Evidence map›Paper›PMID 36048316›Full record

ReviewCurrent osteoporosis reports2022

A Review of CT-Based Fracture Risk Assessment with Finite Element Modeling and Machine Learning.

Ingmar Fleps, Elise F Morgan

Abstract readReview
In one paragraph

Review in Current osteoporosis reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. CT image-based biomarkers for opportunistic screening of osteoporotic fractures: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
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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

2 authors.

Ingmar FlepsCollege of Mechanical Engineering, Boston University, Boston, USA. flepsi@bu.edu.ORCID 0000-0002-6254-8878
Elise F MorganCollege of Mechanical Engineering, Boston University, Boston, USA.

Funding

3-D Visualization and Prediction of Vertebral FracturesR01AR054620 · NIAMS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI MORGAN, ELISE F · 2008 to 2025
$6.7M
3-D Visualization and Prediction of Vertebral FracturesR56AR054620 · NIAMS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI MORGAN, ELISE F · 2013 to 2013
$364k
NIAMS NIH HHS R01 AR054620NIAMS NIH HHS R56 AR054620
6 · The paper itself

Abstract

purpose of reviewWe reviewed advances over the past 3 years in assessment of fracture risk based on CT scans, considering methods that use finite element models, machine learning, or a combination of both. RECENT

findingsSeveral studies have demonstrated that CT-based assessment of fracture risk, using finite element modeling or biomarkers derived from machine learning, is equivalent to currently used clinical tools. Phantomless calibration of CT scans for bone mineral density enables accurate measurements from routinely taken scans. This opportunistic use of CT scans for fracture risk assessment is facilitated by high-quality automated segmentation with deep learning, enabling workflows that do not require user intervention. Modeling of more realistic and diverse loading conditions, as well as improved modeling of fracture mechanisms, has shown promise to enhance our understanding of fracture processes and improve the assessment of fracture risk beyond the performance of current clinical tools. CT-based screening for fracture risk is effective and, by analyzing scans that were taken for other indications, could be used to expand the pool of people screened, therefore improving fracture prevention. Finite element modeling and machine learning both provide valuable tools for fracture risk assessment. Future approaches should focus on including more loading-related aspects of fracture risk.

Indexed as

Bone DensityFractures, BoneFinite Element AnalysisHumansMachine LearningRisk AssessmentTomography, X-Ray ComputedBone strengthComputed tomographyElderlyFinite element methodFragility fracturesMachine learning

Identifiers

PMID36048316
PMCPMC10941185

What OpenQuestion holds

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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.