论文标题
微弱的特征告诉:自动椎骨骨折筛查在对比度学习的帮助下
Faint Features Tell: Automatic Vertebrae Fracture Screening Assisted by Contrastive Learning
论文作者
论文摘要
长期椎骨骨折严重影响了患者的生活质量,导致脑诊断,腰部畸形甚至瘫痪。计算机断层扫描(CT)是在早期筛查该疾病的常见临床检查。然而,微弱的放射学表现和非特异性症状导致诊断的高风险很高,尤其是对于轻度的椎骨骨折。在本文中,我们认为增强微弱的断裂特征以鼓励阶层间的可分离性是提高准确性的关键。在此激励的情况下,我们提出了一个基于对比度学习的监督模型,以通过CT扫描估算Genent的椎骨骨折等级。作为一项辅助任务,受监督的对比学习在将其他人推开时缩小了同一类中特征的距离,从而增强了模型捕获椎骨骨折的微妙特征的能力。我们的方法的特异性为99%,在二元分类中的敏感性为85%,在多类分类中的宏F1为77%,这表明对比度学习显着提高了椎骨断裂筛查的准确性。考虑到该领域缺乏数据集,我们构建了一个数据库,其中包括经验丰富的放射科医生注释的208个样本。我们的脱敏数据和代码将公开为社区提供。
Long-term vertebral fractures severely affect the life quality of patients, causing kyphotic, lumbar deformity and even paralysis. Computed tomography (CT) is a common clinical examination to screen for this disease at early stages. However, the faint radiological appearances and unspecific symptoms lead to a high risk of missed diagnosis, especially for the mild vertebral fractures. In this paper, we argue that reinforcing the faint fracture features to encourage the inter-class separability is the key to improving the accuracy. Motivated by this, we propose a supervised contrastive learning based model to estimate Genent's Grade of vertebral fracture with CT scans. The supervised contrastive learning, as an auxiliary task, narrows the distance of features within the same class while pushing others away, enhancing the model's capability of capturing subtle features of vertebral fractures. Our method has a specificity of 99% and a sensitivity of 85% in binary classification, and a macro-F1 of 77% in multi-class classification, indicating that contrastive learning significantly improves the accuracy of vertebrae fracture screening. Considering the lack of datasets in this field, we construct a database including 208 samples annotated by experienced radiologists. Our desensitized data and codes will be made publicly available for the community.