Impact of Image Enhancement for Osteoporosis Detection Based on Deep Learning Algorithm

Osteoporosis can be defined as a degenerative disease with reduced bone mass and changes in bone architecture that can lead to bone fragility and the risk of fractures. This abnormality can be indicated by the bone density which in visual can be determined using X-Ray images. However, X-Ray images are susceptible to noise, while in image analysis image contrast affects deep learning abilities. Hence, the CLAHE (Contrast Limited Adaptive Histogram Equalization) algorithm is used as a contrast enhancement technique in X-Ray images. This study aims to build a deep learning model using the CLAHE-enhanced image dataset with the ResNet-50 and ResNet-101 architectures. The model was built using two different datasets, namely the original image dataset and the CLAHE-enhanced image dataset. The result shows that the highest performance is given by the ResNet-101 model using the CLAHE-enhanced image dataset with an accuracy rate of 96%, precision of 95%, specificity of 95%, recall of 97% and an Fl-score of 96%, respectively. By using the CLAHE algorithm, the resulting image has high contrast and looks better at displaying features in the image so as to produce better model performance.