Evidence map›Paper›PMID 30923086›Full record

ArticleAJNR. American journal of neuroradiology2019

Convolutional Neural Network-Based Automated Segmentation of the Spinal Cord and Contusion Injury: Deep Learning Biomarker Correlates of Motor Impairment in Acute Spinal Cord Injury.

D B McCoy, S M Dupont, C Gros, J Cohen-Adad, R J Huie, A Ferguson, X Duong-Fernandez, L H Thomas, V Singh, J Narvid and 8 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04565366 (Early Critical Care Decisions and Outcomes After SCI), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
6.0field-weighted citation impact, top 3% 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.

NCT04565366 enrolling by invitationnot on this map

Early Critical Care Decisions and Outcomes After SCI: TRACK-SCI

TypeobservationalSponsorUniversity of California, San FranciscoRan2015 to 2028Enrolled726ConditionsSpinal Cord Injuries
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 75 citations in OpenAlex.

  1. Article
  2. Article
  3. Spinal Cord Segmentation and Injury Detection based on Siamese Conventional WideRes Network using CT Image.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
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  18. Article
  19. Recent trends in spinal trauma management and research.Journal of clinical orthopaedics and trauma · 2024
    Article
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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

18 authors at 5 institutions in 4 countries.

D B McCoyFrom the Departments of Radiology and Biomedical Imaging (D.B.M., S.M.D., J.N., J.F.T.).ORCID 0000-0003-2425-1923
S M DupontFrom the Departments of Radiology and Biomedical Imaging (D.B.M., S.M.D., J.N., J.F.T.).ORCID 0000-0001-9659-7056
C GrosNeuroPoly Lab (C.G., J.C.-A.), Institute of Biomedical Engineering, Polytechnique Montreal, Montreal, Quebec, Canada.ORCID 0000-0003-4318-0024
J Cohen-AdadNeuroPoly Lab (C.G., J.C.-A.), Institute of Biomedical Engineering, Polytechnique Montreal, Montreal, Quebec, Canada.ORCID 0000-0003-3662-9532
R J HuieNeurological Surgery (R.J.H., A.F., X.D.-F., L.H.T., N.K., M.S.B., J.C.B., S.D., W.W., J.F.T.).ORCID 0000-0001-5594-4277
A FergusonNeurological Surgery (R.J.H., A.F., X.D.-F., L.H.T., N.K., M.S.B., J.C.B., S.D., W.W., J.F.T.).ORCID 0000-0001-7102-1608
X Duong-FernandezNeurological Surgery (R.J.H., A.F., X.D.-F., L.H.T., N.K., M.S.B., J.C.B., S.D., W.W., J.F.T.).ORCID 0000-0001-8362-4166
L H ThomasNeurological Surgery (R.J.H., A.F., X.D.-F., L.H.T., N.K., M.S.B., J.C.B., S.D., W.W., J.F.T.).ORCID 0000-0002-7593-0240
V SinghDepartments of Neurology (V.S.).ORCID 0000-0003-3470-3532
J NarvidFrom the Departments of Radiology and Biomedical Imaging (D.B.M., S.M.D., J.N., J.F.T.).ORCID 0000-0002-2887-4231
L PascualOrthopedic Surgery (L.P.), Zuckerberg San Francisco General Hospital, University of California, San Francisco, San Francisco, California.ORCID 0000-0001-6228-6217
N KyritsisNeurological Surgery (R.J.H., A.F., X.D.-F., L.H.T., N.K., M.S.B., J.C.B., S.D., W.W., J.F.T.).ORCID 0000-0001-7801-5796
M S BeattieNeurological Surgery (R.J.H., A.F., X.D.-F., L.H.T., N.K., M.S.B., J.C.B., S.D., W.W., J.F.T.).ORCID 0000-0001-9463-3631
J C BresnahanNeurological Surgery (R.J.H., A.F., X.D.-F., L.H.T., N.K., M.S.B., J.C.B., S.D., W.W., J.F.T.).ORCID 0000-0003-2243-7054
S DhallNeurological Surgery (R.J.H., A.F., X.D.-F., L.H.T., N.K., M.S.B., J.C.B., S.D., W.W., J.F.T.).ORCID 0000-0002-6891-2722
W WhetstoneNeurological Surgery (R.J.H., A.F., X.D.-F., L.H.T., N.K., M.S.B., J.C.B., S.D., W.W., J.F.T.).ORCID 0000-0002-8568-6640
J F TalbottFrom the Departments of Radiology and Biomedical Imaging (D.B.M., S.M.D., J.N., J.F.T.) jason.talbott@ucsf.edu.ORCID 0000-0003-3943-5530
TRACK-SCI Investigators
The Neurological Institute · USLaboratoire d’Imagerie Biomédicale · FRPolytechnique Montréal · CANeurology, Inc · USSan Francisco General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeOur aim was to use 2D convolutional neural networks for automatic segmentation of the spinal cord and traumatic contusion injury from axial T2-weighted MR imaging in a cohort of patients with acute spinal cord injury. MATERIALS AND

methodsForty-seven patients who underwent 3T MR imaging within 24 hours of spinal cord injury were included. We developed an image-analysis pipeline integrating 2D convolutional neural networks for whole spinal cord and intramedullary spinal cord lesion segmentation. Linear mixed modeling was used to compare test segmentation results between our spinal cord injury convolutional neural network (Brain and Spinal Cord Injury Center segmentation) and current state-of-the-art methods. Volumes of segmented lesions were then used in a linear regression analysis to determine associations with motor scores.

resultsCompared with manual labeling, the average test set Dice coefficient for the Brain and Spinal Cord Injury Center segmentation model was 0.93 for spinal cord segmentation versus 0.80 for PropSeg and 0.90 for DeepSeg (both components of the Spinal Cord Toolbox). Linear mixed modeling showed a significant difference between Brain and Spinal Cord Injury Center segmentation compared with PropSeg (P < .001) and DeepSeg (

conclusionsBrain and Spinal Cord Injury Center segmentation of the spinal cord compares favorably with available segmentation tools in a population with acute spinal cord injury. Volumes of injury derived from automated lesion segmentation with Brain and Spinal Cord Injury Center segmentation correlate with measures of motor impairment in the acute phase. Targeted convolutional neural network training in acute spinal cord injury enhances algorithm performance for this patient population and provides clinically relevant metrics of cord injury.

Indexed as

Deep LearningContusionsFemaleHumansImage Interpretation, Computer-AssistedImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMotor DisordersSpinal Cord Injuries

Identifiers

PMID30923086
PMCPMC7048524
OpenAlexW2932584980

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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.