HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray Images

<p dir="ltr">Radiographic images are commonly used to detect aseptic loosening of the hip implant in patients with total hip replacement (THR) surgeries. These techniques of manual assessment by medical professionals can suffer from the drawback of low accuracy, poor inter-observer r...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Tawsifur Rahman (14150523) (author)
مؤلفون آخرون: Amith Khandakar (14151981) (author), Khandaker Reajul Islam (16904832) (author), Md Mohiuddin Soliman (16904835) (author), Mohammad Tariqul Islam (7854059) (author), Ahmed Elsayed (5055611) (author), Yazan Qiblawey (16904838) (author), Sakib Mahmud (15302404) (author), Ashiqur Rahman (3969347) (author), Farayi Musharavati (14571268) (author), Erfan Zalnezhad (16904841) (author), Muhammad E. H. Chowdhury (14150526) (author)
منشور في: 2022
الموضوعات:
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author Tawsifur Rahman (14150523)
author2 Amith Khandakar (14151981)
Khandaker Reajul Islam (16904832)
Md Mohiuddin Soliman (16904835)
Mohammad Tariqul Islam (7854059)
Ahmed Elsayed (5055611)
Yazan Qiblawey (16904838)
Sakib Mahmud (15302404)
Ashiqur Rahman (3969347)
Farayi Musharavati (14571268)
Erfan Zalnezhad (16904841)
Muhammad E. H. Chowdhury (14150526)
author2_role author
author
author
author
author
author
author
author
author
author
author
author_facet Tawsifur Rahman (14150523)
Amith Khandakar (14151981)
Khandaker Reajul Islam (16904832)
Md Mohiuddin Soliman (16904835)
Mohammad Tariqul Islam (7854059)
Ahmed Elsayed (5055611)
Yazan Qiblawey (16904838)
Sakib Mahmud (15302404)
Ashiqur Rahman (3969347)
Farayi Musharavati (14571268)
Erfan Zalnezhad (16904841)
Muhammad E. H. Chowdhury (14150526)
author_role author
dc.creator.none.fl_str_mv Tawsifur Rahman (14150523)
Amith Khandakar (14151981)
Khandaker Reajul Islam (16904832)
Md Mohiuddin Soliman (16904835)
Mohammad Tariqul Islam (7854059)
Ahmed Elsayed (5055611)
Yazan Qiblawey (16904838)
Sakib Mahmud (15302404)
Ashiqur Rahman (3969347)
Farayi Musharavati (14571268)
Erfan Zalnezhad (16904841)
Muhammad E. H. Chowdhury (14150526)
dc.date.none.fl_str_mv 2022-05-09T00:00:00Z
dc.identifier.none.fl_str_mv 10.1109/access.2022.3173424
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/HipXNet_Deep_Learning_Approaches_to_Detect_Aseptic_Loos-Ening_of_Hip_Implants_Using_X-Ray_Images/24056424
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Engineering
Biomedical engineering
Information and computing sciences
Machine learning
Implants
Hip
X-ray imaging
Surgery
Convolutional neural networks
Stacking
Reliability
Hip implant
Aseptic loosening
Total hip replacement
Convolutional neural network
Stacking technique
dc.title.none.fl_str_mv HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray Images
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Radiographic images are commonly used to detect aseptic loosening of the hip implant in patients with total hip replacement (THR) surgeries. These techniques of manual assessment by medical professionals can suffer from the drawback of low accuracy, poor inter-observer reliability, and delays due to the unavailability of experienced clinicians. Thus, the paper provides a reliable Deep Convolutional Neural Networks (DCNNs) based novel stacking approach (HipXNet) for detecting loosening of the hip implant using X-ray images. Two major investigations were done in this study. Firstly, the performance of four different state-of-the-art object detection YOLOv5 models was evaluated to detect the implant region from the hip X-ray images. Secondly, the study developed a stacking classifier using three different Convolutional neural networks (CNN) models to classify aseptic hip loosening and compared the performance with eight different state-of-the-art CNN networks. Moreover, one publicly accessible dataset with two sub-sets was created for these two experiments, where 200 hip implant X-ray images were collected and annotated by two expert radiologists for implant detection and 206 hip implant X-ray images were collected for loosening detection. YOLOv5m model outperformed the other variants of YOLOv5 to detect the implant region with the precision, recall, mean average precision (mAP) <sub>0.5</sub>, mAP <sub>0.5–0.95</sub> of 100%, 100%, 100%, and 87.8%, respectively. Densenet201 CNN model outperformed other CNN models with the accuracy, precision, sensitivity, F1 score, and specificity of 94.66%, 94.66%, 94.66%, 94.66%, and 94.5%, respectively while the stacking technique with Random Forest meta learner classifier produced the best performance with the accuracy, precision, sensitivity, F1 score and specificity of 96.11%, 96.42%, 96.42%, 96.42%, and 96.74% respectively for loosening detection. The reliability of the performance was confirmed by the popular Score-CAM visualization. This study can help in the early and fast identification of hip implant loosening with the help of simple X-ray images and computed aided diagnosis.</p><h2>Other Information</h2><p dir="ltr">Published in: IEEE Access<br>License: <a href="https://creativecommons.org/licenses/by/4.0/legalcode" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1109/access.2022.3173424" target="_blank">https://dx.doi.org/10.1109/access.2022.3173424</a></p>
