Evidence map›Paper›PMID 23449957›Full record

ArticleRadiology2013

Automated detection of sclerotic metastases in the thoracolumbar spine at CT.

Joseph E Burns, Jianhua Yao, Tatjana S Wiese, Hector E Muñoz, Elizabeth C Jones, Ronald M Summers

Erratum issued Registry-linked trialOpen access · greenAbstract readValidation Study
In one paragraph

Article in Radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT00057252 (Development and Evaluation of Techniques for Computer Aided Detection and Diagnosis From Radiologic Images), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT00057252 completednot on this map

Development and Evaluation of Techniques for Computer Aided Detection and Diagnosis From Radiologic Images

TypeobservationalSponsorNational Institutes of Health Clinical Center (CC)Ran2003 to 2020Enrolled139,692ConditionsCancer
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Weakly-Supervised Detection of Bone Lesions in CT.Proceedings of SPIE--the International Society for Optical Engineering · 2024
    Article
  7. Article
  8. Artificial intelligence-aided lytic spinal bone metastasis classification on CT scans.International journal of computer assisted radiology and surgery · 2023
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Progress in Fully Automated Abdominal CT Interpretation.AJR. American journal of roentgenology · 2016
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Joseph E BurnsDepartment of Radiological Sciences, University of California-Irvine, Orange, Calif, USA.
Jianhua Yao
Tatjana S Wiese
Hector E Muñoz
Elizabeth C Jones
Ronald M Summers
National Institutes of Health Clinical Center · USUniversity of California, Irvine · US

Funding

Computer Aided Detection for Radiologic ImagesZ01CL040004 · CLC · CLINICAL CENTER · PI SUMMERS, RONALD M. · 2003 to 2008
$41k
Computer Aided Detection for Radiologic ImagesZIACL040004 · CLC · CLINICAL CENTER · PI SUMMERS, RONALD M. · 2009 to 2025
$0k
CLC NIH HHS ZIE CL090017-04Intramural NIH HHS Z01 CL040004
6 · The paper itself

Abstract

purposeTo design and validate a computer system for automated detection and quantitative characterization of sclerotic metastases of the thoracolumbar spine on computed tomography (CT) images. MATERIALS AND

methodsThis retrospective study was approved by the institutional review board and was HIPAA compliant; informed consent was waived. The data set consisted of CT examinations in 49 patients (14 female, 35 male patients; mean age, 57.0 years; range, 12-77 years), demonstrating a total of 532 sclerotic lesions of the spine of greater than 0.3 cm(3) in volume, and in 10 control case patients (four women, six men; mean age, 55.2 years; range, 19-70 years) without spinal lesions. CT examinations were divided into training and test sets, and images were analyzed according to prototypical fully-automated computer-aided detection (CAD) software. Free-response receiver operating characteristic analysis was performed.

resultsLesion detection sensitivity on images in the training set was 90%, relative to reference-standard marked lesions (95% confidence interval [CI]: 83%, 97%), at a false-positive rate (FPR) of 10.8 per patient (95% CI: 6.6, 15.0). For images in the testing set, sensitivity was 79% (95% CI: 74%, 84%), with an FPR of 10.9 per patient (95% CI: 8.5, 13.3). False-negative findings were most commonly (37 [40%] of 93) a result of endplate proximity, with 32 (34% of 93) caused by low CT attenuation. Marginal sclerosis caused by degenerative change (174 [28.1%] of 620 actual detections) was the most common cause of false-positive detections, followed by partial volume averaging with vertebral endplates (173 [27.9%] of 620) and pedicle cortex parallel to the axial imaging plane (121 [19.5%] 620).

conclusionThis CAD system successfully identified and segmented sclerotic lesions in the thoracolumbar spine.

Indexed as

AdolescentAdultAgedAlgorithmsCase-Control StudiesChildContrast MediaFemaleHumansImaging, Three-DimensionalIohexolIopamidolLumbar VertebraeMaleMiddle AgedPredictive Value of TestsContrast MediaIohexolIopamidol

Identifiers

PMID23449957
PMCPMC3689444
OpenAlexW2157342597

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.