Evidence map›Paper›PMID 29764383›Full record

ArticleBMC medical imaging2018

An automated algorithm for the detection of cortical interruptions and its underlying loss of trabecular bone; a reproducibility study.

M Peters, J de Jong, A Scharmga, A van Tubergen, P Geusens, D Loeffen, R Weijers, S K Boyd, C Barnabe, K S Stok and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Romosozumab does not improve volumetric bone mineral density at distal radius but is associated with early changes in bone strength: a prospective study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  3. Article
  4. Article
  5. The clinical application of high-resolution peripheral computed tomography (HR-pQCT) in adults: state of the art and future directions.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Review
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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

12 authors at 3 institutions in 5 countries.

M PetersDepartment of Internal Medicine, Division of Rheumatology, Maastricht University Medical Centre, P.O. Box 5800, NL-6202, Maastricht, AZ, the Netherlands. michiel.peters@maastrichtuniversity.nl.ORCID 0000-0002-4268-0548
J de JongDepartment of Internal Medicine, Division of Rheumatology, Maastricht University Medical Centre, P.O. Box 5800, NL-6202, Maastricht, AZ, the Netherlands.
A ScharmgaDepartment of Internal Medicine, Division of Rheumatology, Maastricht University Medical Centre, P.O. Box 5800, NL-6202, Maastricht, AZ, the Netherlands.
A van TubergenDepartment of Internal Medicine, Division of Rheumatology, Maastricht University Medical Centre, P.O. Box 5800, NL-6202, Maastricht, AZ, the Netherlands.
P GeusensDepartment of Internal Medicine, Division of Rheumatology, Maastricht University Medical Centre, P.O. Box 5800, NL-6202, Maastricht, AZ, the Netherlands.
D LoeffenDepartment of Radiology, Maastricht University Medical Centre, Maastricht, the Netherlands.
R WeijersDepartment of Radiology, Maastricht University Medical Centre, Maastricht, the Netherlands.
S K BoydCumming School of Medicine, McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, Canada.
C BarnabeCumming School of Medicine, McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, Canada.
K S StokDepartment of Biomedical Engineering, the University of Melbourne, Melbourne, Australia.
B van RietbergenFaculty of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, the Netherlands.
J van den BerghDepartment of Internal Medicine, Division of Rheumatology, Maastricht University Medical Centre, P.O. Box 5800, NL-6202, Maastricht, AZ, the Netherlands.
Maastricht University Medical Centre · NLUniversity of Calgary · CAThe University of Melbourne · AU

Funding

Pfizer WS2056904Weijerhorst foundation WH-2
6 · The paper itself

Abstract

backgroundWe developed a semi-automated algorithm that detects cortical interruptions in finger joints using high-resolution peripheral quantitative computed tomography (HR-pQCT), and extended it with trabecular void volume measurement. In this study we tested the reproducibility of the algorithm using scan/re-scan data.

methodsSecond and third metacarpophalangeal joints of 21 subjects (mean age 49 (SD 11) years, 17 early rheumatoid arthritis and 4 undifferentiated arthritis, all diagnosed < 1 year ago) were imaged twice by HR-pQCT on the same day with repositioning between scans. The images were analyzed twice by one operator (OP1) and once by an additional operator (OP2), who independently corrected the bone contours when necessary. The number, surface and volume of interruptions per joint were obtained. Intra- and inter-operator reliability and intra-operator reproducibility were determined by intra-class correlation coefficients (ICC). Intra-operator reproducibility errors were determined as the least significant change (LSC

resultsPer joint, the mean number of interruptions was 3.1 (SD 3.6), mean interruption surface 4.2 (SD 7.2) mm

conclusionsThe algorithm was highly reproducible in the detection of cortical interruptions and their volume. Based on the LSC findings, the potential value of this algorithm for monitoring structural damage in the joints in early arthritis patients needs to be tested in clinical studies.

Indexed as

AdultAlgorithmsArthritisAutomationFemaleHumansMaleMetacarpophalangeal JointMiddle AgedObserver VariationReproducibility of ResultsTomography, X-Ray ComputedBone micro-architectureCortical interruptionsHigh resolution peripheral quantitative computed tomographyImage processingPrecisionRheumatoid arthritis

Identifiers

PMID29764383
PMCPMC5952860
OpenAlexW2805284316

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.