Zizhao Peng

Zirui Zhou, Junhao Liang, Zizhao Peng et al.

Scoliosis presents significant diagnostic challenges, particularly in adolescents, where early detection is crucial for effective treatment. Traditional diagnostic and follow-up methods, which rely on physical examinations and radiography, face limitations due to the need for clinical expertise and the risk of radiation exposure, thus restricting their use for widespread early screening. In response, we introduce a novel video-based, non-invasive method for scoliosis classification using gait analysis, effectively circumventing these limitations. This study presents Scoliosis1K, the first large-scale dataset specifically designed for video-based scoliosis classification, encompassing over one thousand adolescents. Leveraging this dataset, we developed ScoNet, an initial model that faced challenges in handling the complexities of real-world data. This led to the development of ScoNet-MT, an enhanced model incorporating multi-task learning, which demonstrates promising diagnostic accuracy for practical applications. Our findings demonstrate that gait can serve as a non-invasive biomarker for scoliosis, revolutionizing screening practices through deep learning and setting a precedent for non-invasive diagnostic methodologies. The dataset and code are publicly available at https://zhouzi180.github.io/Scoliosis1K/.

Zirui Zhou, Zizhao Peng, Dongyang Jin et al.

Recent AI-based scoliosis screening methods primarily rely on large-scale silhouette datasets, often neglecting clinically relevant postural asymmetries-key indicators in traditional screening. In contrast, pose data provide an intuitive skeletal representation, enhancing clinical interpretability across various medical applications. However, pose-based scoliosis screening remains underexplored due to two main challenges: (1) the scarcity of large-scale, annotated pose datasets; and (2) the discrete and noise-sensitive nature of raw pose coordinates, which hinders the modeling of subtle asymmetries. To address these limitations, we introduce Scoliosis1K-Pose, a 2D human pose annotation set that extends the original Scoliosis1K dataset, comprising 447,900 frames of 2D keypoints from 1,050 adolescents. Building on this dataset, we introduce the Dual Representation Framework (DRF), which integrates a continuous skeleton map to preserve spatial structure with a discrete Postural Asymmetry Vector (PAV) that encodes clinically relevant asymmetry descriptors. A novel PAV-Guided Attention (PGA) module further uses the PAV as clinical prior to direct feature extraction from the skeleton map, focusing on clinically meaningful asymmetries. Extensive experiments demonstrate that DRF achieves state-of-the-art performance. Visualizations further confirm that the model leverages clinical asymmetry cues to guide feature extraction and promote synergy between its dual representations. The dataset and code are publicly available at https://zhouzi180.github.io/Scoliosis1K/.