Leveraging Gait Patterns as Biomarkers: An attention-guided Deep Multiple Instance Learning Network for Scoliosis Classification

Scoliosis is a spinal curvature disorder that is difficult to detect early and can compress the chest cavity, impacting respiratory function and cardiac health. Especially for adolescents, delayed detection and treatment result in worsening compression. Traditional scoliosis detection methods heavily rely on clinical expertise, and X-ray imaging poses radiation risks, limiting large-scale early screening. We propose an Attention-Guided Deep Multi-Instance Learning method (Gait-MIL) to effectively capture discriminative features from gait patterns, which is inspired by ScoNet-MT's pioneering use of gait patterns for scoliosis detection. We evaluate our method on the first large-scale dataset based on gait patterns for scoliosis classification. The results demonstrate that our study improves the performance of using gait as a biomarker for scoliosis detection, significantly enhances detection accuracy for the particularly challenging Neutral cases, where subtle indicators are often overlooked. Our Gait-MIL also performs robustly in imbalanced scenarios, making it a promising tool for large-scale scoliosis screening.