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Automated universal fractures detection in X-ray images based on deep learning approach

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Abstract

At present, bone fracture is a common clinical disease, while the missed diagnosis or misdiagnosis of fracture is harmful to the recovery of patients. Fracture diagnosis often needs the X-ray image as an assistive tool and many fracture detection CAD systems on X-ray images have been explored. However, the majority of existing works mainly focus on detecting fractures in a specific human body part. It’s desirable and feasible to propose a more practical system that can detect various anatomical region fractures ideally due to their similar general fracture characteristics. In this paper, a universal fracture detection CAD system has been developed by us on X-ray images based on the deep learning method. Firstly, we design an image preprocessing method to improve the poor quality of these X-ray images and employ several data augmentation strategies to enlarge the used dataset. Secondly, based on our modified Ada-ResNeSt backbone network and the AC-BiFPN detection method, we propose our automatic fracture detection system. Finally, we establish a private universal fracture detection dataset MURA-D based on the public dataset MURA. As demonstrated by our comprehensive experiments, compared with other popular detectors, our method achieved a higher detection AP of 68.4% with an acceptable inference speed of 122 ms per image on the MURA-D test set, achieving promising results among the state-of-the-art detectors.

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Acknowledgments

This work is supported by the Innovation Capacity Construction Project of Jilin Province Development and Reform Commission(2021FGWCXNLJSSZ10),the National Key Research and Development Program of China (No. 2020YFA0714103) and the Science & Technology Development Project of Jilin Province, China (20190302117GX),the Fundamental Research Funds for the Central Universities, JLU.

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Correspondence to Shengsheng Wang.

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Lu, S., Wang, S. & Wang, G. Automated universal fractures detection in X-ray images based on deep learning approach. Multimed Tools Appl 81, 44487–44503 (2022). https://doi.org/10.1007/s11042-022-13287-z

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