Evidence map›Paper›PMID 31552689›Full record

ArticleJournal of veterinary internal medicine2019

Using machine learning to understand neuromorphological change and image-based biomarker identification in Cavalier King Charles Spaniels with Chiari-like malformation-associated pain and syringomyelia.

Michaela Spiteri, Susan P Knowler, Clare Rusbridge, Kevin Wells

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.8field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. A Veterinary DICOM-Based Deep Learning Denoising Algorithm Can Improve Subjective and Objective Brain MRI Image Quality.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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

4 authors at 3 institutions in 2 countries.

Michaela SpiteriCVSSP, Centre for Vision, Speech and Signal Processing, University of Surrey, Guildford, United Kingdom.ORCID https://orcid.org/0000-0001-7330-4724
Susan P KnowlerFaculty of Health & Medical Sciences, School of Veterinary Medicine, Guildford, United Kingdom.ORCID https://orcid.org/0000-0001-8727-8440
Clare RusbridgeFaculty of Health & Medical Sciences, School of Veterinary Medicine, Guildford, United Kingdom.ORCID https://orcid.org/0000-0002-3366-2110
Kevin WellsCVSSP, Centre for Vision, Speech and Signal Processing, University of Surrey, Guildford, United Kingdom.ORCID https://orcid.org/0000-0002-4658-8060
University of Surrey · GBFidal · FRGuildford Hospital · GB

Funding

Cavalier Matters CharityElaine Hasty 86200645Petplan PumpPrimer S16-392/430
6 · The paper itself

Abstract

backgroundChiari-like malformation (CM) is a complex malformation of the skull and cranial cervical vertebrae that potentially results in pain and secondary syringomyelia (SM). Chiari-like malformation-associated pain (CM-P) can be challenging to diagnose. We propose a machine learning approach to characterize morphological changes in dogs that may or may not be apparent to human observers. This data-driven approach can remove potential bias (or blindness) that may be produced by a hypothesis-driven expert observer approach. HYPOTHESIS/

objectivesTo understand neuromorphological change and to identify image-based biomarkers in dogs with CM-P and symptomatic SM (SM-S) using a novel machine learning approach, with the aim of increasing the understanding of these disorders. ANIMALS: Thirty-two client-owned Cavalier King Charles Spaniels (CKCSs; 11 controls, 10 CM-P, 11 SM-S).

methodsRetrospective study using T2-weighted midsagittal Digital Imaging and Communications in Medicine (DICOM) anonymized images, which then were mapped to images of an average clinically normal CKCS reference using Demons image registration. Key deformation features were automatically selected from the resulting deformation maps. A kernelized support vector machine was used for classifying characteristic localized changes in morphology.

resultsCandidate biomarkers were identified with receiver operating characteristic curves with area under the curve (AUC) of 0.78 (sensitivity 82%; specificity 69%) for the CM-P biomarkers collectively and an AUC of 0.82 (sensitivity, 93%; specificity, 67%) for the SM-S biomarkers, collectively. CONCLUSIONS AND CLINICAL IMPORTANCE: Machine learning techniques can assist CM/SM diagnosis and facilitate understanding of abnormal morphology location with the potential to be applied to a variety of breeds and conformational diseases.

Indexed as

Machine LearningAnimalsArea Under CurveArnold-Chiari MalformationBiomarkersDog DiseasesDogsFemaleMalePainRetrospective StudiesROC CurveSensitivity and SpecificitySyringomyeliaBiomarkersbiomarkerbrachycephalycanineCavalier King Charles Spanielcraniosynostosisimage registrationmachine learningMRIradiology and diagnostic imaging

Identifiers

PMID31552689
PMCPMC6872629
OpenAlexW2977053669

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.