Research Article

Detection of Flatfoot Deformity from X-Ray Images Using Image Filtering and Transfer Learning Approaches

Volume: 16 Number: 1 March 26, 2025
TR EN

Detection of Flatfoot Deformity from X-Ray Images Using Image Filtering and Transfer Learning Approaches

Abstract

Flatfoot (pes planus) is a condition defined as the flattening of the curved structure as a result of the collapse of the foot or the weakening of the structures, such as ligaments and muscles that hold the bones and tissues in the foot in a certain order and a curve due to various reasons. If left untreated, this condition can lead to calf, knee, hip, and lower back pain and even postural disorders due to foot deterioration. In this study, a transfer learning-based method is presented using the Dilation filter for flatfoot detection from X-ray images. The X-ray image dataset contains 402 flatfoot images and 440 control images. For image preprocessing, dilation filtering is used, and the images are enhanced with the dilation method. After image preprocessing, the performance of transfer learning approaches, DarkNet19, GoogLeNet, DenseNet-201, ResNet-101, and MobileNetV2 architectures, were compared. The holdout method was used for performance measurements. The experimental results show that the DenseNet-201 model performs the best with an overall accuracy of 0.9802 and a Cohen's Kappa value of 0.96. The results show that the combination of dilation filtering and transfer learning methods provides an effective approach for automatic flatfoot detection. Compared to similar studies in the literature, the accuracy of the proposed model is significantly higher.

Keywords

References

  1. [1] T. Çit, D. Yılmaz, T. Çaviş, E. Alp, and H. Aydın, “A Software Tool Developed for Automatic Diagnosis of Pes Planus,” in 11th International May 19 Innovative Scientific Approaches Congress, Samsun, Turkey, 2024, pp. 303–311.
  2. [2] A. Azizov and Ö. Şevgin, “Pediatrik Pes Planus ve Fizyoterapi.”
  3. [3] N. Katz, “The impact of pain management on quality of life,” J. Pain Symptom Manage., vol. 24, no. 1 Suppl, pp. S38–S47, Jan. 2002.
  4. [4] S. Erkuş and Ö. Kalenderer, “Pes planovalgus,” Totbid Dergisi, vol. 16, pp. 413–425, 2017.
  5. [5] C. J. Lin, K. A. Lai, T. S. Kuan, and Y. L. Chou, “Correlating factors and clinical significance of flexible flatfoot in preschool children,” J. Pediatr. Orthop., vol. 21, no. 3, pp. 378–382, 2001.
  6. [6] D. Bordin, G. De Giorgi, G. Mazzocco, and F. Rigon, “Flat and cavus foot, indexes of obesity and overweight in a population of primary-school children,” Minerva Pediatr., vol. 53, no. 1, pp. 7–13, 2001.
  7. [7] C. Wang et al., “An efficient local binary pattern based plantar pressure optical sensor image classification using convolutional neural networks,” Optik, vol. 185, pp. 543–557, 2019.
  8. [8] Y. Kim and N. Kim, “Deep learning-based pes planus classification model using transfer learning,” Journal of The Korea Society of Computer and Information, vol. 26, no. 4, pp. 21–28, 2021.

Details

Primary Language

English

Subjects

Image Processing , Deep Learning

Journal Section

Research Article

Early Pub Date

March 26, 2025

Publication Date

March 26, 2025

Submission Date

January 1, 2025

Acceptance Date

March 15, 2025

Published in Issue

Year 2025 Volume: 16 Number: 1

IEEE
[1]M. Kokulu, H. Göker, and Ö. Kasım, “Detection of Flatfoot Deformity from X-Ray Images Using Image Filtering and Transfer Learning Approaches”, DUJE, vol. 16, no. 1, pp. 115–123, Mar. 2025, doi: 10.24012/dumf.1611410.