Skip to main content

Advertisement

Log in

Bone age assessment based on deep convolution neural network incorporated with segmentation

  • Original Article
  • Published:
International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Bone age assessment is not only an important means of assessing maturity of adolescents, but also plays an indispensable role in the fields of orthodontics, kinematics, pediatrics, forensic science, etc. Most studies, however, do not take into account the impact of background noise on the results of the assessment. In order to obtain accurate bone age, this paper presents an automatic assessment method, for bone age based on deep convolutional neural networks.

Method

Our method was divided into two phases. In the image segmentation stage, the segmentation network U-Net was used to acquire the mask image which was then compared with the original image to obtain the hand bone portion after removing the background interference. For the classification phase, in order to further improve the evaluation performance, an attention mechanism was added on the basis of Visual Geometry Group Network (VGGNet). Attention mechanisms can help the model invest more resources in important areas of the hand bone.

Result

The assessment model was tested on the RSNA2017 Pediatric Bone Age dataset. The results show that our adjusted model outperforms the VGGNet. The mean absolute error can reach 9.997 months, which outperforms other common methods for bone age assessment.

Conclusion

We explored the establishment of an automated bone age assessment method based on deep learning. This method can efficiently eliminate the influence of background interference on bone age evaluation, improve the accuracy of bone age evaluation, provide important reference value for bone age determination, and can aid in the prevention of adolescent growth and development diseases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14

Similar content being viewed by others

References

  1. Kaiyu X (2007) On the development of bone age research. J Beijing Sport Univ 2007(07):944–945, 958

  2. Martin DD, Wit JM, Hochberg Z, Savendahl L, Van Rijn RR, Fricke O, Cameron N, Caliebe J, Hertel T, Kiepe D, Albertssonwikland K, Thodberg HH, Binder G, Ranke MB (2011) The use of bone age in clinical practice—part 1. Hormone Res Paediatr 76(1):1–9

    Article  CAS  Google Scholar 

  3. Cheung KM, Cheung JP, Samartzis D, Mak KC, Wong YW, Cheung WY, Akbarnia BA, Luk KD (2012) Magnetically controlled growing rods for severe spinal curvature in young children: a prospective case series. Lancet 379(9830):1967–1974

    Article  Google Scholar 

  4. Dominkus M, Krepler P, Schwameis E, Windhager R, Kotz R (2001) Growth prediction in extendable tumor prostheses in children. Clin Orthop Relat Res 390(390):212–220

    Article  Google Scholar 

  5. Duthie RB (1959) The significance of growth in orthopaedic surgery. Clin Orthop Relat Res 14:7–19

    Google Scholar 

  6. Thompson GH, Akbarnia BA, Campbell RM (2007) Growing rod techniques in early-onset scoliosis. J Pediatr Orthop 27(3):354–361

    Article  Google Scholar 

  7. Garn SM (1959) Radiographic atlas of skeletal development of the hand and wrist. Am J Hum Genet 11(3):282–283

    PubMed Central  Google Scholar 

  8. Kim SY, Oh YJ, Shin JY, Rhie YJ, Lee KH (2008) Comparison of the Greulich–Pyle and Tanner Whitehouse (TW3) methods in bone age assessment. J Korean Soc Pediatr Endocrinol 13(1):50–55

    Google Scholar 

  9. Mansourvar M, Ismail MA, Herawan T, Gopal Raj R, Abdul Kareem S, Nasaruddin FH (2013) Automated bone age assessment: motivation, taxonomies, and challenges. Comput Math Methods Med 2013:391626. https://doi.org/10.1155/2013/391626

    Article  PubMed  PubMed Central  Google Scholar 

  10. Michael DJ, Nelson AC (1989) HANDX: a model-based system for automatic segmentation of bones from digital hand radiographs. IEEE Trans Med Imaging 8(1):64

    Article  CAS  Google Scholar 

  11. Frisch H, Riedl S, Waldhor T (1996) Computer aided estimation of skeletal age and comparison with bone age evaluations by the method of Greulich-Pyle and Tanner-Whitehouse. Pediatr Radiol 26(3):226–231

