Evidence map›Paper›PMID 23397381›Full record

ArticleEuropean radiology2013

Automatic detection of lytic and blastic thoracolumbar spine metastases on computed tomography.

Matthias Hammon, Peter Dankerl, Alexey Tsymbal, Michael Wels, Michael Kelm, Matthias May, Michael Suehling, Michael Uder, Alexander Cavallaro

Open access · hybridAbstract read
In one paragraph

Article in European radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

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  8. Artificial intelligence-aided lytic spinal bone metastasis classification on CT scans.International journal of computer assisted radiology and surgery · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Matthias HammonDepartment of Radiology, University Hospital Erlangen, Maximiliansplatz 1, 91054 Erlangen, Germany. matthias.hammon@uk-erlangen.de
Peter Dankerl
Alexey Tsymbal
Michael Wels
Michael Kelm
Matthias May
Michael Suehling
Michael Uder
Alexander Cavallaro
Universitätsklinikum Erlangen · DESiemens (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate a computer-aided detection (CADe) system for lytic and blastic spinal metastases on computed tomography (CT).

methodsWe retrospectively evaluated the CADe system on 20 consecutive patients with 42 lytic and on 30 consecutive patients with 172 blastic metastases. The CADe system was trained using CT images of 114 subjects with 102 lytic and 308 blastic spinal metastases. Lesions were annotated by experienced radiologists. Detected benign lesions were considered false-positive findings. Detector sensitivity and the number of false-positive findings were calculated as the criteria for detector performance, and free-response receiver operating characteristic (FROC) analysis was conducted. Detailed analysis of false-positive and false-negative findings was performed.

resultsAlgorithm runtime is 3 ± 0.5 min per patient. The system achieves a sensitivity of 83 % at 3.5 false positives per patient on average for blastic metastases and a sensitivity of 88 % at 3.7 false positives for lytic metastases. False positives appeared predominantly in the area of degenerative changes in the case of the blastic metastasis detector and in osteoporotic areas in the case of the lytic metastasis detector.

conclusionThe CADe system reliably detects thoracolumbar spine metastases in real time. An additional study is planned to evaluate how the bone lesion CADe system improves radiologists' accuracy and efficiency in a clinical setting. KEY POINTS: • Computer-aided detection (CADe) of bone metastases has been developed for spinal CT. • The CADe system exhibits high sensitivity with a tolerable false-positive rate. • Analysis of false-positive detection may further improve the system. • CADe may reduce the number of missed spinal metastases at CT interpretation.

Indexed as

AdultAgedAged, 80 and overAlgorithmsAutomationFalse Positive ReactionsFemaleHumansMaleMiddle AgedNeoplasm MetastasisOsteoporosisRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesROC CurveSoftware

Identifiers

PMID23397381
PMCPMC3674341
OpenAlexW1988288112

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.