The application discloses an adaptive multi-
modal deep learning bone age assessment method, belonging to the technical field of medical
image processing, and comprising the following steps: carrying out anatomical
perception preprocessing on a hand X-
ray film, generating a binary skeleton
mask by using a pre-training model, assigning differentiated
mask probabilities to a skeleton and a background region and performing Bernoulli sampling, superimposing an antagonistic
mask enhancement, and strictly prohibiting the shielding of a
radius bone, a distal
ulna bone and a metacarpal
bone epiphysis; inputting the mask image into an asymmetric Swin-Base
encoder, calculating only the features of unmasked blocks, fusing gender and age
metadata mapped through an embedding layer, and outputting fused features through cross attention; constructing a localized reference
library, obtaining an initial
bone age based on the fused features through K nearest neighbors, calculating a shift coefficient by using a development shift predictor, dynamically shrinking a sliding window with the initial value as the center and iteratively correcting until convergence to output a preliminary point estimate. The scheme fuses anatomical masks and
metadata priori, eliminates cross-
population bias, is resistant to shielding artifacts and has improved precision.