Evidence map›Paper›PMID 39363462›Full record

ArticleNeurospine2024

Artificial Intelligence Detection of Cervical Spine Fractures Using Convolutional Neural Network Models.

Wongthawat Liawrungrueang, Inbo Han, Watcharaporn Cholamjiak, Peem Sarasombath, K Daniel Riew

Abstract read
In one paragraph

Article in Neurospine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Article
  3. A two-stage deep learning system for cervical spine fracture diagnosis: integrating 3D segmentation and 2.5D classification on CT images.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
  4. ShuffleLeNet architecture for spinal cord injury classification and level detection.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
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  9. Fully automated pedicle screw manufacturer identification in plain radiograph with deep learning methods.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 · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Wongthawat LiawrungrueangDepartment of Orthopaedics, School of Medicine, University of Phayao, Phayao, Thailand.
Inbo HanDepartment of Neurosurgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
Watcharaporn CholamjiakDepartment of Mathematics, School of Science, University of Phayao, Phayao, Thailand.
Peem SarasombathDepartment of Orthopaedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.
K Daniel RiewDepartment of Neurological Surgery, Weill-Cornell Medicine and Department of Orthopedic Surgery, The Och Spine Hospital at New York Presbyterian Hospital, Columbia University, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and evaluate a technique using convolutional neural networks (CNNs) for the computer-assisted diagnosis of cervical spine fractures from radiographic x-ray images. By leveraging deep learning techniques, the study might potentially lead to improved patient outcomes and clinical decision-making.

methodsThis study obtained 500 lateral radiographic cervical spine x-ray images from standard open-source dataset repositories to develop a classification model using CNNs. All the images contained diagnostic information, including normal cervical radiographic images (n=250) and fracture images of the cervical spine fracture (n=250). The model would classify whether the patient had a cervical spine fracture or not. Seventy percent of the images were training data sets used for model training, and 30% were for testing. Konstanz Information Miner (KNIME)'s graphic user interface-based programming enabled class label annotation, data preprocessing, CNNs model training, and performance evaluation.

resultsThe performance evaluation of a model for detecting cervical spine fractures presents compelling results across various metrics. This model exhibits high sensitivity (recall) values of 0.886 for fractures and 0.957 for normal cases, indicating its proficiency in identifying true positives. Precision values of 0.954 for fractures and 0.893 for normal cases highlight the model's ability to minimize false positives. With specificity values of 0.957 for fractures and 0.886 for normal cases, the model effectively identifies true negatives. The overall accuracy of 92.14% highlights its reliability in correctly classifying cases by the area under the receiver operating characteristic curve.

conclusionWe successfully used deep learning models for computer-assisted diagnosis of cervical spine fractures from radiographic x-ray images. This approach can assist the radiologist in screening, detecting, and diagnosing cervical spine fractures.

Indexed as

Artificial intelligenceCervical spine fractureComputer-assisted diagnosisConvolutional neural networksMachine learning

Identifiers

PMID39363462
PMCPMC11456954

What OpenQuestion holds

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LicenceCC BY-NC
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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.