Evidence map›Paper›PMID 35941568›Full record

Trial reportBMC medical imaging2022

Development and validation of a machine learning-derived radiomics model for diagnosis of osteoporosis and osteopenia using quantitative computed tomography.

Qianrong Xie, Yue Chen, Yimei Hu, Fanwei Zeng, Pingxi Wang, Lin Xu, Jianhong Wu, Jie Li, Jing Zhu, Ming Xiang and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

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  7. Radiomics in spinal research: a narrative review.Frontiers in bioengineering and biotechnology · 2026
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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

11 authors at 5 institutions in 1 country.

Qianrong Xie *Department of Clinical Research Center, Dazhou Central Hospital, No.56 Nanyuemiao Street, Tongchuan District, Dazhou, 635000, Sichuan, China.
Yue Chen *Department of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, No. 37 Shi-er-qiao Road, Jinniu District, Chengdu, 610000, Sichuan, China.
Yimei Hu *Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610000, China.
Fanwei ZengDepartment of Clinical Research Center, Dazhou Central Hospital, No.56 Nanyuemiao Street, Tongchuan District, Dazhou, 635000, Sichuan, China.
Pingxi WangDepartment of Bone Disease, Dazhou Central Hospital, Dazhou, 635000, China.
Lin XuDepartment of Medical Imaging, Dazhou Central Hospital, Dazhou, 635000, China.
Jianhong WuDepartment of Bone Disease, Dazhou Central Hospital, Dazhou, 635000, China.
Jie LiDepartment of Clinical Research Center, Dazhou Central Hospital, No.56 Nanyuemiao Street, Tongchuan District, Dazhou, 635000, Sichuan, China.
Jing ZhuDepartment of Rheumatology and Immunology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, No.32 First Ring Road West, Jinniu District, Chengdu, 610000, Sichuan, China. zhujingys@sina.com.
Ming XiangDepartment of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, No. 37 Shi-er-qiao Road, Jinniu District, Chengdu, 610000, Sichuan, China. josceph_xm@sina.com.
Fanxin ZengDepartment of Clinical Research Center, Dazhou Central Hospital, No.56 Nanyuemiao Street, Tongchuan District, Dazhou, 635000, Sichuan, China. zengfx@pku.edu.cn.
Dazhou Central Hospital · CNChengdu University of Traditional Chinese Medicine · CNSichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital · CNSichuan Provincial Hospital of Traditional Chinese Medicine · CNThird People's Hospital of Chengdu · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo develop and validate a quantitative computed tomography (QCT) based radiomics model for discriminating osteoporosis and osteopenia.

methodsA total of 635 patients underwent QCT were retrospectively included from November 2016 to November 2019. The patients with osteopenia or osteoporosis (N = 590) were divided into a training cohort (N = 414) and a test cohort (N = 176). Radiomics features were extracted from the QCT images of the third lumbar vertebra. Minimum redundancy and maximum relevance and least absolute shrinkage and selection operator were used for data dimensional reduction, features selection and radiomics model building. Multivariable logistic regression was applied to construct the combined clinical-radiomic model that incorporated radiomics signatures and clinical characteristics. The performance of the combined clinical-radiomic model was evaluated by the area under the curve of receiver operator characteristic curve (ROC-AUC), accuracy, specificity, sensitivity, positive predictive value, and negative predictive value.

resultsThe patients with osteopenia or osteoporosis were randomly divided into training and test cohort with a ratio of 7:3. Six more predictive radiomics signatures, age, alkaline phosphatase and homocysteine were selected to construct the combined clinical-radiomic model for diagnosis of osteoporosis and osteopenia. The AUC of the combined clinical-radiomic model was 0.96 (95% confidence interval (CI), 0.95 to 0.98) in the training cohort and 0.96 (95% CI 0.92 to 1.00) in the test cohort, which were superior to the clinical model alone (training-AUC = 0.81, test-AUC = 0.79). The calibration curve demonstrated that the radiomics nomogram had good agreement between prediction and observation and decision curve analysis confirmed clinically useful.

conclusionsThe combined clinical-radiomic model that incorporates the radiomics score and clinical risk factors, can serve as a reliable and powerful tool for discriminating osteoporosis and osteopenia.

Indexed as

Bone Diseases, MetabolicOsteoporosisHumansMachine LearningRetrospective StudiesTomography, X-Ray ComputedCombined clinical-radiomic modelOsteopeniaOsteoporosisQuantitative computed tomography

Identifiers

PMID35941568
PMCPMC9358842
OpenAlexW4290635235

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LicenceCC BY
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Registered trials

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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.