Clinical-Inspired Framework for Automatic Kidney Stone Recognition and Analysis on Transverse CT Images

The stone recognition and analysis in CT images are significant for automatic kidney stone diagnosis. Although certain contributions have been made, existing methods overlook the promoting effect of clinical knowledge on model performance and clinical interpretation. Thus, it is attractive to establish methods for detecting and evaluating kidney stones originating from the practical diagnostic process. Inspired by this, a novel clinical-inspired framework is proposed to involve the diagnostic process of urologists for better analysis. The diagnostic process contains three main steps, the localization step, the identification step and the evaluation step. Three modules integrating the decision-making mode of urologists are designed to mimic the diagnosis process. The object attention module simulates the localization step to provide the position of kidneys by embedding weight feature factor and angle loss. The feature-driven discriminative module mimics the identification step to detect stones by extracting geometric and positional features. The analysis module based on the principle of clustering and graphic combination is a quantitative analysis strategy for simulating the evaluation step. This work constructed a clinical dataset collecting 27,885 transverse CT images with stones and/or clinical interference. Experiments on the dataset show that the object attention module outperforms the well-performing Yolov7 model by $+$1% $mAP_{.5:.95}$, and the analysis module outperforms the well-performing AR-DBSCAN model and the formula method by $+$21.9% average cluster accuracy and $-$17.35% average error. Experiments demonstrate that the proposed framework is recently the most effective solution for recognizing and evaluating kidney stones.