Lumbar Bone Mineral Density Estimation from Chest X-ray Images:
Anatomy-aware Attentive Multi-ROI Modeling
- URL: http://arxiv.org/abs/2201.01838v1
- Date: Wed, 5 Jan 2022 22:03:32 GMT
- Title: Lumbar Bone Mineral Density Estimation from Chest X-ray Images:
Anatomy-aware Attentive Multi-ROI Modeling
- Authors: Fakai Wang, Kang Zheng, Le Lu, Jing Xiao, Min Wu, Chang-Fu Kuo and
Shun Miao
- Abstract summary: Osteoporosis is a chronic metabolic bone disease that is often under-diagnosed and under-treated due to the limited access to bone mineral density examinations.
In this paper, we propose a method to predict BMD from Chest X-ray (CXR), one of the most commonly accessible and low-cost medical imaging examinations.
- Score: 23.014342480592873
- License: http://creativecommons.org/licenses/by/4.0/
- Abstract: Osteoporosis is a common chronic metabolic bone disease that is often
under-diagnosed and under-treated due to the limited access to bone mineral
density (BMD) examinations, e.g. via Dual-energy X-ray Absorptiometry (DXA). In
this paper, we propose a method to predict BMD from Chest X-ray (CXR), one of
the most commonly accessible and low-cost medical imaging examinations. Our
method first automatically detects Regions of Interest (ROIs) of local and
global bone structures from the CXR. Then a multi-ROI deep model with
transformer encoder is developed to exploit both local and global information
in the chest X-ray image for accurate BMD estimation. Our method is evaluated
on 13719 CXR patient cases with their ground truth BMD scores measured by
gold-standard DXA. The model predicted BMD has a strong correlation with the
ground truth (Pearson correlation coefficient 0.889 on lumbar 1). When applied
for osteoporosis screening, it achieves a high classification performance (AUC
0.963 on lumbar 1). As the first effort in the field using CXR scans to predict
the BMD, the proposed algorithm holds strong potential in early osteoporosis
screening and public health promotion.
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