Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Detection and Classification of Scaphoid Fracture in Radiograph by Using the Convolutional Neural Network

Version 1 : Received: 19 September 2024 / Approved: 19 September 2024 / Online: 19 September 2024 (13:53:32 CEST)

How to cite: Horng, M.-H.; Yang, T.-H.; Sun, Y.-N.; Li, R.-S. The Detection and Classification of Scaphoid Fracture in Radiograph by Using the Convolutional Neural Network. Preprints 2024, 2024091539. https://doi.org/10.20944/preprints202409.1539.v1 Horng, M.-H.; Yang, T.-H.; Sun, Y.-N.; Li, R.-S. The Detection and Classification of Scaphoid Fracture in Radiograph by Using the Convolutional Neural Network. Preprints 2024, 2024091539. https://doi.org/10.20944/preprints202409.1539.v1

Abstract

Objective: Scaphoid fractures, particularly occult and non-displaced fractures, are difficult to detect using traditional X-ray methods due to their subtle appearance and variability in bone density. The study proposes a two-stage CNN approach to detect and classify scaphoid fractures using anterior-posterior (AP) and lateral (LA) X-ray views for more accurate diagnosis. Methods: The study emphasizes the use of multi-view X-ray images (AP and LA views) to improve fracture detection and classification. The multi-view fusion module helps integrate information from both views to enhance detection accuracy, particularly for occult fractures that may not be visible in a single view. The proposed method includes two stages that are stage 1: Detect the scaphoid bone using Faster R-CNN and Feature Pyramid Network (FPN) for region proposal and small object detection. The detection accuracy for scaphoid localization is 100% with Intersection over Union (IoU) scores of 0.8662 for AP views and 0.8478 for LA views. And stage 2: Perform fracture classification using a ResNet backbone and FPN combined with a multi-view fusion module to combine features from both AP and LA views. This stage achieves a classification accuracy of 89.94%, recall of 87.33%, and precision of 90.36%. Results: The proposed model performs well in both scaphoid bone detection and fracture classification. The multi-view fusion approach significantly improves recall and accuracy in detecting fractures compared to single-view approaches. In scaphoid detection, both AP and LA views achieved 100% detection accuracy. In fracture detection, using multi-view fusion, the accuracy for AP views reached 87.16%, and for LA views, it reached 83.83%. Conclusion: The multi-view fusion model effectively improves the detection of scaphoid fractures, particularly in cases of occult and non-displaced fractures. The model provides a reliable, automated approach to assist clinicians in detecting and diagnosing scaphoid fractures more efficiently.

Keywords

medical image; scaphoid bone; scaphoid fractures,; multi-view detection and segmantation; convolutional neural network

Subject

Engineering, Bioengineering

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