Evidence map›Paper›PMID 41274152›Full record

ArticleJournal of biomechanics2026

The application of transfer learning to T1ρ MRI tibiofemoral cartilage segmentation.

Patrick X Bradley, Amber T Collins, Alexie D Riofrio, Lauren N Heckelman, Wyatt A R Smith, Lindsey C Michel, Xingqi Su, Andrzej S Kosinski, Charles E Spritzer, Louis E DeFrate

Abstract read
In one paragraph

Article in Journal of biomechanics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Patrick X BradleyDepartment of Mechanical Engineering and Materials Science, Duke University, United States. Electronic address: patrick.bradley@duke.edu.
Amber T CollinsDepartment of Orthopaedic Surgery, Duke University School of Medicine, United States. Electronic address: collins.at@gmail.com.
Alexie D RiofrioDepartment of Orthopaedic Surgery, Duke University School of Medicine, United States. Electronic address: alexie.riofrio@gmail.com.
Lauren N HeckelmanDepartment of Orthopaedic Surgery, Duke University School of Medicine, United States; Department of Biomedical Engineering, Duke University, United States. Electronic address: lnh2117@columbia.edu.
Wyatt A R SmithDepartment of Orthopaedic Surgery, Duke University School of Medicine, United States. Electronic address: wyattsmith006@gmail.com.
Lindsey C MichelDepartment of Orthopaedic Surgery, Duke University School of Medicine, United States. Electronic address: lcmichel2@gmail.com.
Xingqi SuDepartment of Biomedical Engineering, Duke University, United States. Electronic address: xingqi.su@duke.edu.
Andrzej S KosinskiDepartment of Biostatistics and Bioinformatics, Duke University, United States. Electronic address: andrzej.kosinski@duke.edu.
Charles E SpritzerDepartment of Orthopaedic Surgery, Duke University School of Medicine, United States; Department of Radiology, Duke University School of Medicine, United States. Electronic address: chuck.spritzer@duke.edu.
Louis E DeFrateDepartment of Mechanical Engineering and Materials Science, Duke University, United States; Department of Orthopaedic Surgery, Duke University School of Medicine, United States; Department of Biomedical Engineering, Duke University, United States. Electronic address: led7@duke.edu.

Funding

In Vivo Knee Motion and ACL Biomechanics During Dynamic ActivitiesR01AR065527 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2014 to 2024
$4.8M
Biomechanical and Biological Predictors of Cartilage Health Following Meniscus InjuryR01AR079184 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E., GOODE, ADAM · 2021 to 2025
$3.5M
Weight loss, in vivo cartilage mechanics, and joint healthR01AR074800 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2019 to 2023
$1.8M
In vivo ACL mechanics and risk factors for injuryR01AR082665 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2024 to 2025
$1.3M
NIAMS NIH HHS R01 AR065527NIAMS NIH HHS R01 AR074800NIAMS NIH HHS R01 AR079184NIAMS NIH HHS R01 AR082665
6 · The paper itself

Abstract

Proteoglycans are critical to the ability of cartilage to withstand loading, and their concentration can be probed in vivo through measurement of T1ρ MRI relaxation times. Machine learning models have demonstrated the potential to replace manual segmentation of MR images but are often tailored to a specific MRI sequence. Promisingly, transfer learning provides an avenue to leverage information learned by previous models to improve new model performance. Thus, the purpose of this work was to evaluate the utility of transfer learning with source models trained for the same segmentation task (tibiofemoral cartilage) but different MRI sequence (double-echo steady-state vs. T1ρ). For model training, a U-Net architecture, a dice similarity coefficient (DSC) loss function, and a hyperparameter optimization grid search were utilized. Seventy-four T1ρ scans were used to develop and evaluate the models (training: 42, validation: 16, testing: 16). Finally, the optimal transfer learning and non-transfer learning models were applied to the testing set, where model-generated segmentations and T1ρ relaxation times were compared to manually segmented scans. Transfer learning improved DSCs for both the tibial (+1.2 %) and femoral (+0.8 %) cartilage. Furthermore, transfer learning improved the models' ability to measure T1ρ relaxation times, lowering the mean difference relative to manual segmentation from 1.0 % to 0.1 % for tibial cartilage (ICC increased from 0.93 to 0.95) and from 0.6 % to 0.5 % for femoral cartilage (ICC remained at 0.99). These results demonstrate the benefit of utilizing this transfer learning approach and justify using these models in future studies evaluating tibiofemoral cartilage proteoglycan content.

Indexed as

Cartilage, ArticularFemurMachine LearningMagnetic Resonance ImagingTibiaAdultFemaleHumansImage Processing, Computer-AssistedMaleArtificial IntelligenceAuto-segmentationMachine LearningMagnetic Resonance ImagingT1rho

Identifiers

PMID41274152
PMCPMC13185670

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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.