Evidence map›Paper›PMID 35783915›Full record

ArticleJOR spine2022

Automatic detection and voxel-wise mapping of lumbar spine Modic changes with deep learning.

Kenneth T Gao, Radhika Tibrewala, Madeline Hess, Upasana U Bharadwaj, Gaurav Inamdar, Thomas M Link, Cynthia T Chin, Valentina Pedoia, Sharmila Majumdar

Open access · goldAbstract read
In one paragraph

Article in JOR spine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Are current machine learning applications comparable to radiologist classification of degenerate and herniated discs and Modic change? A systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Pooled it
  2. Review
  3. Review
  4. MRI radiomics reveals pain-related biomarkers for modic changes.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  5. Article
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  7. Review
  8. The Application of Artificial Intelligence in Spine Surgery: A Scoping Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
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  12. Review
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  15. On the Analyses of Medical Images Using Traditional Machine Learning Techniques and Convolutional Neural Networks.Archives of computational methods in engineering : state of the art reviews · 2023
    Article
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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

9 authors at 1 institution in 1 country.

Kenneth T GaoDepartment of Radiology and Biomedical Imaging University of California, San Francisco San Francisco California USA.ORCID https://orcid.org/0000-0002-5975-0127
Radhika TibrewalaDepartment of Radiology and Biomedical Imaging University of California, San Francisco San Francisco California USA.
Madeline HessDepartment of Radiology and Biomedical Imaging University of California, San Francisco San Francisco California USA.
Upasana U BharadwajDepartment of Radiology and Biomedical Imaging University of California, San Francisco San Francisco California USA.
Gaurav InamdarDepartment of Radiology and Biomedical Imaging University of California, San Francisco San Francisco California USA.
Thomas M LinkDepartment of Radiology and Biomedical Imaging University of California, San Francisco San Francisco California USA.
Cynthia T ChinDepartment of Radiology and Biomedical Imaging University of California, San Francisco San Francisco California USA.
Valentina PedoiaDepartment of Radiology and Biomedical Imaging University of California, San Francisco San Francisco California USA.
Sharmila MajumdarDepartment of Radiology and Biomedical Imaging University of California, San Francisco San Francisco California USA.
University of California, San Francisco · US

Funding

Technology Research Site for Advanced, Faster Quantitative Imaging for BACPACUH3AR076724 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MAJUMDAR, SHARMILA · 2020 to 2023
$4.8M
Technology Research Site for Advanced, Faster Quantitative Imaging for BACPACUH2AR076724 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MAJUMDAR, SHARMILA · 2019 to 2019
$514k
NIAMS NIH HHS UH2 AR076724NIAMS NIH HHS UH3 AR076724
6 · The paper itself

Abstract

Background: Modic changes (MCs) are the most prevalent classification system for describing magnetic resonance imaging (MRI) signal intensity changes in the vertebrae. However, there is a growing need for novel quantitative and standardized methods of characterizing these anomalies, particularly for lesions of transitional or mixed nature, due to the lack of conclusive evidence of their associations with low back pain. This retrospective imaging study aims to develop an interpretable deep learning-based detection tool for voxel-wise mapping of MCs. Methods: Seventy-five lumbar spine MRI exams that presented with acute-to-chronic low back pain, radiculopathy, and other symptoms of the lumbar spine were enrolled. The pipeline consists of two deep convolutional neural networks to generate an interpretable voxel-wise Results: The model successfully identified the presence of changes in 85.7% of samples in the unseen test set with a sensitivity of 0.71 (±0.072), specificity of 0.95 (±0.022), and Cohen's kappa score of 0.63. In the AI-assisted experiment, the agreement between the junior radiologist and the senior neuroradiologist significantly improved from Cohen's kappa score of 0.52 to 0.58 ( Conclusions: This deep learning-based approach demonstrates substantial agreement with radiologists and may serve as a tool to improve inter-rater reliability in the assessment of MCs.

Indexed as

deep learningmagnetic resonance imagingModic changesvertebral body

Identifiers

PMID35783915
PMCPMC9238279
OpenAlexW4281760342

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.