Evidence map›Paper›PMID 40576997›Full record

ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2026

Quantifying Sagittal Craniosynostosis Severity: A Machine Learning Approach With CranioRate.

Wenzheng Tao, Tobi J Somorin, Janina Kueper, Angel Dixon, Nicolas Kass, Nawazish Khan, Krithika Iyer, Jake Wagoner, Ashley Rogers, Ross Whitaker and 2 more

Abstract read
In one paragraph

Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2026. 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

12 authors.

Wenzheng TaoScientific Computing and Imaging Institute, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-8745-5996
Tobi J SomorinDivision of Pediatric Plastic Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-6249-5577
Janina KueperDivision of Pediatric Plastic Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Angel DixonDivision of Pediatric Plastic Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Nicolas KassDivision of Pediatric Plastic Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.ORCID 0009-0009-2968-1253
Nawazish KhanScientific Computing and Imaging Institute, University of Utah, Salt Lake City, UT, USA.
Krithika IyerScientific Computing and Imaging Institute, University of Utah, Salt Lake City, UT, USA.
Jake WagonerScientific Computing and Imaging Institute, University of Utah, Salt Lake City, UT, USA.
Ashley RogersDivision of Pediatric Plastic Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Ross WhitakerScientific Computing and Imaging Institute, University of Utah, Salt Lake City, UT, USA.
Shireen ElhabianScientific Computing and Imaging Institute, University of Utah, Salt Lake City, UT, USA.
Jesse A GoldsteinDivision of Pediatric Plastic Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-5242-3844

Funding

CranioRate: An imaging-based, deep-phenotyping analysis toolset, repository, and online clinician interface for craniosynostosisR01DE032366 · NIDCR · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Shireen Youssef Elhabian, Jesse Aaron Goldstein · 2023 to 2026
$2.6M
NIDCR NIH HHS R01 DE032366
6 · The paper itself

Abstract

ObjectiveTo develop and validate machine learning (ML) models for objective and comprehensive quantification of sagittal craniosynostosis (SCS) severity, enhancing clinical assessment, management, and research.DesignA cross-sectional study that combined the analysis of computed tomography (CT) scans and expert ratings.SettingThe study was conducted at a children's hospital and a major computer imaging institution. Our survey collected expert ratings from participating surgeons.ParticipantsThe study included 195 patients with nonsyndromic SCS, 221 patients with nonsyndromic metopic craniosynostosis (CS), and 178 age-matched controls. Fifty-four craniofacial surgeons participated in rating 20 patients head CT scans.InterventionsComputed tomography scans for cranial morphology assessment and a radiographic diagnosis of nonsyndromic SCS.Main OutcomesAccuracy of the proposed Sagittal Severity Score (SSS) in predicting expert ratings compared to cephalic index (CI). Secondary outcomes compared Likert ratings with SCS status, the predictive power of skull-based versus skin-based landmarks, and assessments of an unsupervised ML model, the Cranial Morphology Deviation (CMD), as an alternative without ratings.ResultsThe SSS achieved significantly higher accuracy in predicting expert responses than CI (

Indexed as

CraniosynostosesMachine LearningTomography, X-Ray ComputedCase-Control StudiesCross-Sectional StudiesFemaleHumansInfantMaleSeverity of Illness Indexartificial intelligencecraniofacial morphologycraniofacial surgerycraniosynostosisimaging

Identifiers

PMID40576997
PMCPMC12798829

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.