Evidence map›Paper›PMID 39633356›Full record

SynthesisBMC musculoskeletal disorders2024

Diagnostic accuracy of deep learning in prediction of osteoporosis: a systematic review and meta-analysis.

Firouz Amani, Masoud Amanzadeh, Mahnaz Hamedan, Paniz Amani

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis 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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
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  5. AI-derived bone mineral density from standard radiographs compared with DXA for fracture prediction in a 10-year real-world cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  11. Observational
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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

4 authors.

Firouz AmaniDepartment of Community Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.ORCID https://orcid.org/0000-0002-0989-1052
Masoud AmanzadehDepartment of Health Information Management, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran. M.amanzadeh@arums.ac.ir.ORCID https://orcid.org/0000-0001-7324-6050
Mahnaz HamedanArdabil University of Medical Sciences, Ardabil, Iran.
Paniz AmaniElectronic Engineering, Tabriz University, Tabriz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoporosis is one of the most common metabolic diseases that is characterized by a decrease in bone density and a loss of the quality of the bone structure. The use of deep learning in the prediction of osteoporosis can provide a non-invasive, cost-effective, and efficient approach. The aim of this study is to investigate the diagnostic accuracy of deep learning in the prediction of osteoporosis.

methodsThis is a systematic review and meta-analysis study that was conducted on the diagnostic accuracy of deep learning algorithms for predicting osteoporosis. A literature search was performed in electronic databases including PubMed, Elsevier, and Google Scholar to identify relevant articles until December 1, 2023. Articles were searched in databases by combining related terms such as "deep learning", "convolutional neural network", and "osteoporosis". We conducted title, abstract, and full-text screening based on inclusion/exclusion criteria. Various metrics, such as sensitivity, specificity, and area under the curve (AUC), were used to assess the diagnostic performance of deep learning models.

resultsOut of the 181 articles initially identified, 10 studies were included in the analysis. All studies used a convolutional neural network (CNN) as the deep learning model. Three studies investigated multiple deep learning models. Eight studies used various architectures of CNN, such as ResNet, VGG, and EfficientNet. The pooled sensitivity and specificity were 0.86 (95% CI, 0.82-0.89) and 0.89 (95% CI, 0.85-0.91), respectively. The bivariate approach's pooled SROC curve produced an AUC of 0.94 (95% CI 0.91-0.95). The Diagnostic Odds Ratio (DOR) for the deep learning models was 49.09 (95% CI, 28.74-83.84). Deeks' funnel plot asymmetry test (P = 0.4) suggested no potential publication bias.

conclusionsDeep learning has an acceptable performance for the diagnosis of osteoporosis, even better than other ML algorithms. However, further research is needed to validate the findings of this study in clinical trials.

Indexed as

Deep LearningOsteoporosisBone DensityHumansNeural Networks, ComputerPredictive Value of TestsSensitivity and SpecificityBMDDeep learningDiagnosisMachine learningOsteoporosis

Identifiers

PMID39633356
PMCPMC11619613

What OpenQuestion holds

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Registered trials

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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.