banner

Automatic distal radius fracture detection and classification using deep convolutional neural network with radiological images

Iffath Misbah, Aadithiyan Sekar, Sathish Muthu, C. Prajitha, Girinivasan Chellamuthu, Munis Ashraf, Mahalakshmi Mahalakshmi

Abstract


Distal radius fractures (DRF) are among the most common fractures and are often treated surgically. The accuracy and effectiveness of the surgical procedures greatly depend on the correct classification of distal radius fractures. Wrist fractures are the most commonly misclassified because of the wrist bone’s complex anatomical structure, including several different bones. Thus, it is evident that models based on machine learning (ML) and artificial intelligence (AI) are required, with an emphasis on making them user-friendly for everyday clinical practice. Hence, this study proposes the Deep Convolutional Neural Network-based Distal Radius Fracture Classification Model (DCNN-DRFCM) to diagnose DRFs using anteroposterior and lateral wrist radiographs. The goal of this work is to develop an artificial intelligence system that can learn to utilize X-ray pictures to correctly diagnose distal radius fractures with a small amount of information. Labelling assessments with fractures and overlaying fracture masks generates images that may be used for testing and training segmentation and classification methods. The DCNN model analyzed DRF based on three views: lateral, anteroposterior, and lateral and anteroposterior views. The experimental outcomes demonstrate that the recommended model increases the classification accuracy rate of 99.3%, sensitivity rate of 96.5%, specificity rate of 97.8%, and F1-score rate of 95.6% and reduces the error rate of 11.2% compared to other popular approaches.


Keywords


distal radius fracture; classification; deep convolutional neural network; radiological images; classification; artificial intelligence

Full Text:

PDF

References


1. Chung KC, Kim HM, Malay S, et al. Comparison of 24-month outcomes after treatment for distal radius fracture: The WRIST randomized clinical trial: The WRIST randomized clinical trial. JAMA Netw. Open. 2021; 4(6): e2112710.

2. Fares AB, Childs BR, Polmear MM, et al. Dorsal Bridge Plate for Distal Radius Fractures: A Systematic Review. The Journal of Hand Surgery. 2021; 46(7): 627.e1-627.e8. doi: 10.1016/j.jhsa.2020.11.026

3. Forde C, Nicolson PJ, Vye C, et al. Lower limb muscle strength and balance in older adults with a distal radius fracture: a systematic review. BMC Musculoskeletal Disorders. 2023; 24(1). doi: 10.1186/s12891-023-06711-4

4. Dutton LK, Rhee PC. Complex Regional Pain Syndrome and Distal Radius Fracture. Hand Clinics. 2021; 37(2): 315-322. doi: 10.1016/j.hcl.2021.02.013

5. Shen O, Chen CT, Jupiter JB, et al. Functional outcomes and complications after treatment of distal radius fracture in patients sixty years and over: A systematic review and network meta-analysis. Injury. 2023; 54(7): 110767. doi: 10.1016/j.injury.2023.04.054

6. Greig D, Silva M. Management of Distal Radius Fractures in Adolescent Patients. Journal of Pediatric Orthopaedics. 2021; 41(Suppl 1): S1-S5. doi: 10.1097/bpo.0000000000001778

7. Abitbol A, Merlini L, Masmejean EH, et al. Applying the WALANT technique to surgical treatment of distal radius fractures. Hand Surgery and Rehabilitation. 2021; 40(3): 277-282. doi: 10.1016/j.hansur.2021.02.001

8. Gutiérrez-Espinoza H, Araya-Quintanilla F, Olguín-Huerta C, et al. Effectiveness of surgical versus conservative treatment of distal radius fractures in elderly patients: A systematic review and meta-analysis. Orthopaedics & Traumatology: Surgery & Research. 2022; 108(5): 103323. doi: 10.1016/j.otsr.2022.103323

9. Belloti JC, Alves BVP, Faloppa F, et al. The malunion of distal radius fracture: Corrective osteotomy through planning with prototyping in 3D printing. Injury. 2021; 52: S44-S48. doi: 10.1016/j.injury.2021.05.048

