A deep learning approach for automatic 3D segmentation of hip cartilage and labrum from direct hip MR arthrography

Abstract The objective was to use convolutional neural networks (CNNs) for automatic segmentation of hip cartilage and labrum based on 3D MRI. In this retrospective single-center study, CNNs with a U-Net architecture were used to develop a fully automated segmentation model for hip cartilage and lab...

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Main Authors: Malin Kristin Meier, Ramon Andreas Helfenstein, Adam Boschung, Andreas Nanavati, Adrian Ruckli, Till D. Lerch, Nicolas Gerber, Bernd Jung, Onur Afacan, Moritz Tannast, Klaus A. Siebenrock, Simon D Steppacher, Florian Schmaranzer
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-86727-z
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author Malin Kristin Meier
Ramon Andreas Helfenstein
Adam Boschung
Andreas Nanavati
Adrian Ruckli
Till D. Lerch
Nicolas Gerber
Bernd Jung
Onur Afacan
Moritz Tannast
Klaus A. Siebenrock
Simon D Steppacher
Florian Schmaranzer
author_facet Malin Kristin Meier
Ramon Andreas Helfenstein
Adam Boschung
Andreas Nanavati
Adrian Ruckli
Till D. Lerch
Nicolas Gerber
Bernd Jung
Onur Afacan
Moritz Tannast
Klaus A. Siebenrock
Simon D Steppacher
Florian Schmaranzer
author_sort Malin Kristin Meier
collection DOAJ
description Abstract The objective was to use convolutional neural networks (CNNs) for automatic segmentation of hip cartilage and labrum based on 3D MRI. In this retrospective single-center study, CNNs with a U-Net architecture were used to develop a fully automated segmentation model for hip cartilage and labrum from MRI. Direct hip MR arthrographies (01/2020-10/2021) were selected from 100 symptomatic patients. Institutional routine protocol included a 3D T1 mapping sequence, which was used for manual segmentation of hip cartilage and labrum. 80 hips were used for training and the remaining 20 for testing. Model performance was assessed with six evaluation metrics including Dice similarity coefficient (DSC). In addition, model performance was tested on an external dataset (40 patients) with a 3D T2-weighted sequence from a different institution. Inter-rater agreement of manual segmentation served as benchmark for automatic segmentation performance. 100 patients were included (mean age 30 ± 10 years, 64% female patients). Mean DSC for cartilage was 0.92 ± 0.02 (95% confidence interval [CI] 0.92–0.93) and 0.83 ± 0.04 (0.81–0.85) for labrum and comparable (p = 0.232 and 0.297, respectively) to inter-rater agreement of manual segmentation: DSC cartilage 0.93 ± 0.04 (0.92–0.95); DSC labrum 0.82 ± 0.05 (0.80–0.85). When tested on the external dataset, the DSC was 0.89 ± 0.02 (0.88–0.90) and 0.71 ± 0.04 (0.69–0.73) for cartilage and labrum, respectively.The presented deep learning approach accurately segments hip cartilage and labrum from 3D MRI sequences and can potentially be used in clinical practice to provide rapid and accurate 3D MRI models.
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spelling doaj-art-7b43ca0881e849428f235bf0e819718d2025-02-09T12:30:09ZengNature PortfolioScientific Reports2045-23222025-02-0115111110.1038/s41598-025-86727-zA deep learning approach for automatic 3D segmentation of hip cartilage and labrum from direct hip MR arthrographyMalin Kristin Meier0Ramon Andreas Helfenstein1Adam Boschung2Andreas Nanavati3Adrian Ruckli4Till D. Lerch5Nicolas Gerber6Bernd Jung7Onur Afacan8Moritz Tannast9Klaus A. Siebenrock10Simon D Steppacher11Florian Schmaranzer12Department of Orthopedic Surgery, University Hospital, Inselspital Bern, University of BernDepartment of Orthopedic Surgery, University Hospital, Inselspital Bern, University of BernDepartment of Orthopaedic Surgery and Traumatology, Fribourg Cantonal Hospital, University of FribourgDepartment of Orthopedic Surgery, University Hospital, Inselspital Bern, University of BernDepartment of Orthopedic Surgery, University Hospital, Inselspital Bern, University of BernDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of BernDepartment of Orthopedic Surgery, University Hospital, Inselspital Bern, University of BernDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of BernDepartment of Radiology, Boston Children’s HospitalDepartment of Orthopedic Surgery, University Hospital, Inselspital Bern, University of BernDepartment of Orthopedic Surgery, University Hospital, Inselspital Bern, University of BernDepartment of Orthopedic Surgery, University Hospital, Inselspital Bern, University of BernDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of BernAbstract The objective was to use convolutional neural networks (CNNs) for automatic segmentation of hip cartilage and labrum based on 3D MRI. In this retrospective single-center study, CNNs with a U-Net architecture were used to develop a fully automated segmentation model for hip cartilage and labrum from MRI. Direct hip MR arthrographies (01/2020-10/2021) were selected from 100 symptomatic patients. Institutional routine protocol included a 3D T1 mapping sequence, which was used for manual segmentation of hip cartilage and labrum. 80 hips were used for training and the remaining 20 for testing. Model performance was assessed with six evaluation metrics including Dice similarity coefficient (DSC). In addition, model performance was tested on an external dataset (40 patients) with a 3D T2-weighted sequence from a different institution. Inter-rater agreement of manual segmentation served as benchmark for automatic segmentation performance. 100 patients were included (mean age 30 ± 10 years, 64% female patients). Mean DSC for cartilage was 0.92 ± 0.02 (95% confidence interval [CI] 0.92–0.93) and 0.83 ± 0.04 (0.81–0.85) for labrum and comparable (p = 0.232 and 0.297, respectively) to inter-rater agreement of manual segmentation: DSC cartilage 0.93 ± 0.04 (0.92–0.95); DSC labrum 0.82 ± 0.05 (0.80–0.85). When tested on the external dataset, the DSC was 0.89 ± 0.02 (0.88–0.90) and 0.71 ± 0.04 (0.69–0.73) for cartilage and labrum, respectively.The presented deep learning approach accurately segments hip cartilage and labrum from 3D MRI sequences and can potentially be used in clinical practice to provide rapid and accurate 3D MRI models.https://doi.org/10.1038/s41598-025-86727-z
spellingShingle Malin Kristin Meier
Ramon Andreas Helfenstein
Adam Boschung
Andreas Nanavati
Adrian Ruckli
Till D. Lerch
Nicolas Gerber
Bernd Jung
Onur Afacan
Moritz Tannast
Klaus A. Siebenrock
Simon D Steppacher
Florian Schmaranzer
A deep learning approach for automatic 3D segmentation of hip cartilage and labrum from direct hip MR arthrography
Scientific Reports
title A deep learning approach for automatic 3D segmentation of hip cartilage and labrum from direct hip MR arthrography
title_full A deep learning approach for automatic 3D segmentation of hip cartilage and labrum from direct hip MR arthrography
title_fullStr A deep learning approach for automatic 3D segmentation of hip cartilage and labrum from direct hip MR arthrography
title_full_unstemmed A deep learning approach for automatic 3D segmentation of hip cartilage and labrum from direct hip MR arthrography
title_short A deep learning approach for automatic 3D segmentation of hip cartilage and labrum from direct hip MR arthrography
title_sort deep learning approach for automatic 3d segmentation of hip cartilage and labrum from direct hip mr arthrography
url https://doi.org/10.1038/s41598-025-86727-z
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