Abstract

For the percutaneous fixation of scaphoid fractures, navigated approaches have been proposed to facilitate screw placement. Based on ultrasound imaging, navigation can be carried out in a cost-effective and fast manner, furthermore avoiding harmful radiation. For this purpose, a fast and efficient architecture for the automated segmentation of scaphoid bone in ultrasound volume images is needed.

Methods

For 2D segmentation of the scaphoid, two architectures are taken into account: 2D nnUNet and Deeplabv3+. These architectures are trained and evaluated on a newly created dataset consisting of 67 annotated in-vivo ultrasound volume images (4576 slice images).

Results

In terms of Dice coefficient, the 2D nnUNet achieves 0.67 compared to 0.57 for the Deeplabv3+. In terms of distance metrics, the 2D nnUNet shows an average symmetric surface distance error of 0.66mm, while the Deeplabv3+ achieves 0.55mm.

Conclusion

Fast and accurate segmentation of the scaphoid in ultrasound volumes is feasible. Both architectures show competitive results.