    Article  CAS  Google Scholar 

  12. Pietka E, Gertych A, Pospiech S, Cao F, Huang HK, Gilsanz V (2001) Computer-assisted bone age assessment: image preprocessing and epiphyseal/metaphyseal ROI extraction. IEEE Trans Med Imaging 20(8):715–729

    Article  CAS  Google Scholar 

  13. Mahmoodi S, Sharif BS, Chester EG, Owen JP, Lee RE (1997) Automated vision system for skeletal age assessment using knowledge based techniques. In: International conference on image processing

  14. Mahmoodi S, Sharif BS, Chester EG, Owen JP, Lee RE (2000) Skeletal growth estimation using radiographic image processing and analysis. In: International conference of the IEEE engineering in medicine and biology society, vol 4, no 4, pp 292–297

  15. Bocchi L, Ferrara F, Nicoletti I, Valli G (2003) An artificial neural network architecture for skeletal age assessment. In: International conference on image processing

  16. Liang B, Zhai Y, Tong C, Zhao J, Li J, He X, Ma Q (2019) A deep automated skeletal bone age assessment model via region-based convolutional neural network. Future Gener Comput Syst 98:54–59

    Article  Google Scholar 

  17. Alom MZ, Taha TM, Yakopcic C, Westberg S, Sidike P, Nasrin MS, Hasan M, Van Essen BC, Awwal AAS, Asari VK (2019) A state-of-the-art survey on deep learning theory and architectures. Electronics 8:292

    Article  Google Scholar 

  18. Krizhevsky A, Sutskever I, Hinton GE (2012) ImageNet classification with deep convolutional neural networks. In: Neural information processing systems

  19. Deng J, Dong W, Socher R, Li L, Li K, Feifei L (2009) ImageNet: a large-scale hierarchical image database. In: Computer vision and pattern recognition

  20. Simonyan K, Zisserman A (2015) Very deep convolutional networks for large-scale image recognition. In: International conference on learning representations

  21. Szegedy C, Liu W, Jia Y, Sermanet P, Reed S, Anguelov D, Erhan D, Vanhoucke V, Rabinovich A (2015) Going deeper with convolutions. In: Computer vision and pattern recognition

  22. He K, Zhang X, Ren S, Sun J (2016) Deep residual learning for image recognition. In: Computer vision and pattern recognition

  23. Payan A, Montana G (2015) Predicting Alzheimer’s disease: a neuroimaging study with 3D convolutional neural networks. arXiv Computer vision and pattern recognition

  24. Gao X, Lin S, Wong TY (2015) Automatic feature learning to grade nuclear cataracts based on deep learning. IEEE Trans Biomed Eng 62(11):2693–2701

    Article  Google Scholar 

  25. Christ PF, Ettlinger F, Kaissis G, Schlecht S, Grün F, Valentinitsch A, Ahmadi S-A, Braren R, Menze B (2017) SurvivalNet: predicting patient survival from diffusion weighted magnetic resonance images using cascaded fully convolutional and 3D convolutional neural networks. In: International symposium on biomedical imaging

  26. Zheng H, Chen J, Yao X, Sangaiah AK, Jiang Y, Zhao C (2018) Clickbait convolutional neural network. Symmetry 10(5):138

    Article  Google Scholar 

  27. Sajjad M, Khan S, Hussain T, Muhammad K, Sangaiah AK, Castiglione A, Esposito C, Baik SW (2019) CNN-based anti-spoofing two-tier multi-factor authentication system. Pattern Recognit Lett 126:123–131

    Article  Google Scholar 

  28. Larson DB, Chen MC, Lungren MP, Halabi SS, Stence NV, Langlotz CP (2018) Performance of a deep-learning neural network model in assessing skeletal maturity on pediatric hand radiographs. Radiology 287(1):313

