Cobb Angle Measurement of Spine from X-Ray Images Using Convolutional Neural Network
Table 4
Results of spine curvature with Cobb method and manual method.
Image
Observer 1 (expert)
Observer 2 (novice)
Cobb method (MBR)
Upper vertebrae
Lower vertebrae
Cobb angle
Upper vertebrae
Lower vertebrae
Cobb angle
Upper vertebrae
Lower vertebrae
Cobb angle
t = 1
t = 2
t = 1
t = 2
t = 1
t = 2
t = 1
t = 2
t = 1
t = 2
t = 1
t = 2
1
T8
T8
L2
L2
−16.8
−16.9
T8
T8
L1
L1
−15.0
−15.2
T8
L5
−20.1
2
T6
T9
L1
L1
6.4
6.1
T10
T10
L1
L1
13.7
13.7
T6
T12
7.8
3
T2
T10
L1
L2
9.9
6.2
T4
T4
L2
L2
11.6
11.6
T3
L2
10.1
4
T9
T10
L4
L4
11.9
16.9
T9
T9
L4
L4
13.9
13.9
T11
L4
15.9
5
T11
T10
L4
L4
15.9
14.5
T11
T11
L4
L4
11.6
11.6
T12
L4
9.1
6
T11
T9
L4
L4
−19.2
−16.8
T10
T10
L4
L4
−15.1
−15.1
T11
L3
−15.1
7
T12
T11
L4
L4
−8.1
−12.3
T9
T9
L4
L4
−12.0
−12.0
T6
L2
−5.2
8
T12
T11
L4
L4
−9.1
−8.2
T9
T9
L4
L4
−13.5
−13.5
T12
L2
−11.0
9
T10
T10
L4
L4
−19.8
−15.6
T11
T11
L4
L4
−20.6
−20.6
T9
L3
−14.8
10
T11
T12
L4
L4
10.2
11.0
T12
T12
L4
L4
10.9
10.9
T12
L3
10.8
11
T5
−
L1
−
−8.4
0
T7
T7
L2
L2
−4.2
−4.2
T1
T12
−7.2
12
T5
T5
L2
L1
13.5
8.7
T4
T4
L3
L3
9.3
9.3
T1
L2
11.1
13
T10
T10
L4
L4
15.1
14.0
T10
T10
L4
L4
14.4
14.4
T9
L5
13.5
14
T9
T9
L4
L4
−15.4
−12.1
T10
T10
L4
L4
−13.8
−13.8
T2
L5
−14.2
15
No scoliosis
T4
T4
T12
T12
−7.4
−7.4
T4
T10
−7.7
16
T9
T11
L4
L4
−14.2
−15.0
T7
T7
L4
L4
−20.2
−20.2
T7
L4
−18.9
17
T1
T4
T7
T12
5.9
8.4
T2
T2
T12
T12
13.4
13.6
T2
T12
11.3
18
T7
T6
L1
L3
14.7
8.3
T6
T6
L4
L4
7.0
7.1
T9
L1
7.6
19
T11
T9
L5
L5
−6.9
−9.6
T4
T4
L5
L5
−11.5
−11.7
T2
L5
−12.4
20
T3
T2
T8
T11
7.1
8.5
T4
T4
T6
T6
8.8
8.5
T3
T6
9.8
21
T12
T10
L5
L4
11.1
9.9
C3
C3
L2
L2
15.3
16.2
T3
L3
13.8
22
T7
T7
L4
L4
12.9
13.0
T2
T2
L4
L4
16.8
16.9
T3
L3
18.1
23
T8
T8
L3
L4
11.3
13.8
T11
T11
L5
L5
15.5
15.6
T11
L3
9.4
24
T7
T9
L4
L4
−14.1
−14.0
T5
T5
L5
L5
−21.8
−22.1
T2
L3
−13.5
25
T9
T8
L3
L3
−16.2
−14.5
T6
T6
L3
L3
−10.3
−9.9
T11
L2
−10.7
26
T8
T8
L3
L3
−8.2
−8.0
T7
T7
L2
L2
−6.4
−6.3
T2
L2
−5.6
27
T5
T5
L3
L4
−17.3
−17.3
T5
T5
L3
L3
−15.8
−15.0
T1
L3
−15.2
28
T11
T11
L4
L3
18.4
15.7
T12
T12
L4
L4
22.4
23.1
T12
L4
16.6
29
No scoliosis
T3
T3
T10
T10
−5.2
−5.1
T2
L4
−6.6
30
T9
T9
L4
L4
−11.7
−9.9
T5
T5
L4
L4
−14.2
−14.1
T6
L4
−8.7
31
T11
T12
L4
L4
−6.9
−7.7
T3
T3
L1
L1
10.0
10.1
L1
L4
−7.4
32
T11
T10
L4
L4
−5.9
−6.0
T5
T5
L5
L5
−6.2
−7.1
T1
L3
−9.1
33
T9
T9
L4
L4
−16.7
−16.0
T8
T8
L4
L4
−14.0
−13.3
T11
L4
−12.5
34
T12
T12
L4
L4
10.3
12.1
T12
T12
L4
L4
10.0
9.7
T1
L3
9.9
35
T5
T7
L1
L2
15.7
16.4
T5
T5
L1
L1
17.0
17.9
T5
L1
13.8
Note. The “no scoliosis” or empty data indicate that the result of manually measurement is no scoliosis. Their Cobb angle is assigned to be 0 in statistical analysis. Each orthopedist measures the same X-ray spinal images twice in different times (t = 1 or t = 2).