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MRI 成像中的脊柱肌肉自动分割技术:系统评价。

Spine muscle auto segmentation techniques in MRI imaging: a systematic review.

机构信息

Department of Biomedical Research Institute, Inha University Hospital, 27 Inhang-ro, Jung-gu, Incheon, Republic of Korea.

Department of Orthopaedic Surgery, School of Medicine, Inha University Hospital, 27 Inhang-ro, Jung-gu, Incheon, Republic of Korea.

出版信息

BMC Musculoskelet Disord. 2024 Sep 6;25(1):716. doi: 10.1186/s12891-024-07777-4.

DOI:10.1186/s12891-024-07777-4
PMID:39243080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11378543/
Abstract

BACKGROUND

The accurate segmentation of spine muscles plays a crucial role in analyzing musculoskeletal disorders and designing effective rehabilitation strategies. Various imaging techniques such as MRI have been utilized to acquire muscle images, but the segmentation process remains complex and challenging due to the inherent complexity and variability of muscle structures. In this systematic review, we investigate and evaluate methods for automatic segmentation of spinal muscles.

METHODS

Data for this study were obtained from PubMed/MEDLINE databases, employing a search methodology that includes the terms 'Segmentation spine muscle' within the title, abstract, and keywords to ensure a comprehensive and systematic compilation of relevant studies. Systematic reviews were not included in the study.

RESULTS

Out of 369 related studies, we focused on 12 specific studies. All studies focused on segmentation of spine muscle use MRI, in this systematic review subjects such as healthy volunteers, back pain patients, ASD patient were included. MRI imaging was performed on devices from several manufacturers, including Siemens, GE. The study included automatic segmentation using AI, segmentation using PDFF, and segmentation using ROI.

CONCLUSION

Despite advancements in spine muscle segmentation techniques, challenges still exist. The accuracy and precision of segmentation algorithms need to be improved to accurately delineate the different muscle structures in the spine. Robustness to variations in image quality, artifacts, and patient-specific characteristics is crucial for reliable segmentation results. Additionally, the availability of annotated datasets for training and validation purposes is essential for the development and evaluation of new segmentation algorithms. Future research should focus on addressing these challenges and developing more robust and accurate spine muscle segmentation techniques to enhance clinical assessment and treatment planning for musculoskeletal disorders.

摘要

背景

准确分割脊柱肌肉在分析肌肉骨骼疾病和设计有效的康复策略方面起着至关重要的作用。各种成像技术,如 MRI,已被用于获取肌肉图像,但由于肌肉结构的固有复杂性和可变性,分割过程仍然复杂且具有挑战性。在这项系统评价中,我们调查和评估了自动分割脊柱肌肉的方法。

方法

本研究的数据来自 PubMed/MEDLINE 数据库,采用的搜索方法包括在标题、摘要和关键词中使用“Spine muscle segmentation”一词,以确保全面系统地收集相关研究。本研究不包括系统评价。

结果

在 369 项相关研究中,我们重点关注了 12 项具体研究。所有研究都集中在脊柱肌肉的分割上,都使用了 MRI,在这项系统评价中,研究对象包括健康志愿者、背痛患者、ASD 患者等。MRI 成像设备来自多个制造商,包括西门子、GE。研究包括使用 AI 进行自动分割、使用 PDFF 进行分割以及使用 ROI 进行分割。

结论

尽管脊柱肌肉分割技术取得了进展,但仍存在挑战。需要提高分割算法的准确性和精度,以准确描绘脊柱中的不同肌肉结构。稳健性对于图像质量、伪影和患者特异性特征的变化至关重要,以获得可靠的分割结果。此外,为了开发和评估新的分割算法,需要有用于训练和验证目的的带注释数据集。未来的研究应集中解决这些挑战,并开发更强大、更准确的脊柱肌肉分割技术,以增强肌肉骨骼疾病的临床评估和治疗计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b1/11378543/f276db6c19dd/12891_2024_7777_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b1/11378543/f9009ca047b3/12891_2024_7777_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b1/11378543/f23058f57721/12891_2024_7777_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b1/11378543/f276db6c19dd/12891_2024_7777_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b1/11378543/f9009ca047b3/12891_2024_7777_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b1/11378543/f23058f57721/12891_2024_7777_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b1/11378543/f276db6c19dd/12891_2024_7777_Fig3_HTML.jpg

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本文引用的文献

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Diagnostics (Basel). 2023 Aug 12;13(16):2658. doi: 10.3390/diagnostics13162658.
2
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Pain Med. 2023 Aug 4;24(Suppl 1):S139-S148. doi: 10.1093/pm/pnac142.
3
Convolutional neural networks for the automatic segmentation of lumbar paraspinal muscles in people with low back pain.
用于自动分割腰痛患者腰椎旁肌的卷积神经网络。
Sci Rep. 2022 Aug 5;12(1):13485. doi: 10.1038/s41598-022-16710-5.
4
An externally validated deep learning model for the accurate segmentation of the lumbar paravertebral muscles.一种用于腰椎旁肌精确分割的外部验证深度学习模型。
Eur Spine J. 2022 Aug;31(8):2156-2164. doi: 10.1007/s00586-022-07320-w. Epub 2022 Jul 19.
5
Automated Segmentation of Spinal Muscles From Upright Open MRI Using a Multiscale Pyramid 2D Convolutional Neural Network.使用多尺度金字塔 2D 卷积神经网络对直立开放式 MRI 中的脊柱肌肉进行自动分割。
Spine (Phila Pa 1976). 2022 Aug 15;47(16):1179-1186. doi: 10.1097/BRS.0000000000004308. Epub 2021 Dec 15.
6
Analysis of the paraspinal muscle morphology of the lumbar spine using a convolutional neural network (CNN).使用卷积神经网络(CNN)分析腰椎旁肌肉形态。
Eur Spine J. 2022 Mar;31(3):774-782. doi: 10.1007/s00586-021-07073-y. Epub 2021 Dec 11.
7
Paraspinal muscle pathophysiology associated with low back pain and spine degenerative disorders.与腰痛和脊柱退行性疾病相关的椎旁肌病理生理学
JOR Spine. 2021 Sep 15;4(3):e1171. doi: 10.1002/jsp2.1171. eCollection 2021 Sep.
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Spine Deform. 2021 Nov;9(6):1617-1624. doi: 10.1007/s43390-021-00357-9. Epub 2021 Apr 28.
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Diagnostics (Basel). 2021 Feb 4;11(2):239. doi: 10.3390/diagnostics11020239.