Evidence map›Paper›PMID 38817341›Full record

ArticleJOR spine2024

A fully automatic MRI-guided decision support system for lumbar disc herniation using machine learning.

Di Zhang, Jiawei Du, Jiaxiao Shi, Yundong Zhang, Siyue Jia, Xingyu Liu, Yu Wu, Yicheng An, Shibo Zhu, Dayu Pan and 3 more

Abstract read
In one paragraph

Article in JOR spine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Article
  3. 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

13 authors.

Di ZhangDepartment of Orthopaedics Tianjin Medical University General Hospital Tianjin People's Republic of China.
Jiawei DuDepartment of Orthopaedics Tianjin Medical University General Hospital Tianjin People's Republic of China.
Jiaxiao ShiDepartment of Orthopaedics Tianjin Medical University General Hospital Tianjin People's Republic of China.
Yundong ZhangBeijing Longwood Valley Company Beijing People's Republic of China.
Siyue JiaDepartment of Orthopaedics Tianjin Medical University General Hospital Tianjin People's Republic of China.
Xingyu LiuBeijing Longwood Valley Company Beijing People's Republic of China.
Yu WuDepartment of Orthopaedics Tianjin Medical University General Hospital Tianjin People's Republic of China.
Yicheng AnBeijing Longwood Valley Company Beijing People's Republic of China.
Shibo ZhuDepartment of Orthopaedics Tianjin Medical University General Hospital Tianjin People's Republic of China.
Dayu PanDepartment of Orthopaedics Tianjin Medical University General Hospital Tianjin People's Republic of China.
Wei ZhangSchool of Control Science and Engineering, Shandong University Jinan People's Republic of China.
Yiling ZhangBeijing Longwood Valley Company Beijing People's Republic of China.
Shiqing FengDepartment of Orthopaedics Tianjin Medical University General Hospital Tianjin People's Republic of China.ORCID https://orcid.org/0000-0001-9437-7674

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Normalized decision support system for lumbar disc herniation (LDH) will improve reproducibility compared with subjective clinical diagnosis and treatment. Magnetic resonance imaging (MRI) plays an essential role in the evaluation of LDH. This study aimed to develop an MRI-based decision support system for LDH, which evaluates lumbar discs in a reproducible, consistent, and reliable manner. Methods: The research team proposed a system based on machine learning that was trained and tested by a large, manually labeled data set comprising 217 patients' MRI scans (3255 lumbar discs). The system analyzes the radiological features of identified discs to diagnose herniation and classifies discs by Pfirrmann grade and MSU classification. Based on the assessment, the system provides clinical advice. Results: Eventually, the accuracy of the diagnosis process reached 95.83%. An 83.5% agreement was observed between the system's prediction and the ground-truth in the Pfirrmann grade. In the case of MSU classification, 95.0% precision was achieved. With the assistance of this system, the accuracy, interpretation efficiency and interrater agreement among surgeons were improved substantially. Conclusion: This system showed considerable accuracy and efficiency, and therefore could serve as an objective reference for the diagnosis and treatment procedure in clinical practice.

Indexed as

artificial intelligencediagnosislumbar disc herniationMSU classificationPfirrmann grade

Identifiers

PMID38817341
PMCPMC11137648

What OpenQuestion holds

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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.