Btrfly Net: Vertebrae Labelling with Energy-based Adversarial Learning of Local Spine Prior
Anjany Sekuboyina, Markus Rempfler, Jan Kuka\v{c}ka, Giles Tetteh,, Alexander Valentinitsch, Jan S. Kirschke, and Bjoern H. Menze

TL;DR
This paper introduces Btrfly Net, a novel neural network architecture that leverages sagittal and coronal spine reformations combined with energy-based adversarial training to improve vertebrae labelling accuracy without post-processing.
Contribution
The work presents a new butterfly-shaped network architecture and an energy-based adversarial training method that encodes local spine structure as an anatomical prior.
Findings
Achieves state-of-the-art performance on a benchmark dataset
Operates without post-processing during inference
Effectively encodes local spine structure as a prior
Abstract
Robust localisation and identification of vertebrae is essential for automated spine analysis. The contribution of this work to the task is two-fold: (1) Inspired by the human expert, we hypothesise that a sagittal and coronal reformation of the spine contain sufficient information for labelling the vertebrae. Thereby, we propose a butterfly-shaped network architecture (termed Btrfly Net) that efficiently combines the information across reformations. (2) Underpinning the Btrfly net, we present an energy-based adversarial training regime that encodes local spine structure as an anatomical prior into the network, thereby enabling it to achieve state-of-art performance in all standard metrics on a benchmark dataset of 302 scans without any post-processing during inference.
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