Segmentation Pre-training for Label-Efficient Lumbar Spine Degeneration Grading
- URL: http://arxiv.org/abs/2608.04810v1
- Date: Wed, 05 Aug 2026 13:14:46 GMT
- Title: Segmentation Pre-training for Label-Efficient Lumbar Spine Degeneration Grading
- Abstract summary: We pre-train a 3D ResNet encoder to segment the vertebrae, intervertebral discs (IVDs), and the spinal canal.<n>We fine-tune lightweight task-specific grading heads using different proportions of the available training data.<n>With only 20% of grading labels after pre-training, the method achieved near full-supervision performance.
- Score: 0.0
- License: http://arxiv.org/licenses/nonexclusive-distrib/1.0/
- Abstract: Automated assessment of degenerative pathology in the lumbar spine on magnetic resonance imaging (MRI) requires access to large-scale datasets of expert-annotated radiological gradings. In contrast, segmentation pseudo-labels can be generated by automated tools at negligible radiologist cost. We examine whether pre-training on segmentation can effectively replace a fraction of the manual grading annotations required for downstream supervision. We pre-train a 3D ResNet encoder to segment the vertebrae, intervertebral discs (IVDs), and the spinal canal, then fine-tune lightweight task-specific grading heads using different proportions of the available training data, ranging from $10\%$ to $100\%$. On a multicentre dataset of ${\sim}2{,}000$ subjects across 11 pathologies, segmentation pre-training, achieving a Dice score of $0.94$ against pseudo-labels, improved the task-averaged (macro) one-vs-rest ROC-AUC at all proportions. With only 20\% of grading labels after pre-training, the method achieved near full-supervision performance, with the largest gains observed for either low-prevalence or spatially grounded pathologies.
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