Evidence map›Paper›PMID 38740120›Full record

ArticleBone2024

Super-resolution of clinical CT: Revealing microarchitecture in whole bone clinical CT image data.

Lance L Frazer, Nathan Louis, Wojciech Zbijewski, Jay Vaishnav, Kal Clark, Daniel P Nicolella

Abstract read
In one paragraph

Article in Bone, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. TranslatingFrontiers in bioengineering and biotechnology · 2026
    Article
  3. Article
  4. Review
  5. 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

6 authors.

Lance L FrazerSouthwest Research Institute, USA. Electronic address: lance.frazer@swri.org.
Nathan LouisSouthwest Research Institute, USA; University of Michigan, USA.
Wojciech ZbijewskiJohn Hopkins University, USA.
Jay VaishnavCanon Medical Systems, USA.
Kal ClarkUniversity of Texas Health Science Center at San Antonio, USA.
Daniel P NicolellaSouthwest Research Institute, USA.

Funding

Quantitative bone radiomics using Ultra-High Resolution CTR01EB029446 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI ZBIJEWSKI, WOJCIECH BARTOSZ · 2021 to 2024
$1.7M
NIBIB NIH HHS R01 EB029446
6 · The paper itself

Abstract

Osteoporotic fractures, prevalent in the elderly, pose a significant health and economic burden. Current methods for predicting fracture risk, primarily relying on bone mineral density, provide only modest accuracy. If better spatial resolution of trabecular bone in a clinical scan were available, a more complete assessment of fracture risk would be obtained using microarchitectural measures of bone (i.e. trabecular thickness, trabecular spacing, bone volume fraction, etc.). However, increased resolution comes at the cost of increased radiation or can only be applied at small volumes of distal skeletal locations. This study explores super-resolution (SR) technology to enhance clinical CT scans of proximal femurs and better reveal the trabecular microarchitecture of bone. Using a deep-learning-based (i.e. subset of artificial intelligence) SR approach, low-resolution clinical CT images were upscaled to higher resolution and compared to corresponding MicroCT-derived images. SR-derived 2-dimensional microarchitectural measurements, such as degree of anisotropy, bone volume fraction, trabecular spacing, and trabecular thickness were within 16 % error compared to MicroCT data, whereas connectivity density exhibited larger error (as high as 1094 %). SR-derived 3-dimensional microarchitectural metrics exhibited errors <18 %. This work showcases the potential of SR technology to enhance clinical bone imaging and holds promise for improving fracture risk assessments and osteoporosis detection. Further research, including larger datasets and refined techniques, can advance SR's clinical utility, enabling comprehensive microstructural assessment across whole bones, thereby improving fracture risk predictions and patient-specific treatment strategies.

Indexed as

Tomography, X-Ray ComputedAgedAged, 80 and overBone and BonesBone DensityCancellous BoneDeep LearningFemaleFemurHumansImage Processing, Computer-AssistedMaleX-Ray MicrotomographyClinical CTFracture riskMicroarchitectureOsteoporosisSuper-resolution

Identifiers

PMID38740120
PMCPMC11176006

What OpenQuestion holds

Textmetadata
LicenceTDM
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.