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Multimodal model for knee osteoarthritis KL grading from plain radiograph
Appl Sci Private Univ, Jordan.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-0759-4871
Appl Sci Private Univ, Jordan.
Appl Sci Private Univ, Jordan.
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2025 (English)In: Journal of X-Ray Science and Technology, ISSN 0895-3996, E-ISSN 1095-9114Article in journal (Refereed) Epub ahead of print
Abstract [en]

Knee osteoarthritis presents a significant health challenge for many adults globally. At present, there are no pharmacological treatments that can cure this medical condition. The primary method for managing the progress of knee osteoarthritis is through early identification. Currently, X-ray imaging serves as a key modality for predicting the onset of osteoarthritis. Nevertheless, the traditional manual interpretation of X-rays is susceptible to inaccuracies, largely due to the varying levels of expertise among radiologists. In this paper, we propose a multimodal model based on pre-trained vision and language models for the identification of the knee osteoarthritis severity Kellgren-Lawrence (KL) grading. Using Vision transformer and Pre-training of deep bidirectional transformers for language understanding (BERT) for images and texts embeddings extraction helps Transformer encoders extracts more distinctive hidden-states that facilitates the learning process of the neural network classifier. The multimodal model was trained and tested on the OAI dataset, and the results showed remarkable performance compared to the related works. Experimentally, the evaluation of the model on the test set comprising X-ray images demonstrated an overall accuracy of 82.85%, alongside a precision of 84.54% and a recall of 82.89%.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS INC , 2025.
Keywords [en]
knee osteoarthritis; multimodal model; KL grading; BERT; ViT; transformer
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-213190DOI: 10.1177/08953996251314765ISI: 001464045200001PubMedID: 40091559OAI: oai:DiVA.org:liu-213190DiVA, id: diva2:1954067
Available from: 2025-04-23 Created: 2025-04-23 Last updated: 2025-04-23

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Helwan, Abedelkader
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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
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