Rheumatoid arthritis

Automatic evaluation of atlantoaxial subluxation in rheumatoid arthritis by a deep learning model

Arthritis Res TherPublished Diagnostic accuracy study

Authors' conclusion

We present the development of a deep learning model for the evaluation of cervical lesions of patients with RA. The model was demonstrably shown to be useful for quantitative evaluation.

Study context

Population
Patients with rheumatoid arthritis (RA); X-ray images of the cervical spine
Participants
906 patients4,691 X-ray images
Comparison
Deep learning model vs clinicians for atlantodental interval (ADI) and spinal cord (SAC) measurement and assessing atlantoaxial subluxation (AAS) diagnosis
Outcome
AAS diagnosis, test set
Methodological detailsdeep learning model development, training, validation and test sets
  • Deep learning model development
  • Training, validation and test sets

Performance

As reported in the abstract

Test or modelSensitivitySpecificity
ADI by model0.860.57
SAC by model0.970.5

Sensitivity

ADI by model0.86
SAC by model0.97

Specificity

ADI by model0.57
SAC by model0.5
Four coordinates correctly identified
99.5%

Original publication

Automatic evaluation of atlantoaxial subluxation in rheumatoid arthritis by a deep learning model. Arthritis Res Ther. Published 25 September 2023. doi:10.1186/s13075-023-03172-x

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