A simple and effective approach for body part recognition on CT scans based on projection estimation

It is well known that machine learning models require a high amount of annotated data to obtain optimal performance. Labelling Computed Tomography (CT) data can be a particularly challenging task due to its volumetric nature and often missing and/or incomplete associated meta-data. Even inspecting one CT scan requires additional computer software, or in the case of programming languages - additional programming libraries. This study proposes a simple, yet effective approach based on 2D X-ray-like estimation of 3D CT scans for body region identification. Although body region is commonly associated with the CT scan, it often describes only the focused major body region neglecting other anatomical regions present in the observed CT. In the proposed approach, estimated 2D images were utilized to identify 14 distinct body regions, providing valuable information for constructing a high-quality medical dataset. To evaluate the effectiveness of the proposed method, it was compared against 2.5D, 3D and foundation model (MI2) based approaches. Our approach outperformed the others, where it came on top with statistical significance and F1-Score for the best-performing model EffNet-B0 of 0.980 ± 0.016 in comparison to the 0.840 ± 0.114 (2.5D DenseNet-161), 0.854 ± 0.096 (3D VoxCNN), and 0.852 ± 0.104 (MI2 foundation model). The utilized dataset comprised three different clinical centers and counted 15,622 CT scans (44,135 labels).