Recursive 3D Segmentation of Shoulder Joint with Coarse-scanned MR Image

For diagnosis of shoulder illness, it is essential to look at the morphology deviation of scapula and humerus from the medical images that are acquired from Magnetic Resonance (MR) imaging. However, taking high-resolution MR images is time-consuming and costly because the reduction of the physical distance between image slices causes prolonged scanning time. Moreover, due to the lack of training images, images from various sources must be utilized, which creates the issue of high variance across the dataset. Also, there are human errors among the images due to the fact that it is hard to take the spatial relationship into consideration when labeling the 3D image in low resolution. In order to combat all obstacles stated above, we develop a fully automated algorithm for segmenting the humerus and scapula bone from coarsely scanned and low-resolution MR images and a recursive learning framework that iterative utilize the generated labels for reducing the errors among segmentations and increase our dataset set for training the next round network. In this study, 50 MR images are collected from several institutions and divided into five mutually exclusive sets for carrying five-fold cross-validation. Contours that are generated by the proposed method demonstrated a high level of accuracy when compared with ground truth and the traditional method. The proposed neural network and the recursive learning scheme improve the overall quality of the segmentation on humerus and scapula on the low-resolution dataset and reduced incorrect segmentation in the ground truth, which could have a positive impact on finding the cause of shoulder pain and patient's early relief.