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spelling HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray ImagesTawsifur Rahman (14150523)Amith Khandakar (14151981)Khandaker Reajul Islam (16904832)Md Mohiuddin Soliman (16904835)Mohammad Tariqul Islam (7854059)Ahmed Elsayed (5055611)Yazan Qiblawey (16904838)Sakib Mahmud (15302404)Ashiqur Rahman (3969347)Farayi Musharavati (14571268)Erfan Zalnezhad (16904841)Muhammad E. H. Chowdhury (14150526)Biomedical and clinical sciencesClinical sciencesEngineeringBiomedical engineeringInformation and computing sciencesMachine learningImplantsHipX-ray imagingSurgeryConvolutional neural networksStackingReliabilityHip implantAseptic looseningTotal hip replacementConvolutional neural networkStacking technique<p dir="ltr">Radiographic images are commonly used to detect aseptic loosening of the hip implant in patients with total hip replacement (THR) surgeries. These techniques of manual assessment by medical professionals can suffer from the drawback of low accuracy, poor inter-observer reliability, and delays due to the unavailability of experienced clinicians. Thus, the paper provides a reliable Deep Convolutional Neural Networks (DCNNs) based novel stacking approach (HipXNet) for detecting loosening of the hip implant using X-ray images. Two major investigations were done in this study. Firstly, the performance of four different state-of-the-art object detection YOLOv5 models was evaluated to detect the implant region from the hip X-ray images. Secondly, the study developed a stacking classifier using three different Convolutional neural networks (CNN) models to classify aseptic hip loosening and compared the performance with eight different state-of-the-art CNN networks. Moreover, one publicly accessible dataset with two sub-sets was created for these two experiments, where 200 hip implant X-ray images were collected and annotated by two expert radiologists for implant detection and 206 hip implant X-ray images were collected for loosening detection. YOLOv5m model outperformed the other variants of YOLOv5 to detect the implant region with the precision, recall, mean average precision (mAP) <sub>0.5</sub>, mAP <sub>0.5–0.95</sub> of 100%, 100%, 100%, and 87.8%, respectively. Densenet201 CNN model outperformed other CNN models with the accuracy, precision, sensitivity, F1 score, and specificity of 94.66%, 94.66%, 94.66%, 94.66%, and 94.5%, respectively while the stacking technique with Random Forest meta learner classifier produced the best performance with the accuracy, precision, sensitivity, F1 score and specificity of 96.11%, 96.42%, 96.42%, 96.42%, and 96.74% respectively for loosening detection. The reliability of the performance was confirmed by the popular Score-CAM visualization. This study can help in the early and fast identification of hip implant loosening with the help of simple X-ray images and computed aided diagnosis.</p><h2>Other Information</h2><p dir="ltr">Published in: IEEE Access<br>License: <a href="https://creativecommons.org/licenses/by/4.0/legalcode" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1109/access.2022.3173424" target="_blank">https://dx.doi.org/10.1109/access.2022.3173424</a></p>2022-05-09T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1109/access.2022.3173424https://figshare.com/articles/journal_contribution/HipXNet_Deep_Learning_Approaches_to_Detect_Aseptic_Loos-Ening_of_Hip_Implants_Using_X-Ray_Images/24056424CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/240564242022-05-09T00:00:00Z
spellingShingle HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray Images
Tawsifur Rahman (14150523)
Biomedical and clinical sciences
Clinical sciences
Engineering
Biomedical engineering
Information and computing sciences
Machine learning
Implants
Hip
X-ray imaging
Surgery
Convolutional neural networks
Stacking
Reliability
Hip implant
Aseptic loosening
Total hip replacement
Convolutional neural network
Stacking technique
status_str publishedVersion
title HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray Images
title_full HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray Images
title_fullStr HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray Images
title_full_unstemmed HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray Images
title_short HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray Images
title_sort HipXNet: Deep Learning Approaches to Detect Aseptic Loos-Ening of Hip Implants Using X-Ray Images
topic Biomedical and clinical sciences
Clinical sciences
Engineering
Biomedical engineering
Information and computing sciences
Machine learning
Implants
Hip
X-ray imaging
Surgery
Convolutional neural networks
Stacking
Reliability
Hip implant
Aseptic loosening
Total hip replacement
Convolutional neural network
Stacking technique