Bone mineral density estimation from a plain X-ray image by learning decomposition into projections of bone-segmented computed tomography
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Abstract (arXiv)
Osteoporosis is a prevalent bone disease that causes fractures in fragile bones, leading to a decline in daily living activities. Dual-energy X-ray absorptiometry (DXA) and quantitative computed tomography (QCT) are highly accurate for diagnosing osteoporosis; however, these modalities require special equipment and scan protocols. To frequently monitor bone health, low-cost, low-dose, and ubiquitously available diagnostic methods are highly anticipated. In this study, we aim to perform bone mineral density (BMD) estimation from a plain X-ray image for opportunistic screening, which is potentially useful for early diagnosis. Existing methods have used multi-stage approaches consisting of extraction of the region of interest and simple regression to estimate BMD, which require a large amount of training data. Therefore, we propose an efficient method that learns decomposition into projections of bone-segmented QCT for BMD estimation under limited datasets. The proposed method achieved high accuracy in BMD estimation, where Pearson correlation coefficients of 0.880 and 0.920 were observed for DXA-measured BMD and QCT-measured BMD estimation tasks, respectively, and the root mean square of the coefficient of variation values were 3.27 to 3.79% for four measurements with different poses. Furthermore, we conducted extensive validation experiments, including multi-pose, uncalibrated-CT, and compression experiments toward actual application in routine clinical practice.
Key facts. Cited by 3 papers in the map (data through 7 Oct 2026). Builds on 24 of its 77 references that are in the map. First posted on arXiv 21 Jul 2023.
Builds on
24 of 77 references.
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Citing papers per year: 2024: 2; 2025: 0; 2026: 1.
3 papers.
- 20243DDX: Bone Surface Reconstruction from a Single Standard-Geometry Radiograph via Dual-Face Depth Estimationcited by 2
- 2024Enhancing Quantitative Image Synthesis through Pretraining and Resolution Scaling for Bone Mineral Density Estimation from a Plain X-ray Imagecited by 0
- 2026RFS-UNet: Decoder-Conditioned High-Resolution Skip Recalibration for Bone-Selective DRR Synthesiscited by 0
- 2026RFS-UNet: Decoder-Conditioned High-Resolution Skip Recalibration for Bone-Selective DRR Synthesis7 Sep 2026
- 20243DDX: Bone Surface Reconstruction from a Single Standard-Geometry Radiograph via Dual-Face Depth Estimation25 Sep 2024
- 2024Enhancing Quantitative Image Synthesis through Pretraining and Resolution Scaling for Bone Mineral Density Estimation from a Plain X-ray Image30 Jul 2024