilised for detecting fractures, manual fracture diagnosis is prone to inaccuracies. This paper proposes the use of deep learning algorithms for automated segmentation of the pelvic bone region in X-ray images. In our work, we have investigated U-Net based pelvic area segmentation models with various convolutional neural network (CNN) backbones. The DenseNet121-based U-Net design emerged as the most optimal model, establishing a compromise between performance and computational efficiency. Although it had a modest loss in IoU and F1 scores when compared to InceptionNetV3, it had a remarkable 59.44% reduction in the number of parameters.

Keywords

  • pelvic fractures
  • hip fracture
  • X-ray images
  • U-Net
  • DenseNet121
  • InceptionV3
  • automated fracture detection
  • computational efficiency
  • intersection over union

CCDS Authors

Saadia Binte Alam, PhD
Saadia Binte Alam, PhD

Saadia Binte Alam, PhD

  • Director, MIRA & WiSE Wings
  • Associate Professor

    Department of Computer Science and Engineering

    Independent University, Bangladesh (IUB)

Published at

HCII, Scientific Reports, Cognitive Computation, Neural Computing and Applications

Md Rashedur Rahman, D. Eng.
Md. Rashedur Rahman, D. Eng.

Md Rashedur Rahman, D. Eng.

  • Co-Director, MIRA & NEST Wings
  • Assistant Professor

    Department of Computer Science and Engineering

    Independent University, Bangladesh (IUB)

Published at

CHI, HCII, Scientific Reports, Cognitive Computation, Neural Computing and Applications

