Evidence map›Paper›PMID 32035934›Full record

ArticleOsteoarthritis and cartilage2020

Deep learning risk assessment models for predicting progression of radiographic medial joint space loss over a 48-MONTH follow-up period.

B Guan, F Liu, A Haj-Mirzaian, S Demehri, A Samsonov, T Neogi, A Guermazi, R Kijowski

Open access · greenAbstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

B GuanDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA; Department of Electrical and Computer Engineering, University of Wisconsin-Madison, Madison, WI, USA. Electronic address: gbochen@wisc.edu.
F LiuDepartment of Radiology, Massachusetts General Hospital, Harvard University, Boston, MA, USA. Electronic address: fliu12@mgh.harvard.edu.
A Haj-MirzaianDepartment of Radiology, Johns Hopkins University, Baltimore, MD, USA. Electronic address: arya.mirzaian@gmail.com.
S DemehriDepartment of Radiology, Johns Hopkins University, Baltimore, MD, USA. Electronic address: demehri2001@yahoo.com.
A SamsonovDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA. Electronic address: samsonov@wisc.edu.
T NeogiDepartment of Medicine, Boston University, Boston, MA, USA. Electronic address: tneogi@bu.edu.
A GuermaziDepartment of Radiology, Boston University, Boston, MA, USA. Electronic address: guermazi@bu.edu.
R KijowskiDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA. Electronic address: rkijowski@uwhealth.org.
University of Wisconsin–Madison · USBoston University · USJohns Hopkins University · USHarvard University · US

Funding

Unified Joint Statistical Reconstruction of PET & MRP41EB022544 · NIBIB · YALE UNIVERSITY · PI Georges El Fakhri · 2017 to 2026
$14.8M
Research and Evaluation Support Core Unit (RESCU Core)P30AR072571 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI TUHINA NEOGI · 2019 to 2026
$6.9M
Quantitative Oncologic PET-MRR01CA165221 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI EL FAKHRI, GEORGES · 2012 to 2023
$4.7M
Multi-component T2 and T2* mapping of All Water Components of Articular CartilageR01AR068373 · NIAMS · UNIVERSITY OF WISCONSIN-MADISON · PI KIJOWSKI, RICHARD · 2015 to 2018
$1.4M
The Role of Urate in Knee Osteoarthritis-Related Inflammation, Pathology and PainK24AR070892 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI TUHINA NEOGI · 2017 to 2026
$1.1M
NCI NIH HHS R01 CA165221NIAMS NIH HHS K24 AR070892NIAMS NIH HHS P30 AR072571NIAMS NIH HHS R01 AR068373NIBIB NIH HHS P41 EB022544
6 · The paper itself

Abstract

objectiveTo develop and evaluate deep learning (DL) risk assessment models for predicting the progression of radiographic medial joint space loss using baseline knee X-rays.

methodsKnees from the Osteoarthritis Initiative without and with progression of radiographic joint space loss (defined as ≥ 0.7 mm decrease in medial joint space width measurement between baseline and 48-month follow-up X-rays) were randomly stratified into training (1400 knees) and hold-out testing (400 knees) datasets. A DL network was trained to predict the progression of radiographic joint space loss using the baseline knee X-rays. An artificial neural network was used to develop a traditional model for predicting progression utilizing demographic and radiographic risk factors. A combined joint training model was developed using a DL network to extract information from baseline knee X-rays as a feature vector, which was further concatenated with the risk factor data vector. Area under the curve (AUC) analysis was performed using the hold-out test dataset to evaluate model performance.

resultsThe traditional model had an AUC of 0.660 (61.5% sensitivity and 64.0% specificity) for predicting progression. The DL model had an AUC of 0.799 (78.0% sensitivity and 75.5% specificity), which was significantly higher (P < 0.001) than the traditional model. The combined model had an AUC of 0.863 (80.5% sensitivity and specificity), which was significantly higher than the DL (P = 0.015) and traditional (P < 0.001) models.

conclusionDL models using baseline knee X-rays had higher diagnostic performance for predicting the progression of radiographic joint space loss than the traditional model using demographic and radiographic risk factors.

Indexed as

Deep LearningAgedArea Under CurveDisease ProgressionFemaleHumansMaleMiddle AgedOsteoarthritis, KneeRadiographyRisk AssessmentRisk FactorsDeep learningOsteoarthritisRadiographsRisk assessment models

Identifiers

PMID32035934
PMCPMC7137777
OpenAlexW3005507917

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.