Evidence map›Paper›PMID 37401945›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023

Differentiation of benign and malignant vertebral fractures using a convolutional neural network to extract CT-based texture features.

Sophia S Goller, Sarah C Foreman, Jon F Rischewski, Jürgen Weißinger, Anna-Sophia Dietrich, David Schinz, Robert Stahl, Johanna Luitjens, Sebastian Siller, Vanessa F Schmidt and 6 more

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In one paragraph

Article in 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. A vertebral shape-based classification for labeling the thoracolumbar junction on CT imaging.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 · 2026
    Article
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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

16 authors.

Sophia S GollerDepartment of Radiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany. sophia.goller@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-0964-8386
Sarah C ForemanDepartment of Diagnostic and Interventional Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Jon F RischewskiInstitute of Neuroradiology, University Hospital, LMU Munich, Munich, Germany.
Jürgen WeißingerInstitute of Neuroradiology, University Hospital, LMU Munich, Munich, Germany.
Anna-Sophia DietrichDepartment of Diagnostic and Interventional Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
David SchinzDepartment of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Robert StahlInstitute of Neuroradiology, University Hospital, LMU Munich, Munich, Germany.
Johanna LuitjensDepartment of Radiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Sebastian SillerDepartment of Neurosurgery, University Hospital, LMU Munich, Munich, Germany.
Vanessa F SchmidtDepartment of Radiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Bernd ErberDepartment of Radiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Jens RickeDepartment of Radiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Thomas LiebigInstitute of Neuroradiology, University Hospital, LMU Munich, Munich, Germany.
Jan S KirschkeDepartment of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Michael Dieckmeyer *Department of Diagnostic and Interventional Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Alexandra S Gersing *Institute of Neuroradiology, University Hospital, LMU Munich, Munich, Germany.

Funding

Deutsche Forschungsgemeinschaft 432290010HORIZON EUROPE European Research Council 963904MCSP ACS-10
6 · The paper itself

Abstract

purposeTo assess the diagnostic performance of three-dimensional (3D) CT-based texture features (TFs) using a convolutional neural network (CNN)-based framework to differentiate benign (osteoporotic) and malignant vertebral fractures (VFs).

methodsA total of 409 patients who underwent routine thoracolumbar spine CT at two institutions were included. VFs were categorized as benign or malignant using either biopsy or imaging follow-up of at least three months as standard of reference. Automated detection, labelling, and segmentation of the vertebrae were performed using a CNN-based framework ( https://anduin.bonescreen.de ). Eight TFs were extracted: Variance

resultsSkewness

conclusionThree-dimensional CT-based global TF skewness assessed using a CNN-based framework showed significant difference between benign and malignant thoracolumbar VFs and may therefore contribute to the clinical diagnostic work-up of patients with VFs.

Indexed as

Osteoporotic FracturesSpinal FracturesHumansNeural Networks, ComputerSpineTomography, X-Ray ComputedAutomated segmentationBone microstructureComputed tomographyConvolutional neural networkTexture analysis

Identifiers

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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.