Evidence map›Paper›PMID 35322343›Full record

ReviewMedical & biological engineering & computing2022

A deep learning-based approach to automatic proximal femur segmentation in quantitative CT images.

Yu Deng, Ling Wang, Chen Zhao, Shaojie Tang, Xiaoguang Cheng, Hong-Wen Deng, Weihua Zhou

Abstract readReview
PubMed Publisher
In one paragraph

Review in Medical & biological engineering & computing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
8.7field-weighted citation impact, top 1% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. DIKOApp: An AI-Based Diagnostic System for Knee Osteoarthritis.Journal of imaging informatics in medicine · 2025
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  8. Development and reporting of artificial intelligence in osteoporosis management.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Review
  9. Article
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  11. Article
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  13. Article
  14. Article
  15. Article
  16. Improved distinct bone segmentation in upper-body CT through multi-resolution networks.International journal of computer assisted radiology and surgery · 2023
    Article
  17. Article
  18. Article
  19. Review
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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 5 institutions in 2 countries.

Yu DengSchool of Automation, Xi'an University of Posts and Telecommunications, Xi'an, 710121, Shaanxi, China.
Ling WangDepartment of Radiology, Beijing Jishuitan Hospital, Beijing, 100035, China.
Chen ZhaoCollege of Computing, Michigan Technological University, Houghton, MI, 49931, USA.
Shaojie TangSchool of Automation, Xi'an University of Posts and Telecommunications, Xi'an, 710121, Shaanxi, China. tangshaojie@xupt.edu.cn.
Xiaoguang ChengDepartment of Radiology, Beijing Jishuitan Hospital, Beijing, 100035, China.
Hong-Wen DengDepartment of Biomedical Engineering, Tulane University, New Orleans, LA, 70118, USA.
Weihua ZhouCollege of Computing, Michigan Technological University, Houghton, MI, 49931, USA.
Michigan Technological University · USXi’an University of Posts and Telecommunications · CNBeijing Jishuitan Hospital · CNPeking University · CNTulane University · US

Funding

Beijing JST Research Funding No. 8002-903-02National Natural Science Foundation of China 81771831National Natural Science Foundation of China 81901718National Natural Science Foundation of China 81971617Natural Science Foundation of Shanxi Province No. 2020SF-377the Beijing Natural Science Foundation-Haidian Primitive Innovation Joint Fund No. L172019Xi'an Key Laboratory of Advanced Controlling and Intelligent Processing (ACIP), China 2019220714SYS022CG044
6 · The paper itself

Abstract

Automatic CT segmentation of proximal femur has a great potential for use in orthopedic diseases, especially in the imaging-based assessments of hip fracture risk. In this study, we proposed an approach based on deep learning for the fast and automatic extraction of the periosteal and endosteal contours of proximal femur in order to differentiate cortical and trabecular bone compartments. A three-dimensional (3D) end-to-end fully convolutional neural network (CNN), which can better combine the information among neighbor slices and get more accurate segmentation results by 3D CNN, was developed for our segmentation task. The separation of cortical and trabecular bones derived from the QCT software MIAF-Femur was used as the segmentation reference. Two models with the same network structures were trained, and they achieved a dice similarity coefficient (DSC) of 97.82% and 96.53% for the periosteal and endosteal contours, respectively. Compared with MIAF-Femur, it takes half an hour to segment a case, and our CNN model takes a few minutes. To verify the excellent performance of our model for proximal femoral segmentation, we measured the volumes of different parts of the proximal femur and compared it with the ground truth, and the relative errors of femur volume between predicted result and ground truth are all less than 5%. This approach will be expected helpful to measure the bone mineral densities of cortical and trabecular bones, and to evaluate the bone strength based on FEA.

Indexed as

Deep LearningCancellous BoneFemurImage Processing, Computer-AssistedNeural Networks, ComputerTomography, X-Ray ComputedConvolutional neural networkDeep learningImage segmentationProximal femurQuantitative computed tomography

Identifiers

PMID35322343
OpenAlexW4220934437

What OpenQuestion holds

Textmetadata
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.