External validation of a deep learning model for predicting bone mineral density on chest radiographs.

Bone analysis/quantitation Bone disorders Bone mineral density Chest radiography Osteoporosis Screening

Journal

Archives of osteoporosis
ISSN: 1862-3514
Titre abrégé: Arch Osteoporos
Pays: England
ID NLM: 101318988

Informations de publication

Date de publication:
13 Mar 2024
Historique:
received: 26 08 2023
accepted: 27 02 2024
medline: 13 3 2024
pubmed: 13 3 2024
entrez: 13 3 2024
Statut: epublish

Résumé

We developed a new model for predicting bone mineral density on chest radiographs and externally validated it using images captured at facilities other than the development environment. The model performed well and showed potential for clinical use. In this study, we performed external validation (EV) of a developed deep learning model for predicting bone mineral density (BMD) of femoral neck on chest radiographs to verify the usefulness of this model in clinical practice. This study included patients who visited any of the collaborating facilities from 2010 to 2020 and underwent chest radiography and dual-energy X-ray absorptiometry (DXA) at the femoral neck in the year before and after their visit. A total of 50,114 chest radiographs were obtained, and BMD was measured using DXA. We developed the model with 47,150 images from 17 facilities and performed EV with 2914 images from three other facilities (EV dataset). We trained the deep learning model via ensemble learning based on chest radiographs, age, and sex to predict BMD using regression. The outcomes were the correlation of the predicted BMD and measured BMD with diagnoses of osteoporosis and osteopenia using the T-score estimated from the predicted BMD. The mean BMD was 0.64±0.14 g/cm Our model, which was externally validated using data obtained at facilities other than the development environment, predicted BMD of femoral neck on chest radiographs. The model performed well and showed potential for clinical use.

Identifiants

pubmed: 38472499
doi: 10.1007/s11657-024-01372-9
pii: 10.1007/s11657-024-01372-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

15

Informations de copyright

© 2024. International Osteoporosis Foundation and Bone Health and Osteoporosis Foundation.

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Auteurs

Takamune Asamoto (T)

Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.

Yasuhiko Takegami (Y)

Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan. takegami.yasuhiko.k3@f.mail.nagoya-u.ac.jp.

Yoichi Sato (Y)

Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.

Shunsuke Takahara (S)

Department of Orthopaedic Surgery, Hyogo Prefectural Kakogawa Medical Center, Kakogawa, Hyogo, Japan.

Norio Yamamoto (N)

Department of Orthopaedic Surgery, Miyamoto Orthopaedic Hospital, Okayama, Japan.

Naoya Inagaki (N)

Department of Orthopaedic Surgery, The Jikei University Kashiwa Hospital, Chiba, Japan.

Satoshi Maki (S)

Department of Orthopaedic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.

Mitsuru Saito (M)

Department of Orthopaedic Surgery, Jikei University School of Medicine, Tokyo, Japan.

Shiro Imagama (S)

Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8560, Japan.

Classifications MeSH