Comprehensive Summary
This study proposed a 3D multi-tasking segmentation neural network to address difficulties in image segmentation of the hip for the diagnosis of hip osteoarthritis. The task for this convolutional neural network (CNN) is to segment images of the hip using CT scans and to reconstruct them as 3D models for clinicians to assess. This study employed a modified U-Net-based neural network that included a Transformer module and a boundary optimization algorithm. 125 single-leg CT cases were analyzed, with the data split into training and test groups at a 9:1 ratio. Dice coefficient, combined with Precision, Recall, ASD, and HD95, was used to construct a loss function assessment system. With all additions combined, the final constructed model was able to score a Dice coefficient of (0.95 ± 0.03). This data demonstrates that the constructed CNN is more effective than most other models represented in other literature. This study overall provides a valuable new model for segmentation and 3D reconstruction of the periarticular bone. With both high accuracy and fast generation times, this study’s model has high potential, but still requires clinical implementation for further improvement.
Outcomes and Implications
Segmentation and reconstruction of the periarticular bone of the hip is quite difficult and often requires long processing times. This model developed in this study has the potential to streamline the process of reconstruction using CT scans to only a few seconds, meaning time saved for clinicians and patients in the diagnosis of hip osteoarthritis. This study mentions that preliminary studies for clinical implementation by Orthopedic surgeons have begun, meaning that there will be continuing improvements for the model by the next year at least. While the study does not provide a timeline for implementation, it does provide a strong argument for more research into image reconstruction models across different fields.