ViVGG19: Novel exemplar deep feature extraction-based shoulder rotator cuff tear and biceps tendinosis detection using magnetic resonance images

Background and purpose: : Rotator cuff tear (RCT) and biceps tendinosis (BT) are the two most common shoulder disorders worldwide. These disorders can be diagnosed using magnetic resonance imaging (MRI), but the expert interpretation is manual, time-consuming, and subjected to human errors. Therefore, a fixed-size feature extraction model was created to objectively and accurately perform automated binary classification of RCT vs. normal and BT vs. normal on MRI images.Materials and methods: : We have developed an exemplar deep feature extraction model to diagnose RCT and BT disorders. The model was tested on a new MR image dataset comprising transverse, sagittal, and coronal MRI images of the shoulder that had been organized into three cases. BT was studied on transverse MRI images (Case 1), while RCT was studied on sagittal (Case 2) and coronal MRI images (Case 3). Our model comprised deep feature generation using a pre-trained VGG19, feature selection using iterative neighborhood component analysis (INCA), and classification using shallow standard classifiers k-nearest neighbors (KNN), support vector machine (SVM), and artificial neural network (ANN). In the feature extraction phase, two fully connected layers were used to extract deep features from the original image, and sixteen fixed-size patches obtained by the division of the original image. This model was named Vision VGG19 (ViVGG), analogous to vision transformers (ViT). The feature vector is extracted from the raw image dataset, and 16 feature vectors are extracted from each fixed-size patch. Seventeen feature vectors obtained from each image are obtained from fc6 and fc7 layers of the pre -trained VGG19, are merged to obtain final feature vector. INCA was used to choose the top features from the created features, and the chosen features were classified using shallow classifiers.Results: : We defined three cases to evaluate the proposed ViVGG19 to diagnose RT and BCT disorders. Our proposed ViVGG19 model achieved more than 99% accuracy using the KNN classifier.Conclusions: : ViVGG19 is a very effective model for detecting RCT and BT disorders on shoulder MRI images. The developed automated system is ready to be tested with a bigger diverse database obtained from different medical centers.

Automated summary

A deep feature extraction model named ViVGG19 was developed to diagnose RCT and BT disorders on MRI images. By utilizing pre-trained VGG19, INCA for feature selection, and KNN, SVM, and ANN for classification, the model achieved over 99% accuracy in diagnosing these shoulder disorders.