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American Scientific Publishing Group

verified Journal

Fusion: Practice and Applications

ISSN
Online: 2692-4048 Print: 2770-0070
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Continuous publication

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Open access · Articles freely available online · APC applies after acceptance

Fusion: Practice and Applications
Full Length Article

Volume 21Issue 2PP: 01-21 • 2026

Enhancing Osteoporosis Detection with Hybrid Fuzzy Logic Preprocessed Convolutional Neural Networks

Murtadha M. Hamad 2* ,
Murtadha M. Hamad 2* ,
Azmi Tawfeq Hussein Alrawi 2
1Collage of Computer Science and Information Technology, University of Anbar, Rmadi, Iraq; Collage of Computer Science and Information Technology, University of Anbar, Rmadi, Iraq
2Collage of Computer Science and Information Technology, University of Anbar, Rmadi, Iraq
* Corresponding Author.
Received: March 03, 2025 Revised: May 30, 2025 Accepted: July 14, 2025

Abstract

 

This paper applies deep learning techniques in classifying X-ray images to detect osteoporosis. Osteoporosis, a bone weakness condition, increases the risk of fractures; therefore, accurate early diagnosis is essential in management. We have designed a hybrid method called Fuzzy Logic Preprocessed Convolutional Neural Network, or FLPCNN, wherein fuzzy logic is used at the preprocessing step to handle uncertainty and imprecision of features extracted from X-ray images. This paper used a dataset of X-ray images, and the FLPCNN model was applied, classifying them into osteoporotic and non-osteoporotic with quite an accuracy of 100%. Fuzzy logic preprocessing combined with Convolutional Neural Networks (CNN) enhances the model’s classification accuracy and interpretable decisions. The proposed method would be a new way to cut down diagnostic errors and improve patient outcomes, opening ways for further research into deep learning techniques applied in healthcare.

Keywords

Osteoporosis Detection X-ray Classification Deep Learning Convolutional Neural Networks Fuzzy Logic &nbsp

References

 

[1]          S. A. Sabri, J. C. Chavarria, C. Ackert-Bicknell, C. Swanson, and E. Burger, "Osteoporosis: An update on screening, diagnosis, evaluation, and treatment," Orthopedics, 2023, doi: 10.3928/01477447-20220719-03.

 

[2]          P. Sawicki, M. Tałałaj, K. Życińska, W. S. Zgliczyński, and W. Wierzba, "Current applications and selected technical details of dual-energy x-ray absorptiometry," Med. Sci. Monitor, vol. 27, 2021, doi: 10.12659/MSM.930839.

 

[3]          X. Niu et al., "Development and validation of a fully automated system using deep learning for opportunistic osteoporosis screening using low-dose computed tomography scans," Quant. Imag. Med. Surg., vol. 13, no. 8, pp. 5363–5374, 2023, doi: 10.21037/qims-22-1438.

 

[4]          M. Illimoottil and D. Ginat, "Recent advances in deep learning and medical imaging for head and neck cancer treatment: MRI, CT, and PET scans," Cancers, vol. 15, no. 13, p. 3267, 2023, doi: 10.3390/cancers15133267.

 

[5]          M. Arabahmadi, R. Farahbakhsh, and J. Rezazadeh, "Deep learning for smart healthcare—A survey on brain tumor detection from medical imaging," Sensors, vol. 22, no. 5, p. 1960, 2022, doi: 10.3390/s22051960.

 

[6]          D. H. Lee and M. W. Kim, "Comparative study of lumbar bone mineral content using DXA and CT Hounsfield unit values in chest CT," BMC Musculoskeletal Disord., vol. 24, no. 1, p. 108, 2023, doi: 10.1186/s12891-023-06159-6.

 

[7]          J. Smets, E. Shevroja, T. Hügle, W. D. Leslie, and D. Hans, "Machine learning solutions for osteoporosis—A review," J. Bone Miner. Res., vol. 36, no. 5, pp. 833–851, 2021, doi: 10.1002/jbmr.4292.

 

[8]          B. Zhang et al., "Deep learning of lumbar spine X-ray for osteopenia and osteoporosis screening: A multicenter retrospective cohort study," Bone, vol. 140, 2020, Art. no. 115561, doi: 10.1016/j.bone.2020.115561.

 

[9]          J. Massatith, N. Boonnam, and R. Hama, "Osteoporosis prognosis through machine learning analysis of X-ray films," in Proc. 27th Int. Comput. Sci. Eng. Conf. (ICSEC), Chiang Rai, Thailand, 2023, pp. 355-360, doi: 10.1109/ICSEC59635.2023.10329706.

 

[10]       N. Sollmann et al., "Imaging of the osteoporotic spine - Quantitative approaches in diagnostics and for the prediction of the individual fracture risk," RoFo, 2022, doi: 10.1055/a-1770-4626.

 

[11]       R. D. Iman et al., "Impact of image enhancement for osteoporosis detection based on deep learning algorithm," in Proc. 2nd Int. Conf. Comput. Syst., Inf. Technol., Elect. Eng. (COSITE), Banda Aceh, Indonesia, 2023, pp. 361-365, doi: 10.1109/COSITE60233.2023.10249479.

 

[12]       Y. Küçükçiloğlu, B. Şekeroğlu, T. Adalı, and N. Şentürk, "Prediction of osteoporosis using MRI and CT scans with unimodal and multimodal deep-learning models," Diagn. Interv. Radiol., vol. 30, no. 1, pp. 60–67, 2024, doi: 10.4274/dir.2023.232116.

