Evidence map›Paper›PMID 33835240›Full record

ArticleSkeletal radiology2022

Deep learning approach to predict pain progression in knee osteoarthritis.

Bochen Guan, Fang Liu, Arya Haj Mizaian, Shadpour Demehri, Alexey Samsonov, Ali Guermazi, Richard Kijowski

Abstract read
In one paragraph

Article in Skeletal radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
–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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Bochen GuanDepartment of Radiology, University of Wisconsin, 1111 Highland Avenue, Madison, WI, 53705-2275, USA. bochen.guan@gmail.com.ORCID http://orcid.org/0000-0003-1726-7214
Fang LiuDepartment of Radiology, Massachusetts General Hospital, Harvard University, Boston, MA, USA.
Arya Haj MizaianDepartment of Radiology, Johns Hopkins University, Baltimore, MD, USA.
Shadpour DemehriDepartment of Radiology, Johns Hopkins University, Baltimore, MD, USA.
Alexey SamsonovDepartment of Radiology, University of Wisconsin, 1111 Highland Avenue, Madison, WI, 53705-2275, USA.
Ali GuermaziDepartment of Radiology, Boston University, Boston, MA, USA.
Richard KijowskiDepartment of Radiology, New York University, New York, NY, USA.

Funding

Deep Learning Technology for Rapid Morphological and Quantitative Imaging of Knee PathologyR01AR079442 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI Fang Liu · 2022 to 2026
$2.2M
Rapid Three-dimensional Simultaneous Knee Multi-Relaxation MappingR01AR081344 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI Fang Liu · 2022 to 2026
$2.0M
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
Deep Learning Reconstruction for Rapid Multi-Component RelaxometryR21EB031185 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI LIU, FANG · 2022 to 2024
$690k
NIAMS NIH HHS R01-AR068373-01NIAMS NIH HHS R01 AR079442NIAMS NIH HHS R01 AR081344NIBIB NIH HHS R21 EB031185
6 · The paper itself

Abstract

objectiveTo develop and evaluate deep learning (DL) risk assessment models for predicting pain progression in subjects with or at risk of knee osteoarthritis (OA). MATERIALS AND

methodsThe incidence and progression cohorts of the Osteoarthritis Initiative, a multi-center longitudinal study involving 9348 knees in 4674 subjects with or at risk of knee OA that began in 2004 and is ongoing, were used to conduct this retrospective analysis. A subset of knees without and with pain progression (defined as a 9-point or greater increase in pain score between baseline and two or more follow-up time points over the first 48 months) was randomly stratified into training (4200 knees with a mean age of 61.0 years and 60% female) and hold-out testing (500 knees with a mean age of 60.8 years and 60% female) datasets. A DL model was developed to predict pain progression using baseline knee radiographs. An artificial neural network was used to develop a traditional risk assessment model to predict pain progression using demographic, clinical, and radiographic risk factors. A combined model was developed to combine demographic, clinical, and radiographic risk factors with DL analysis of baseline knee radiographs. Area under the curve (AUC) analysis was performed using the hold-out testing dataset to evaluate model performance.

resultsThe traditional model had an AUC of 0.692 (66.9% sensitivity and 64.1% specificity). The DL model had an AUC of 0.770 (76.7% sensitivity and 70.5% specificity), which was significantly higher (p < 0.001) than the traditional model. The combined model had an AUC of 0.807 (72.3% sensitivity and 80.9% specificity), which was significantly higher (p < 0.05) than the traditional and DL models.

conclusionsDL models using baseline knee radiographs had higher diagnostic performance for predicting pain progression than traditional models using demographic, clinical, and radiographic risk factors.

Indexed as

Deep LearningOsteoarthritis, KneeDisease ProgressionFemaleHumansKnee JointLongitudinal StudiesMaleMiddle AgedPainRetrospective StudiesDeep learningOsteoarthritisRadiographsRisk assessment models

Identifiers

PMID33835240
PMCPMC9232386

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.