Intelligent measurement of adolescent idiopathic scoliosis x-ray coronal imaging parameters based on VB-Net neural network: a retrospective analysis of 2092 cases

Abstract Background Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional deformity, and up to now, there has been no literature reporting the analysis of a large sample of X-ray imaging parameters based on artificial intelligence (AI) for it. This study is based on the accurate and r...

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Main Authors: Jinlong Liu, Haoran Zhang, Pei Dong, Danyang Su, Zhen Bai, Yuanbo Ma, Qiuju Miao, Shenyu Yang, Shuaikun Wang, Xiaopeng Yang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Orthopaedic Surgery and Research
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Online Access:https://doi.org/10.1186/s13018-024-05383-7
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author Jinlong Liu
Haoran Zhang
Pei Dong
Danyang Su
Zhen Bai
Yuanbo Ma
Qiuju Miao
Shenyu Yang
Shuaikun Wang
Xiaopeng Yang
author_facet Jinlong Liu
Haoran Zhang
Pei Dong
Danyang Su
Zhen Bai
Yuanbo Ma
Qiuju Miao
Shenyu Yang
Shuaikun Wang
Xiaopeng Yang
author_sort Jinlong Liu
collection DOAJ
description Abstract Background Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional deformity, and up to now, there has been no literature reporting the analysis of a large sample of X-ray imaging parameters based on artificial intelligence (AI) for it. This study is based on the accurate and rapid measurement of x-ray coronal imaging parameters in AIS patients by AI, to explore the differences and correlations, and to further investigate the risk factors in different groups, so as to provide a theoretical basis for the diagnosis and surgical treatment of AIS. Methods Retrospective analysis of 3192 patients aged 8–18 years who had a full-length orthopantomogram of the spine and were diagnosed with AIS at the First Affiliated Hospital of Zhengzhou University from January 2019 to March 2024. After screened 2092 cases were finally included. The uAI DR scoliosis analysis system with multi-resolution VB-Net convolution network architecture was used to measure CA, CBD, CV, RSH, T1 Tilt, PT, LLD, SS, AVT, and TS parameters. The results were organized and analyzed by using R Studio 4.2.3 software. Results The differences in CA, CBD, CV, RSH, TI tilt, PT, LLD and SS were statistically significant between male and female genders (p < 0.05); Differences in CA, CBD, T1 Tilt, PT, SS, AVT and TS were statistically significant in patients with AIS of different severity (p < 0.001), and T1 Tilt, AVT, TS were risk factors; Differences in CA, CBD, CV, RSH, T1 Tilt, PT, LLD, SS, AVT and TS were statistically significant (p < 0.05) in patients with AIS of different curve types, and TS was a risk factor; Analyzing the correlation between parameters revealed a highly linear correlation between CV and RSH (r = 0.826, p < 0.001), and a significant linear correlation between CBD and TS, and PT and SS (r = 0.561, p < 0.001; r = 0.637, p < 0.001). Conclusion Measurements based on VB-Net neural network found that x-ray coronal imaging parameters varied among AIS patients with different curve types and severities. In clinical practice, it is recommended to consider the discrepancy in parameters to enable a more accurate diagnosis and a personalized treatment plan.