 

[13]       G. Amiya et al., "Assertion of low bone mass in osteoporotic X-ray images using deep learning technique," in Proc. 4th Int. Conf. Adv. Comput., Commun. Control Netw. (ICAC3N), Greater Noida, India, 2022, pp. 2029-2033, doi: 10.1109/ICAC3N56670.2022.10074388.

 

[14]       S. Lee, E. K. Choe, H. Y. Kang, J. W. Yoon, and H. S. Kim, "The exploration of feature extraction and machine learning for predicting bone density from simple spine X-ray images in a Korean population," Skeletal Radiol., vol. 49, no. 4, pp. 613–618, 2020, doi: 10.1007/s00256-019-03342-6.

 

[15]       P. R. Mane, J. Vemulapalli, N. S. Reddy, N. Anudeep, and G. Prabhu, "Osteoporosis detection using deep learning on X-Ray images of human spine," in J. Phys.: Conf. Ser., vol. 2571, 2023, Art. no. 012017, doi: 10.1088/1742-6596/2571/1/012017.

 

[16]       T. Allahviranloo, "Fuzzy sets," in Soft Numerical Computing in Uncertain Dynamic Systems. Cham, Switzerland: Springer, 2021, pp. 23-47, doi: 10.1007/978-3-030-51272-9_2.

 

[17]       M. Genisa et al., "Adopting signal processing technique for osteoporosis detection based on CT scan image," Appl. Sci., vol. 13, no. 8, p. 5094, 2023, doi: 10.3390/app13085094.

 

[18]       L. Lu, L. Tao, W. Yining, H. Jiahui, and L. Jianfeng, "Research on osteoporosis risk assessment based on semi-supervised machine learning," in Proc. 2020 Int. Conf. Big Data Inf. Educ. (ICBDIE), Chongqing, China, 2020, pp. 176-180, doi: 10.1145/3407703.3407725.

 

[19]       B. Sivasakthi and D. Selvanayagi, "A comparison of machine learning algorithms for osteoporosis prediction," in Proc. 1st Int. Conf. Elect., Electron, Inf. Commun. Technol. (ICEEICT), Trichirappalli, India, 2022, pp. 1-5, doi: 10.1109/ICEEICT53079.2022.9768568.

 

[20]       J. Ren, H. Fan, J. Yang, and H. Ling, "Detection of trabecular landmarks for osteoporosis prescreening in dental panoramic radiographs," in Proc. 42nd Annu. Int. Conf. IEEE Eng. Med. Biol. Soc. (EMBC), Montreal, QC, Canada, 2020, pp. 1290-1293, doi: 10.1109/EMBC44109.2020.9175281.

 

[21]       D. M. Anisuzzaman, H. Barzekar, L. Tong, J. Luo, and Z. Yu, "A deep learning study on osteosarcoma detection from histological images," Biomed. Signal Process. Control, vol. 69, 2021, Art. no. 102931, doi: 10.1016/j.bspc.2021.102931.

 

[22]       P. S. Dodamani and A. Danti, "Transfer learning-based osteoporosis classification using simple radiographs," Int. J. Online Biomed. Eng., vol. 19, no. 8, pp. 121–135, 2023, doi: 10.3991/ijoe.v19i08.39235.

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Hamad, Murtadha M., Hamad, Murtadha M., Alrawi, Azmi Tawfeq Hussein. "Enhancing Osteoporosis Detection with Hybrid Fuzzy Logic Preprocessed Convolutional Neural Networks." Fusion: Practice and Applications, vol. Volume 21, no. Issue 2, 2026, pp. 01-21. DOI: https://doi.org/10.54216/FPA.210201
Hamad, M., Hamad, M., Alrawi, A. (2026). Enhancing Osteoporosis Detection with Hybrid Fuzzy Logic Preprocessed Convolutional Neural Networks. Fusion: Practice and Applications, Volume 21(Issue 2), 01-21. DOI: https://doi.org/10.54216/FPA.210201
Hamad, Murtadha M., Hamad, Murtadha M., Alrawi, Azmi Tawfeq Hussein. "Enhancing Osteoporosis Detection with Hybrid Fuzzy Logic Preprocessed Convolutional Neural Networks." Fusion: Practice and Applications Volume 21, no. Issue 2 (2026): 01-21. DOI: https://doi.org/10.54216/FPA.210201
Hamad, M., Hamad, M., Alrawi, A. (2026) 'Enhancing Osteoporosis Detection with Hybrid Fuzzy Logic Preprocessed Convolutional Neural Networks', Fusion: Practice and Applications, Volume 21(Issue 2), pp. 01-21. DOI: https://doi.org/10.54216/FPA.210201
Hamad M, Hamad M, Alrawi A. Enhancing Osteoporosis Detection with Hybrid Fuzzy Logic Preprocessed Convolutional Neural Networks. Fusion: Practice and Applications. 2026;Volume 21(Issue 2):01-21. DOI: https://doi.org/10.54216/FPA.210201
M. Hamad, M. Hamad, A. Alrawi, "Enhancing Osteoporosis Detection with Hybrid Fuzzy Logic Preprocessed Convolutional Neural Networks," Fusion: Practice and Applications, vol. Volume 21, no. Issue 2, pp. 01-21, 2026. DOI: https://doi.org/10.54216/FPA.210201
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