Evaluation of UNeXt for Automatic Bone Surface Segmentation on Ultrasound Imaging in Image-Guided Pediatric Surgery
Bibliographic record
Abstract
Automatic bone surface segmentation represents an advanced alternative for conventional patient registration methods in surgical navigation technologies. In pediatrics, such technologies require tailored approaches to ensure optimal performance-specifically in patients under the age of ten, whose immature bones have less distinct bone characteristics. In this study, we developed a segmentation model tailored for pediatric patients. We captured 4309 ultrasound images from the bones in the extremities, pelvis and thorax of 16 pediatric patients. The dataset was manually annotated by a technical physician and sample-wise validated by a pediatric radiologist. A UNeXt deep learning model was trained for automatic segmentation. The segmentation performance was evaluated using the mean centerline Dice score and the mean surface distance. A mean centerline Dice score of 0.85 (SD: 0.13) and a mean surface distance of 0.78 mm (SD: 1.15 mm) were achieved. No important differences in performance were observed for patients younger than the age of ten compared to older patients. Our results demonstrate that the segmentation model detects the bone surface with sufficient accuracy, enabling precise and effective patient registration. The model performs sufficiently across different pediatric age groups, making it a viable tool for integration into ultrasound-based patient registration in image-guided pediatric surgery.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".