U-Net-Based Deep Learning Hybrid Model: Research and Evaluation for Precise Prediction of Spinal Bone Density on
Lixiao Zhou1,2, Thongphi Nguyen1,2, Sunghoon Choi3
1Department of Mechanical Design Engineering, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea.
Bioengineering (Basel, Switzerland)
|April 26, 2025
Summary
This study introduces a novel AI model using U-Net and neural networks to accurately measure L2 vertebra bone density from abdominal X-rays in women, improving osteoporosis diagnosis.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Bone Metabolism
Background:
- Osteoporosis, a metabolic bone disorder, causes progressive bone loss and increases fracture risk.
- Current bone mineral density assessment methods like DXA and QCT have limitations, especially for high-risk female populations.
- There is a need for improved, accessible, and accurate methods for osteoporosis diagnosis.
Purpose of the Study:
- To develop and validate a hybrid AI model for precise L2 vertebra bone mineral density measurement.
- To address limitations of existing bone density assessment techniques in female patients.
- To enhance skeletal analysis using abdominal X-ray images.
Main Methods:
- A hybrid model combining U-Net for image preprocessing and artificial neural networks for analysis was developed.
- The model focuses on anteroposterior abdominal X-ray images of female patients.
- U-Net enhanced bone features by reducing noise, and ANNs performed nonlinear regression for bone mineral density prediction.
Main Results:
- The hybrid model achieved a high correlation coefficient of 0.77.
- A low mean absolute error of 0.08 g/cm² was recorded, indicating high accuracy.
- The model demonstrated significant effectiveness, particularly compared to dual-energy X-ray absorptiometry.
Conclusions:
- The proposed hybrid U-Net and ANN model offers a promising, accurate, and potentially more accessible method for assessing bone mineral density.
- This AI-driven approach shows significant potential for improving osteoporosis diagnosis in at-risk female populations.
- The study highlights the effectiveness of integrating advanced imaging techniques with AI for skeletal health assessment.


