Evidence map›Paper›PMID 30458738›Full record

ArticleBMC musculoskeletal disorders2018

A novel MRI- and CT-based scoring system to differentiate malignant from osteoporotic vertebral fractures in Chinese patients.

Zi Li, Ming Guan, Dong Sun, Yong Xu, Feng Li, Wei Xiong

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 19% 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, 20 citations in OpenAlex.

  1. Article
  2. Radiomics in spinal research: a narrative review.Frontiers in bioengineering and biotechnology · 2026
    Review
  3. Review
  4. Value ofEJNMMI research · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. 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

6 authors at 1 institution in 1 country.

Zi LiDepartment of orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jiefang Ave, Wuhan, Hubei, China.
Ming GuanDepartment of orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jiefang Ave, Wuhan, Hubei, China.
Dong SunRadiology department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jiefang Ave, Wuhan, Hubei, China.
Yong XuDepartment of orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jiefang Ave, Wuhan, Hubei, China.
Feng LiDepartment of orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jiefang Ave, Wuhan, Hubei, China.
Wei XiongDepartment of orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jiefang Ave, Wuhan, Hubei, China. xcxgreatwellus@hotmail.com.ORCID http://orcid.org/0000-0003-3189-4767
Tongji Hospital · CN

Funding

National Natural Science Foundation of China 81571816
6 · The paper itself

Abstract

backgroundVarious types of magnetic resonance imaging (MRI) and computed tomography (CT) findings are used to differentiate malignant vertebral fractures (MVFs) from osteoporotic vertebral fractures (OVFs). The distinguishing ability of any single finding is limited. This study developed a novel scoring system that integrates multiple MRI and CT signs for improved accuracy of differential diagnosis between MVFs and OVFs.

methodsA total of 150 MVFs and 150 OVFs in thoracolumbar vertebrae were analyzed. MRI and CT images were obtained within 2 months of the probable time of fracture. The sensitivity and specificity of 15 MRI and CT image findings were evaluated. A stepwise discriminant analysis using these signs as variables was used to create a scoring system to differentiate MVFs from OVFs.

resultsAll 15 image findings had strong specificity and moderate sensitivity. Seven MRI and three CT image findings were selected and assigned integral values in the final scoring system. A total score of 4 or greater points indicated MVF, whereas a total score of 3 or fewer points indicated OVF. The classification accuracy was 98.3% in the test set.

conclusionsThis novel scoring system using MRI and CT radiologic findings to differentiate MVFs from OVFs in Chinese patients was efficient with high accuracy and good applicability.

Indexed as

AdultAgedAged, 80 and overChinaDiagnosis, DifferentialFemaleHumansLumbar VertebraeMagnetic Resonance ImagingMaleMiddle AgedNeoplasmsOsteoporotic FracturesSpinal FracturesThoracic VertebraeTomography, X-Ray ComputedComputed tomographyDiscriminant analysisMagnetic resonance imagingMalignant vertebral fractureOsteoporotic vertebral fracture

Identifiers

PMID30458738
PMCPMC6247741
OpenAlexW2900454605

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.