KneeXNeT: An Ensemble-Based Approach for Knee Radiographic Evaluation

Knee osteoarthritis (OA) is the most common joint disorder and a leading cause of disability. Diagnosing OA severity typically requires expert assessment of X-ray images and is commonly based on the Kellgren-Lawrence grading system, a time-intensive process. This study aimed to develop an automated deep learning model to classify knee OA severity, reducing the need for expert evaluation. First, we evaluated ten state-of-the-art deep learning models, achieving a top accuracy of 0.69 with individual models. To address class imbalance, we employed weighted sampling, improving accuracy to 0.70. We further applied Smooth-GradCAM++ to visualize decision-influencing regions, enhancing the explainability of the best-performing model. Finally, we developed ensemble models using majority voting and a shallow neural network. Our ensemble model, KneeXNet, achieved the highest accuracy of 0.72, demonstrating its potential as an automated tool for knee OA assessment.

Spinal Osteophyte Detection via Robust Patch Extraction on minimally annotated X-rays

The development and progression of arthritis is strongly associated with osteophytes, which are small and elusive bone growths. This paper presents one of the first efforts towards automated spinal osteophyte detection in spinal X-rays. A novel automated patch extraction process, called SegPatch, has been proposed based on deep learning-driven vertebrae segmentation and the enlargement of mask contours. A final patch classification accuracy of 84.5\% is secured, surpassing a baseline tiling-based patch generation technique by 9.5%. This demonstrates that even with limited annotations, SegPatch can deliver superior performance for detection of tiny structures such as osteophytes. The proposed approach has potential to assist clinicians in expediting the process of manually identifying osteophytes in spinal X-ray.