机构:[1]Department of Orthopedics, The First People's Hospital of Yunnan Province & the Affiliated Hospital of Kunming University of Science and Technology, the Key Laboratory of Digital Orthopaedics of Yunnan Province, the International Union Laboratory of Intelligent Orthopedics of Yunnan Province, the Clinical Medicine Center of Spinal and Spinal Cord Disorders of Yunnan Province, Kunming, China外科片骨科云南省第一人民医院[2]Intelligent Orthopedics Medical Technology Research Centre of Kunming University of Science and Technology, Kunming, China[3]Department of Spinal Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China[4]School of Biomedical Engineering, Southern Medical University, Guangzhou, China[5]Department of Nephrology, The Second Affiliated Hospital of Chengdu Medical College (China National Nuclear Corporation 416 Hospital), Chengdu, China[6]Department of Orthopedics (Five), First Affiliated Hospital of Harbin Medical University, Harbin, People's Republic of China[7]Radiology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
Background Accurately evaluating the radiological features of facet joint osteoarthritis (FJOA) may help to elucidate its relationship with pain. Multitask deep learning (DL) models have emerged as promising tools for this purpose. Materials and Methods This retrospective study employed a dataset of 13 223 axial CT facet joint (FJ) patches cropped from 1 360 patients across two hospitals. At the image level, the dataset was categorized as training dataset (n = 7430), validation dataset (n = 2000), internal test dataset (n = 1890), and external test dataset (n = 1903). The radiologic features of FJOA were qualitatively assessed using a multitask DL model based on ResNet-18 according to the FJOA grading guidelines proposed by Weishaupt. Two batches of images from each of the internal and external test datasets were used to test the change in readers' assessment accuracy with and without DL assistance, as measured using a paired t test. Results In this study, the accuracy of the model on the internal and external test datasets was 89.8% and 76.6% for joint space narrowing (JSN), 79.6% and 80.2% for osteophytes, 65.5% and 56% for hypertrophy, 88% and 89.6% for subchondral bone erosions, and 82.8% and 89.8% for subchondral cysts. The model's Gwet kappa values reach 0.88. When junior readers used the DL model for assistance, the accuracy was significantly improved (p value ranged from < 0.001 to 0.043). Conclusion A multitask DL model is a viable method for assessing the severity of radiological features in FJOA, offering support to readers during image evaluation.
基金:
the “Yun-Ling Scholars” Program of Yunnan Province (XDYC-YLXZ-2022-0015), the Central Government to
Guide Local Scientific and Technological Development Fund (202407AA11001), the Yunnan International Joint Laboratory of Intelligent Orthopaedics
(202503AP140037), the R&D Project of Pazhou Lab (Huangpu) (2023K0604), the Yunnan Clinical Medical Center for Spinal Cord Diseases (ZX2022000101),
the National Natural Science Foundation of China (82172442), the Joint Funding Scheme 2022 for Scientific Research Projects (FDCT-GDST Projects) by
the Science and Technology Development Fund of Macau and the Department of Science and Technology of Guangdong Province (2022A0505020019 and
0056/2021/AGJ), the Yunnan Key Laboratory of Digital Orthopaedics (202005AG070004), the Yunnan Provincial Department of Science and Technology
Social Development Special Project (202403AC100003), and the Guangdong Climbing Plan (pdjh2023b0011).
第一作者机构:[1]Department of Orthopedics, The First People's Hospital of Yunnan Province & the Affiliated Hospital of Kunming University of Science and Technology, the Key Laboratory of Digital Orthopaedics of Yunnan Province, the International Union Laboratory of Intelligent Orthopedics of Yunnan Province, the Clinical Medicine Center of Spinal and Spinal Cord Disorders of Yunnan Province, Kunming, China[2]Intelligent Orthopedics Medical Technology Research Centre of Kunming University of Science and Technology, Kunming, China[3]Department of Spinal Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
通讯作者:
通讯机构:[1]Department of Orthopedics, The First People's Hospital of Yunnan Province & the Affiliated Hospital of Kunming University of Science and Technology, the Key Laboratory of Digital Orthopaedics of Yunnan Province, the International Union Laboratory of Intelligent Orthopedics of Yunnan Province, the Clinical Medicine Center of Spinal and Spinal Cord Disorders of Yunnan Province, Kunming, China[2]Intelligent Orthopedics Medical Technology Research Centre of Kunming University of Science and Technology, Kunming, China
推荐引用方式(GB/T 7714):
Wang Yunfei,Chen Ziyang,Huang Junzhang,et al.Comprehensive Evaluation of Facet Joints Osteoarthritis Radiological Features on Lumbar CT: A Multitask Deep Learning Approach[J].JOR SPINE.2025,8(3):doi:10.1002/jsp2.70115.
APA:
Wang, Yunfei,Chen, Ziyang,Huang, Junzhang,He, Qingqing,Leng, Dongming...&Lu, Sheng.(2025).Comprehensive Evaluation of Facet Joints Osteoarthritis Radiological Features on Lumbar CT: A Multitask Deep Learning Approach.JOR SPINE,8,(3)
MLA:
Wang, Yunfei,et al."Comprehensive Evaluation of Facet Joints Osteoarthritis Radiological Features on Lumbar CT: A Multitask Deep Learning Approach".JOR SPINE 8..3(2025)