R2MF-Net: A Recurrent Residual Multi-Path Fusion Network for Robust Multi-directional Spine X-ray Segmentation

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Main Authors: Li, Xuecheng, Jia, Weikuan, Sharipov, Komildzhon, Beknazarovich, Sharipov Hotam, Ataeva, Farzona S., Alisher, Qurbonaliev, Zheng, Yuanjie
Format: Preprint
Published: 2025
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author Li, Xuecheng
Jia, Weikuan
Sharipov, Komildzhon
Beknazarovich, Sharipov Hotam
Ataeva, Farzona S.
Alisher, Qurbonaliev
Zheng, Yuanjie
author_facet Li, Xuecheng
Jia, Weikuan
Sharipov, Komildzhon
Beknazarovich, Sharipov Hotam
Ataeva, Farzona S.
Alisher, Qurbonaliev
Zheng, Yuanjie
contents Accurate segmentation of spinal structures in X-ray images is a prerequisite for quantitative scoliosis assessment, including Cobb angle measurement, vertebral translation estimation and curvature classification. In routine practice, clinicians acquire coronal, left-bending and right-bending radiographs to jointly evaluate deformity severity and spinal flexibility. However, the segmentation step remains heavily manual, time-consuming and non-reproducible, particularly in low-contrast images and in the presence of rib shadows or overlapping tissues. To address these limitations, this paper proposes R2MF-Net, a recurrent residual multi-path encoder--decoder network tailored for automatic segmentation of multi-directional spine X-ray images. The overall design consists of a coarse segmentation network and a fine segmentation network connected in cascade. Both stages adopt an improved Inception-style multi-branch feature extractor, while a recurrent residual jump connection (R2-Jump) module is inserted into skip paths to gradually align encoder and decoder semantics. A multi-scale cross-stage skip (MC-Skip) mechanism allows the fine network to reuse hierarchical representations from multiple decoder levels of the coarse network, thereby strengthening the stability of segmentation across imaging directions and contrast conditions. Furthermore, a lightweight spatial-channel squeeze-and-excitation block (SCSE-Lite) is employed at the bottleneck to emphasize spine-related activations and suppress irrelevant structures and background noise. We evaluate R2MF-Net on a clinical multi-view radiograph dataset comprising 228 sets of coronal, left-bending and right-bending spine X-ray images with expert annotations.
format Preprint
id arxiv_https___arxiv_org_abs_2512_07576
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle R2MF-Net: A Recurrent Residual Multi-Path Fusion Network for Robust Multi-directional Spine X-ray Segmentation
Li, Xuecheng
Jia, Weikuan
Sharipov, Komildzhon
Beknazarovich, Sharipov Hotam
Ataeva, Farzona S.
Alisher, Qurbonaliev
Zheng, Yuanjie
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Accurate segmentation of spinal structures in X-ray images is a prerequisite for quantitative scoliosis assessment, including Cobb angle measurement, vertebral translation estimation and curvature classification. In routine practice, clinicians acquire coronal, left-bending and right-bending radiographs to jointly evaluate deformity severity and spinal flexibility. However, the segmentation step remains heavily manual, time-consuming and non-reproducible, particularly in low-contrast images and in the presence of rib shadows or overlapping tissues. To address these limitations, this paper proposes R2MF-Net, a recurrent residual multi-path encoder--decoder network tailored for automatic segmentation of multi-directional spine X-ray images. The overall design consists of a coarse segmentation network and a fine segmentation network connected in cascade. Both stages adopt an improved Inception-style multi-branch feature extractor, while a recurrent residual jump connection (R2-Jump) module is inserted into skip paths to gradually align encoder and decoder semantics. A multi-scale cross-stage skip (MC-Skip) mechanism allows the fine network to reuse hierarchical representations from multiple decoder levels of the coarse network, thereby strengthening the stability of segmentation across imaging directions and contrast conditions. Furthermore, a lightweight spatial-channel squeeze-and-excitation block (SCSE-Lite) is employed at the bottleneck to emphasize spine-related activations and suppress irrelevant structures and background noise. We evaluate R2MF-Net on a clinical multi-view radiograph dataset comprising 228 sets of coronal, left-bending and right-bending spine X-ray images with expert annotations.
title R2MF-Net: A Recurrent Residual Multi-Path Fusion Network for Robust Multi-directional Spine X-ray Segmentation
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2512.07576