Evidence map›Paper›PMID 37147473›Full record

ArticleLa Radiologia medica2023

CT-based radiomics can identify physiological modifications of bone structure related to subjects' age and sex.

Riccardo Levi, Federico Garoli, Massimiliano Battaglia, Dario A A Rizzo, Maximilliano Mollura, Giovanni Savini, Marco Riva, Massimo Tomei, Alessandro Ortolina, Maurizio Fornari and 7 more

Abstract read
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Insights into radiomics: a comprehensive review for beginners.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  6. Novel CT-based vertebral three-dimensional Hounsfield unit for assessment of bone mineral density.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 · 2025
    Article
  7. Review
  8. Survival outcome prediction of esophageal squamous cell carcinoma patients based on radiomics and mutation signature.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. 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

17 authors.

Riccardo LeviDepartment of Biomedical Sciences, Humanitas University, Via R. Levi Montalcini 4, 20072, Pieve Emanuele, Milan, Italy.
Federico GaroliDepartment of Biomedical Sciences, Humanitas University, Via R. Levi Montalcini 4, 20072, Pieve Emanuele, Milan, Italy.
Massimiliano BattagliaDepartment of Biomedical Sciences, Humanitas University, Via R. Levi Montalcini 4, 20072, Pieve Emanuele, Milan, Italy.
Dario A A RizzoDepartment of Biomedical Sciences, Humanitas University, Via R. Levi Montalcini 4, 20072, Pieve Emanuele, Milan, Italy.
Maximilliano MolluraDepartment of Electronics, Information and Bioengineering, Politecnico Di Milano, 20133, Milan, Italy.
Giovanni SaviniDepartment of Neuroradiology, IRCCS Humanitas Research Hospital, 20090, Rozzano, Italy.
Marco RivaDepartment of Biomedical Sciences, Humanitas University, Via R. Levi Montalcini 4, 20072, Pieve Emanuele, Milan, Italy.
Massimo TomeiDepartment of Neurosurgery, IRCCS Humanitas Research Hospital, 20090, Rozzano, Italy.
Alessandro OrtolinaDepartment of Neurosurgery, IRCCS Humanitas Research Hospital, 20090, Rozzano, Italy.
Maurizio FornariDepartment of Neurosurgery, IRCCS Humanitas Research Hospital, 20090, Rozzano, Italy.
Saurabh RohatgiDepartment of Neuroradiology, Massachusetts General Hospital, Boston, MA, 02114, USA.
Giovanni AngelottiArtificial Intelligence Center, IRCCS Humanitas Research Hospital, 20090, Rozzano, Italy.
Victor SavevskiArtificial Intelligence Center, IRCCS Humanitas Research Hospital, 20090, Rozzano, Italy.
Gherardo MazziottiDepartment of Biomedical Sciences, Humanitas University, Via R. Levi Montalcini 4, 20072, Pieve Emanuele, Milan, Italy.
Riccardo Barbieri *Department of Electronics, Information and Bioengineering, Politecnico Di Milano, 20133, Milan, Italy.
Marco Grimaldi *Department of Neuroradiology, IRCCS Humanitas Research Hospital, 20090, Rozzano, Italy.
Letterio S PolitiDepartment of Biomedical Sciences, Humanitas University, Via R. Levi Montalcini 4, 20072, Pieve Emanuele, Milan, Italy. letterio.politi@hunimed.eu.ORCID http://orcid.org/0000-0002-6190-6688

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiomics of vertebral bone structure is a promising technique for identification of osteoporosis. We aimed at assessing the accuracy of machine learning in identifying physiological changes related to subjects' sex and age through analysis of radiomics features from CT images of lumbar vertebrae, and define its generalizability across different scanners. MATERIALS AND

methodsWe annotated spherical volumes-of-interest (VOIs) in the center of the vertebral body for each lumbar vertebra in 233 subjects who had undergone lumbar CT for back pain on 3 different scanners, and we evaluated radiomics features from each VOI. Subjects with history of bone metabolism disorders, cancer, and vertebral fractures were excluded. We performed machine learning classification and regression models to identify subjects' sex and age respectively, and we computed a voting model which combined predictions.

resultsThe model was trained on 173 subjects and tested on an internal validation dataset of 60. Radiomics was able to identify subjects' sex within single CT scanner (ROC AUC: up to 0.9714), with lower performance on the combined dataset of the 3 scanners (ROC AUC: 0.5545). Higher consistency among different scanners was found in identification of subjects' age (R2 0.568 on all scanners, MAD 7.232 years), with highest results on a single CT scanner (R2 0.667, MAD 3.296 years).

conclusionRadiomics features are able to extract biometric data from lumbar trabecular bone, and determine bone modifications related to subjects' sex and age with great accuracy. However, acquisition from different CT scanners reduces the accuracy of the analysis.

Indexed as

Bone Diseases, MetabolicTomography, X-Ray ComputedChildHumansLumbar VertebraeRetrospective StudiesComputed tomographyLumbar vertebraeRadiomicsTissue characterizationTrabecular bone structure

Identifiers

What OpenQuestion holds

Textmetadata
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.