Evidence map›Paper›PMID 37210154›Full record

ArticleArtificial intelligence in medicine2023

Automatic semantic segmentation of the lumbar spine: Clinical applicability in a multi-parametric and multi-center study on magnetic resonance images.

Jhon Jairo Sáenz-Gamboa, Julio Domenech, Antonio Alonso-Manjarrés, Jon A Gómez, Maria de la Iglesia-Vayá

Abstract readMulticenter Study
In one paragraph

Article in Artificial intelligence in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
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  7. The Application of Artificial Intelligence in Spine Surgery: A Scoping Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
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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

5 authors.

Jhon Jairo Sáenz-GamboaFISABIO-CIPF Joint Research Unit in Biomedical Imaging, Fundaciò per al Foment de la Investigaciò Sanitària i Biomèdica (FISABIO), Av. de Catalunya 21, 46020 València, Spain. Electronic address: jsaenz@laberit.com.
Julio DomenechOrthopedic Surgery Department, Hospital Arnau de Vilanova, Carrer de San Clemente s/n, 46015, València, Spain.
Antonio Alonso-ManjarrésRadiology Department, Hospital Arnau de Vilanova, Carrer de San Clemente s/n, 46015, València, Spain.
Jon A GómezPattern Recognition and Human Language Technology research center, Universitat Politècnica de València, Camí de Vera, s/n, 46022, València, Spain.
Maria de la Iglesia-VayáFISABIO-CIPF Joint Research Unit in Biomedical Imaging, Fundaciò per al Foment de la Investigaciò Sanitària i Biomèdica (FISABIO), Av. de Catalunya 21, 46020 València, Spain; Regional ministry of Universal Health and Public Health in Valencia, Carrer de Misser Mascó 31, 46010 València, Spain. Electronic address: delaiglesia_mar@gva.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Significant difficulties in medical image segmentation include the high variability of images caused by their origin (multi-center), the acquisition protocols (multi-parametric), the variability of human anatomy, illness severity, the effect of age and gender, and notable other factors. This work addresses problems associated with the automatic semantic segmentation of lumbar spine magnetic resonance images using convolutional neural networks. We aimed to assign a class label to each pixel of an image, with classes defined by radiologists corresponding to structural elements such as vertebrae, intervertebral discs, nerves, blood vessels, and other tissues. The proposed network topologies represent variants of the U-Net architecture, and we used several complementary blocks to define the variants: three types of convolutional blocks, spatial attention models, deep supervision, and multilevel feature extractor. Here, we describe the topologies and analyze the results of the neural network designs that obtained the most accurate segmentation. Several proposed designs outperform the standard U-Net used as a baseline, primarily when used in ensembles, where the outputs of multiple neural networks are combined according to different strategies.

Indexed as

Image Processing, Computer-AssistedIntervertebral DiscHumansMagnetic Resonance ImagingNeural Networks, ComputerSemanticsConvolutional neural networksDeep learningEnsembles of classifiersMagnetic resonance imagesSemantic image segmentationSpine

Identifiers

PMID37210154
PMCPMC10242366

What OpenQuestion holds

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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.