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Towards fully automated inner ear analysis with deep-learning-based joint segmentation and landmark detection

Jannik Stebani1,2,3, Martin Blaimer4, Simon Zabler4,5

  • 1Magnetic Resonance and X-Ray Imaging Department, Fraunhofer Institute for Integrated Circuits IIS, 97074, Würzburg, Germany. jannik.stebani@iis.fraunhofer.de.

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This study introduces an automated framework for analyzing inner ear anatomy in radiological scans, significantly reducing manual assessment time. The AI model accurately segments inner ear structures and detects key landmarks, aiding surgical planning and research.

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Area of Science:

  • Medical Imaging
  • Radiology
  • Computational Anatomy

Background:

  • Manual assessment of inner ear anatomy in radiological data is time-consuming and hinders preoperative planning and clinical research.
  • Automated analysis offers a potential solution to improve efficiency and accuracy.

Purpose of the Study:

  • To develop and evaluate an automated framework for joint semantic segmentation of the inner ear and anatomical landmark detection.
  • To assess the performance and robustness of the proposed model on both in-house and independent datasets.

Main Methods:

  • Implementation of a fully automated pipeline using a dual-headed volumetric 3D U-Net.
  • Training and evaluation on manually labeled in-house datasets (cadaveric and clinical) and three independent open-source datasets.
  • Ablation studies to determine optimal parameters and assess the benefits of coupled tasks.

Main Results:

  • Achieved high Dice scores, intersection-over-union, and low Hausdorff distances on in-house datasets for segmentation.
  • Demonstrated accurate automatic landmark localization with minimal average error.
  • Showcased robust performance on open-source datasets, albeit with reduced accuracy, and highlighted the benefits of joint segmentation and landmark detection.

Conclusions:

  • The proposed automated framework effectively segments inner ear anatomy and detects key landmarks, offering a valuable tool for clinical applications.
  • Coupling segmentation with landmark detection provides performance benefits, suggesting the framework's potential to advance preoperative planning and research in otology.