Evidence map›Paper›PMID 36943371›Full record

ArticlePain medicine (Malden, Mass.)2023

Technology and Tool Development for BACPAC: Qualitative and Quantitative Analysis of Accelerated Lumbar Spine MRI with Deep-Learning Based Image Reconstruction at 3T.

Misung Han, Emma Bahroos, Madeline E Hess, Cynthia T Chin, Kenneth T Gao, David D Shin, Javier E Villanueva-Meyer, Thomas M Link, Valentina Pedoia, Sharmila Majumdar

Abstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

10 authors.

Misung HanDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0003-0918-8831
Emma BahroosDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.
Madeline E HessDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0002-3313-932X
Cynthia T ChinDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.
Kenneth T GaoDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.
David D ShinApplications and Workflow, GE Healthcare, Menlo Park, CA, United States.
Javier E Villanueva-MeyerDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.
Thomas M LinkDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.
Valentina PedoiaDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.
Sharmila MajumdarDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States.

Funding

Back Pain Consortium (BACPAC) Research Program Data Integration, Algorithm Development and Operations Management CenterU24AR076730 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ANSTROM, KEVIN J, IVANOVA, ANASTASIA · 2019 to 2024
$60.0M
Technology Research Site for Advanced, Faster Quantitative Imaging for BACPACUH3AR076724 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MAJUMDAR, SHARMILA · 2020 to 2023
$4.8M
Quantitative shoulder MRI for evaluating rotator cuff pathologyK01AR075895 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAN, MISUNG · 2020 to 2024
$659k
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 K01 AR075895NIAMS NIH HHS U24 AR076730NIAMS NIH HHS UH2AR076724NIAMS NIH HHS UH3 AR076724
6 · The paper itself

Abstract

objectivesTo evaluate whether combining fast acquisitions with deep-learning reconstruction can provide diagnostically useful images and quantitative assessment comparable to standard-of-care acquisitions for lumbar spine magnetic resonance imaging (MRI).

methodsEighteen patients were imaged with both standard protocol and fast protocol using reduced signal averages, each protocol including sagittal fat-suppressed T2-weighted, sagittal T1-weighted, and axial T2-weighted 2D fast spin-echo sequences. Fast-acquisition data was additionally reconstructed using vendor-supplied deep-learning reconstruction with three different noise reduction factors. For qualitative analysis, standard images as well as fast images with and without deep-learning reconstruction were graded by three radiologists on five different categories. For quantitative analysis, convolutional neural networks were applied to sagittal T1-weighted images to segment intervertebral discs and vertebral bodies, and disc heights and vertebral body volumes were derived.

resultsBased on noninferiority testing on qualitative scores, fast images without deep-learning reconstruction were inferior to standard images for most categories. However, deep-learning reconstruction improved the average scores, and noninferiority was observed over 24 out of 45 comparisons (all with sagittal T2-weighted images while 4/5 comparisons with sagittal T1-weighted and axial T2-weighted images). Interobserver variability increased with 50 and 75% noise reduction factors. Deep-learning reconstructed fast images with 50% and 75% noise reduction factors had comparable disc heights and vertebral body volumes to standard images (r2≥ 0.86 for disc heights and r2≥ 0.98 for vertebral body volumes).

conclusionsThis study demonstrated that deep-learning-reconstructed fast-acquisition images have the potential to provide noninferior image quality and comparable quantitative assessment to standard clinical images.

Indexed as

Deep LearningHumansImage Processing, Computer-AssistedLumbar VertebraeMagnetic Resonance ImagingTechnologyclinical MRIdeep learning reconstructionfast acquisitionlower back painlumbar spine MRIsegmentation

Identifiers

PMID36943371
PMCPMC10403300

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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.