Transferable architecture for segmenting maxillary sinuses on texture-enhanced occipitomental view radiographs

Abstract

Maxillary sinuses are the most prevalent locations for paranasal infections on both children and adults. Common diagnostic material for this particular disease is through the screening of occipitomental-view skull radiography (SXR). With the growing cases on paranasal infections, expediting the diagnosis has become an important innovation aspect that could be addressed through the development of a computer-aided diagnosis system. As the preliminary stage of the development, an automatic segmentation over the maxillary sinuses is required to be developed. This study presents a computer-aided detection (CAD) module that segments maxillary sinuses from a plain SXR that has been preprocessed through the novel texture-based morphological analysis (ToMA). Later, the network model from the Transferable Fully Convolutional Network (T-FCN) performs pixel-wise segmentation of the maxillary sinuses. T-FCN is designed to be trained with multiple learning stages, which enables re-utilization of network weights to be adjusted based on newer dataset. According to the experiments, the proposed system achieved segmentation accuracy at 85.70%, with 50% faster learning time.