Evidence map›Paper›PMID 37238157›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Deep-Learning-Based Segmentation of the Shoulder from MRI with Inference Accuracy Prediction.

Hanspeter Hess, Adrian C Ruckli, Finn Bürki, Nicolas Gerber, Jennifer Menzemer, Jürgen Burger, Michael Schär, Matthias A Zumstein, Kate Gerber

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.0field-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

19 citing papers in PubMed, 19 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Hanspeter HessSchool of Biomedical and Precision Engineering, Personalised Medicine Research, University of Bern, 3008 Bern, Switzerland.
Adrian C RuckliSchool of Biomedical and Precision Engineering, Personalised Medicine Research, University of Bern, 3008 Bern, Switzerland.ORCID 0000-0002-2028-4608
Finn BürkiSchool of Biomedical and Precision Engineering, Personalised Medicine Research, University of Bern, 3008 Bern, Switzerland.
Nicolas GerberSchool of Biomedical and Precision Engineering, Personalised Medicine Research, University of Bern, 3008 Bern, Switzerland.ORCID 0000-0003-0308-699X
Jennifer MenzemerShoulder, Elbow and Orthopaedic Sports Medicine, Orthopädie Sonnenhof, 3006 Bern, Switzerland.
Jürgen BurgerSchool of Biomedical and Precision Engineering, Personalised Medicine Research, University of Bern, 3008 Bern, Switzerland.
Michael SchärDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital of Bern, 3010 Bern, Switzerland.ORCID 0000-0003-1220-8266
Matthias A ZumsteinShoulder, Elbow and Orthopaedic Sports Medicine, Orthopädie Sonnenhof, 3006 Bern, Switzerland.ORCID 0000-0001-5480-6008
Kate GerberSchool of Biomedical and Precision Engineering, Personalised Medicine Research, University of Bern, 3008 Bern, Switzerland.ORCID 0000-0003-4086-4973
University of Bern · CHUniversity Hospital of Bern · CHKlinik Sonnenhof · CH

Funding

Innosuisse - Swiss Innovation Agency 35656.1
6 · The paper itself

Abstract

Three-dimensional (3D)-image-based anatomical analysis of rotator cuff tear patients has been proposed as a way to improve repair prognosis analysis to reduce the incidence of postoperative retear. However, for application in clinics, an efficient and robust method for the segmentation of anatomy from MRI is required. We present the use of a deep learning network for automatic segmentation of the humerus, scapula, and rotator cuff muscles with integrated automatic result verification. Trained on N = 111 and tested on N = 60 diagnostic T1-weighted MRI of 76 rotator cuff tear patients acquired from 19 centers, a nnU-Net segmented the anatomy with an average Dice coefficient of 0.91 ± 0.06. For the automatic identification of inaccurate segmentations during the inference procedure, the nnU-Net framework was adapted to allow for the estimation of label-specific network uncertainty directly from its subnetworks. The average Dice coefficient of segmentation results from the subnetworks identified labels requiring segmentation correction with an average sensitivity of 1.0 and a specificity of 0.94. The presented automatic methods facilitate the use of 3D diagnosis in clinical routine by eliminating the need for time-consuming manual segmentation and slice-by-slice segmentation verification.

Indexed as

automatic segmentationdeep learningMRIrotator cuffsegmentation accuracy predictionshoulder

Identifiers

PMID37238157
PMCPMC10217676
OpenAlexW4376116194

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.