Xu Jingyuan, Xie Hongtao, Tan Qingfeng, Wu Hai, Liu Chuanbin, Zhang Sicheng, Mao Zhendong, Zhang Yongdong
School of Information Science and Technology, University of Science and Technology of China, Jinzhai Road, Hefei, 230026 Anhui China.
Cyberspace Institution of Advanced Technology, Guangzhou University, Guangzhou 511442 Guangdong, China.
World Wide Web. 2023;26(2):539-559. doi: 10.1007/s11280-022-01051-0. Epub 2022 May 4.
Developmental dysplasia of the hip (DDH) is one of the most common diseases in children. Due to the experience-requiring medical image analysis work, online automatic diagnosis of DDH has intrigued the researchers. Traditional implementation of online diagnosis faces challenges with reliability and interpretability. In this paper, we establish an online diagnosis tool based on a multi-task hourglass network, which can accurately extract landmarks to detect the extent of hip dislocation and predict the age of the femoral head. Our method utilizes a multi-task hourglass network, which trains an encoder-decoder network to regress the landmarks and predict the developmental age for online DDH diagnosis. With the support of precise image analysis and fast GPU computing, our method can help overcome the shortage of medical resources and enable telehealth for DDH diagnosis. Applying this approach to a dataset of DDH X-ray images, we demonstrate 4.64 mean pixel error of landmark detection compared to the results of human experts. Moreover, we can improve the accuracy of the age prediction of femoral heads to 89. Our online automatic diagnosis system has provided service to 112 patients, and the results demonstrate the effectiveness of our method.
发育性髋关节发育不良(DDH)是儿童最常见的疾病之一。由于医学图像分析工作需要经验,DDH的在线自动诊断引起了研究人员的兴趣。传统的在线诊断实施在可靠性和可解释性方面面临挑战。在本文中,我们建立了一个基于多任务沙漏网络的在线诊断工具,该工具可以准确提取地标以检测髋关节脱位的程度并预测股骨头的年龄。我们的方法利用多任务沙漏网络,该网络训练一个编码器-解码器网络来回归地标并预测在线DDH诊断的发育年龄。在精确的图像分析和快速的GPU计算支持下,我们的方法可以帮助克服医疗资源短缺的问题,并实现DDH诊断的远程医疗。将这种方法应用于DDH X光图像数据集,与人类专家的结果相比,我们展示了地标检测的平均像素误差为4.64。此外,我们可以将股骨头年龄预测的准确率提高到89。我们的在线自动诊断系统已为112名患者提供服务,结果证明了我们方法的有效性。