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Knee Osteoarthritis Grading Using DenseNet and Radiographic Images

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Abstract

Osteoarthritis (OA) is the constant dilapidation of the bone joint. Knee OA is most typical, which affects mobility. Joint pain, swelling, stiffness, and strenuous walking are major indications of knee OA. Radiographs of affected joints are the prime way to identify OA, which helps discover joint space narrowing, bone spurs development, and increased bone density. In this paper, we present a method to detect knee OA severity hinged on KL grading, implemented in MATLAB. Knee radiographic images from the OAI dataset are used to train the DenseNet, a type of Convolutional Neural Network. Every layer has access to its preceding feature maps called collective knowledge, and every layer adds information to this collective knowledge that aids in better and accurate classification into Grade 0 through Grade 4. This model outperforms the existing models and indicates that DenseNet is an efficient CNN and helps medical practitioners with a better way to diagnose knee OA severity.

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References

  1. Anifah L, Purnama IKE, Hariadi M, Purnomo MH. Automatic segmentation of impaired joint space area for osteoarthritis knee on X-ray image using Gabor filter based morphology process. IPTEK J Technol Sci. 2011;22(3):159–165. https://doi.org/10.12962/j20882033.v22i3.72.

  2. Bandyopadhyay SK. An edge detection algorithm for human knee osteoarthritis images. J Glob Res Comput Sci. 2011;2(4):103–106.

  3. Bindushree R, Kubakaddi S, Urs N. Detection of knee osteoarthritis by measuring the joint space width in knee X ray images. Int J Electron Commun. 2015;3(4):18–21.

    Google Scholar 

  4. Brahim A, Jennane R, Riad R, Janvier T, Khedher L, Toumi H, Lespessailles E. A decision support tool for early detection of knee osteoarthritis using X-ray imaging and machine learning: data from the osteoarthritis initiative. Comput Med Imaging Graph. 2019;73:11–8. https://doi.org/10.1016/j.compmedimag.2019.01.007.

    Article  Google Scholar 

  5. Chaugule S, Malemath VS. Osteoarthritis detection using densely connected neural network. In: Santosh K, Hegadi R, Pal U, editors. Recent trends in image processing and pattern recognition. RTIP2R 2021. Communications in computer and information science, vol 1576. Cham: Springer; 2022. https://doi.org/10.1007/978-3-031-07005-1_9.

    Chapter  Google Scholar 

  6. Chen P. Knee osteoarthritis severity grading dataset. Mendeley Data. 2018. https://doi.org/10.17632/56rmx5bjcr.1.

    Article  Google Scholar 

  7. Gornale SS, Patravali PU, Hiremath PS. Detection of osteoarthritis using knee X-ray image analyses: a machine vision based approach. Int J Comput Appl. 2016;145(1):20–6. https://doi.org/10.5120/ijca2016910544.

    Article  Google Scholar 

  8. Gornale SS, Patravali PU, Hiremath PS. Detection of osteoarthritis in knee radiographic images using artificial neural network. Int J Innov Technol Explor Eng. 2019;8(12):2429–34. https://doi.org/10.35940/ijitee.l3011.1081219.

    Article  Google Scholar 

  9. Gornale SS, Patravali PU, Hiremath PS. Osteoarthritis detection in knee radiographic images using multiresolution wavelet filters. In: Santosh KC, Gawali B, editors. Recent trends in image processing and pattern recognition. RTIP2R 2020. Communications in computer and information science, vol. 1381. Singapore: Springer; 2021. https://doi.org/10.1007/978-981-16-0493-5_4.

    Chapter  Google Scholar 

  10. Gornale SS, Patravali PU, Manza RR. A survey on exploration and classification of osteoarthritis using image processing techniques. Int J Sci Eng Res. 2016;7(6):334–55.

    Google Scholar 

  11. Hegadi RS, Navale DN, Pawar TD, Ruikar DD. Multi feature-based classification of osteoarthritis in knee joint X-ray images. In: Medical imaging. Boca Raton: CRC Press; 2020. p. 74–96. https://doi.org/10.1201/9780429029417-5.

  12. Hegadi RS, Navale DI, Pawar TD, Ruikar DD. Osteoarthritis detection and classification from knee X-ray images based on artificial neural network. In: Santosh K, Hegadi R, editors. Recent Trends in Image Processing and Pattern Recognition. RTIP2R 2018. Communications in computer and information science, vol 1036. Singapore: Springer; 2019. https://doi.org/10.1007/978-981-13-9184-2_8.

    Chapter  Google Scholar 

  13. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16(4):494–502. https://doi.org/10.1136/ard.16.4.494.

