Evidence map›Paper›PMID 39010001›Full record

ArticleBMC musculoskeletal disorders2024

Deep learning approach to femoral AVN detection in digital radiography: differentiating patients and pre-collapse stages.

Nima Rakhshankhah, Mahdi Abbaszadeh, Atefeh Kazemi, Soroush Soltan Rezaei, Saeid Roozpeykar, Masoud Arabfard

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

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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, 2 syntheses or guidelines pooled it.

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4 · The record

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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.

Nima RakhshankhahDepartment of Radiology and Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Mahdi AbbaszadehDepartment of Orthopedic Surgery, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Atefeh KazemiDepartment of Radiology and Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Soroush Soltan RezaeiStudent Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Saeid RoozpeykarDepartment of Radiology and Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran. Roozbeh.s.62@gmail.com.
Masoud ArabfardChemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran. arabfard@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate a new deep-learning model for diagnosing avascular necrosis of the femoral head (AVNFH) by analyzing pelvic anteroposterior digital radiography.

methodsThe study sample included 1167 hips. The radiographs were independently classified into 6 stages by a radiologist using their simultaneous MRIs. After that, the radiographs were given to train and test the deep learning models of the project including SVM and ANFIS layer using the Python programming language and TensorFlow library. In the last step, the test set of hip radiographs was provided to two independent radiologists with different work experiences to compare their diagnosis performance to the deep learning models' performance using the F1 score and Mcnemar test analysis.

resultsThe performance of SVM for AVNFH detection (AUC = 82.88%) was slightly higher than less experienced radiologists (79.68%) and slightly lower than experienced radiologists (88.4%) without reaching significance (p-value > 0.05). Evaluation of the performance of SVM for pre-collapse AVNFH detection with an AUC of 73.58% showed significantly higher performance than less experienced radiologists (AUC = 60.70%, p-value < 0.001). On the other hand, no significant difference is noted between experienced radiologists and SVM for pre-collapse detection. ANFIS algorithm for AVNFH detection with an AUC of 86.60% showed significantly higher performance than less experienced radiologists (AUC = 79.68%, p-value = 0.04). Although reaching less performance compared to experienced radiologists statistically not significant (AUC = 88.40%, p-value = 0.20).

conclusionsOur study has shed light on the remarkable capabilities of SVM and ANFIS as diagnostic tools for AVNFH detection in radiography. Their ability to achieve high accuracy with remarkable efficiency makes them promising candidates for early detection and intervention, ultimately contributing to improved patient outcomes.

Indexed as

Deep LearningFemur Head NecrosisAdolescentAdultAgedDiagnosis, DifferentialFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRadiographic Image Interpretation, Computer-AssistedYoung AdultArtificial intelligenceAVN detectionDeep learningDigital radiographyOsteonecrosis of the femoral head

Identifiers

PMID39010001
PMCPMC11251364

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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.