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Peer-Reviewed Publication
J Am Coll Radiol2019;16(10):1473-1479.October 1, 2019Journal Article

Simulating Dual-Energy X-Ray Absorptiometry in CT Using Deep-Learning Segmentation Cascade.

Arun Krishnaraj1, Spencer Barrett2, Orna Bregman-Amitai3, Michael Cohen-Sfady3, Amir Bar3, David Chettrit3, Mila Orlovsky3, Eldad Elnekave3
1Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia. Electronic address: arunk@virginia.edu.
2Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia.
3Zebra Medical Vision, Shfayim, Israel.

Abstract

PURPOSE: Osteoporosis is an underdiagnosed condition despite effective screening modalities. Dual-energy x-ray absorptiometry (DEXA) screening, although recommended in clinical guidelines, remains markedly underutilized. In contrast to DEXA, CT utilization is high and presents a valuable data source for opportunistic osteoporosis screening. The purpose of this study was to describe a method to sim…

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