SG-LRA: Self-Generating Automatic Scoliosis Cobb Angle Measurement with Low-Rank Approximation

Abstract: Automatic Cobb angle measurement from X-ray images is crucial for scoliosis screening and diagnosis. However, most existing regression-based methods and segmentation-based methods struggle with inaccurate spine representations or mask connectivity/fragmentation issues. Besides, landmark-based methods suffer from insufficient training data and annotations. To address these challenges, we propose a novel framework including Self-Generation pipeline and Low-Rank Approximation representation (SG-LRA) for automatic Cobb angle measurement. Specifically, we propose a parameterized spine contour representation based on LRA, which enables eigen-spine decomposition and spine contour reconstruction. We can directly obtain spine contour with only regressed LRA coefficients, which form a more accurate spine representation than rectangular boxes. Also, we combine LRA coefficient regression with anchor box classification to solve inaccurate predictions and mask connectivity issues. Moreover, we develop a data engine with automatic annotation and automatic selection in an iterative manner, which is trained on a private Spinal2023 dataset. With our data engine, we generate the largest scoliosis X-ray dataset named Spinal-AI2024 largely without privacy leaks. Extensive experiments on public AASCE2019, private Spinal2023, and generated Spinal-AI2024 datasets demonstrate that our method achieves state-of-the-art Cobb angle measurement performance. Our code and Spinal-AI2024 dataset are available at https://github.com/Ernestchenchen/SG-LRA and https://github.com/Ernestchenchen/Spinal-AI2024, respectively.