1. End-to-End Semi-Supervised Opportunistic Osteoporosis Screening Using Computed Tomography.
- Author
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Jieun Oh, Boah Kim, Gyutaek Oh, Yul Hwangbo, and Jong Chul Ye
- Subjects
COMPUTED tomography ,DUAL-energy X-ray absorptiometry ,BONE density ,BONE fractures ,OSTEOPOROSIS ,METABOLIC bone disorders - Abstract
Background: Osteoporosis is the most common metabolic bone disease and can cause fragility fractures. Despite this, screening utilization rates for osteoporosis remain low among populations at risk. Automated bone mineral density (BMD) estimation using computed tomography (CT) can help bridge this gap and serve as an alternative screening method to dual-energy X-ray absorptiometry (DXA). Methods: The feasibility of an opportunistic and population agnostic screening method for osteoporosis using abdominal CT scans without bone densitometry phantom-based calibration was investigated in this retrospective study. A total of 268 abdominal CT-DXA pairs and 99 abdominal CT studies without DXA scores were obtained from an oncology specialty clinic in the Republic of Korea. The center axial CT slices from the L1, L2, L3, and L4 lumbar vertebrae were annotated with the CT slice level and spine segmentation labels for each subject. Deep learning models were trained to localize the center axial slice from the CT scan of the torso, segment the vertebral bone, and estimate BMD for the top four lumbar vertebrae. Results: Automated vertebra-level DXA measurements showed a mean absolute error (MAE) of 0.079, Pearson's r of 0.852 (P<0.001), and R² of 0.714. Subject-level predictions on the held-out test set had a MAE of 0.066, Pearson's r of 0.907 (P<0.001), and R² of 0.781. Conclusion: CT scans collected during routine examinations without bone densitometry calibration can be used to generate DXA BMD predictions. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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