Mrs Homeyra Sarabi, Dr. Fardin Abdali Mohammadi,
Volume 21, Issue 4 (3-2025)
Enhancing medical devices with Internet of Things (IOT) and diagnostic artificial intelligence technology, while considering the constraints of these systems, has the potential to modernize and enhance the diagnostic approach of future generations of Internet of Things systems in healthcare. The radiography device, commonly used in paraclinical settings, is widely used in various hospital departments. The automated assessment of abnormalities and bone age from radiographic images of the left hand assists radiologists, pediatricians, and forensic experts in determining the developmental stage of young individuals. The IoT devices in medicine are unable to process large amounts of data due to limited resources. This article uses a teacher-student network for bone age classification, using the decomposed knowledge distillation model of convolutional neural networks. This approach minimizes the computational resources needed for edge devices. The proposed method is comprised of two sequential steps. In the preprocessing step, the initial phase involves the elimination of non-clinical data and artifacts. This is followed by the extraction of region of interest (ROI). In this phase of the procedure, only the hand portion of the patient's X-ray remains for further evaluation. The subsequent phase involves the delineation of the boundaries of the region of interest. This is necessary because, in certain age groups, some bones are not ossified. Consequently, reliance on bones as landmarks is precluded. In the second step, The extracted ROI from the preceding step is utilized to train the teacher model. The student model utilizes the teacher model's knowledge to learn how to predict patient age. Therefore, the present study puts forth transfer learning methodologies founded on the distillation of knowledge, with the aim of facilitating the transference of knowledge between teacher and student models.
The proposed method is based on the data set of the Digital Hand Atlas (DHA) database. The evaluation criteria used in this work are Accuracy, recall, permission and mean absolute error (MAE). The proposed model achieves 96/47% test accuracy for bone age classification.