Evidence map›Paper›PMID 41171405›Full record

ArticleAbdominal radiology (New York)2026

Advancing osteoporosis opportunistic screening: multicenter validation of a deep learning algorithm using abdominal CT scans.

Augusto Sarquis Serpa, Marcelo Straus Takahashi, Eduardo Moreno Júdice de Mattos Farina, Sean Bennett, Nishith Khandwala, Melissa Major, Jack Paparian, Fernanda Garozzo Velloni, Steven Rothenberg, Leonardo Kayat Bittencourt and 3 more

Abstract readMulticenter StudyValidation Study
PubMed Publisher
In one paragraph

Article in Abdominal radiology (New York), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

13 authors.

Augusto Sarquis SerpaDepartamento de Diagnóstico por Imagem, Federal University of São Paulo, São Paulo, Brazil. augusto.esd5@gmail.com.
Marcelo Straus TakahashiDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Eduardo Moreno Júdice de Mattos FarinaDepartamento de Diagnóstico por Imagem, Federal University of São Paulo, São Paulo, Brazil.
Sean BennettBunkerhill Health, San Francisco, USA.
Nishith KhandwalaBunkerhill Health, San Francisco, USA.
Melissa MajorBunkerhill Health, San Francisco, USA.
Jack PaparianBunkerhill Health, San Francisco, USA.
Fernanda Garozzo VelloniDasa, São Paulo, Brazil.
Steven RothenbergDepartment of Radiology, University of Alabama at Birmingham, Birmingham, USA.
Leonardo Kayat BittencourtDepartment of Radiology, University Hospitals Cleveland Medical Center, Cleveland, USA.
Ross Warren FiliceDepartment of Radiology, MedStar Georgetown University Hospital, Washington, DC, USA.
John MonganDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, USA.
Felipe Campos KitamuraDepartamento de Diagnóstico por Imagem, Federal University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo develop and do multicenter validation on an algorithm that screens for osteoporosis from abdominal CTs.

methodsThis is a diagnostic accuracy study with retrospective data from January 2022 to July 2022 consisting of two steps: a segmentation step of the lumbar vertebral bodies, involving outpatient non-contrast abdominal CTs from Diagnósticos da América S/A (Dasa), and a multicenter validation step incorporating data from four additional institutions. The segmentation employed a 2D UNet with a ResNet34 backbone. We determined the Pearson correlation coefficient (r) between the mean of the slices' mean attenuations (MSMA) on CT scans against the bone mineral density (BMD) on recent DEXA scans, calculated AUCs and performance metrics for osteoporosis prediction, including 95% confidence intervals, and evaluated calibration plots.

resultsThe multicenter validation included 504 participants (median age, 66 years, interquartile range 56-72; 388 women). A linear regression analysis showed an r of 0.62 (95% CI, 0.56-0.67) between MSMA (HU) and BMD (g/cm

conclusionWe developed and performed a multicenter validation of a DL model for osteoporosis prediction on CT.

Indexed as

Deep LearningOsteoporosisRadiography, AbdominalTomography, X-Ray ComputedAbsorptiometry, PhotonAgedAlgorithmsBone DensityFemaleHumansLumbar VertebraeMaleMass ScreeningMiddle AgedRetrospective StudiesComputed tomographyDeep learningLumbar spineOpportunistic screeningOsteoporosis

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Registered trials

None linked

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.