Pathology-Guided AI System for Accurate Segmentation and Diagnosis of Cervical Spondylosis

Fuente: arXiv
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Main Authors: Zhang, Qi, Chen, Xiuyuan, He, Ziyi, Wu, Lianming, Wang, Kun, Sun, Jianqi, Shen, Hongxing
Format: Preprint
Published: 2025
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author Zhang, Qi
Chen, Xiuyuan
He, Ziyi
Wu, Lianming
Wang, Kun
Sun, Jianqi
Shen, Hongxing
author_facet Zhang, Qi
Chen, Xiuyuan
He, Ziyi
Wu, Lianming
Wang, Kun
Sun, Jianqi
Shen, Hongxing
contents Cervical spondylosis, a complex and prevalent condition, demands precise and efficient diagnostic techniques for accurate assessment. While MRI offers detailed visualization of cervical spine anatomy, manual interpretation remains labor-intensive and prone to error. To address this, we developed an innovative AI-assisted Expert-based Diagnosis System that automates both segmentation and diagnosis of cervical spondylosis using MRI. Leveraging multi-center datasets of cervical MRI images from patients with cervical spondylosis, our system features a pathology-guided segmentation model capable of accurately segmenting key cervical anatomical structures. The segmentation is followed by an expert-based diagnostic framework that automates the calculation of critical clinical indicators. Our segmentation model achieved an impressive average Dice coefficient exceeding 0.90 across four cervical spinal anatomies and demonstrated enhanced accuracy in herniation areas. Diagnostic evaluation further showcased the system's precision, with the lowest mean average errors (MAE) for the C2-C7 Cobb angle and the Maximum Spinal Cord Compression (MSCC) coefficient. In addition, our method delivered high accuracy, precision, recall, and F1 scores in herniation localization, K-line status assessment, T2 hyperintensity detection, and Kang grading. Comparative analysis and external validation demonstrate that our system outperforms existing methods, establishing a new benchmark for segmentation and diagnostic tasks for cervical spondylosis.
format Preprint
id arxiv_https___arxiv_org_abs_2503_06114
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Pathology-Guided AI System for Accurate Segmentation and Diagnosis of Cervical Spondylosis
Zhang, Qi
Chen, Xiuyuan
He, Ziyi
Wu, Lianming
Wang, Kun
Sun, Jianqi
Shen, Hongxing
Image and Video Processing
Computer Vision and Pattern Recognition
Cervical spondylosis, a complex and prevalent condition, demands precise and efficient diagnostic techniques for accurate assessment. While MRI offers detailed visualization of cervical spine anatomy, manual interpretation remains labor-intensive and prone to error. To address this, we developed an innovative AI-assisted Expert-based Diagnosis System that automates both segmentation and diagnosis of cervical spondylosis using MRI. Leveraging multi-center datasets of cervical MRI images from patients with cervical spondylosis, our system features a pathology-guided segmentation model capable of accurately segmenting key cervical anatomical structures. The segmentation is followed by an expert-based diagnostic framework that automates the calculation of critical clinical indicators. Our segmentation model achieved an impressive average Dice coefficient exceeding 0.90 across four cervical spinal anatomies and demonstrated enhanced accuracy in herniation areas. Diagnostic evaluation further showcased the system's precision, with the lowest mean average errors (MAE) for the C2-C7 Cobb angle and the Maximum Spinal Cord Compression (MSCC) coefficient. In addition, our method delivered high accuracy, precision, recall, and F1 scores in herniation localization, K-line status assessment, T2 hyperintensity detection, and Kang grading. Comparative analysis and external validation demonstrate that our system outperforms existing methods, establishing a new benchmark for segmentation and diagnostic tasks for cervical spondylosis.
title Pathology-Guided AI System for Accurate Segmentation and Diagnosis of Cervical Spondylosis
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2503.06114