    Article  Google Scholar 

  14. Kohn MD, Sassoon AA, Fernando ND. Classifications in brief: Kellgren–Lawrence classification of osteoarthritis. Clin Orthop Relat Res. 2016;474(8):1886–93. https://doi.org/10.1007/s11999-016-4732-4.

    Article  Google Scholar 

  15. Lee HC, Lee JS, Lin MCJ, Wu CH, Sun YN. Automatic assessment of knee osteoarthritis parameters from two-dimensional X-ray image. In: First international conference on innovative computing, information and control-volume I (ICICIC'06), vol 2. IEEE; 2006. p. 673–76.

  16. Mahmood N, Shah A, Waqas A, Abubakar A, Kamran S, Zaidi SB. Image segmentation methods and edge detection: an application to knee joint articular cartilage edge detection. J Theor Appl Inf Tech. 2015;71(1):87–96.

    Google Scholar 

  17. Navale DI, Ruikar DD, Houde KV, Hegadi RS. DWT textural feature-based classification of osteoarthritis using knee X-ray images. In: International conference on recent trends in image processing and pattern recognition. Singapore: Springer; 2020. p. 50–59.

  18. Norman B, Pedoia V, Noworolski A, Link TM, Majumdar S. Applying densely connected convolutional neural networks for staging osteoarthritis severity from plain radiographs. J Digit Imaging. 2019;32(3):471–7.

    Article  Google Scholar 

  19. Pandey MS, Rajitha B, Agarwal S. Computer assisted automated detection of knee osteoarthritis using X-ray images. Sci Technol. 2015;1(2):74–9.

    Google Scholar 

  20. Pratiwi D, Santika DD, Pardamean B. An application of backpropagation artificial neural network method for measuring the severity of Osteoarthritis. 2013. arXiv:1309.7522.

  21. Ruikar DD, Hegadi RS, Santosh KC. A systematic review on orthopedic simulators for psycho-motor skill and surgical procedure training. J Med Syst. 2018;42(9):1–21.

    Article  Google Scholar 

  22. Ruikar DD, Santosh KC, Hegadi RS. Automated fractured bone segmentation and labeling from CT images. J Med Syst. 2019;43(3):1–13.

    Article  Google Scholar 

  23. Ruikar DD, Santosh KC, Hegadi RS, Rupnar L, Choudhary VA. 5K+ CT images on fractured limbs: a dataset for medical imaging research. J Med Syst. 2021;45(4):1–11.

    Article  Google Scholar 

  24. Ruikar DD, Sawat DD, Santosh KC, Hegadi RS. 3D imaging in biomedical applications: a systematic review. Medical imaging: Artificial intelligence, image recognition, and machine learning techniques. Chapter: 8. Boca Raton: CRC Press; 2018.

    Google Scholar 

  25. Shaikh MH, Panbude S, Joshi A. Image segmentation techniques and its applications for knee joints: a survey. IOSR J Electron Commun Eng (IOSR-JECE). 2014;9(5):23–8.

    Article  Google Scholar 

  26. Shamir L, Ling SM, Scott WW Jr, Bos A, Orlov N, Macura TJ, Eckley DM, Ferrucci L, Goldberg IG. Knee x-ray image analysis method for automated detection of osteoarthritis. IEEE Trans Biomed Eng. 2008;56(2):407–15.

    Article  Google Scholar 

  27. Shan L, Zach C, Charles C, Niethammer M. Automatic atlas-based three-label cartilage segmentation from MR knee images. Med Image Anal. 2014;18(7):1233–46.

    Article  Google Scholar 

  28. Sharma P, Singh JM. A novel approach towards X-ray bone image segmentation using discrete step algorithm. Int J Emerg Trends Technol Comput Sci. 2013;2(5):191–5.

    Google Scholar 

  29. Subramoniam B. A non-invasive computer aided diagnosis of osteoarthritis from digital X-ray images. 2015.

  30. Wagaj BL, Patil MM. Osteoarthritis disease detection with the help of Image processing technique. Int J Comput Appl. 2015;975:8887.

    Google Scholar 

  31. Watts S. Guide to Severe Knee Arthritis (Tricompartmental Osteoarthritis). 2021. Spring Loaded Technology. https://springloadedtechnology.com/guide-to-severe-knee-osteoarthritis/. Accessed 23 Aug 2021.

  32. Wittenauer R, Smith L, Aden K. Background paper 6.12 osteoarthritis. Geneva: World Health Organisation; 2013.

    Google Scholar 

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Correspondence to Sushma V. Chaugule.

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This article is part of the topical collection “Advances in Applied Image Processing and Pattern Recognition” guest-edited by K C Santosh.

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Chaugule, S., Malemath, V.S. Knee Osteoarthritis Grading Using DenseNet and Radiographic Images. SN COMPUT. SCI. 4, 63 (2023). https://doi.org/10.1007/s42979-022-01468-4

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