    Article  Google Scholar 

  29. Lee H, Tajmir S, Lee J, Zissen M, Yeshiwas BA, Alkasab TK, Choy G, Do S (2017) Fully automated deep learning system for bone age assessment. J Digit Imaging 30(4):427–441

    Article  Google Scholar 

  30. Spampinato C, Palazzo S, Giordano D, Aldinucci M, Leonardi R (2017) Deep learning for automated skeletal bone age assessment in X-ray images. Med Image Anal 36:41–51

    Article  CAS  Google Scholar 

  31. Ronneberger O, Fischer P, Brox T (2015) U-Net: convolutional networks for biomedical image segmentation. In: Medical image computing and computer assisted intervention

  32. RSNA Pediatric Bone Age Challenge (2017). http://rsnachallenges.cloudapp.net/competitions/4. Accessed 12 Dec 2017

  33. Simu S, Lal S (2017) A study about evolutionary and non-evolutionary segmentation techniques on hand radiographs for bone age assessment. Biomed Signal Process Control 33:220–235

    Article  Google Scholar 

  34. Fang B, Lu Y, Zhou Z, Li Z, Yan Y, Yang L, Jiao G, Li G (2019) Classification of genetically identical left and right irises using a convolutional neural network. Electronics 8(10):1109

    Article  Google Scholar 

  35. Ponzio F, Urgese G, Ficarra E, Di Cataldo S (2019) Dealing with lack of training data for convolutional neural networks: the case of digital pathology. Electronics 8(3):256

    Article  Google Scholar 

  36. Ioffe S, Szegedy C (2015) Batch normalization: accelerating deep network training by reducing internal covariate shift. arXiv preprint arXiv:1502.03167

  37. Wang F, Jiang M, Qian C, Yang S, Li C, Zhang H, Wang X, Tang X (2017) Residual attention network for image classification. In: Computer vision and pattern recognition

  38. Ma Z, Yin S (2018) Deep attention network for melanoma detection improved by color constancy. In: International conference on information technology in medicine and education

  39. Kingma DP, Ba J (2014) Adam: a method for stochastic optimization. arXiv Learning

  40. Abadi M, Agarwal A, Barham P, Brevdo E, Chen Z, Citro C, Corrado SG, Davis A, Dean J, Devin M, Ghemawat S, Goodfellow I, Harp A, Irving G, Isard M, Jia Y, Jozefowicz R, Kaiser L, Kudlur M, Levenberg J, Mane D, Monga R, Moore S, Murray GD, Olah C, Schuster M, Shlens J, Steiner B, Sutskever I, Talwar K, Tucker P, Vanhoucke V, Vasudevan KV, Viegas BF, Oriol Vinyals, Warden P, Wattenberg M, Wicke M, Yu Y, Zheng X (2015) TensorFlow: large-scale machine learning on heterogeneous distributed systems. arXiv Distributed, parallel, and cluster computing

  41. Gilsanz V, Ratib O (2005) Hand bone age: a digital atlas of skeletal maturity. Springer, Berlin

    Google Scholar 

  42. Szegedy C, Vanhoucke V, Ioffe S, Shlens J, Wojna Z (2016) Rethinking the inception architecture for computer vision. In: Computer vision and pattern recognition

  43. Szegedy C, Ioffe S, Vanhoucke V, Alemi AA (2016) Inception-v4, Inception-ResNet and the impact of residual connections on learning. In: National conference on artificial intelligence

  44. Huang G, Liu Z, Der Maaten LV, Weinberger KQ (2017) Densely connected convolutional networks. In: Computer vision and pattern recognition

Download references

Acknowledgements

This work was supported by National Natural Science Foundations of China (No. 61971168) and Natural Science Foundation of Zhejiang Province (No. LY18F030009).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yunyuan Gao.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Informed consent

This articles does not contain patient data.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gao, Y., Zhu, T. & Xu, X. Bone age assessment based on deep convolution neural network incorporated with segmentation. Int J CARS 15, 1951–1962 (2020). https://doi.org/10.1007/s11548-020-02266-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11548-020-02266-0

Keywords

Navigation