CurvNet: Latent Contour Representation and Iterative Data Engine for Curvature Angle Estimation
This addresses the need for accurate and efficient scoliosis screening in medical imaging, though it is incremental as it builds on existing methods with specific improvements.
The paper tackles the problem of automatic Cobb angle estimation from X-ray images for scoliosis diagnosis by proposing CurvNet, which uses latent contour representation and an iterative data engine, achieving state-of-the-art performance on multiple datasets including the largest released scoliosis X-ray dataset.
Curvature angle is a quantitative measurement of a curve, in which Cobb angle is customized for spinal curvature. Automatic Cobb angle measurement from X-ray images is crucial for scoliosis screening and diagnosis. However, most existing regression-based and segmentation-based methods struggle with inaccurate spine representations or mask connectivity and fragmentation issues. Besides, landmark-based methods suffer from insufficient training data and annotations. To address these challenges, we propose a novel curvature angle estimation framework named CurvNet including latent contour representation based contour detection and iterative data engine based image self-generation. Specifically, we propose a parameterized spine contour representation in latent space, which enables eigen-spine decomposition and spine contour reconstruction. Latent contour coefficient regression is combined with anchor box classification to solve inaccurate predictions and mask connectivity issues. Moreover, we develop a data engine with image self-generation, automatic annotation, and automatic selection in an iterative manner. By our data engine, we generate a clean dataset named Spinal-AI2024 without privacy leaks, which is the largest released scoliosis X-ray dataset to our knowledge. Extensive experiments on public AASCE2019, our private Spinal2023, and our generated Spinal-AI2024 datasets demonstrate that our method achieves state-of-the-art Cobb angle estimation performance. Our code and Spinal-AI2024 dataset are available at https://github.com/Ernestchenchen/CurvNet and https://github.com/Ernestchenchen/Spinal-AI2024, respectively.