Disc-Centric Contrastive Learning for Lumbar Spine Severity Grading

Fuente: arXiv
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Auteurs principaux: Acharya, Sajjan, Kansakar, Pralisha
Format: Preprint
Publié: 2026
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author Acharya, Sajjan
Kansakar, Pralisha
author_facet Acharya, Sajjan
Kansakar, Pralisha
contents This work examines a disc-centric approach for automated severity grading of lumbar spinal stenosis from sagittal T2-weighted MRI. The method combines contrastive pretraining with disc-level fine-tuning, using a single anatomically localized region of interest per intervertebral disc. Contrastive learning is employed to help the model focus on meaningful disc features and reduce sensitivity to irrelevant differences in image appearance. The framework includes an auxiliary regression task for disc localization and applies weighted focal loss to address class imbalance. Experiments demonstrate a 78.1% balanced accuracy and a reduced severe-to-normal misclassification rate of 2.13% compared with supervised training from scratch. Detecting discs with moderate severity can still be challenging, but focusing on disc-level features provides a practical way to assess the lumbar spinal stenosis.
format Preprint
id arxiv_https___arxiv_org_abs_2602_05738
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Disc-Centric Contrastive Learning for Lumbar Spine Severity Grading
Acharya, Sajjan
Kansakar, Pralisha
Image and Video Processing
Computer Vision and Pattern Recognition
This work examines a disc-centric approach for automated severity grading of lumbar spinal stenosis from sagittal T2-weighted MRI. The method combines contrastive pretraining with disc-level fine-tuning, using a single anatomically localized region of interest per intervertebral disc. Contrastive learning is employed to help the model focus on meaningful disc features and reduce sensitivity to irrelevant differences in image appearance. The framework includes an auxiliary regression task for disc localization and applies weighted focal loss to address class imbalance. Experiments demonstrate a 78.1% balanced accuracy and a reduced severe-to-normal misclassification rate of 2.13% compared with supervised training from scratch. Detecting discs with moderate severity can still be challenging, but focusing on disc-level features provides a practical way to assess the lumbar spinal stenosis.
title Disc-Centric Contrastive Learning for Lumbar Spine Severity Grading
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2602.05738