1. Sanders classification of calcaneal fractures in CT images with deep learning and differential data augmentation techniques
- Author
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I-Hui Hsieh, Pei-Yuan Lee, Jiing Yih Lai, Jia-Wei Liu, Jia-Ching Wang, and Nurya Aghnia Farda
- Subjects
ComputingMethodologies_IMAGEPROCESSINGANDCOMPUTERVISION ,Convolutional neural network ,Fractures, Bone ,03 medical and health sciences ,Deep Learning ,0302 clinical medicine ,Calcaneal fracture ,Histogram ,Distortion ,Humans ,Medicine ,Network performance ,Ankle Injuries ,General Environmental Science ,030222 orthopedics ,business.industry ,Deep learning ,030208 emergency & critical care medicine ,Pattern recognition ,medicine.disease ,Sanders classification ,Calcaneus ,Principal component analysis ,General Earth and Planetary Sciences ,Artificial intelligence ,Tomography, X-Ray Computed ,business - Abstract
Background Classification of the type of calcaneal fracture on CT images is essential in driving treatment. However, human-based classification can be challenging due to anatomical complexities and CT image constraints. The use of computer-aided classification system in standard practice is additionally hindered by the availability of training images. The aims of this study is to 1) propose a deep learning network combined with data augmentation technique to classify calcaneal fractures on CT images into the Sanders system, and 2) assess the efficiency of such approach with differential training methods. Methods In this study, the Principle component analysis (PCA) network was selected for the deep learning neural network architecture for its superior performance. CT calcaneal images were processed through PCA filters, binary hashing, and a block-wise histogram. The Augmentor pipeline including rotation, distortion, and flips was applied to generate artificial calcaneus fractured images. Two types of training approaches and five data sample sizes were investigated to evaluate the performance of the proposed system with and without data augmentation. Results Compared to the original performance, use of augmented images during training improved network performance accuracy by almost twofold in classifying Sanders fracture types for all dataset sizes. A fivefold increase in the number of augmented training images improved network classification accuracy by 35%. The proposed deep CNN model achieved 72% accuracy in classifying CT calcaneal images into the four Sanders categories when trained with sufficient augmented artificial images. Conclusion The proposed deep-learning algorithm coupled with data augmentation provides a feasible and efficient approach to the use of computer-aided system in assisting physicians in evaluating calcaneal fracture types.
- Published
- 2021