Rheumatoid arthritis

Development of a scoring model for the Sharp/van der Heijde score using convolutional neural networks and its clinical application

Rheumatology (Oxford)Published Prediction model development study

Authors' conclusion

A high-performance scoring model for SHS that is applicable to clinical research was constructed.

Study context

Population
Patients with RA (in-house RA image database)
Outcome
Prediction of SHS (orientation, detection and damage prediction) by CNN model
Methodological detailsconvolutional neural networks, graph convolutional network, in-house RA image database
  • Convolutional neural networks
  • Graph convolutional network
  • In-house RA image database

Main finding

As reported in the abstract

CNN model performance for SHS
Image orientation correction accuracy
100%
Predicted joint coordinates within 10 pixels of correct coordinates
all
κ between model and expert 1, erosion
0.879
κ between model and expert 1, joint space narrowing
0.865

Observational data: associations, not effects.

Further findings

Graph convolutional network (GCN) model prediction of radiographic progression (ΔSHS >3/year)

AUC, with biologics at baseline
0.753
AUC, without biologics at baseline
0.734
Superior to the other models
RF titre the most important feature in biologics users

Clinical features associated with convolutional neural networks (CNN)-predicted ΔSHS per year in biologics users

High-titre RF an independent risk factor

Original publication

Development of a scoring model for the Sharp/van der Heijde score using convolutional neural networks and its clinical application. Rheumatology (Oxford). Published 11 October 2022. doi:10.1093/rheumatology/keac586

Composed by AI from the published abstract and checked against it. How Briefs are made →

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