Evidence map›Paper›PMID 42611905›Full record

SynthesisPloS one2026

Deep learning applications in osteosarcoma MRI: A systematic review of recent advances in AI-based osteosarcoma diagnosis.

Galib Muhammad Shahriar Himel, Anusha Achuthan, Yusuf Abas Mohamed, Bee Ee Khoo, Mohd Ezane Bin Aziz

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Galib Muhammad Shahriar HimelSchool of Computer Sciences, Universiti Sains Malaysia, USM Penang, Malaysia.ORCID https://orcid.org/0000-0002-2257-6751
Anusha AchuthanSchool of Computer Sciences, Universiti Sains Malaysia, USM Penang, Malaysia.ORCID https://orcid.org/0000-0002-2015-2269
Yusuf Abas MohamedSchool of Electrical and Electronic Engineering, Engineering Campus, USM Nibong Tebal, Penang, Malaysia.
Bee Ee KhooSchool of Electrical and Electronic Engineering, Engineering Campus, USM Nibong Tebal, Penang, Malaysia.ORCID https://orcid.org/0000-0002-3492-2551
Mohd Ezane Bin AzizDepartment of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary malignant bone tumours of the skeleton have a great diversity in their biological behaviour, and the most common in adolescence is osteosarcoma for which the diagnosis and therapeutic management are both a challenge. The use of machine and deep learning in image analysis for MRI, diffusion-weighted imaging (DWI) and dynamic contrast-enhanced MRI (DCE-MRI) to diagnose osteosarcoma has shown major improvements recently. This systematic review is performed according to PRISMA 2020 guidelines, and it comprises a critical analysis of 38 peer-reviewed articles from 2020 to 2025, which address the various aspects of tumour segmentation, classification, and prognosis. The methodological mapping revealed seven main categories that included numerous examples of radiomics (n = 8) and convolutional neural networks (CNNs, n = 6), as well as vision transformers and multimodal architectures for emerging technologies (n = 5 each). A quantitative evaluation of the segmentation performance showed that Multimodal achieved the best spatial overlap with an average Dice Similarity Coefficient (DSC) of 94.7% (range: 94.5-94.9%), while CNN of standard size was comparable, Lightweight networks had a DSC between 91.4 and 99.4% with an average of 91.9% and Vision Transformers a range of 90.5-94.9% with an average of 92.1%. By contrast, the performance gap among the Attention Mechanisms was greatest with a mean of 87.67% (64.6-98.5%), while the lowest was the mean 85.7% (81.6-89.8%) for Unsupervised Clustering. In addition to segmentation, the clinical nomograms based on radiomics also showed excellent prognostic potential:The AUC values for predicting pathological necrosis after chemotherapy varied from 0.807 to 0.848. More importantly it was found that there were significant translational gaps because all 38 models were limited to retrospective, single centre cohorts, with evaluation of risk of bias. Advanced algorithms perform well with localized precision but face a number of challenges with robust multicenter testing and a public repository.

Indexed as

Bone NeoplasmsDeep LearningMagnetic Resonance ImagingOsteosarcomaConvolutional Neural NetworksDiffusion Magnetic Resonance ImagingDynamic Contrast Enhanced Magnetic Resonance ImagingHumansRadiomics

Identifiers

PMID42611905
PMCPMC13485020

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.