Review Article

Emergence of Deep Learning in Knee Osteoarthritis Diagnosis

Table 7

Summary of 3D CNN segmentation approaches.

Publication referenceRegion of interestModality (imaging sequence)Data setNetwork architecturePerformance

Marzorati et al. [64]Distal FB, proximal TBCT200 images (160 training, 20 validation, 20 testing)U-NetDSC: 96% (FB, TB); SN: 96% (FB, TB)
Raj et al. [3]FC, TCMRI (3D-DESS)SKI10: 100 images (80 training, 20 testing)μ-NetDSC: 0.849 (FC), 0.8565 (lateral TC), 0.8066 (medial TC), 0.7847 (PC)
OAI: 176 images (140 training, 35 testing)

Chaudhari et al. [65]FCMRI (3D-DESS)OAI: 176 images (124 training, 35 validation, 17 testing)U-NetDSC± SD: 90.2 ± 1.7% (FC)
Tack et al. [66]MenisciMRI (2D-DESS)OAI: 1240 subjects (5 datasets)2D U-Net (SSM); 3D U-NetDSC (baseline): 83.8% (medial menisci), 88.9% (lateral menisci)
Ambellan et al. [67]FC, TC, FB, TBMRI: SKI10 (T1, T2, GRE, SPGR FS), OAI (DESS)SKI10: (60 training, 40 validation, 50 testing) subjects2D U-Net (SSM); 3D U-Net (SSM)Imorphics: DSC ± SD (baseline): 89.4 ± 2.41 (FC), 86.1 ± 5.33 (medial TC), 90.4 ± 2.42 (lateral TC)
OAI (Imorphics, ZIB): 88 subjects, 507 subjectsZIB: DSC ± SD: 89.9 ± 3.60 (FC), 85.6 ± 4.54 (TC); ASD ± SD: 98.6 ± 0.30 (FB), 98.5 ± 0.33 (TB)
SKI10: ASD ± SD: 0.43 ± 0.13 mm (FB), 0.35 ± 0.07 mm (TB)

Tack and Zachow [68]TCMRI (DESS)OAI (Chondrometrics, Imorphics): 1378 subjects, 88 subjectsU-NetChondrometrics: DSC ± SD (baseline): 82.85 ± 5.53 (medial TC), 86.11 ± 4.37 (lateral TC)
Imorphics: DSC ± SD (baseline): 88.02 ± 4.62 (medial TC), 91.27 ± 2.33 (lateral TC)

Iriondo et al. [69]FC, TC, PC, menisciMRI (DESS)OAI (Imorphics): 176 images (1/3 training, 2/3 validation)CNNDSC ± SD: 0.890 ± 0.023 (FC), 0.880 ± 0.036 (TC), 0.850 ± 0.068(PC), 0.874 ± 0.024 (menisci)
Razmjoo et al. [6]PC, lateral TC, medial TC, medial FC, lateral FCMRI (MSME spin‐echo sequence)OAI: 3921 images (training : validation : test set: 65 : 25 : 10%)3D V‐NetDSC ± SD: 0.75 ± 0.11 (lateral TC), 0.69 ± 0.13 (lateral FC), 0.68 ± 0.12(medial TC), 0.69 ± 0.11(medial FC), 0.57 ± 0.17 (PC)
Tan et al. [70]FC, TC, PCMRI (3D-DESS)OAI: 176 images (120 training, 26 validation, 30 testing)V-Net with adversarial networkDSC ± SD: 0.900 ± 0.037 (FC), 0.889 ± 0.038 (TC), 0.880 ± 0.043 (PC), 0.893 ± 0.034 (FC, TC, PC)
Xu and Niethammer [27]FC, TC, FB, TBMRIOAI: 507 images (200 training, 53 validation, 254 testing)DeepAtlasDSC ± SD: 97.70 ± 0.65 (FB, TB),81.19 ± 3.47 (FC, TC), 89.45 ± 1.91 (FB, TB, FC, TB)
Lee et al. [71]FC, TCMRI (T1-weighted SPGR)SKI10: (60 training, 40 validation) imagesBCD-NetDSC ± SD: 97.3 ± 1.9 (FB), 84.4 ± 4.1 (TB), 98.1 ± 1.1(FC), 83.8 ± 5.3(TC)
Martinez et al. [1]FB, TB, PBMRI (3D-DESS)OAI: 40 images (25 training, 5 validation, 10 testing)3D V-NetDSC: 97.15% (FB), 97.28% (TB), 95.99% (PB)
Martinez et al. [18]FB, TB, PBMRI (3D-DESS)OAI: 40 images (25 training, 5 validation, and 10 testing)CNNDSC: 88.9%–95.2% (FB), 87.0%–95.8% (TB), 85.1%–92.2% (PC)

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): computed tomography (CT) and magnetic resonance imaging (MRI); data set: Osteoarthritis Initiative (OAI); network architecture: statistical shape modelling (SSM) and convolutional neural network (CNN); performance: Dice similarity coefficient (DSC), specificity (SP), sensitivity (SN), average symmetric surface distance (ASD), and standard deviation (SD).