Evidence map›Paper›PMID 39556270›Full record

ArticleSkeletal radiology2025

Regions of interest in opportunistic computed tomography-based screening for osteoporosis: impact on short-term in vivo precision.

Jina Park, Youngjune Kim, Sehyun Hong, Choong Guen Chee, Eugene Lee, Joon Woo Lee

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Article in Skeletal radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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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.

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jina ParkDepartment of Radiology, Seoul National University Bundang Hospital, 82 Gumi-Ro-173-Beon-Gil, Bundang-Gu, Seongnam-Si, Gyeonggi-Do, 13620, Republic of Korea.
Youngjune KimDepartment of Radiology, Seoul National University Bundang Hospital, 82 Gumi-Ro-173-Beon-Gil, Bundang-Gu, Seongnam-Si, Gyeonggi-Do, 13620, Republic of Korea. youngjune.kim.md@gmail.com.ORCID http://orcid.org/0000-0002-3698-6807
Sehyun HongCorelinesoft, 49 World Cup Buk-Ro 6-Gil, Mapo-Gu, Seoul, 03991, Republic of Korea.
Choong Guen CheeDepartment of Radiology, Seoul National University Bundang Hospital, 82 Gumi-Ro-173-Beon-Gil, Bundang-Gu, Seongnam-Si, Gyeonggi-Do, 13620, Republic of Korea.
Eugene LeeDepartment of Radiology, Seoul National University Bundang Hospital, 82 Gumi-Ro-173-Beon-Gil, Bundang-Gu, Seongnam-Si, Gyeonggi-Do, 13620, Republic of Korea.
Joon Woo LeeDepartment of Radiology, Seoul National University Bundang Hospital, 82 Gumi-Ro-173-Beon-Gil, Bundang-Gu, Seongnam-Si, Gyeonggi-Do, 13620, Republic of Korea.

Funding

Ministry of SMEs and Startups RS-2023-00263359
6 · The paper itself

Abstract

objectiveTo determine an optimal region of interest (ROI) for opportunistic screening of osteoporosis in terms of short-term in vivo diagnostic precision. MATERIALS AND

methodsWe included patients who underwent two CT scans and one dual-energy X-ray absorptiometry scan within a month in 2022. Deep-learning software automatically measured the attenuation in L1 using 54 ROIs (three slice thicknesses × six shapes × three intravertebral levels). To identify factors associated with a lower attenuation difference between the two CT scans, mixed-effect model analysis was performed with ROI-level (slice thickness, shape, intravertebral levels) and patient-level (age, sex, patient diameter, change in CT machine) factors. The root-mean-square standard deviation (RMSSD) and area under the receiver-operating-characteristic curve (AUROC) were calculated.

resultsIn total, 73 consecutive patients (mean age ± standard deviation, 69 ± 9 years, 38 women) were included. A lower attenuation difference was observed in ROIs in images with slice thicknesses of 1 and 3 mm than that in images with a slice thickness of 5 mm (p < .001), in large elliptical ROIs (p = .007 or < .001, respectively), and in mid- or cranial-level ROIs than that in caudal-level ROIs (p < .001). No patient-level factors were significantly associated with the attenuation difference. Large, elliptical ROIs placed at the mid-level of L1 on images with 1- or 3-mm slice thicknesses yielded RMSSDs of 12.4-12.5 HU and AUROCs of 0.90.

conclusionThe largest possible regions of interest drawn in the mid-level trabecular portion of the L1 vertebra on thin-slice images may yield improvements in the precision of opportunistic screening for osteoporosis via CT.

Indexed as

OsteoporosisTomography, X-Ray ComputedAbsorptiometry, PhotonAgedFemaleHumansLumbar VertebraeMaleMass ScreeningMiddle AgedRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesAccuracyOpportunistic screeningOsteoporosisPrecisionRegion of interest

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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.