Deep learning-based automated bone age estimation for Saudi patients on hand radiograph images: a retrospective study.


Journal

BMC medical imaging
ISSN: 1471-2342
Titre abrégé: BMC Med Imaging
Pays: England
ID NLM: 100968553

Informations de publication

Date de publication:
01 Aug 2024
Historique:
received: 26 03 2024
accepted: 24 07 2024
medline: 2 8 2024
pubmed: 2 8 2024
entrez: 1 8 2024
Statut: epublish

Résumé

In pediatric medicine, precise estimation of bone age is essential for skeletal maturity evaluation, growth disorder diagnosis, and therapeutic intervention planning. Conventional techniques for determining bone age depend on radiologists' subjective judgments, which may lead to non-negligible differences in the estimated bone age. This study proposes a deep learning-based model utilizing a fully connected convolutional neural network(CNN) to predict bone age from left-hand radiographs. The data set used in this study, consisting of 473 patients, was retrospectively retrieved from the PACS (Picture Achieving and Communication System) of a single institution. We developed a fully connected CNN consisting of four convolutional blocks, three fully connected layers, and a single neuron as output. The model was trained and validated on 80% of the data using the mean-squared error as a cost function to minimize the difference between the predicted and reference bone age values through the Adam optimization algorithm. Data augmentation was applied to the training and validation sets yielded in doubling the data samples. The performance of the trained model was evaluated on a test data set (20%) using various metrics including, the mean absolute error (MAE), median absolute error (MedAE), root-mean-squared error (RMSE), and mean absolute percentage error (MAPE). The code of the developed model for predicting the bone age in this study is available publicly on GitHub at https://github.com/afiosman/deep-learning-based-bone-age-estimation . Experimental results demonstrate the sound capabilities of our model in predicting the bone age on the left-hand radiographs as in the majority of the cases, the predicted bone ages and reference bone ages are nearly close to each other with a calculated MAE of 2.3 [1.9, 2.7; 0.95 confidence level] years, MedAE of 2.1 years, RMAE of 3.0 [1.5, 4.5; 0.95 confidence level] years, and MAPE of 0.29 (29%) on the test data set. These findings highlight the usability of estimating the bone age from left-hand radiographs, helping radiologists to verify their own results considering the margin of error on the model. The performance of our proposed model could be improved with additional refining and validation.

Identifiants

pubmed: 39090563
doi: 10.1186/s12880-024-01378-2
pii: 10.1186/s12880-024-01378-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

199

Informations de copyright

© 2024. The Author(s).

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Auteurs

Zuhal Y Hamd (ZY)

Department of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia.

Amal I Alorainy (AI)

Department of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia.

Mohammed A Alharbi (MA)

Medical Imaging Department, KAAUH, Riyadh, Saudi Arabia.

Anas Hamdoun (A)

Medical Imaging Department, KAAUH, Riyadh, Saudi Arabia.

Arwa Alkhedeiri (A)

Medical Imaging Department, KAAUH, Riyadh, Saudi Arabia.

Shaden Alhegail (S)

Medical Imaging Department, KAAUH, Riyadh, Saudi Arabia.

Nurul Absar (N)

Department of Computer Science & Engineering, BGC Trust University Bangladesh, Chittagong, 4301, Bangladesh.

Mayeen Uddin Khandaker (MU)

Applied Physics and Radiation Technologies Group, CCDCU, School of Engineering and Technology, Sunway University, Bandar Sunway, Subang jaya, 47500, Malaysia.
Faculty of Graduate Studies, Daffodil International University, Daffodil Smart City, Birulia, Savar, Dhaka, 1216, Bangladesh.

Alexander F I Osman (AFI)

Department of Medical Physics, Al-Neelain University, Khartoum, 11121, Sudan. alexanderfadul@yahoo.com.

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