Table 3 Discriminatory performance (%) of the predicted BMD to classify hip/lumbar vertebral osteoporosis and high-risk groups for major osteoporotic or hip fractures.

From: Automated bone mineral density prediction and fracture risk assessment using plain radiographs via deep learning

Discriminatory measures

Hip osteoporosis (T-score ≤ −2.5

Lumbar vertebral osteoporosis (vertebrae with the lowest T-score ≤2.5)

10-year risk of major osteoporotic fracture ≥20%

10-year risk of hip fracture ≥3%

Number of patients, %

1110, 21.5

7860, 43.3

530, 10.4

2254, 44.2

OR (95% CI)

74.80 (61.05–91.65)

38.22 (35.12–41.59)

107.92 (81.98–142.06)

79.29 (66.03–95.24)

AUROC/AUPRC

0.97/0.89

0.92/0.89

0.97/0.83

0.97/0.96

Accuracy (%; 95% CI)

91.7 (90.9–92.5)

86.2 (85.7–86.7)

95.0 (94.3–95.6)

90.0 (89.1–90.8)

Sensitivity (%; 95% CI)

80.2 (77.7–82.5)

83.5 (82.7–84.3)

69.6 (65.5–73.5)

88.2 (86.8–89.5)

Specificity (%; 95% CI)

94.9 (94.1–95.5)

88.3 (87.7–88.9)

97.9 (97.5–98.3)

91.4 (90.3–92.4)

PPV (%; 95% CI)

81.1 (78.9–83.1)

84.5 (83.8–85.2)

79.5 (76.0–82.7)

89.1 (87.8–90.2)

NPV (%; 95% CI)

94.6 (94.0–95.2)

87.6 (87.0–88.0)

96.5 (96.1–96.9)

90.7 (89.7–91.6)