Utilizing Deep Learning for X-ray Imaging: Detecting and Classifying Degenerative Spinal Conditions.

Autor: Ghauri MS; Neurosurgery, California University of Science and Medicine, Colton, USA., Reddy AJ; Medicine, California University of Science and Medicine, Colton, USA., Tak N; Medicine, Midwestern University Arizona College of Osteopathic Medicine, Glendale, USA., Tabaie EA; Medicine, California Northstate University College of Medicine, Elk Grove, USA., Ramnot A; Neurosurgery, Desert Regional Medical Center, Palm Springs, USA., Riazi Esfahani P; Medicine, California University of Science and Medicine, Colton, USA., Nawathey N; Health Sciences, California Northstate University College of Medicine, Elk Grove, USA., Siddiqi J; Neurosurgery, Desert Regional Medical Center, Palm Springs, USA.; Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.; Neurosurgery, Arrowhead Regional Medical Center, Colton, USA.; Neurosurgery, California University of Science and Medicine, Colton, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Jul 08; Vol. 15 (7), pp. e41582. Date of Electronic Publication: 2023 Jul 08 (Print Publication: 2023).
DOI: 10.7759/cureus.41582
Abstrakt: Background Degenerative spinal conditions (DSCs) involve a diverse set of pathologies that significantly impact health and quality of life, affecting many individuals at least once during their lifetime. Treatment approaches are varied and complex, reflecting the intricacy of spinal anatomy and kinetics. Diagnosis and management pose challenges, with the accurate detection of lesions further complicated by age-related degeneration and surgical implants. Technological advancements, particularly in artificial intelligence (AI) and deep learning, have demonstrated the potential to enhance detection of spinal lesions. Despite challenges in dataset creation and integration into clinical settings, further research holds promise for improved patient outcomes. Methods This study aimed to develop a DSC detection and classification model using a Kaggle dataset of 967 spinal X-ray images at the Department of Neurosurgery of Arrowhead Regional Medical Center, Colton, California, USA. Our entire workflow, including data preprocessing, training, validation, and testing, was performed by utilizing an online-cloud based AI platform. The model's performance was evaluated based on its ability to accurately classify certain DSCs (osteophytes, spinal implants, and foraminal stenosis) and distinguish these from normal X-rays. Evaluation metrics, including accuracy, precision, recall, and confusion matrix, were calculated.  Results The model achieved an average precision of 0.88, with precision and recall values of 87% and 83.3%, respectively, indicating its high accuracy in classifying DSCs and distinguishing these from normal cases. Sensitivity and specificity values were calculated as 94.12% and 96.68%, respectively. The overall accuracy of the model was calculated to be 89%.  Conclusion These findings indicate the utility of deep learning algorithms in enhancing early DSC detection and screening. Our platform is a cost-effective tool that demonstrates robust performance given a heterogeneous dataset. However, additional validation studies are required to evaluate the model's generalizability across different populations and optimize its seamless integration into various types of clinical practice.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Ghauri et al.)
Databáze: MEDLINE