Evidence map›Paper›PMID 34101071›Full record

ArticleMagma (New York, N.Y.)2021

Automatic knee cartilage and bone segmentation using multi-stage convolutional neural networks: data from the osteoarthritis initiative.

Anthony A Gatti, Monica R Maly

Abstract read
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In one paragraph

Article in Magma (New York, N.Y.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Exercise-Induced Changes in Knee Cartilage In Vivo: Comparing MRI Sequences.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  7. Article
  8. Improving Accuracy and Reproducibility of Cartilage TJournal of magnetic resonance imaging : JMRI · 2025
    Article
  9. Article
  10. Article
  11. ShapeMed-Knee: A Dataset and Neural Shape Model Benchmark for Modeling 3D Femurs.medRxiv : the preprint server for health sciences · 2024
    Article
  12. MRI-based TSkeletal radiology · 2023
    Review
  13. Review
  14. Article
  15. Article
  16. Latest advancements in imaging techniques in OA.Therapeutic advances in musculoskeletal disease · 2022
    Review
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

2 authors.

Anthony A GattiSchool of Rehabilitation Sciences, McMaster University, 1280 Main St. W., Hamilton, ON, L8S 4L8, Canada. anthony@neuralseg.com.ORCID http://orcid.org/0000-0001-6717-8979
Monica R MalySchool of Rehabilitation Sciences, McMaster University, 1280 Main St. W., Hamilton, ON, L8S 4L8, Canada.

Funding

Natural Sciences and Engineering Research Council of Canada 353715
6 · The paper itself

Abstract

objectivesAccurate and efficient knee cartilage and bone segmentation are necessary for basic science, clinical trial, and clinical applications. This work tested a multi-stage convolutional neural network framework for MRI image segmentation. MATERIALS AND

methodsStage 1 of the framework coarsely segments images outputting probabilities of each voxel belonging to the classes of interest: 4 cartilage tissues, 3 bones, 1 background. Stage 2 segments overlapping sub-volumes that include Stage 1 probability maps concatenated to raw image data. Using six fold cross-validation, this framework was tested on two datasets comprising 176 images [88 individuals in the Osteoarthritis Initiative (OAI)] and 60 images (15 healthy young men), respectively.

resultsOn the OAI segmentation dataset, the framework produces cartilage segmentation accuracies (Dice similarity coefficient) of 0.907 (femoral), 0.876 (medial tibial), 0.913 (lateral tibial), and 0.840 (patellar). Healthy cartilage accuracies are excellent (femoral = 0.938, medial tibial = 0.911, lateral tibial = 0.930, patellar = 0.955). Average surface distances are less than in-plane resolution. Segmentations take 91 ± 11 s per knee. DISCUSSION: The framework learns to automatically segment knee cartilage tissues and bones from MR images acquired with two sequences, producing efficient, accurate quantifications at varying disease severities.

Indexed as

Cartilage, ArticularOsteoarthritisOsteoarthritis, KneeHumansImage Processing, Computer-AssistedKneeKnee JointMagnetic Resonance ImagingMaleNeural Networks, ComputerCartilageDeep learningImage processingMagnetic resonance imagingOsteoarthritis

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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.