Automated Vertebral Fracture Detection via CT Image Segmentation

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Solution Overview

Problem

Current methods for detecting vertebral fractures and assessing bone density are error-prone, particularly in semi-automatic approaches, and often fail to detect slight fractures, leading to inadequate diagnosis and treatment.

Innovation Solution

A fully automated method using 3D CT scans to detect and characterize vertebral fractures, involving contour determination of cortical bone, segmentation of vertebral bodies, and characterization of fractures through geometric features and machine learning algorithms, enabling accurate and efficient analysis.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If manual or semi-automatic methods are used for vertebral fracture detection, then device complexity is reduced, but measurement precision and reliability deteriorate due to human error

Engineering Contradiction:
Improvefracture detection accuracyVSAvoidautomation system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system performs self-assessment by automatically detecting vertebral fractures through algorithmic analysis of CT images. The computer executes predefined algorithms to identify fractures, calculate height loss percentages, and determine fracture grades without requiring manual measurement or interpretation, thereby eliminating human error while maintaining operational simplicity

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent replaces manual mechanical measurement methods with automated computational algorithms. Instead of physical calipers or manual image measurement tools, the system uses software-based algorithms to automatically detect vertebral boundaries, calculate heights, and identify fractures, substituting mechanical operations with computational processes that eliminate human variability

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

2Reliability

If semi-automatic assessment methods are used, then ease of operation is improved, but reliability deteriorates due to inconsistent diagnosis and treatment follow-up

Engineering Contradiction:
Improvediagnosis consistencyVSAvoidoperational simplicity
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The system performs self-assessment by automatically detecting vertebral fractures through algorithmic analysis of CT images. The computer executes predefined algorithms to identify fractures, calculate height loss percentages, and determine fracture grades without requiring manual measurement or interpretation, thereby eliminating human error while maintaining operational simplicity

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent establishes fixed threshold parameters for fracture detection, such as the 20% height loss criterion for defining a fracture. By converting subjective diagnostic criteria into objective, fixed parameter thresholds that the algorithm consistently applies, the system ensures uniform diagnosis across different cases and operators, eliminating variability in diagnostic standards

Inventive Principle:
Principle #35Parameter changes

3Measurement precision

If manual vertebral height measurement is performed, then ease of operation is maintained, but measurement precision deteriorates due to difficulty in detecting slight fractures

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

Solution Approach 1:

The system processes CT images continuously through automated algorithms that evaluate all vertebral bodies in the scan without interruption. The computer executes continuous image analysis, comparing each vertebral body against fracture criteria, ensuring that no potential fracture is missed due to selective or intermittent manual review, thereby detecting even slight fractures with high sensitivity

Inventive Principle:
Principle #20Continuity of useful action

Solution Approach 2:

The patent replaces manual mechanical measurement methods with automated computational algorithms. Instead of physical calipers or manual image measurement tools, the system uses software-based algorithms to automatically detect vertebral boundaries, calculate heights, and identify fractures, substituting mechanical operations with computational processes that eliminate human variability

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

4Productivity

If fully automated detection is implemented, then productivity is improved, but device complexity increases due to algorithmic requirements

Engineering Contradiction:
Improveassessment throughputVSAvoidalgorithm complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The patent divides the fracture detection process into distinct algorithmic segments: vertebral body identification, height measurement, fracture detection, and grading classification. By segmenting the complex assessment into modular computational steps, the system achieves high processing throughput while managing algorithmic complexity through structured, stepwise analysis of CT images

Inventive Principle:
Principle #1Segmentation

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The method provides high accuracy in detecting vertebral fractures and assessing bone density, improving early detection and treatment outcomes by reducing manual intervention and enhancing sensitivity in identifying fractures.

Implementation Method 1

3D CT scans to detect and characterize vertebral fractures

Methodology Applied
Scientific EffectX-ray attenuation: Absorption (EM radiation)

Data Source

PatentUS10588588B2Method for the fully automatic detection and assessment of damaged vertebrae
Publication Date: 2020.03.17 SIEMENS HEALTHINEERS AG
  • US10588588B2 patent drawing
  • US10588588B2 patent drawing
  • US10588588B2 patent drawing

AI summary

A method is disclosed for the automatic determination of the bone density and a method is disclosed for the automatic detection and characterization of spinal column fractures. Both methods enable the fully automatic detection and assessment of damaged vertebrae and reliably enable an analysis of the state of the vertebrae with a high accuracy rate. A computed tomography system to carry out either of the methods is further disclosed.