Evidence map›Paper›PMID 40022453›Full record

ArticleJournal of cachexia, sarcopenia and muscle2025

Deep Learning Technique for Automatic Segmentation of Proximal Hip Musculoskeletal Tissues From CT Scan Images: A MrOS Study.

Mahdi Imani, Jared Buratto, Thang Dao, Erik Meijering, Sara Vogrin, Timothy C Y Kwok, Eric S Orwoll, Peggy M Cawthon, Gustavo Duque

Abstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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

9 authors.

Mahdi ImaniAustralian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, Victoria, Australia.ORCID 0000-0003-1374-5709
Jared BurattoDepartment of Medicine-Western Health, The University of Melbourne, St. Albans, Victoria, Australia.
Thang DaoDepartment of Medicine-Western Health, The University of Melbourne, St. Albans, Victoria, Australia.
Erik MeijeringSchool of Computer Science and Engineering, The University of New South Wales, Kensington, New South Wales, Australia.
Sara VogrinAustralian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, Victoria, Australia.
Timothy C Y KwokJockey Club Centre for Osteoporosis Care and Control, School of Public Health, The Chinese University of Hong Kong, Shatin, Hong Kong.
Eric S OrwollDivision of Endocrinology, Diabetes and Clinical Nutrition, School of Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Peggy M CawthonResearch Institute, California Pacific Medical Center, San Francisco, California, USA.
Gustavo DuqueAustralian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, Victoria, Australia.ORCID 0000-0001-8126-0637

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Long term fracture risk and change in peripheral bone in the oldest old men: The MrOS studyR01AG066671 · NIA · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI BOUXSEIN, MARY L, CAWTHON, PEGGY MANNEN · 2020 to 2024
$13.3M
Osteoporotic Fractures in Men (MrOS) - San Francisco Coordinating CenterU01AR066160 · NIAMS · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI CUMMINGS, STEVEN RON · 2013 to 2017
$9.3M
Osteoporotic Fractures in Men (MrOS) - MinneapolisU01AG042145 · NIA · UNIVERSITY OF MINNESOTA · PI ENSRUD, KRISTINE · 2013 to 2019
$5.3M
Osteporotic Fractures in Men (MrOS)- Admin CenterU01AG027810 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2017
$5.1M
Osteoporotic Fractures in Men (MrOS) - PortlandU01AG042124 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2013 to 2019
$3.0M
Osteoporatic Fractures in Men (MrOS)U01AG042168 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KADO, DEBORAH · 2013 to 2017
$3.0M
Osteoporotic Fractures in Men (Mr. Os) Palo AltoU01AG042143 · NIA · STANFORD UNIVERSITY · PI STEFANICK, MARCIA L. · 2013 to 2017
$3.0M
Osteoporotic Fractures in Men (Mr.OS)U01AG042139 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CAULEY, JANE ANN · 2013 to 2017
$2.9M
Osteoporotic Fractures in Men_MrOS Renewal_BirminghamU01AG042140 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SHIKANY, JAMES M · 2013 to 2019
$2.7M
Hong Kong ITSP ITS/334/18National Center for Advancing Translational Sciences (NCATS)National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)National Institute on Aging (NIA)National Institutes of Health (NIH)NCATS NIH HHS UL1 TR002369NIAMS NIH HHS U01 AR066160NIA NIH HHS R01 AG066671NIA NIH HHS U01 AG027810NIA NIH HHS U01 AG042124NIA NIH HHS U01 AG042139NIA NIH HHS U01 AG042140NIA NIH HHS U01 AG042143NIA NIH HHS U01 AG042145NIA NIH HHS U01 AG042168
6 · The paper itself

Abstract

backgroundAge-related conditions, such as osteoporosis and sarcopenia, alongside chronic diseases, can result in significant musculoskeletal tissue loss. This impacts individuals' quality of life and increases risk of falls and fractures. Computed tomography (CT) has been widely used for assessing musculoskeletal tissues. Although automatic techniques have been investigated for segmenting tissues in the abdomen and mid-thigh regions, studies in proximal hip remain limited. This study aims to develop a deep learning technique for segmentation and quantification of musculoskeletal tissues in CT scans of proximal hip.

methodsWe examined 300 participants (men, 73 ± 6 years) from two cohorts of the Osteoporotic Fractures in Men Study (MrOS). We manually segmented cortical bone, trabecular bone, marrow adipose tissue (MAT), haematopoietic bone marrow (HBM), muscle, intermuscular adipose tissue (IMAT) and subcutaneous adipose tissue (SAT) from CT scan images at the proximal hip level. Using these data, we trained a U-Net-like deep learning model for automatic segmentation. The association between model-generated quantitative results and outcome variables such as grip strength, chair sit-to-stand time, walking speed, femoral neck and spine bone mineral density (BMD), and total lean mass was calculated.

resultsAn average Dice similarity coefficient (DSC) above 90% was observed across all tissue types in the test dataset. Grip strength showed positive correlations with cortical bone area (coefficient: 0.95, 95% confidence interval: [0.10, 1.80]), muscle area (0.41, [0.19, 0.64]) and average Hounsfield unit for muscle adjusted for height squared (AHU/h

conclusionOur deep learning-based technique offers a fast and accurate method for segmentation and quantification of musculoskeletal tissues in proximal hip, with potential clinical value.

Indexed as

Deep LearningHipTomography, X-Ray ComputedAgedAged, 80 and overFemaleHumansMaleMiddle Agedartificial intelligenceCT scanimage segmentationintermuscular adipose tissuemarrow adipose tissueosteoporosissarcopenia

Identifiers

PMID40022453
PMCPMC11871091

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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.