Background: Accurate spinal structure measurement is crucial for assessing spine health and diagnosing conditions like spondylosis, disc herniation, and stenosis. Manual methods for measuring intervertebral disc height and spinal canal diameter are subjective and time-consuming. Automated solutions are needed to improve accuracy, efficiency, and reproducibility in clinical practice. Purpose: This study develops an autonomous AI system for segmenting and measuring key spinal structures in MRI scans, focusing on intervertebral disc height and spinal canal anteroposterior (AP) diameter in the cervical, lumbar, and thoracic regions. The goal is to reduce clinician workload, enhance diagnostic consistency, and improve assessments. Methods: The AI model leverages deep learning architectures, including UNet, nnU-Net, and CNNs. Trained on a large proprietary MRI dataset, it was validated against expert annotations. Performance was evaluated using Dice coefficients and segmentation accuracy. Results: The AI model achieved Dice coefficients of 0.94 for lumbar, 0.91 for cervical, and 0.90 for dorsal spine segmentation (D1-D12). It precisely measured spinal parameters like disc height and canal diameter, demonstrating robustness and clinical applicability. Conclusion: The AI system effectively automates MRI-based spinal measurements, improving accuracy and reducing clinician workload. Its consistent performance across spinal regions supports clinical decision-making, particularly in high-demand settings, enhancing spinal assessments and patient outcomes.

Automated lumbar spine segmentation is very crucial for modern diagnosis systems. In this study, we introduce a novel machine-agnostic approach for segmenting lumbar vertebrae and intervertebral discs from MRI images, employing a cascaded model that synergizes an ROI detection and a Self-organized Operational Neural Network (Self-ONN)-based encoder-decoder network for segmentation. Addressing the challenge of diverse MRI modalities, our methodology capitalizes on a unique dataset comprising images from 12 scanners and 34 subjects, enhanced through strategic preprocessing and data augmentation techniques. The YOLOv8 medium model excels in ROI extraction, achieving an excellent performance of 0.916 mAP score. Significantly, our Self-ONN-based model, combined with a DenseNet121 encoder, demonstrates excellent performance in lumbar vertebrae and IVD segmentation with a mean Intersection over Union (IoU) of 83.66%, a sensitivity of 91.44%, and Dice Similarity Coefficient (DSC) of 91.03%, as validated through rigorous 10-fold cross-validation. This study not only showcases an effective approach to MRI segmentation in spine-related disorders but also sets the stage for future advancements in automated diagnostic tools, emphasizing the need for further dataset expansion and model refinement for broader clinical applicability.

This study introduces a diffusion-based framework for robust and accurate segmenton of vertebrae, intervertebral discs (IVDs), and spinal canal from Magnetic Resonance Imaging~(MRI) scans of patients with low back pain (LBP), regardless of whether the scans are T1w or T2-weighted. The results showed that SpineSegDiff achieved comparable outperformed non-diffusion state-of-the-art models in the identification of degenerated IVDs. Our findings highlight the potential of diffusion models to improve LBP diagnosis and management through precise spine MRI analysis.

Labeling vertebral discs from MRI scans is important for the proper diagnosis of spinal related diseases, including multiple sclerosis, amyotrophic lateral sclerosis, degenerative cervical myelopathy and cancer. Automatic labeling of the vertebral discs in MRI data is a difficult task because of the similarity between discs and bone area, the variability in the geometry of the spine and surrounding tissues across individuals, and the variability across scans (manufacturers, pulse sequence, image contrast, resolution and artefacts). In previous studies, vertebral disc labeling is often done after a disc detection step and mostly fails when the localization algorithm misses discs or has false positive detection. In this work, we aim to mitigate this problem by reformulating the semantic vertebral disc labeling using the pose estimation technique. To do so, we propose a stacked hourglass network with multi-level attention mechanism to jointly learn intervertebral disc position and their skeleton structure. The proposed deep learning model takes into account the strength of semantic segmentation and pose estimation technique to handle the missing area and false positive detection. To further improve the performance of the proposed method, we propose a skeleton-based search space to reduce false positive detection. The proposed method evaluated on spine generic public multi-center dataset and demonstrated better performance comparing to previous work, on both T1w and T2w contrasts. The method is implemented in ivadomed (https://ivadomed.org).

Medical diagnosis through the classification of biomedical attributes is one of the exponentially growing fields in bioinformatics. Although a large number of approaches have been presented in the past, wide use and superior performance of the machine learning (ML) methods in medical diagnosis necessitates significant consideration for automatic diagnostic methods. This study proposes a novel approach called concatenated resampling (CR) to increase the efficacy of traditional ML algorithms. The performance is analyzed leveraging four ML approaches like tree-based ensemble approaches, and linear machine learning approach for automatic diagnosis of inter-vertebral pathologies with increased. Besides, undersampling, over-sampling, and proposed CR techniques have been applied to unbalanced training dataset to analyze the impact of these techniques on the accuracy of each of the classification model. Extensive experiments have been conducted to make comparisons among different classification models using several metrics including accuracy, precision, recall, and F1 score. Comparative analysis has been performed on the experimental results to identify the best performing classifier along with the application of the re-sampling technique. The results show that the extra tree classifier achieves an accuracy of 0.99 in association with the proposed CR technique.