Evidence map›Paper›PMID 41726766›Full record

ArticleResearch (Washington, D.C.)2026

Clinical Application of Deep Learning for Spine MRI Interpretation: A Multicenter Evaluation of Artificial-Intelligence-Assisted versus Manual Reading on Diagnostic Agreement with the Reference Standard.

Xing Cheng, Maoping Zhang, Zhenxiao Ren, Tang Tang, Xiaolin Meng, Zhong Huang, Hongwei Bran Li, Weiguo Li, Qiuchan Yan, Haixiong Chen and 12 more

Abstract read
In one paragraph

Article in Research (Washington, D.C.), 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. HRNet-ACAP-Offset: a novel framework for localizing posterior edge landmark points in 3D intervertebral disc MRI.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Article
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

22 authors.

Xing ChengDepartment of Spine Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, Guangdong 510080, China.
Maoping ZhangDepartment of Radiology, Zhujiang Hospital of Southern Medical University, Guangzhou 510280, China.
Zhenxiao RenFaculty of Natural Sciences, RWTH Aachen University, 52074 Aachen, Germany.ORCID https://orcid.org/0000-0002-5543-6077
Tang TangDepartment of Radiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China.
Xiaolin MengHealthcare Advanced Algorithm Department of HSW BU, Shanghai United Imaging Healthcare Co., Ltd, Shanghai 201800, China.
Zhong HuangInstitute of Neuroanatomy and Cell Biology, Hannover Medical School (MHH), 30625 Hannover, Germany.
Hongwei Bran LiDepartment of Diagnostic Radiology, National University of Singapore, 119077 Singapore.
Weiguo LiDepartment of Orthopaedics and Traumatology, United Christian Hospital, Hong Kong SAR 999077, China.
Qiuchan YanDepartment of Radiology, Zhujiang Hospital of Southern Medical University, Guangzhou 510280, China.
Haixiong ChenDepartment of Radiology, Shunde Hospital of Southern Medical University (Shunde First People's Hospital), Foshan 528300, China.
Jie JiaHealthcare Advanced Algorithm Department of HSW BU, Shanghai United Imaging Healthcare Co., Ltd, Shanghai 201800, China.
Ce WangHealthcare Advanced Algorithm Department of HSW BU, Shanghai United Imaging Healthcare Co., Ltd, Shanghai 201800, China.
Cheng LiHealthcare Advanced Algorithm Department of HSW BU, Shanghai United Imaging Healthcare Co., Ltd, Shanghai 201800, China.
Chunshan YangSchool of Information Science and Technology, Fudan University, Shanghai 200438, China.
Guifeng ShiDepartment of Radiology, Shunde Hospital of Southern Medical University (Shunde First People's Hospital), Foshan 528300, China.
Guohua LiDepartment of Radiology, The First Affiliated Hospital of Qiqihar Medical University, Qiqihar 161041, China.
Kaixin ZengThe Second Clinical Medical College of Southern Medical University, Guangzhou 510515, China.
Wei ChenThe Second Clinical Medical College of Southern Medical University, Guangzhou 510515, China.
Haoxuan GaoThe Second Clinical Medical College of Southern Medical University, Guangzhou 510515, China.
Xiaobo WangDepartment of Spine Surgery, Nanfang Hospital of Southern Medical University, Guangzhou 510515, China.
Xin ZhengDepartment of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
Yang WangDepartment of Radiology, Zhujiang Hospital of Southern Medical University, Guangzhou 510280, China.ORCID https://orcid.org/0000-0003-1588-3208

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lumbar spine diseases substantially impact the patients' quality of life, necessitating accurate and efficient diagnostic tools. This study presents Lumbar VNet Pro (LVP), the first real-time artificial-intelligence (AI)-assisted system embedded within MRI hardware for lumbar spine analysis, integrating deep learning with MRI. LVP was trained on 2,453 MRI datasets and validated both internally and externally across multiple centers. During the training (1,848 MRI datasets) and validation (605 MRI datasets), LVP exhibited outstanding performance in localization (Dice = 0.93), segmentation (Dice = 0.92), labeling (identification rate = 0.90), and timeliness (average inference time = 1.1 s). Following the successful construction of LVP, we conducted comprehensive testing through both internal and external multicenter evaluations. Internal testing involving 100 patients indicated that the recognition accuracy of LVP was as high as 100%, and the consistency between the LVP assessment and the manual assessment using the gold standard reached 97%. In external testing involving 1,522 patients, LVP's diagnostic performance was compared to those of manual and human-machine-assisted methods. The AI-assisted approaches demonstrated better performance across multiple spinal pathologies, including lumbar disc herniation, spinal canal stenosis, and lateral recess stenosis, with area under the receiver operating characteristic curve values >0.95 for deep learning/human-machine approaches and >0.90 for the fully manual approach. The real-time integration of LVP with MRI scanning improved positioning accuracy and reduced interobserver variability, supporting its potential as an adjunct tool for enhancing MRI-based spine diagnostics. However, further studies are warranted to assess its generalizability across diverse clinical settings.

Identifiers

PMID41726766
PMCPMC12917116

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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.