Evidence map›Paper›PMID 30506302›Full record

Trial reportSkeletal radiology2019

Assessing the effects of long-term osteoporosis treatment by using conventional spine radiographs: results from a pilot study in a sub-cohort of a large randomized controlled trial.

Hans Peter Dimai, Richard Ljuhar, Davul Ljuhar, Benjamin Norman, Stefan Nehrer, Andreas Kurth, Astrid Fahrleitner-Pammer

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Skeletal radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Review
  3. Artificial intelligence in spine care: current applications and future utility.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 · 2022
    Review
  4. Article
  5. Article
  6. Article
  7. Review
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

7 authors at 3 institutions in 2 countries.

Hans Peter DimaiDepartment of Internal Medicine, Division of Endocrinology & Diabetology, Medical University of Graz, Auenbruggerpl. 15, 8036, Graz, Austria. hans.dimai@medunigraz.at.ORCID http://orcid.org/0000-0001-8155-8265
Richard LjuharImage Biopsy Lab, Research & Development, Vienna, Austria.
Davul LjuharBraincon Technologies, Vienna, Austria.
Benjamin NormanBraincon Technologies, Vienna, Austria.
Stefan NehrerDepartment for Health Sciences and Biomedicine, Center for Regenerative Medicine and Orthopedics, Danube University Krems, Krems, Austria.
Andreas KurthKlinikum Birkenwerder, Birkenwerder, Germany.
Astrid Fahrleitner-PammerDepartment of Internal Medicine, Division of Endocrinology & Diabetology, Medical University of Graz, Auenbruggerpl. 15, 8036, Graz, Austria.
Medical University of Graz · ATPark-Klinik Birkenwerder · DEUniversität für Weiterbildung Krems · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the clinical applicability of a software tool developed to extract bone textural information from conventional lumbar spine radiographs, and to test it in a subset of postmenopausal women treated for osteoporosis with the fully human monoclonal antibody denosumab.

methodsThe software was developed based on the principles of a fractal model using pixel grey-level variations together with a specific machine-learning algorithm. The obtained dimensionless parameter, termed bone structure value (BSV), was then tested and compared to bone mineral density (BMD) in a sub-cohort of postmenopausal women with osteoporosis who were treated with the monoclonal antibody denosumab, within the framework of a large randomized controlled trial and its open-label extension phase.

resultsAfter 3 years and after 8 years of treatment with denosumab, mean lumbar spine BMD as well as mean lumbar BSV were significantly higher compared to study entry (one-way repeated measures ANOVA for DXA: F = 108.2, p < 0.00001; and for BSV: F = 84.3, p < 0.00001). The overall increase in DXA-derived lumbar spine BMD at year 8 was + 42% (mean ± SD; 0.725 ± 0.038 g/cm

conclusionsThis pilot study provides evidence that lumbar spine BSV as obtained from conventional radiographs constitutes a useful means for the assessment of bone-specific treatment effects in postmenopausal women with osteoporosis.

Indexed as

Absorptiometry, PhotonAgedAged, 80 and overBone DensityBone Density Conservation AgentsDenosumabFemaleHumansLumbar VertebraeMiddle AgedOsteoporosis, PostmenopausalPilot ProjectsRadiographic Image Interpretation, Computer-AssistedReproducibility of ResultsSoftwareTreatment OutcomeBone Density Conservation AgentsDenosumabBone structure value (BSV)Conventional radiographDual X-ray absorptiometry (DXA)Long-term treatmentOsteoporosis

Identifiers

PMID30506302
PMCPMC6525665
OpenAlexW2903137757

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.