Work

A Multifocal RSSeg Approach for Skeletal Age Estimation in an Indian Medicolegal Perspective

Year: 2025
Type: article
Abstract: Estimating bone age is essential for accurate diagnoses, appropriate care based on biological age, and fairness in legal matters. In the Indian medicolegal context, determining age through a clinical approach involves analyzing multiple joints; however, the traditional method can be tedious and subjective, relying heavily on human expertise, which may lead to biased decisions in age-related legal disputes. Moreover, commonly used radiographs often exhibit pixel-level variations due to heterogeneous contrast, which complicate segmentation tasks and lead to inconsistencies and reduced model performance. The study presents a multifocal region-based symbolic segmentation technique to automatically retain the soft-tissue region that harbors a growth pattern of an ossification center. Experimental results demonstrate an 84.5% Jaccard similarity, an 81.4% Dice coefficient, an 88.3% precision, a 90.0% recall, and a 91.5% pixel accuracy on a novel multifocal dataset of Indian inhabitants. The proposed segmentation technique outperforms U-Net, Attention U-Net, TransU-Net, DeepLabV3+, Adaptive Otsu, and Watershed segmentation in terms of accuracy, indicating strong generalizability across joints and improving reliability. Compared with 86.4% without segmentation, the proposed integration of segmentation with VGG16 classification increases the overall accuracy to 93.8%, demonstrating that target-focused-region processing reduces unnecessary computations and improves feature discrimination without sacrificing accuracy.
Source: Algorithms
Authors: Priyanka Manchegowda, Manohar Nageshmurthy, Suresha Raju, Dayananda Rudrappa
Language: English
Open Access status: gold
Estimated APC paid: $1,930
OpenAlex ID: W7108741496
FWCI: 0.362
Cites: 28
Cited by: 1
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