Evidence map›Paper›PMID 39812675›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2025

A novel hybrid deep learning framework based on biplanar X-ray radiography images for bone density prediction and classification.

Kun Zhou, Yuqi Zhu, Xiao Luo, Shan Yang, Enhui Xin, Yanwei Zeng, Junyan Fu, Zhuoying Ruan, Rong Wang, Liqin Yang and 1 more

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

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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

11 authors.

Kun ZhouAcademy for Engineering and Technology, Fudan University, Shanghai, China.
Yuqi ZhuDepartment of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China.
Xiao LuoAcademy for Engineering and Technology, Fudan University, Shanghai, China.
Shan YangDepartment of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China.
Enhui XinAcademy for Engineering and Technology, Fudan University, Shanghai, China.
Yanwei ZengDepartment of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China.
Junyan FuDepartment of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China.
Zhuoying RuanDepartment of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China.
Rong WangDepartment of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China.
Liqin YangDepartment of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China. mozi001_ren@sina.com.ORCID http://orcid.org/0000-0003-1823-4756
Daoying GengAcademy for Engineering and Technology, Fudan University, Shanghai, China. gengdy@163.com.

Funding

National Key R&D Program of China 2019YFC0120602National Natural Science Foundation of China 82102132National Natural Science Foundation of China 82372048Science and Technology Commission of Shanghai Municipality 22TS1400900Science and Technology Commission of Shanghai Municipality 22ZR1409500Science and Technology Commission of Shanghai Municipality 23S31904100Science and Technology Commission of Shanghai Municipality 24SF1904200
6 · The paper itself

Abstract

This study utilized deep learning for bone mineral density (BMD) prediction and classification using biplanar X-ray radiography (BPX) images from Huashan Hospital Medical Checkup Center. Results showed high accuracy and strong correlation with quantitative computed tomography (QCT) results. The proposed models offer potential for screening patients at a high risk of osteoporosis and reducing unnecessary radiation and costs. PURPOSE: To explore the feasibility of using a hybrid deep learning framework (HDLF) to establish a model for BMD prediction and classification based on BPX images. This study aimed to establish an automated tool for screening patients at a high risk of osteoporosis.

methodsA total of 906 BPX scans from 453 subjects were included in this study, with QCT results serving as the reference standard. The training-validation set:independent test set ratio was 4:1. The L1-L3 vertebral bodies were manually annotated by experienced radiologists, and the HDLF was established to predict BMD and diagnose abnormality based on BPX images and clinical information. The performance metrics of the models were calculated and evaluated.

resultsThe

conclusionThis study demonstrates that deep learning neural networks applied to BPX images can accurately predict BMD and perform classification diagnoses, which can reduce the radiation risk, economic consumption, and time consumption associated with specialized BMD measurement.

Indexed as

Bone DensityDeep LearningOsteoporosisAbsorptiometry, PhotonAdultAgedAged, 80 and overFeasibility StudiesFemaleHumansLumbar VertebraeMaleMiddle AgedRadiographic Image Interpretation, Computer-AssistedRadiographyTomography, X-Ray ComputedArtificial intelligenceBMD classificationBPX imagesDeep learningOsteoporosis screening

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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.