Evidence map›Paper›PMID 40485153›Full record

ArticleAnnals of medicine2025

Application of Artificial Intelligence in rheumatic disease classification: an example of ankylosing spondylitis severity inspection model.

Chih-Wei Chen, Hao-Hung Tsai, Chao-Yuan Yeh, Cheng-Kun Yang, Hsi-Kai Tsou, Pui-Ying Leong, James Cheng-Chung Wei

Abstract read
In one paragraph

Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

7 authors.

Chih-Wei ChenData Finance Innovation (DFI) Research Center, National Yang Ming Chiao Tung University, Hsinchu, Taiwan.ORCID 0000-0003-4004-7826
Hao-Hung TsaiDepartment of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan.
Chao-Yuan YehaetherAI Co., Ltd, Taipei, Taiwan.
Cheng-Kun YangaetherAI Co., Ltd, Taipei, Taiwan.
Hsi-Kai TsouFunctional Neurosurgery Division, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Pui-Ying LeongInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
James Cheng-Chung WeiInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan.ORCID 0000-0002-1235-0679

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe development of the Artificial Intelligence (AI)-based severity inspection model for ankylosing spondylitis (AS) could support health professionals to rapidly assess the severity of the disease, enhance proficiency, and reduce the demands of human resources. This paper aims to develop an AI-based severity inspection model for AS using patients' X-ray images and modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS).

methodsThe numerical simulation with AI is developed following the progress of data preprocessing, building and testing the model, and then the model. The training data is preprocessed by inviting three experts to check the X-ray images of 222 patients following the Gold Standard. The model is then developed through two stages, including keypoint detection and mSASSS evaluation. The two-stage AI-based severity inspection model for AS was developed to automatically detect spine points and evaluate mSASSS scores. At last, the data obtained from the developed model was compared with those from experts' assessment to analyse the accuracy of the model. The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki.

resultsThe spine point detection at the first stage achieved 1.57 micrometres in mean error distance with the ground truth, and the second stage of the classification network can reach 0.81 in mean accuracy. The model can correctly identify 97.4% patches belonging to mSASSS score 3, while those belonging to score 0 can still be classified into scores 1 or 2.

conclusionThe automatic severity inspection model for AS developed in this paper is accurate and can support health professionals in rapidly assessing the severity of AS, enhancing assessment proficiency, and reducing the demands of human resources.

Indexed as

Artificial IntelligenceSpondylitis, AnkylosingAdultFemaleHumansMaleRadiographySeverity of Illness IndexSpineAnkylosing spondylitisArtificial Intelligenceseverity inspection modelX-ray images

Identifiers

PMID40485153
PMCPMC12150623

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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.