Review Article

Emergence of Deep Learning in Knee Osteoarthritis Diagnosis

Table 3

Summary of 2D CNN segmentation approaches.

Publication referenceRegion of interestModality (imaging sequence)Data setNetwork architecturePerformance

Kompella et al. [37]FCUltrasound256 images (training : validation: 85% : 15%)Mask R-CNNDSC: 0.80 (FC)

Norman et al. [46]FC, lateral TC, medial TC, PC, lateral menisci, medial menisciMRI (T1-weighted, DESS)OAI: 174 images (121 training, 37 validation, 16 testing)U-NetDSC (T1-weighted): 0.742 (FC, lateral TC, medial TC, PC), 0.767 (lateral menisci, medial menisci)
DSC (DESS): 0.867 (FC, lateral TC, medial TC, PC), 0.833 (lateral menisci, medial menisci)

Si et al. [47]FC, TC, PCMRI (sagT1-weighted, sagT2-weighted, corPDW FS, transversal PDW FS)Tongren Hospital: 47 subjects (27 training, 20 testing)U-NetDSC± SD: 0.87 ± 0.01 (FC), 0.82 ± 0.01(TC), and 0.76 ± 0.04 (PC)
Wirth et al. [31]Medial FC, lateral FC, medial TC, lateral TCMRI (corFLASH, sagDESS)OAI: 92 subjects (50 training, 21 validation, 21 testing)U-NetDSC± SD (corFLASH): 0.92 ± 0.02 (medial TC), 0.88 ± 0.03 (medial FC), 0.92 ± 0.02 (lateral TC), 0.88 ± 0.02 (lateral FC)
DSC± SD (sagDESS): 0.91 ± 0.02 (medial TC), 0.89 ± 0.03 (medial FC), 0.92 ± 0.02 (lateral TC), 0.90 ± 0.02 (lateral FC)

Prasoon et al. [48]TCMRI (turbo 3D-T1-weighted)(25 training, 114 testing) imagesThree 2D CNNDSC: 0.8249 (TC); SN: 81.92% (TC); SP: 99.97% (TC)
Panfilov et al. [36]FC, TC, PC, menisciMRI (DESS)OAI: 88 subjectsU-Net-mixup-unsupervised domain adaptationDSC±SD: 0.907 ± 0.019 (FC), 0.897 ± 0.028 (TC), 0.871 ± 0.046 (PC), 0.863 ± 0.034 (menisci)
Byraet al. [32]MenisciMRI (3D UTE cones)University of California2D attention U-NetDSC: 0.860 (menisci)
San Diego Institutional Review Board: 61 subjects (36 training, 10 validation, 15 testing)

Gajet al. [49]FC, lateral TC, medial TC, PC, lateral menisci, medial menisciMRI (3D-DESS)OAI: 176 images (122 training, 36 validation, 18 testing)U-Net-conditional generative adversarial networksDSC± SD: 0.8972 ± 0.023 (FC), 0.9181 ± 0.013 (lateral TC), 0.8609 ± 0.038 (medial TC), 0.8417 ± 0.058 (PC), 0.8950 ± 0.023 (lateral menisci), 0.8738 ± 0.045 (medial menisci)
Liu et al. [50]FC, TC, FB, TBMRI (T1-weighted SPGR)SKI10: (60 training, 40 testing) imagesSegNet + 3D simplex deformable modellingASD ± SD: 0.56 ± 0.12 mm (FB), 0.50 ± 0.14 mm (TB)
VOE = 28.4 (FC), 33.1(TC)

Zhou et al. [51]FC, TC, PC, FB, TB, PB, menisciMRI (3D-FSE)60 imagesSegNet + conditional random field + 3D simplex deformable modelDSC ± SD: 0.97 ± 0.01 (FB), 0.962 ± 0.015 (TB), 0.898 ± 0.033 (PB), 0.806 ± 0.062 (FC), 0.801 ± 0.052 (TC), 0.807 ± 0.101 (PC), 0.831 ± 0.031 (menisci)

Note. Region of interest: femoral cartilage (FC), tibial cartilage (TC), patellar cartilage (PC), femur bone (FB), tibia bone (TB), and patella bone (PB); modality (imaging sequence): magnetic resonance imaging (MRI); data set: Osteoarthritis Initiative (OAI); network architecture: convolutional neural network (CNN); performance: Dice similarity coefficient (DSC), specificity (SP), sensitivity (SN), average symmetric surface distance (ASD), and standard deviation (SD).