Learning from the few: Fine-grained approach to pediatric wrist pathology recognition on a limited dataset

TL;DR

This paper presents a fine-grained deep learning approach for pediatric wrist pathology recognition on limited datasets, improving accuracy and sensitivity by automatically identifying discriminative regions in X-ray images without manual annotation.

Contribution

The study introduces a refined fine-grained architecture with ablation analysis and LION integration, enhancing pediatric wrist pathology detection from small datasets.

Findings

Achieved 86% and 84% accuracy on test sets.

Demonstrated 97% fracture sensitivity.

Outperformed state-of-the-art models on challenging data.

Abstract

Wrist pathologies, {particularly fractures common among children and adolescents}, present a critical diagnostic challenge. While X-ray imaging remains a prevalent diagnostic tool, the increasing misinterpretation rates highlight the need for more accurate analysis, especially considering the lack of specialized training among many surgeons and physicians. Recent advancements in deep convolutional neural networks offer promise in automating pathology detection in trauma X-rays. However, distinguishing subtle variations between {pediatric} wrist pathologies in X-rays remains challenging. Traditional manual annotation, though effective, is laborious, costly, and requires specialized expertise. {In this paper, we address the challenge of pediatric wrist pathology recognition with a fine-grained approach, aimed at automatically identifying discriminative regions in X-rays without manual intervention. We refine our fine-grained architecture through ablation analysis and the integration of LION.} Leveraging Grad-CAM, an explainable AI technique, we highlight these regions. Despite using limited data, reflective of real-world medical study constraints, our method consistently outperforms state-of-the-art image recognition models on both augmented and original (challenging) test sets. {Our proposed refined architecture achieves an increase in accuracy of 1.06% and 1.25% compared to the baseline method, resulting in accuracies of 86% and 84%, respectively. Moreover, our approach demonstrates the highest fracture sensitivity of 97%, highlighting its potential to enhance wrist pathology recognition. The implementation code can be found at https://github.com/ammarlodhi255/fine-grained-approach-to-wrist-pathology-recognition