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spelling doaj-art-740a7ea7618448be803086e10b230a982025-01-05T12:41:24ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-01-0120111310.1186/s13018-024-05383-7Intelligent measurement of adolescent idiopathic scoliosis x-ray coronal imaging parameters based on VB-Net neural network: a retrospective analysis of 2092 casesJinlong Liu0Haoran Zhang1Pei Dong2Danyang Su3Zhen Bai4Yuanbo Ma5Qiuju Miao6Shenyu Yang7Shuaikun Wang8Xiaopeng Yang9Department of Radiology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Radiology, The First Affiliated Hospital of Zhengzhou UniversityUnited Imaging Intelligence (Beijing) Co., LtdDepartment of Radiology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Medical Equipment, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Radiology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Medical Equipment, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Medical Equipment, The First Affiliated Hospital of Zhengzhou UniversityBeijing United Imaging Research Institute of Intelligent ImagingDepartment of Medical Equipment, The First Affiliated Hospital of Zhengzhou UniversityAbstract Background Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional deformity, and up to now, there has been no literature reporting the analysis of a large sample of X-ray imaging parameters based on artificial intelligence (AI) for it. This study is based on the accurate and rapid measurement of x-ray coronal imaging parameters in AIS patients by AI, to explore the differences and correlations, and to further investigate the risk factors in different groups, so as to provide a theoretical basis for the diagnosis and surgical treatment of AIS. Methods Retrospective analysis of 3192 patients aged 8–18 years who had a full-length orthopantomogram of the spine and were diagnosed with AIS at the First Affiliated Hospital of Zhengzhou University from January 2019 to March 2024. After screened 2092 cases were finally included. The uAI DR scoliosis analysis system with multi-resolution VB-Net convolution network architecture was used to measure CA, CBD, CV, RSH, T1 Tilt, PT, LLD, SS, AVT, and TS parameters. The results were organized and analyzed by using R Studio 4.2.3 software. Results The differences in CA, CBD, CV, RSH, TI tilt, PT, LLD and SS were statistically significant between male and female genders (p < 0.05); Differences in CA, CBD, T1 Tilt, PT, SS, AVT and TS were statistically significant in patients with AIS of different severity (p < 0.001), and T1 Tilt, AVT, TS were risk factors; Differences in CA, CBD, CV, RSH, T1 Tilt, PT, LLD, SS, AVT and TS were statistically significant (p < 0.05) in patients with AIS of different curve types, and TS was a risk factor; Analyzing the correlation between parameters revealed a highly linear correlation between CV and RSH (r = 0.826, p < 0.001), and a significant linear correlation between CBD and TS, and PT and SS (r = 0.561, p < 0.001; r = 0.637, p < 0.001). Conclusion Measurements based on VB-Net neural network found that x-ray coronal imaging parameters varied among AIS patients with different curve types and severities. In clinical practice, it is recommended to consider the discrepancy in parameters to enable a more accurate diagnosis and a personalized treatment plan.https://doi.org/10.1186/s13018-024-05383-7Adolescent idiopathic scoliosisArtificial intelligenceVB-NetX-ray coronal planeIntelligent measurement
spellingShingle Jinlong Liu
Haoran Zhang
Pei Dong
Danyang Su
Zhen Bai
Yuanbo Ma
Qiuju Miao
Shenyu Yang
Shuaikun Wang
Xiaopeng Yang
Intelligent measurement of adolescent idiopathic scoliosis x-ray coronal imaging parameters based on VB-Net neural network: a retrospective analysis of 2092 cases
Journal of Orthopaedic Surgery and Research
Adolescent idiopathic scoliosis
Artificial intelligence
VB-Net
X-ray coronal plane
Intelligent measurement
title Intelligent measurement of adolescent idiopathic scoliosis x-ray coronal imaging parameters based on VB-Net neural network: a retrospective analysis of 2092 cases
title_full Intelligent measurement of adolescent idiopathic scoliosis x-ray coronal imaging parameters based on VB-Net neural network: a retrospective analysis of 2092 cases
title_fullStr Intelligent measurement of adolescent idiopathic scoliosis x-ray coronal imaging parameters based on VB-Net neural network: a retrospective analysis of 2092 cases
title_full_unstemmed Intelligent measurement of adolescent idiopathic scoliosis x-ray coronal imaging parameters based on VB-Net neural network: a retrospective analysis of 2092 cases
title_short Intelligent measurement of adolescent idiopathic scoliosis x-ray coronal imaging parameters based on VB-Net neural network: a retrospective analysis of 2092 cases
title_sort intelligent measurement of adolescent idiopathic scoliosis x ray coronal imaging parameters based on vb net neural network a retrospective analysis of 2092 cases
topic Adolescent idiopathic scoliosis
Artificial intelligence
VB-Net
X-ray coronal plane
Intelligent measurement
url https://doi.org/10.1186/s13018-024-05383-7
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