Evidence map›Paper›PMID 41068137›Full record

Articlenpj aging2025

Spine age estimation using deep learning in lateral spine radiographs and DXA VFA to predict incident fracture and mortality.

Sang Wouk Cho, Namki Hong, Kyoung Min Kim, Young Han Lee, Chang Oh Kim, Hyeon Chang Kim, Yumie Rhee, Brian H Chen, William D Leslie, Steven R Cummings

Abstract read
In one paragraph

Article in npj aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Spine age derived from DXA vertebral fracture assessment images predicts incident fractures and mortality: the Manitoba Bone Mineral Density Registry.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
  4. 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

10 authors.

Sang Wouk ChoInstitute for Innovation in Digital Healthcare (IIDH), Yonsei University Health System, Seoul, Korea.
Namki HongInstitute for Innovation in Digital Healthcare (IIDH), Yonsei University Health System, Seoul, Korea. nkhong84@yuhs.ac.
Kyoung Min KimDivision of Endocrinology, Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, South Korea.
Young Han LeeDepartment of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul, South Korea.
Chang Oh KimDivision of Geriatric Medicine, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Hyeon Chang KimInstitute for Innovation in Digital Healthcare (IIDH), Yonsei University Health System, Seoul, Korea.
Yumie RheeDivision of Endocrinology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Brian H ChenSan Francisco Coordinating Center, California Pacific Medical Center Research Institute, San Francisco, CA, USA.
William D LeslieDepartment of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada.
Steven R CummingsSan Francisco Coordinating Center, California Pacific Medical Center Research Institute, San Francisco, CA, USA.

Funding

Korea Health Industry Development Institute HI22C0452National Research Foundation of Korea RS-2023-00231864
6 · The paper itself

Abstract

Spine age estimated from lateral spine radiographs and DXA VFAs could be associated with fracture and mortality risk. In the VERTE-X cohort (n = 10,341, derivation set) and KURE cohort (n = 3517; external test set), spine age discriminated prevalent vertebral fractures and osteoporosis better than chronological age. Predicted age difference was associated with overall (adjusted HR [aHR] 1.22 per 1 SD increment, p < 0.001), vertebral, non-vertebral incident fractures, and mortality (aHR 1.31, p = 0.001) during a median 6.6 years follow-up in KURE, independent of chronological age and covariates. Spine age to estimate FRAX hip fracture probabilities, instead of chronological age, improved the discriminatory performance for incident hip fracture (AUROC 0.83 vs. 0.78, p = 0.027). Shorter height, lower femoral neck BMD, diabetes, vertebral fractures, and surgical prosthesis were associated with higher predicted age difference, explaining 40% of variance. Spine age estimated from lateral spine radiographs and DXA VFA enhanced fracture risk assessment and mortality prediction over chronological age.

Identifiers

PMID41068137
PMCPMC12511432

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.