10. Liu X, Miramini S, Patel M, et al. Development of numerical model-based machine learning algorithms for different healing stages of distal radius fracture healing. Computer Methods and Programs in Biomedicine. 2023; 233: 107464. doi: 10.1016/j.cmpb.2023.107464

11. Suzuki T, Maki S, Yamazaki T, et al. Detecting Distal Radial Fractures from Wrist Radiographs Using a Deep Convolutional Neural Network with an Accuracy Comparable to Hand Orthopedic Surgeons. Journal of Digital Imaging. 2021; 35(1): 39-46. doi: 10.1007/s10278-021-00519-1

12. Tanzi L, Vezzetti E, Moreno R, et al. X-Ray Bone Fracture Classification Using Deep Learning: A Baseline for Designing a Reliable Approach. Applied Sciences. 2020; 10(4): 1507. doi: 10.3390/app10041507

13. Raisuddin AM, Vaattovaara E, Nevalainen M, et al. Critical evaluation of deep neural networks for wrist fracture detection. Scientific Reports. 2021; 11(1). doi: 10.1038/s41598-021-85570-2

14. Sequeira SB, Grainger ML, Mitchell AM, et al. Machine Learning Improves Functional Upper Extremity Use Capture in Distal Radius Fracture Patients. Plastic and Reconstructive Surgery - Global Open. 2022; 10(8): e4472. doi: 10.1097/gox.0000000000004472

15. Dupuis M, Delbos L, Veil R, et al. External validation of a commercially available deep learning algorithm for fracture detection in children. Diagnostic and Interventional Imaging. 2022; 103(3): 151-159. doi: 10.1016/j.diii.2021.10.007

16. Ren M, Yi PH. Deep learning detection of subtle fractures using staged algorithms to mimic radiologist search pattern. Skeletal Radiology. 2021; 51(2): 345-353. doi: 10.1007/s00256-021-03739-2

17. Yang F, Cong R, Xing M, et al. Study on AO classification of distal radius fractures based on multi-feature fusion. Journal of Physics: Conference Series. 2021; 1800(1): 012006. doi: 10.1088/1742-6596/1800/1/012006

18. Hardalaç F, Uysal F, Peker O, et al. Fracture Detection in Wrist X-ray Images Using Deep Learning-Based Object Detection Models. Sensors. 2022; 22(3): 1285. doi: 10.3390/s22031285

19. Hržić F, Tschauner S, Sorantin E, et al. Fracture Recognition in Paediatric Wrist Radiographs: An Object Detection Approach. Mathematics. 2022; 10(16): 2939. doi: 10.3390/math10162939

20. Meena T, Roy S. Bone Fracture Detection Using Deep Supervised Learning from Radiological Images: A Paradigm Shift. Diagnostics. 2022; 12(10): 2420. doi: 10.3390/diagnostics12102420

21. Malik S, Amin J, Sharif M, et al. Fractured Elbow Classification Using Hand-Crafted and Deep Feature Fusion and Selection Based on Whale Optimization Approach. Mathematics. 2022; 10(18): 3291. doi: 10.3390/math10183291

22. Rashid T, Zia MS, Najam-ur-Rehman, et al. A Minority Class Balanced Approach Using the DCNN-LSTM Method to Detect Human Wrist Fracture. Life. 2023; 13(1): 133. doi: 10.3390/life13010133

23. Dey RK, Das AK. Modified term frequency-inverse document frequency based deep hybrid framework for sentiment analysis. Multimedia Tools and Applications. 2023; 82(21): 32967-32990. doi: 10.1007/s11042-023-14653-1

24. Dey RK, Das AK. Neighbour adjusted dispersive flies optimization based deep hybrid sentiment analysis framework. Multimedia Tools and Applications. Published online January 15, 2024. doi: 10.1007/s11042-023-17953-8

25. SMCH. Available online: https://www.smc.saveetha.com/ (accessed on 20 February 2024).




DOI: https://doi.org/10.32629/jai.v7i5.1632

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Iffath Misbah, Aadithiyan Sekar, Sathish Muthu, C. Prajitha, Girinivasan Chellamuthu, Munis Ashraf, Mahalakshmi

License URL: https://creativecommons.org/licenses/by-nc/4.0/