Evidence map›Paper›PMID 31076919›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019

Quasi-automatic early detection of progressive idiopathic scoliosis from biplanar radiography: a preliminary validation.

Claudio Vergari, Laurent Gajny, Isabelle Courtois, Eric Ebermeyer, Kariman Abelin-Genevois, Youngwoo Kim, Tristan Langlais, Raphael Vialle, Ayman Assi, Ismat Ghanem and 2 more

Abstract readMulticenter StudyValidation StudyVideo-Audio Media
PubMed Publisher
In one paragraph

Article in 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, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Advanced machine learning model for Cobb angle progression in adolescent idiopathic scoliosis with surface topography: a multicenter, prospective, observational study.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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  5. Assessment of malalignment at early stage in adolescent idiopathic scoliosis: a longitudinal cohort study.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 · 2024
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  11. Vertebral rotation estimation from frontal X-rays using a quasi-automated pedicle detection method.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 · 2019
    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

12 authors.

Claudio VergariLBM/Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers ParisTech, 151 bd de l'Hôpital, 75013, Paris, France. c.vergari@gmail.com.ORCID http://orcid.org/0000-0002-7049-2405
Laurent GajnyLBM/Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers ParisTech, 151 bd de l'Hôpital, 75013, Paris, France.
Isabelle CourtoisUnite Rachis, CHU - Hospital Bellevue, Saint-Étienne, France.
Eric EbermeyerUnite Rachis, CHU - Hospital Bellevue, Saint-Étienne, France.
Kariman Abelin-GenevoisDepartment of Orthopaedic Surgery, Centre médico-chirurgical et de réadaptation des Massues, Lyon, France.
Youngwoo KimLBM/Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers ParisTech, 151 bd de l'Hôpital, 75013, Paris, France.
Tristan LanglaisDepartment of Paediatric Orthopaedics, Armand Trousseau Hospital, APHP, Sorbonne University, 26, avenue du Docteur Arnold-Netter, 75012, Paris, France.
Raphael VialleDepartment of Paediatric Orthopaedics, Armand Trousseau Hospital, APHP, Sorbonne University, 26, avenue du Docteur Arnold-Netter, 75012, Paris, France.
Ayman AssiLaboratory of Biomechanics and Medical Imaging, Faculty of Medicine, University of Saint-Joseph, Beirut, Lebanon.
Ismat GhanemLaboratory of Biomechanics and Medical Imaging, Faculty of Medicine, University of Saint-Joseph, Beirut, Lebanon.
Jean DuboussetLBM/Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers ParisTech, 151 bd de l'Hôpital, 75013, Paris, France.
Wafa SkalliLBM/Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers ParisTech, 151 bd de l'Hôpital, 75013, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo validate the predictive power and reliability of a novel quasi-automatic method to calculate the severity index of adolescent idiopathic scoliosis (AIS).

methodsFifty-five AIS patients were prospectively included (age 10-15, Cobb 16° ± 4°). Patients underwent low-dose biplanar X-rays, and a novel fast method for 3D reconstruction of the spine was performed. They were followed until skeletal maturity (stable patients) or brace prescription (progressive patients). The severity index was calculated at the first examination, based on 3D parameters of the scoliotic curve, and it was compared with the patient's final outcome (progressive or stable). Three operators have repeated the 3D reconstruction twice for a subset of 30 patients to assess reproducibility (through Cohen's kappa and intra-class correlation coefficient).

resultsEighty-five percentage of the patients were correctly classified as stable or progressive by the severity index, with a sensitivity of 92% and specificity of 74%. Substantial intra-operator agreement and good inter-operator agreement were observed, with 80% of the progressive patients correctly detected at the first examination. The novel severity index assessment took less than 4 min of operator time.

conclusionsThe fast and semiautomatic method for 3D reconstruction developed in this work allowed for a fast and reliable calculation of the severity index. The method is fast and user friendly. Once extensively validated, this severity index could allow very early initiation of conservative treatment for progressive patients, thus increasing treatment efficacy and therefore reducing the need for corrective surgery. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Severity of Illness IndexAdolescentBracesChildDisease ProgressionEarly DiagnosisFemaleHumansImaging, Three-DimensionalMaleRadiographyReproducibility of ResultsScoliosisSensitivity and SpecificitySpine3D reconstructionAdolescent idiopathic scoliosisFeature extractionReliabilitySeverity index

Identifiers

What OpenQuestion holds

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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.