Evidence map›Paper›PMID 31872173›Full record

ArticleRheumatology advances in practice2019

Development and validation of a deep-learning model for scoring of radiographic finger joint destruction in rheumatoid arthritis.

Toru Hirano, Masayuki Nishide, Naoki Nonaka, Jun Seita, Kosuke Ebina, Kazuhiro Sakurada, Atsushi Kumanogoh

Open access · goldAbstract read
In one paragraph

Article in Rheumatology advances in practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 73 citations in OpenAlex.

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  17. A survey of artificial intelligence in rheumatoid arthritis.Rheumatology and immunology research · 2023
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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

7 authors at 2 institutions in 1 country.

Toru HiranoDepartment of Respiratory Medicine and Clinical Immunology, Internal Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka.ORCID 0000-0001-8467-3154
Masayuki NishideDepartment of Respiratory Medicine and Clinical Immunology, Internal Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka.
Naoki NonakaMedical Sciences Innovation Hub Program, RIKEN, Yokohama, Kanagawa.
Jun SeitaMedical Sciences Innovation Hub Program, RIKEN, Yokohama, Kanagawa.
Kosuke EbinaDepartment of Musculoskeletal Regenerative Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Kazuhiro SakuradaMedical Sciences Innovation Hub Program, RIKEN, Yokohama, Kanagawa.
Atsushi KumanogohDepartment of Respiratory Medicine and Clinical Immunology, Internal Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka.
The University of Osaka · JPRIKEN Center for Integrative Medical Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this research was to develop a deep-learning model to assess radiographic finger joint destruction in RA.

methodsThe model comprises two steps: a joint-detection step and a joint-evaluation step. Among 216 radiographs of 108 patients with RA, 186 radiographs were assigned to the training/validation dataset and 30 to the test dataset. In the training/validation dataset, images of PIP joints, the IP joint of the thumb or MCP joints were manually clipped and scored for joint space narrowing (JSN) and bone erosion by clinicians, and then these images were augmented. As a result, 11 160 images were used to train and validate a deep convolutional neural network for joint evaluation. Three thousand seven hundred and twenty selected images were used to train machine learning for joint detection. These steps were combined as the assessment model for radiographic finger joint destruction. Performance of the model was examined using the test dataset, which was not included in the training/validation process, by comparing the scores assigned by the model and clinicians.

resultsThe model detected PIP joints, the IP joint of the thumb and MCP joints with a sensitivity of 95.3% and assigned scores for JSN and erosion. Accuracy (percentage of exact agreement) reached 49.3-65.4% for JSN and 70.6-74.1% for erosion. The correlation coefficient between scores by the model and clinicians per image was 0.72-0.88 for JSN and 0.54-0.75 for erosion.

conclusionImage processing with the trained convolutional neural network model is promising to assess radiographs in RA.

Indexed as

artificial intelligencejoint destructionrheumatoid arthritis

Identifiers

PMID31872173
PMCPMC6921374
OpenAlexW2990678557

What OpenQuestion holds

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Registered trials

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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.