Evidence map›Paper›PMID 28778598›Full record

ArticleBone2017

Phantomless calibration of CT scans for measurement of BMD and bone strength-Inter-operator reanalysis precision.

David C Lee, Paul F Hoffmann, David L Kopperdahl, Tony M Keaveny

Open access · greenAbstract read
In one paragraph

Article in Bone, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 115 citations in OpenAlex.

  1. Trial
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  6. Predictive efficacy of phantom-less calibration of computed tomography for cage subsidence after anterior cervical discectomy and fusion.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
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  14. Review
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  16. Osteoporosis treatment prevents hip fracture similarly in both sexes: the FOCUS observational study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Observational
  17. Article
  18. Article
  19. Article
  20. Frontiers in bioengineering and biotechnology · 2024
    Article
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

4 authors at 2 institutions in 1 country.

David C LeeO.N. Diagnostics LLC, Berkeley, CA, USA. Electronic address: david.lee@ondiagnostics.com.
Paul F HoffmannO.N. Diagnostics LLC, Berkeley, CA, USA. Electronic address: paul.hoffmann@ondiagnostics.com.
David L KopperdahlO.N. Diagnostics LLC, Berkeley, CA, USA. Electronic address: david.kopperdahl@ondiagnostics.com.
Tony M KeavenyDepartment of Mechanical Engineering, University of California, Berkeley, CA, USA; Department of Bioengineering, University of California, Berkeley, CA, USA. Electronic address: tonykeaveny@berkeley.edu.
O.N. Diagnostics (United States) · USUniversity of California, Berkeley · US

Funding

Robust BCT for Clinical Use - Phase IIR44AR057616 · NIAMS · O. N. DIAGNOSTICS, LLC · PI KOPPERDAHL, DAVID · 2014 to 2016
$1.8M
Robust BCT for Clinical UseR43AR057616 · NIAMS · O. N. DIAGNOSTICS, LLC · PI KOPPERDAHL, DAVID · 2009 to 2010
$700k
NIAMS NIH HHS R43 AR057616NIAMS NIH HHS R44 AR057616
6 · The paper itself

Abstract

Patient-specific phantomless calibration of computed tomography (CT) scans has the potential to simplify and expand the use of pre-existing clinical CT for quantitative bone densitometry and bone strength analysis for diagnostic and monitoring purposes. In this study, we quantified the inter-operator reanalysis precision errors for a novel implementation of patient-specific phantomless calibration, using air and either aortic blood or hip adipose tissue as internal calibrating reference materials, and sought to confirm the equivalence between phantomless and (traditional) phantom-based measurements. CT scans of the spine and hip for 25 women and 15 men (mean±SD age of 67±9years, range 41-86years), one scan per anatomic site per patient, were analyzed independently by two analysts using the VirtuOst software (O.N. Diagnostics, Berkeley, CA). The scans were acquired at 120kVp, with a slice thickness/increment of 3mm or less, on nine different CT scanner models across 24 different scanners. The main parameters assessed were areal bone mineral density (BMD) at the hip (total hip and femoral neck), trabecular volumetric BMD at the spine, and vertebral and femoral strength by finite element analysis; other volumetric BMD measures were also assessed. We found that the reanalysis precision errors for all phantomless measurements were ≤0.5%, which was as good as for phantom calibration. Regression analysis indicated equivalence of the phantom- versus phantomless-calibrated measurements (slope not different than unity, R

Indexed as

Bone DensityAdultAgedAged, 80 and overBone and BonesCalibrationFemaleFinite Element AnalysisHumansMaleMiddle AgedObserver VariationPhantoms, ImagingTomography, X-Ray ComputedBMDBone strengthFinite element analysisOsteoporosisPrecisionRepeatability

Identifiers

PMID28778598
PMCPMC5636218
OpenAlexW2739920249

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.