Evidence map›Paper›PMID 32011542›Full record

ArticleThe Journal of craniofacial surgery

Quantifying the Severity of Metopic Craniosynostosis: A Pilot Study Application of Machine Learning in Craniofacial Surgery.

Riddhish Bhalodia, Lucas A Dvoracek, Ali M Ayyash, Ladislav Kavan, Ross Whitaker, Jesse A Goldstein

Open access · greenAbstract read
In one paragraph

Article in The Journal of craniofacial surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Machine learning applications in craniosynostosis diagnosis and treatment prediction: a systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Pooled it
  2. Distraction in anterior plagiocephaly: technique, risks, and long-term results.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  3. Quantifying Sagittal Craniosynostosis Severity: A Machine Learning Approach With CranioRate.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  4. Neurodevelopmental outcomes in children with craniosynostosis: a retrospective cross-sectional analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  5. Review
  6. Review
  7. Normscan: open-source Python software to create average models from CT scans.International journal of computer assisted radiology and surgery · 2025
    Article
  8. Article
  9. Radiographic severity is associated with worse executive function in metopic craniosynostosis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  10. OPTIMIZATION-DRIVEN STATISTICAL MODELS OF ANATOMIES USING RADIAL BASIS FUNCTION SHAPE REPRESENTATION.Proceedings. IEEE International Symposium on Biomedical Imaging · 2024
    Article
  11. Article
  12. Article
  13. Particle-Based Shape Modeling for Arbitrary Regions-of-Interest.Shape in medical imaging : International Workshop, ShapeMI 2023, held in conjunction with MICCAI 2023, Vancouver, BC, Canada, October 8, 2023, Proceedings. ShapeMI (Workshop) (2023 : Vancouver, B.C.) · 2023
    Article
  14. Article
  15. Technical evolution of pediatric neurosurgery: craniosynostosis from 1972 to 2023 and beyond.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Review
  16. ADASSM: Adversarial Data Augmentation in Statistical Shape Models From Images.Shape in medical imaging : International Workshop, ShapeMI 2023, held in conjunction with MICCAI 2023, Vancouver, BC, Canada, October 8, 2023, Proceedings. ShapeMI (Workshop) (2023 : Vancouver, B.C.) · 2023
    Article
  17. Image2SSM: Reimagining Statistical Shape Models from Images with Radial Basis Functions.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2023
    Article
  18. 3D Photography to Quantify the Severity of Metopic Craniosynostosis.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2023
    Article
  19. Review
  20. "Validation of Artificial Intelligence Severity Assessment in Metopic Craniosynostosis".The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2023
    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

6 authors at 2 institutions in 1 country.

Riddhish BhalodiaSchool of Computing, University of Utah, Salt Lake City, UT.
Lucas A DvoracekDepartment of Plastic Surgery, UPMC Children's Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA.
Ali M AyyashDepartment of Plastic Surgery, UPMC Children's Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA.
Ladislav KavanSchool of Computing, University of Utah, Salt Lake City, UT.
Ross WhitakerSchool of Computing, University of Utah, Salt Lake City, UT.
Jesse A GoldsteinDepartment of Plastic Surgery, UPMC Children's Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA.
University of Utah · USChildren's Hospital of Pittsburgh · US

Funding

Data-Driven Shape Analysis for Quantitative Severity Stratification in Patients with Metopic CraniosynostosisR21EB026061 · NIBIB · UNIVERSITY OF UTAH · PI GOLDSTEIN, JESSE AARON, WHITAKER, ROSS T · 2018 to 2019
$625k
NIBIB NIH HHS R21 EB026061
6 · The paper itself

Abstract

The standard for diagnosing metopic craniosynostosis (CS) utilizes computed tomography (CT) imaging and physical exam, but there is no standardized method for determining disease severity. Previous studies using interfrontal angles have evaluated differences in specific skull landmarks; however, these measurements are difficult to readily ascertain in clinical practice and fail to assess the complete skull contour. This pilot project employs machine learning algorithms to combine statistical shape information with expert ratings to generate a novel objective method of measuring the severity of metopic CS.Expert ratings of normal and metopic skull CT images were collected. Skull-shape analysis was conducted using ShapeWorks software. Machine-learning was used to combine the expert ratings with our shape analysis model to predict the severity of metopic CS using CT images. Our model was then compared to the gold standard using interfrontal angles.Seventeen metopic skull CT images of patients 5 to 15 months old were assigned a severity by 18 craniofacial surgeons, and 65 nonaffected controls were included with a 0 severity. Our model accurately correlated the level of skull deformity with severity (P < 0.10) and predicted the severity of metopic CS more often than models using interfrontal angles (χ = 5.46, P = 0.019).This is the first study that combines shape information with expert ratings to generate an objective measure of severity for metopic CS. This method may help clinicians easily quantify the severity and perform robust longitudinal assessments of the condition.

Indexed as

CraniosynostosesFaceHumansInfantMachine LearningPilot ProjectsSkullTomography, X-Ray Computed

Identifiers

PMID32011542
PMCPMC7202995
OpenAlexW3004983689

What OpenQuestion holds

Textmetadata
LicenceTDM
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.