Abstract
BACKGROUND: Idiopathic scoliosis accounts for over 80% of all cases of scoliosis but has an unclear pathogenic mechanism. Many studies have introduced conventional image processing methods, but the results often fail to meet expectations. With the improvement and evolution of research in neural networks in the field of deep learning, many research efforts related to spinal reconstruction using the convolutional neural network (CNN) architecture of deep learning have shown promise. PURPOSE: To investigate the use of CNN for spine modeling. METHODS: The primary technique used in this study involves Mask Region-based CNN (R-CNN) image segmentation and object detection methods as applied to spine model positioning of radiographs. The methods were evaluated based on common evaluation criteria for vertebral segmentation and object detection. Evaluations were performed using the loss function, mask loss function, classification loss function, target box loss function, average accuracy, and average recall. RESULTS: Many bony structures were directly identified in one step, including the lumbar spine (L1-L5) and thoracic spine (T1-T12) in frontal and lateral radiographs, thereby achieving initial positioning of the statistical spine model to provide spine model positioning for future reconstruction and classification prediction. An average detection box accuracy of 97.4% and an average segmentation accuracy of 96.8% were achieved for the prediction efficacy of frontal images, with good image visualization. Moreover, the results for lateral images were satisfactory considering the evaluation parameters and image visualization. CONCLUSION: Mask R-CNN can be used for effective positioning in spine model studies for future reconstruction and classification prediction.