Evidence map›Paper›PMID 40194851›Full record

ArticleAJNR. American journal of neuroradiology2025

Severity Classification of Pediatric Spinal Cord Injuries Using Structural MRI Measures and Deep Learning: A Comprehensive Analysis across All Vertebral Levels.

Zahra Sadeghi-Adl, Sara Naghizadehkashani, Devon Middleton, Laura Krisa, Mahdi Alizadeh, Adam E Flanders, Scott H Faro, Ze Wang, Feroze B Mohamed

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Zahra Sadeghi-AdlFrom the Department of Electrical and Computer Engineering (Z.S.-A.), Temple University, Philadelphia, Pennsylvania zahra.sadeghiadl@jefferson.edu.
Sara NaghizadehkashaniJefferson Integrated Magnetic Resonance Imaging Center (JIMRIC), Department of Radiology (Z.S.-A., S.N., D.M., L.K., M.A., A.E.F., S.H.F., F.B.M.), Thomas Jefferson University, Philadelphia, Pennsylvania.
Devon MiddletonJefferson Integrated Magnetic Resonance Imaging Center (JIMRIC), Department of Radiology (Z.S.-A., S.N., D.M., L.K., M.A., A.E.F., S.H.F., F.B.M.), Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0002-6437-2159
Laura KrisaJefferson Integrated Magnetic Resonance Imaging Center (JIMRIC), Department of Radiology (Z.S.-A., S.N., D.M., L.K., M.A., A.E.F., S.H.F., F.B.M.), Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0002-7345-4922
Mahdi AlizadehJefferson Integrated Magnetic Resonance Imaging Center (JIMRIC), Department of Radiology (Z.S.-A., S.N., D.M., L.K., M.A., A.E.F., S.H.F., F.B.M.), Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0003-1923-0407
Adam E FlandersJefferson Integrated Magnetic Resonance Imaging Center (JIMRIC), Department of Radiology (Z.S.-A., S.N., D.M., L.K., M.A., A.E.F., S.H.F., F.B.M.), Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0002-4679-0787
Scott H FaroJefferson Integrated Magnetic Resonance Imaging Center (JIMRIC), Department of Radiology (Z.S.-A., S.N., D.M., L.K., M.A., A.E.F., S.H.F., F.B.M.), Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0003-1521-8718
Ze WangDepartment of Diagnostic Radiology & Nuclear Medicine (Z.W.), University of Maryland School of Medicine, Baltimore, Maryland.
Feroze B MohamedJefferson Integrated Magnetic Resonance Imaging Center (JIMRIC), Department of Radiology (Z.S.-A., S.N., D.M., L.K., M.A., A.E.F., S.H.F., F.B.M.), Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0002-0764-0612

Funding

Development of an MRI Template & Neuroimaging Biomarkers of the Pediatric Spinal CordR01NS111113 · NINDS · THOMAS JEFFERSON UNIVERSITY · PI KRISA, LAURA, MOHAMED, FEROZE B · 2020 to 2024
$2.7M
Neuroimaging based on DTI as a biomarker for spinal cord injury in children.R01NS079635 · NINDS · THOMAS JEFFERSON UNIVERSITY · PI MOHAMED, FEROZE B, MULCAHEY-HERSHEY, MARYJANE · 2013 to 2017
$1.7M
NINDS NIH HHS R01 NS079635NINDS NIH HHS R01 NS111113
6 · The paper itself

Abstract

background and purposeSpinal cord injury (SCI) in the pediatric population presents a unique challenge in diagnosis and prognosis due to the complexity of performing clinical assessments on children. Accurate evaluation of structural changes in the spinal cord is essential for effective treatment planning. This study aims to evaluate structural characteristics in pediatric patients with SCI by comparing cross-sectional area (CSA), anterior-posterior (AP) width, and right-left (RL) width across all vertebral levels of the spinal cord between typically developing (TD) and participants with SCI. We employed deep learning techniques to utilize these measures for detecting SCI cases and determining their injury severity. MATERIALS AND

methodsSixty-one pediatric participants (ages 6-18), including 20 with chronic SCI and 41 TD, were enrolled and scanned by using a 3T MRI scanner. All SCI participants underwent the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) test to assess their neurologic function and determine their American Spinal Injury Association (ASIA) Impairment Scale (AIS) category. T2-weighted MRI scans were utilized to measure CSA, AP width, and RL widths along the entire cervical and thoracic cord. These measures were automatically extracted at every vertebral level of the spinal cord by using the spinal cord toolbox. Deep convolutional neural networks (CNNs) were utilized to classify participants into SCI or TD groups and determine their AIS classification based on structural parameters and demographic factors such as age and height.

resultsSignificant differences (

conclusionsThe study demonstrates the effectiveness of integrating cross-sectional structural imaging measures with deep learning methods for classification and severity assessment of pediatric SCI. The deep learning approach outperforms traditional machine learning models in diagnostic accuracy, offering potential improvements in patient care in pediatric SCI management.

Indexed as

Deep LearningMagnetic Resonance ImagingSpinal Cord InjuriesAdolescentChildFemaleHumansMale

Identifiers

PMID40194851
PMCPMC12633662

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.