Evidence map›Paper›PMID 35403831›Full record

ArticleInternational journal for numerical methods in biomedical engineering2022

Toward an artificial intelligence-assisted framework for reconstructing the digital twin of vertebra and predicting its fracture response.

Hossein Ahmadian, Prasath Mageswaran, Benjamin A Walter, Dukagjin M Blakaj, Eric C Bourekas, Ehud Mendel, William S Marras, Soheil Soghrati

Open access · greenAbstract read
In one paragraph

Article in International journal for numerical methods in biomedical engineering, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  8. Current progress of digital twin construction using medical imaging.Journal of applied clinical medical physics · 2025
    Review
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  11. Article
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  17. Digital Twins of Biological Systems: A Narrative Review.IEEE open journal of engineering in medicine and biology · 2024
    Article
  18. 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

8 authors at 2 institutions in 1 country.

Hossein AhmadianDepartment of Integrated Systems Engineering, The Ohio State University, Columbus, Ohio, USA.
Prasath MageswaranDepartment of Integrated Systems Engineering, The Ohio State University, Columbus, Ohio, USA.
Benjamin A WalterDepartment of Biomedical Engineering, The Ohio State University, Columbus, Ohio, USA.
Dukagjin M BlakajDepartment of Radiation Oncology, The Ohio State University, Columbus, Ohio, USA.
Eric C BourekasDepartment of Neurological Surgery, The Ohio State University, Columbus, Ohio, USA.
Ehud MendelDepartment of Radiation Oncology, The Ohio State University, Columbus, Ohio, USA.
William S MarrasDepartment of Integrated Systems Engineering, The Ohio State University, Columbus, Ohio, USA.
Soheil SoghratiDepartment of Mechanical and Aerospace Engineering, The Ohio State University, Columbus, Ohio, USA.ORCID 0000-0003-2668-9750
The Ohio State University · USNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article presents an effort toward building an artificial intelligence (AI) assisted framework, coined ReconGAN, for creating a realistic digital twin of the human vertebra and predicting the risk of vertebral fracture (VF). ReconGAN consists of a deep convolutional generative adversarial network (DCGAN), image-processing steps, and finite element (FE) based shape optimization to reconstruct the vertebra model. This DCGAN model is trained using a set of quantitative micro-computed tomography (micro-QCT) images of the trabecular bone obtained from cadaveric samples. The quality of synthetic trabecular models generated using DCGAN are verified by comparing a set of its statistical microstructural descriptors with those of the imaging data. The synthesized trabecular microstructure is then infused into the vertebra cortical shell extracted from the patient's diagnostic CT scans using an FE-based shape optimization approach to achieve a smooth transition between trabecular to cortical regions. The final geometrical model of the vertebra is converted into a high-fidelity FE model to simulate the VF response using a continuum damage model under compression and flexion loading conditions. A feasibility study is presented to demonstrate the applicability of digital twins generated using this AI-assisted framework to predict the risk of VF in a cancer patient with spinal metastasis.

Indexed as

Artificial IntelligenceSpinal FracturesFinite Element AnalysisHumansSpineX-Ray Microtomographydeep learningfinite element methodmicrostructure reconstructionspinal metastasisvertebral fracture

Identifiers

PMID35403831
PMCPMC9285948
OpenAlexW4223456836

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.