Direct Automated Quantitative Measurement of Spine via Cascade Amplifier Regression Network

Automated quantitative measurement of the spine (i.e., multiple indices estimation of heights, widths, areas, and so on for the vertebral body and disc) is of the utmost importance in clinical spinal disease diagnoses, such as osteoporosis, intervertebral disc degeneration, and lumbar disc herniation, yet still an unprecedented challenge due to the variety of spine structure and the high dimensionality of indices to be estimated. In this paper, we propose a novel cascade amplifier regression network (CARN), which includes the CARN architecture and local shape-constrained manifold regularization (LSCMR) loss function, to achieve accurate direct automated multiple indices estimation. The CARN architecture is composed of a cascade amplifier network (CAN) for expressive feature embedding and a linear regression model for multiple indices estimation. The CAN consists of cascade amplifier units (AUs), which are used for selective feature reuse by stimulating effective feature and suppressing redundant feature during propagating feature map between adjacent layers, thus an expressive feature embedding is obtained. During training, the LSCMR is utilized to alleviate overfitting and generate realistic estimation by learning the multiple indices distribution. Experiments on MR images of 195 subjects show that the proposed CARN achieves impressive performance with mean absolute errors of 1.2496 mm, 1.2887 mm, and 1.2692 mm for estimation of 15 heights of discs, 15 heights of vertebral bodies, and total indices respectively. The proposed method has great potential in clinical spinal disease diagnoses.