Detecting Bone Lesions in X-Ray Under Diverse Acquisition Conditions

TL;DR

This paper presents an automatic bone lesion detection algorithm in diverse X-ray radiographs, combining a novel preprocessing pipeline with an object detection model to improve early diagnosis of bone cancer.

Contribution

It introduces a dedicated preprocessing stage using vision transformers and histogram equalization to handle diverse radiograph data, enhancing lesion detection accuracy.

Findings

Achieved 82.43% sensitivity at 1.5% false-positive rate.

Surpassed existing preprocessing methods in detection performance.

Attained 82.5% accuracy with an IoU of 0.69.

Abstract

The diagnosis of primary bone tumors is challenging, as the initial complaints are often non-specific. Early detection of bone cancer is crucial for a favorable prognosis. Incidentally, lesions may be found on radiographs obtained for other reasons. However, these early indications are often missed. In this work, we propose an automatic algorithm to detect bone lesions in conventional radiographs to facilitate early diagnosis. Detecting lesions in such radiographs is challenging: first, the prevalence of bone cancer is very low; any method must show high precision to avoid a prohibitive number of false alarms. Second, radiographs taken in health maintenance organizations (HMOs) or emergency departments (EDs) suffer from inherent diversity due to different X-ray machines, technicians and imaging protocols. This diversity poses a major challenge to any automatic analysis method. We propose to train an off-the-shelf object detection algorithm to detect lesions in radiographs. The novelty of our approach stems from a dedicated preprocessing stage that directly addresses the diversity of the data. The preprocessing consists of self-supervised region-of-interest detection using vision transformer (ViT), and a foreground-based histogram equalization for contrast enhancement to relevant regions only. We evaluate our method via a retrospective study that analyzes bone tumors on radiographs acquired from January 2003 to December 2018 under diverse acquisition protocols. Our method obtains 82.43% sensitivity at 1.5% false-positive rate and surpasses existing preprocessing methods. For lesion detection, our method achieves 82.5% accuracy and an IoU of 0.69. The proposed preprocessing method enables to effectively cope with the inherent diversity of radiographs acquired in HMOs and EDs.