Analysis of Cervical Spinal MRI With Deep Learning

Study Overview
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Brief Summary
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The aim of this study is analyzing the pathologies in cervical spinal MRI images by using image processing algorithms. Determination of these pathological cases which taught to the system with deep learning and determination of their levels. Finally; verification of the system by comparing radiologist reports and automated system outputs.

Detailed Description
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Neck pain is a very common health problem with a worldwide prevalence ranging from 16.7% to 75.1%. The source of neck pain is often considered - although there is no strong evidence - the cervical intervertebral disc. Radiological imaging methods are used for the detection of degeneration of the discs and the end plaque changes in the vertebral body corresponding to this degeneration.Magnetic Resonance Imaging (MRI) gives information about the structure of intervertebral disc, width of spinal canal and tissues outside the canal. However, there is no standardization in the identification and evaluation of radiological images, and interobserver variability is high. Studies have been initiated on automated systems that analyze MRI images to increase the accuracy and consistency of reporting procedures. Examining MRI images with deep learning can lead to the production of systems that help clinical decision making and also allows the evaluation of large data in a short time.

Official Title
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Analysis of Cervical Spinal MRI With Deep Learning

Conditions
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Cervical Disc Disease, Cervical Spine Disease

Intervention / Treatment
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* Diagnostic Test: Cervical Spinal MRI


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18-75 years of age Having result of a cervical spinal MRI, which was performed for neck pain in the hospital records in the last 5 years. Exclusion Criteria: Malignancy Signs of active infection Significant spinal vertebral deformity (advanced scoliosis, congenital vertebral defects) Spinal surgery

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: Cervical Spinal MRI|Cervical Spinal MRI images of 500 patients will be entered into the system for modeling|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Accuracy rate of the model as assessed by cross validation of the data set | We will randomly divide the dataset into 4 subsets. In each sub-experiments, MRI slices from 3 subsets will be trained and slices in the other subset will be tested. We will perform totally 4 sub-experiments, so each slice in the dataset will be tested once. | Through study completion, an average of 1,5 years | 
| Reliability of the model as assessed by comparing the reports of the model and radiologist. | Kappa statistics and reliability coefficients will be use. | Through study completion, an average of 1,5 years |