Attention-based Shape-Deformation Networks for Artifact-Free Geometry Reconstruction of Lumbar Spine from MR Images

Lumbar disc degeneration, a progressive structural wear and tear of lumbar intervertebral disc, is regarded as an essential role on low back pain, a significant global health concern. Automated lumbar spine geometry reconstruction from MR images will enable fast measurement of medical parameters to evaluate the lumbar status, in order to determine a suitable treatment. Existing image segmentation-based techniques often generate erroneous segments or unstructured point clouds, unsuitable for medical parameter measurement. In this work, we present TransDeformer: a novel attention-based deep learning approach that reconstructs the contours of the lumbar spine with high spatial accuracy and mesh correspondence across patients, and we also present a variant of TransDeformer for error estimation. Specially, we devise new attention modules with a new attention formula, which integrates image features and tokenized contour features to predict the displacements of the points on a shape template without the need for image segmentation. The deformed template reveals the lumbar spine geometry in the input image. We develop a multi-stage training strategy to enhance model robustness with respect to template initialization. Experiment results show that our TransDeformer generates artifact-free geometry outputs, and its variant predicts the error of a reconstructed geometry. Our code is available at https://github.com/linchenq/TransDeformer-Mesh.