References

  1. 1.Kaiming He, Xiangyu Zhang, Shaoqing Ren, Jian Sun. (2016). Deep Residual Learning for Image Recognition. IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings - IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings, 770–778[10.1109/cvpr.2016.90]
  2. 2.Olaf Ronneberger, Philipp Fischer, Thomas Brox. (2015). U-Net: Convolutional Networks for Biomedical Image Segmentation. Lecture notes in computer science, 234–241[10.1007/978-3-319-24574-4_28]
  3. 3.Jia Deng, Wei Dong, Richard Socher, Li-Jia Li, Kai Li, Li Fei-Fei. (2009). ImageNet: A large-scale hierarchical image database. IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings - IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings, 248–255[10.1109/cvpr.2009.5206848]
  4. 4.Gao Huang, Zhuang Liu, Laurens Van Der Maaten, Kilian Q. Weinberger. (2017). Densely Connected Convolutional Networks. IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings - IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings, 2261–2269[10.1109/cvpr.2017.243]
  5. 5.Christian Szegedy, Vincent Vanhoucke, Sergey Ioffe, Jon Shlens, Zbigniew Wojna. (2016). Rethinking the Inception Architecture for Computer Vision. IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings - IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings, 2818–2826[10.1109/cvpr.2016.308]
  6. 6.Mark Sandler, Andrew Howard, Menglong Zhu, Andrey Zhmoginov, Liang-Chieh Chen. (2018). MobileNetV2: Inverted Residuals and Linear Bottlenecks. IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings - IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings, 4510–4520[10.1109/cvpr.2018.00474]
  7. 7.June-Goo Lee, Sanghoon Jun, Young-Won Cho, Hyunna Lee, Guk Bae Kim, Joon Beom Seo, Namkug Kim. (2017). Deep Learning in Medical Imaging: General Overview. Korean Journal of Radiology, 18(4), 570[10.3348/kjr.2017.18.4.570]
  8. 8.J W Young, A R Burgess, R J Brumback, A Poka. (1986). Pelvic fractures: value of plain radiography in early assessment and management.. Radiology, 160(2), 445–451[10.1148/radiology.160.2.3726125]
  9. 9.D.H. Kim, T. MacKinnon. (2017). Artificial intelligence in fracture detection: transfer learning from deep convolutional neural networks. Clinical Radiology, 73(5), 439–445[10.1016/j.crad.2017.11.015]
  10. 10.Jakub Olczak, Niklas Fahlberg, Atsuto Maki, Ali Sharif Razavian, Anthony Jilert, André Stark, Olof Sköldenberg, Max Gordon. (2017). Artificial intelligence for analyzing orthopedic trauma radiographs. Acta Orthopaedica, 88(6), 581–586[10.1080/17453674.2017.1344459]
  11. 11.M. Katsoulis, V. Benetou, T. Karapetyan, D. Feskanich, F. Grodstein, U. Pettersson‐Kymmer, S. Eriksson, T. Wilsgaard, L. Jørgensen, L. A. Ahmed, B. Schöttker, H. Brenner, A. Bellavia, A. Wolk, R. Kubinova, B. Stegeman, M. Bobak, P. Boffetta, A. Trichopoulou. (2017). Excess mortality after hip fracture in elderly persons from Europe and the USA : the CHANCES project. Journal of Internal Medicine, 281(3), 300–310[10.1111/joim.12586]
  12. 12.Chi-Tung Cheng, Tsung-Ying Ho, Tao-Yi Lee, Chih-Chen Chang, Ching-Cheng Chou, Chih-Chi Chen, I-Fang Chung, Chien-Hung Liao. (2019). Application of a deep learning algorithm for detection and visualization of hip fractures on plain pelvic radiographs. European Radiology, 29(10), 5469–5477[10.1007/s00330-019-06167-y]
  13. 13.Zsolt Balogh, Kate L. King, Peter Mackay, Debra McDougall, Stuart Mackenzie, Julie A. Evans, Timothy Lyons, Stephen A. Deane. (2007). The Epidemiology of Pelvic Ring Fractures: A Population-Based Study. The Journal of Trauma: Injury, Infection, and Critical Care, 63(5), 1066–1073[10.1097/ta.0b013e3181589fa4]
  14. 14.Norah Asiri, Muhammad Hussain, Fadwa Al Adel, Nazih Alzaidi. (2019). Deep learning based computer-aided diagnosis systems for diabetic retinopathy: A survey. Artificial Intelligence in Medicine, 99, 101701[10.1016/j.artmed.2019.07.009]
  15. 15.Takaaki Urakawa, Yuki Tanaka, Shinichi Goto, Hitoshi Matsuzawa, Kei Watanabe, Naoto Endo. (2018). Detecting intertrochanteric hip fractures with orthopedist-level accuracy using a deep convolutional neural network. Skeletal Radiology, 48(2), 239–244[10.1007/s00256-018-3016-3]
  16. 16.Todd W. Costantini, Raul Coimbra, John B. Holcomb, Jeanette M. Podbielski, Richard Catalano, Allie Blackburn, Thomas M. Scalea, Deborah M. Stein, Lashonda Williams, Joseph Conflitti, Scott Keeney, Ghada Suleiman, Tianhua Zhou, Jason Sperry, Dimitra Skiada, Kenji Inaba, Brian H. Williams, Joseph P. Minei, Alicia Privette, Robert C. Mackersie, Brenton R. Robinson, Forrest O. Moore. (2016). Current management of hemorrhage from severe pelvic fractures. The Journal of Trauma: Injury, Infection, and Critical Care, 80(5), 717–725[10.1097/ta.0000000000001034]
  17. 17.Tirivangani Magadza, Serestina Viriri. (2021). Deep Learning for Brain Tumor Segmentation: A Survey of State-of-the-Art. Journal of Imaging, 7(2), 19[10.3390/jimaging7020019]
