Brachial Plexus Nerve Trunk Segmentation Using Deep Learning: A Comparative Study with Doctors' Manual Segmentation

Ultrasound-guided nerve block anesthesia (UGNB) is a high-tech visual nerve block anesthesia method that can observe the target nerve and its surrounding structures, the puncture needle's advancement, and local anesthetics spread in real-time. The key in UGNB is nerve identification. With the help of deep learning methods, the automatic identification or segmentation of nerves can be realized, assisting doctors in completing nerve block anesthesia accurately and efficiently. Here, we establish a public dataset containing 320 ultrasound images of brachial plexus (BP). Three experienced doctors jointly produce the BP segmentation ground truth and label brachial plexus trunks. We design a brachial plexus segmentation system (BPSegSys) based on deep learning. BPSegSys achieves experienced-doctor-level nerve identification performance in various experiments. We evaluate BPSegSys' performance in terms of intersection-over-union (IoU), a commonly used performance measure for segmentation experiments. Considering three dataset groups in our established public dataset, the IoU of BPSegSys are 0.5238, 0.4715, and 0.5029, respectively, which exceed the IoU 0.5205, 0.4704, and 0.4979 of experienced doctors. In addition, we show that BPSegSys can help doctors identify brachial plexus trunks more accurately, with IoU improvement up to 27%, which has significant clinical application value.

DC-SPP-YOLO: Dense Connection and Spatial Pyramid Pooling Based YOLO for Object Detection

Although YOLOv2 approach is extremely fast on object detection; its backbone network has the low ability on feature extraction and fails to make full use of multi-scale local region features, which restricts the improvement of object detection accuracy. Therefore, this paper proposed a DC-SPP-YOLO (Dense Connection and Spatial Pyramid Pooling Based YOLO) approach for ameliorating the object detection accuracy of YOLOv2. Specifically, the dense connection of convolution layers is employed in the backbone network of YOLOv2 to strengthen the feature extraction and alleviate the vanishing-gradient problem. Moreover, an improved spatial pyramid pooling is introduced to pool and concatenate the multi-scale local region features, so that the network can learn the object features more comprehensively. The DC-SPP-YOLO model is established and trained based on a new loss function composed of mean square error and cross entropy, and the object detection is realized. Experiments demonstrate that the mAP (mean Average Precision) of DC-SPP-YOLO proposed on PASCAL VOC datasets and UA-DETRAC datasets is higher than that of YOLOv2; the object detection accuracy of DC-SPP-YOLO is superior to YOLOv2 by strengthening feature extraction and using the multi-scale local region features.