# SX-Stitch: An Efficient VMS-UNet Based Framework for Intraoperative Scoliosis X-Ray Image Stitching

arXiv: https://arxiv.org/abs/2409.05681 · HTML: https://mlsanity.com/paper/2409.05681/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 6 of its 22 references that are in the map.
- First posted on arXiv 9 Sep 2024.

## Builds on (most cited first, 6 of 6)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [VM-UNet: Vision Mamba UNet for Medical Image Segmentation](https://mlsanity.com/paper/2402.02491/) (2024)
- [Deep Image Homography Estimation](https://mlsanity.com/paper/1606.03798/) (2016)
- [Unsupervised Deep Image Stitching: Reconstructing Stitched Features to Images](https://mlsanity.com/paper/2106.12859/) (2021)
- [Parallax-Tolerant Unsupervised Deep Image Stitching](https://mlsanity.com/paper/2302.08207/) (2023)

## Abstract (arXiv)

In scoliosis surgery, the limited field of view of the C-arm X-ray machine restricts the surgeons' holistic analysis of spinal structures .This paper presents an end-to-end efficient and robust intraoperative X-ray image stitching method for scoliosis surgery,named SX-Stitch. The method is divided into two stages:segmentation and stitching. In the segmentation stage, We propose a medical image segmentation model named Vision Mamba of Spine-UNet (VMS-UNet), which utilizes the state space Mamba to capture long-distance contextual information while maintaining linear computational complexity, and incorporates the SimAM attention mechanism, significantly improving the segmentation performance.In the stitching stage, we simplify the alignment process between images to the minimization of a registration energy function. The total energy function is then optimized to order unordered images, and a hybrid energy function is introduced to optimize the best seam, effectively eliminating parallax artifacts. On the clinical dataset, Sx-Stitch demonstrates superiority over SOTA schemes both qualitatively and quantitatively.