3D Vertebral Fracture Detection Without Bone Segmentation

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Solution Overview

Problem

Current methods for detecting vertebral fractures in 3D medical images are limited by inter- and intra-observer variability, require detailed segmentation of bone structures, and fail to leverage the full potential of 3D image data, leading to inefficiencies in screening and early-stage diagnosis.

Innovation Solution

A three-dimensional medical image analysis system using machine learning, specifically a 3D image processor, voxel classifier, and fracture probability estimator, which analyzes 3D CT images without detailed segmentation, employing a Convolutional Neural Network (CNN) to classify voxels and estimate fracture probabilities, focusing on the spinal cord region to reduce computational load.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If detailed segmentation of bone structures is performed to detect vertebral fractures, then detection accuracy is improved, but processing time and computational resources increase significantly

Engineering Contradiction:
Improvefracture detection accuracyVSAvoidprocessing time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent divides the 3D image data into multiple 2D slices and processes them independently through the neural network. This segmentation approach allows parallel processing of multiple slices simultaneously, reducing overall processing time while maintaining the ability to detect fractures in the original 3D context by aggregating results from all slices.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent replaces traditional mechanical segmentation methods (manual or algorithmic boundary detection) with a neural network-based approach that directly classifies voxels as fractured or non-fractured. This substitution eliminates the need for complex preprocessing segmentation steps, reducing computational overhead while achieving comparable or superior detection accuracy through learned features from the training data.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Productivity

If traditional 2D slice analysis is used for vertebral fracture detection, then processing speed is improved, but information from the full 3D image is lost

Engineering Contradiction:
Improvescreening efficiencyVSAvoid3D image information
Core Design Contradiction:
ProductivityVSLoss of information

Solution Approach 1:

The patent processes 3D image data by slicing it into multiple 2D cross-sections that are then independently analyzed by the neural network. By training the network on multiple 2D slices from the same 3D volume, the system captures spatial relationships and structural information across different planes, effectively recovering 3D contextual information through aggregated 2D analysis without requiring computationally intensive full 3D processing.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

3Measurement precision

If manual vertebral fracture assessment is performed by radiologists, then diagnostic accuracy is improved, but inter- and intra-observer variability increases

Engineering Contradiction:
Improvediagnostic accuracyVSAvoidobserver consistency
Core Design Contradiction:
Measurement precisionVSReliability

Solution Approach 1:

The patent implements a self-learning neural network system that automatically assesses vertebral fractures without requiring manual radiologist interpretation. The system trains on labeled data to learn fracture patterns and then independently applies this knowledge to new cases, eliminating human variability. The automated system provides consistent measurements and classifications based on learned features rather than subjective human judgment, thereby improving reliability while maintaining diagnostic accuracy.

Inventive Principle:
Principle #25Self-service

Data Source

PatentEP3718077B1Three-dimensional medical image analysis method and system for identification of vertebral fractures
Publication Date: 2026.03.04 UCB BIOPHARMA SPRL
  • EP3718077B1 patent drawingFigure 1
  • EP3718077B1 patent drawingFigure 2
  • EP3718077B1 patent drawingFigure 3

AI summary

The present invention provides a machine-based learning method to estimate a probability of bone fractures in a 3D image, more specifically vertebral fractures. The method and system utilizing such method utilize a data-driven computational model to learn 3D image features for classifying vertebra fractures.