首页|基于空间注意力机制的脊柱侧弯自动诊断方法

基于空间注意力机制的脊柱侧弯自动诊断方法

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为实现自动测量脊柱侧弯Cobb角并推测侧弯类型,提出一种基于空间注意力机制的脊椎定位模型.首先以完整的人体脊柱X光片为研究对象,提取脊椎和颈椎的椎体中心点,并完成脊椎位置锚点定位,通过锚点过滤颈椎得到脊椎椎体中心点.然后利用角偏移追踪脊椎椎体中心点的4个角点地标从而还原椎体,定位脊椎感兴趣区域(ROI).最后使用最小外接矩形法在脊椎ROI图像上构造向量来计算侧弯Cobb角和推测侧弯类型.实验结果表明,所提方法在脊椎近端胸椎、主胸椎和胸腰椎3个区域上的Cobb角测量精度高于基于回归和基于分割的方法.对人工测量方法和自动诊断方法进行一致性分析,自动诊断方法与两名专业医生测量结果的组内相关系数分别为0.901和0.913,平均绝对偏差分别为3.05°和2.90°,表明该自动诊断方法具有良好的可靠性.
Automatic Diagnosis Method for Scoliosis Based on Spatial Attention Mechanism
In this study,a vertebral localization model based on a spatial attention mechanism is proposed to realize automatic diagnosis of the scoliosis Cobb angle and infer the type of scoliosis.First,taking a complete human vertebral X-ray as the research object,the proposed model simultaneously extracts the center point of the vertebral column and cervical vertebrae,completes the anchor point localization of the vertebral position,and filters the cervical vertebrae to get the center point of the vertebral column through the anchor point.Second,it uses the angular offset to trace four angular points of the vertebral column center point for restoring the vertebral column and locating the vertebral region of interest(ROI).Finally,it constructs a vector to compute the scoliosis Cobb angle and infer the scoliosis type on the image of the vertebral ROI using the minimum outer rectangle method.Experimental results show that the accuracy of the Cobb angle measurement of proposed method is higher than those of the regression-based and segmentation-based methods in the proximal thoracic,main thoracic,and thoracolumbar regions of the vertebral.The consistency analysis of the automatic diagnostic method and the manual measurement methods by two doctors shows that the correlation coefficients of the two groups are 0.901 and 0.913,and the corresponding average absolute deviations are 3.05° and 2.90°,demonstrating that the automatic diagnostic method has good reliability.

X-ray of vertebraspatial attention mechanismfeature point extractioncentroid offsetangle offset

任洪苇、周志峰、李汶洁、陈国铃

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上海工程技术大学机械与汽车工程学院,上海 201620

上海空间电源研究所,上海 200245

脊柱X光片 空间注意力机制 特征点提取 中心点偏移 角偏移

2024

激光与光电子学进展
中国科学院上海光学精密机械研究所

激光与光电子学进展

CSTPCD北大核心
影响因子:1.153
ISSN:1006-4125
年,卷(期):2024.61(24)