Evidence map›Paper›PMID 39712220›Full record

ArticleFrontiers in neuroscience2024

Deep learning models for MRI-based clinical decision support in cervical spine degenerative diseases.

Kai-Yu Li, Zhe-Yang Lu, Yu-Han Tian, Xiao-Peng Liu, Ye-Kai Zhang, Jia-Wei Qiu, Hua-Lin Li, Yu-Long Zhang, Jia-Wei Huang, Hao-Bo Ye and 1 more

Abstract read
In one paragraph

Article in Frontiers in neuroscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

11 authors.

Kai-Yu LiDepartment of Orthopedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Zhe-Yang LuRenji College of Wenzhou Medical University, Wenzhou, China.
Yu-Han TianRenji College of Wenzhou Medical University, Wenzhou, China.
Xiao-Peng LiuDepartment of Orthopedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Ye-Kai ZhangDepartment of Orthopedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Jia-Wei QiuDepartment of Orthopedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Hua-Lin LiDepartment of Orthopedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Yu-Long ZhangDepartment of Orthopedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Jia-Wei HuangDepartment of Orthopedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Hao-Bo YeDepartment of Orthopedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Nai Feng TianDepartment of Orthopedic Surgery, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of our study is to develop a deep learning (DL) model based on MRI and analyze its consistency with the treatment recommendations for degenerative cervical spine disorders provided by the spine surgeons at our hospital. Methods: In this study, MRI of patients who were hospitalized for cervical spine degenerative disorders at our hospital from July 2023 to July 2024 were primarily collected. The dataset was divided into a training set, a validation set, and an external validation set. Four versions of the DL model were constructed. The external validation set was used to assess the consistency between the DL model and spine surgeons' recommendations about indication of cervical spine surgery regarding the dataset. Results: This study collected a total of 756 MR images from 189 patients. The external validation set included 30 patients and a total of 120 MR images, consisting of 43 images for grade 0, 20 images for grade 1, and 57 images for grade 2. The region of interest (ROI) detection model completed the ROI detection task perfectly. For the binary classification (grades 0 and 1, 2), DL version 1 showed the best consistency with the spine surgeons, achieving a Cohen's Kappa value of 0.874. DL version 4 also achieved nearly perfect consistency, with a Cohen's Kappa value of 0.811. For the three-class classification, DL version 1 demonstrated the best consistency with the spine surgeons, achieving a Cohen's Kappa value of 0.743, while DL version 2 and DL version 4 also showed substantial consistency, with Cohen's Kappa values of 0.615 and 0.664, respectively. Conclusion: We initially developed deep learning algorithms that can provide clinical recommendations based on cervical spine MRI. The algorithm shows substantial consistency with experienced spine surgeons.

Indexed as

cervical spine degenerative diseasesclinical decisionconvolutional neural networkdeep learningmagnetic resonance imaging

Identifiers

PMID39712220
PMCPMC11659285

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.