  18. 18.Barry L. Riemer, Spencer L. Butterfield, Daniel L. Diamond, Joseph C. Young, John J. Raves, Eric Cottington, Kira Kislan. (1993). ACUTE MORTALITY ASSOCIATED WITH INJURIES TO THE PELVIC RING. The Journal of Trauma: Injury, Infection, and Critical Care, 35(5), 671–677[10.1097/00005373-199311000-00003]
  19. 19.Justin D. Krogue, Kaiyang V. Cheng, Kevin M. Hwang, Paul Toogood, Eric G. Meinberg, Erik J. Geiger, Musa Zaid, Kevin C. McGill, Rina Patel, Jae Ho Sohn, Alexandra Wright, Bryan F. Darger, Kevin A. Padrez, Eugene Ozhinsky, Sharmila Majumdar, Valentina Pedoia. (2020). Automatic Hip Fracture Identification and Functional Subclassification with Deep Learning. Radiology Artificial Intelligence, 2(2), e190023[10.1148/ryai.2020190023]
  20. 20.Pishtiwan H S Kalmet, Sebastian Sanduleanu, Sergey Primakov, Guangyao Wu, Arthur Jochems, Turkey Refaee, Abdalla Ibrahim, Luca v. Hulst, Philippe Lambin, Martijn Poeze. (2020). Deep learning in fracture detection: a narrative review. Acta Orthopaedica, 91(2), 215–220[10.1080/17453674.2019.1711323]
  21. 21.Fırat Hardalaç, Fatih Uysal, Ozan Peker, Murat Çiçeklidağ, Tolga Tolunay, Nil Tokgöz, Uğurhan Kutbay, Boran Demirciler, Fatih Mert. (2022). Fracture Detection in Wrist X-ray Images Using Deep Learning-Based Object Detection Models. Sensors, 22(3), 1285[10.3390/s22031285]
  22. 22.Matthew Adams, Weijia Chen, David Holcdorf, Mark W McCusker, Piers DL Howe, Frank Gaillard. (2018). Computer vs human: Deep learning versus perceptual training for the detection of neck of femur fractures. Journal of Medical Imaging and Radiation Oncology, 63(1), 27–32[10.1111/1754-9485.12828]
  23. 23.Chi-Tung Cheng, Yirui Wang, Huan-Wu Chen, Po-Meng Hsiao, Chun-Nan Yeh, Chi-Hsun Hsieh, Shun Miao, Jing Xiao, Chien-Hung Liao, Le Lu. (2021). A scalable physician-level deep learning algorithm detects universal trauma on pelvic radiographs. Nature Communications, 12(1), 1066[10.1038/s41467-021-21311-3]
  24. 24.Yoon Jae Seong, Won Chul Shin, Nam Hoon Moon, Kuen Tak Suh. (2020). Timing of Hip-fracture Surgery in Elderly Patients: Literature Review and Recommendations. Hip & Pelvis, 32(1), 11–16[10.5371/hp.2020.32.1.11]
  25. 25.Shari Dominguez, Patrick Liu, Catherine Roberts, Mark Mandell, Peter B. Richman. (2005). Prevalence of Traumatic Hip and Pelvic Fractures in Patients with Suspected Hip Fracture and Negative Initial Standard Radiographs—A Study of Emergency Department Patients. Academic Emergency Medicine, 12(4), 366–369[10.1111/j.1553-2712.2005.tb01959.x]
  26. 26.David K. Hakkarinen, Kenny V. Banh, Gregory W. Hendey. (2012). Magnetic Resonance Imaging Identifies Occult Hip Fractures Missed by 64-slice Computed Tomography. Journal of Emergency Medicine, 43(2), 303–307[10.1016/j.jemermed.2012.01.037]
  27. 27.Gene Kitamura. (2020). Deep learning evaluation of pelvic radiographs for position, hardware presence, and fracture detection. European Journal of Radiology, 130, 109139[10.1016/j.ejrad.2020.109139]
  28. 28.Kemal Üreten. (2020). Use of deep learning methods for hand fractures detection from plain hand radiographs. Turkish Journal of Trauma and Emergency Surgery, 28(2), 196–201[10.14744/tjtes.2020.06944]
  29. 29.Wenkong Wang, Weijie Huang, Quanli Lu, Jiyang Chen, Menghua Zhang, Jia Qiao, Yong Zhang. (2022). Attention mechanism-based deep learning method for hairline fracture detection in hand X-rays. Neural Computing and Applications, 34(21), 18773–18785[10.1007/s00521-022-07412-0]
  30. 30.Zhongchen Zhao, Huai Chen, Jiang Li, Lisheng Wang. (2022). Boundary Attention U-Net for Kidney and Kidney Tumor Segmentation. Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 2022, 1540–1543[10.1109/embc48229.2022.9871443]
  31. 31.Qingshan Guo, Letian Zhang, Siru Zhou, Zhiyang Zhang, Huayu Liu, Lianyang Zhang, Tomer Talmy, Yang Li. (2020). Clinical features and risk factors for mortality in patients with open pelvic fracture: A retrospective study of 46 cases. Journal of orthopaedic surgery, 28(2), 2309499020939830[10.1177/2309499020939830]
  32. 32.Simonyan, Karen, Zisserman, Andrew. (2014). Very Deep Convolutional Networks for Large-Scale Image Recognition. arXiv (Cornell University)[10.48550/arxiv.1409.1556]
  33. 33.Tan, Mingxing, Le, Quoc V.. (2019). EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks. arXiv (Cornell University)[10.48550/arxiv.1905.11946]
  34. 34.Zoph, Barret, Le, Quoc V.. (2016). Neural Architecture Search with Reinforcement Learning. arXiv (Cornell University)[10.48550/arxiv.1611.01578]

Cited By

  1. 1.Samiul Karim Mazumder, Nafiul Islam Santo, Md. Samiul Alom, Md. Abdul Awal, Ishtiak Al Mamoon. (2025). Advancing Gastrointestinal Tract Segmentation: Dense-UPerNet and a Benchmark of 18 Encoder-Decoder Models. IEEE International Conference on Biomedical Engineering, Computer and Information Technology for Health (BECITHCON), 616–621[10.1109/becithcon69222.2025.11504046]
  2. 2.Elina Huerfano, Leonardo Flórez-Valencia. (2025). Segmentation of Pelvic Radiographs After Total Hip Arthroplasty Using U-Net Variants: Toward Morphometric Automation. International Symposium on Medical Information Processing and Analysis (SIPAIM), 1–5[10.1109/sipaim67325.2025.11283334]