A Deep Learning-Based Approach for Cervical Spine Fractures Classification

Hossam El-Din Moustafa, Nadine; Nasr, Abed; Fathy, Wessam; Saleh, Ahmed

doi:10.21608/ijt.2025.370954.1091

A Deep Learning-Based Approach for Cervical Spine Fractures Classification

Document Type : Original Article

Authors

¹ Department of Electronics and Communications Engineering - Faculty of Engineering - Horus University - Egypt

² Mathematics and Engineering Physics Department, Faculty of Engineering, Mansoura University - Mansoura, Egypt

³ Neurosurgery Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt

⁴ Computers Engineering and Control Systems Department, Faculty of Engineering, Mansoura University, Mansoura, Egypt

10.21608/ijt.2025.370954.1091

Abstract

Abstract: Cervical spine fractures are a critical medical emergency that can lead to severe com-plications, including permanent disability or death if not diagnosed promptly. A cervi-cal spine fracture may be detected by using computed tomography (CT). This study pre-sents a deep learning-based approach for the classification of cervical spine fractures us-ing a dataset containing computed tomography (CT) images of fractured and normal cervical spines. The proposed methodology incorporates transfer learning models, in-cluding DenseNet121, VGG16, and MobileNet, to achieve high accuracy in distinguish-ing between normal and fractured cervical spines. The study evaluates model accuracy, precision, recall, and F1-score to determine the most effective architecture. Experimental results indicate that the VGG16 model optimized with the Nadam optimizer achieves the highest classification accuracy of 98.37%, outperforming other models or the same model with another optimizer. The findings highlight the potential of deep learning in assisting radiologists with faster and more reliable cervical spine fracture detection, ul-timately improving patient care and reducing diagnostic delays.

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