Abstract:This study introduces a diffusion-based framework for robust and accurate semantic segmentation of lumbar spine MRI scans from patients with low back pain (LBP), regardless of whether the scans are T1- or T2-weighted. We compared with advanced models for segmenting vertebrae, intervertebral discs (IVDs), and spinal canal using the SPIDER dataset. The results showed that SpineSegDiff achieved a segmentation performance comparable to that of the state-of-the-art non-diffusion nnUnet, particularly in improving the identification of degenerated IVDs. In addition, the uncertainty maps generated by our model provide valuable insights for clinical review, enhancing the robustness and reliability of the segmentation results. The potential of diffusion models to enhance the diagnosis and management of LBP through more precise analysis of pathological spine MRI is underscored by our findings.
Abstract:This study introduces a diffusion-based framework for robust and accurate segmenton of vertebrae, intervertebral discs (IVDs), and spinal canal from Magnetic Resonance Imaging~(MRI) scans of patients with low back pain (LBP), regardless of whether the scans are T1w or T2-weighted. The results showed that SpineSegDiff achieved comparable outperformed non-diffusion state-of-the-art models in the identification of degenerated IVDs. Our findings highlight the potential of diffusion models to improve LBP diagnosis and management through precise spine MRI analysis.