{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:49:15Z","timestamp":1792043355306,"version":"4.4.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Digit Imaging. Inform. med."],"DOI":"10.1007\/s10278-026-02407-y","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:36:37Z","timestamp":1792042597000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reliability and Reproducibility of a Novel MRI-Based Classification System for Lumbar Intervertebral Disc Degeneration: A Comparative Study with the Pfirrmann Classification"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5615-3394","authenticated-orcid":false,"given":"Tu\u011frul","family":"Erg\u00fcn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1354-0549","authenticated-orcid":false,"given":"Halil \u00d6zcan","family":"\u00c7elik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9147-7677","authenticated-orcid":false,"given":"Jotyar","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6395-2947","authenticated-orcid":false,"given":"G\u00fcltekin","family":"Ba\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6615-4892","authenticated-orcid":false,"given":"\u00d6zlem","family":"Akinci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6882-0350","authenticated-orcid":false,"given":"Cansu","family":"G\u00fcrsoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6188-5867","authenticated-orcid":false,"given":"Celil","family":"Alemdar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"2407_CR1","doi-asserted-by":"publisher","unstructured":"Adams MA, Roughley PJ. What is intervertebral disc degeneration, and what causes it? Spine. 31(18):2151-61. https:\/\/doi.org\/10.1097\/01.brs.0000231761.73859.2c, August 15, 2006.","DOI":"10.1097\/01.brs.0000231761.73859.2c"},{"key":"2407_CR2","doi-asserted-by":"publisher","unstructured":"Roughley PJ. Biology of intervertebral disc aging and degeneration: involvement of the extracellular matrix. Spine. 29(23):2691\u20139. https:\/\/doi.org\/10.1097\/01.brs.0000146101.53784.b1","DOI":"10.1097\/01.brs.0000146101.53784.b1"},{"key":"2407_CR3","doi-asserted-by":"publisher","unstructured":"Benneker LM, Heini PF, Anderson SE, Alini M, Ito K. Correlation of radiographic and MRI parameters to morphological and biochemical assessment of intervertebral disc degeneration. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 14(1):27\u201335. https:\/\/doi.org\/10.1007\/s00586-004-0759-February, 4, 2005;","DOI":"10.1007\/s00586-004-0759-February"},{"issue":"3","key":"2407_CR4","doi-asserted-by":"publisher","first-page":"707","DOI":"10.3390\/diagnostics12030707","volume":"12","author":"S Tamagawa","year":"2022","unstructured":"Tamagawa S, Sakai D, Nojiri H, Sato M, Ishijima M, Watanabe M. Imaging Evaluation of Intervertebral Disc Degeneration and Painful Discs-Advances and Challenges in Quantitative MRI. Diagnostics.12(3):707. https:\/\/doi.org\/10.3390\/diagnostics12030707","journal-title":"Diagnostics."},{"issue":"6","key":"2407_CR5","doi-asserted-by":"publisher","first-page":"1358","DOI":"10.1007\/s00586-022-07147-5","volume":"31","author":"J Hutchins","year":"2022","unstructured":"Hutchins J, Hebelka H, Lagerstrand K, Brisby H. A systematic review of validated classification systems for cervical and lumbar spinal foraminal stenosis based on magnetic resonance imaging. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc.;31(6):1358-69. https:\/\/doi.org\/10.1007\/s00586-022-07147-5","journal-title":"Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc."},{"key":"2407_CR6","doi-asserted-by":"publisher","unstructured":"Mandelli F, N\u00fcesch C, Zhang Y, Halbeisen F, Sch\u00e4ren S, M\u00fcndermann A. Assessing Fatty Infiltration of Paraspinal Muscles in Patients With Lumbar Spinal Stenosis: Goutallier Classification and Quantitative MRI Measurements. Front Neurol. 12:656487. https:\/\/doi.org\/10.3389\/fneur.2021.656487, March 5, 2021.","DOI":"10.3389\/fneur.2021.656487"},{"key":"2407_CR7","doi-asserted-by":"publisher","unstructured":"Waldenberg C, Hebelka H, Brisby H, Lagerstrand KM. Differences in IVD characteristics between low back pain patients and controls associated with HIZ as revealed with quantitative MRI. PLOS ONE.;14(8): e0220952. https:\/\/doi.org\/10.1371\/journal.pone. August 22,2019.","DOI":"10.1371\/journal.pone"},{"key":"2407_CR8","doi-asserted-by":"publisher","unstructured":"Pfirrmann CW, Metzdorf A, Zanetti M, Hodler J, Boos N. Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine.;26(17):1873-8. https:\/\/doi.org\/10.1097\/00007632-200109010-00011","DOI":"10.1097\/00007632-200109010-00011"},{"key":"2407_CR9","doi-asserted-by":"publisher","unstructured":"Esposito D, Brown B, Hancock MJ, King SSG, Searant IGT, Jenkins H. MRI-Based Grading Systems for Assessing Lumbar Disc Degeneration: A Scoping Review. JOR Spine.;8(3): e70113. https:\/\/doi.org\/10.1002\/jsp2.70113, september,2025.","DOI":"10.1002\/jsp2.70113"},{"key":"2407_CR10","doi-asserted-by":"publisher","unstructured":"Griffith JF, Wang YXJ, Antonio GE, Choi KC, Yu A, Ahuja AT. Modified Pfirrmann grading system for lumbar intervertebral disc degeneration. Spine.;32(24): E708\u2013712. https:\/\/doi.org\/10.1097\/BRS.0b013e31815a59a0 15 november,2007.","DOI":"10.1097\/BRS.0b013e31815a59a0"},{"key":"2407_CR11","doi-asserted-by":"publisher","unstructured":"Nagy SA, Juhasz I, Komaromy H, Pozsar K, Zsigmond I, Perlaki G, vd. A statistical model for intervertebral disc degeneration: determination of the optimal T2 cut-off values. Clin Neuroradiol. 24(4):355\u201363. https:\/\/doi.org\/10.1007\/s00062-013-0266-2, December ,2014.","DOI":"10.1007\/s00062-013-0266-2"},{"key":"2407_CR12","doi-asserted-by":"publisher","unstructured":"Urrutia J, Besa P, Campos M, Cikutovic P, Cabezon M, Molina M, vd. The Pfirrmann classification of lumbar intervertebral disc degeneration: an independent inter- and intra-observer agreement assessment. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc.;25(9):2728\u201333. https:\/\/doi.org\/10.1007\/s00586-016-4438-z, September,2016.","DOI":"10.1007\/s00586-016-4438-z"},{"key":"2407_CR13","doi-asserted-by":"publisher","unstructured":"Soydan Z, Bayramoglu E, Urut DU, Iplikcioglu AC, Sen C. Tracing the disc: The novel qualitative morphometric MRI based disc degeneration classification system. JOR Spine.;7(1): e1321. https:\/\/doi.org\/10.1002\/jsp2.132, March,2024.","DOI":"10.1002\/jsp2.132"},{"key":"2407_CR14","doi-asserted-by":"publisher","unstructured":"Monti CB, Ambrogi F, Sardanelli F. Sample size calculation for data reliability and diagnostic performance: a go-to review. Eur Radiol Exp.;8:79. https:\/\/doi.org\/10.1186\/s41747-024-00474-w, July 5,2024.","DOI":"10.1186\/s41747-024-00474-w"},{"key":"2407_CR15","doi-asserted-by":"publisher","unstructured":"Doktor K, Jensen TS, Christensen HW, Fredberg U, Kindt M, Boyle E, vd. Degenerative findings in lumbar spine MRI: an inter-rater reliability study involving three raters. Chiropr Man Ther.;28(1):8. https:\/\/doi.org\/10.1186\/s12998-020-0297-0, February 11,2020.","DOI":"10.1186\/s12998-020-0297-0"},{"issue":"5","key":"2407_CR16","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.1002\/jor.25449","volume":"41","author":"D Sherwood","year":"2023","unstructured":"Sherwood D, Haring RS, Schirmer D, Modic M. The interrater reliability of Modic changes among a potential basivertebral nerve ablation population: Why AC1 may be preferred to kappa. J Orthop Res.;41(5):1123-30. https:\/\/doi.org\/10.1002\/jor.25449","journal-title":"J Orthop Res."},{"key":"2407_CR17","doi-asserted-by":"publisher","unstructured":"Natalia F, Sudirman S, Ruslim D, Al-Kafri A. Lumbar spine MRI annotation with intervertebral disc height and Pfirrmann grade predictions. PLOS ONE.19(5): e0302067. https:\/\/doi.org\/10.1371\/journal.pone.0302067, May 10,2024.","DOI":"10.1371\/journal.pone.0302067"},{"issue":"4","key":"2407_CR18","doi-asserted-by":"publisher","first-page":"663","DOI":"10.3390\/diagnostics13040663","volume":"13","author":"W Liawrungrueang","year":"2023","unstructured":"Liawrungrueang W, Kim P, Kotheeranurak V, Jitpakdee K, Sarasombath P. Automatic Detection, Classification, and Grading of Lumbar Intervertebral Disc Degeneration Using an Artificial Neural Network Model. Diagnostics. 13(4):663. https:\/\/doi.org\/10.3390\/diagnostics13040663","journal-title":"Diagnostics."}],"container-title":["Journal of Imaging Informatics in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10278-026-02407-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10278-026-02407-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10278-026-02407-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:36:38Z","timestamp":1792042598000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10278-026-02407-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,14]]},"references-count":18,"alternative-id":["2407"],"URL":"https:\/\/doi.org\/10.1007\/s10278-026-02407-y","relation":{},"ISSN":["2948-2933"],"issn-type":[{"value":"2948-2933","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,14]]},"assertion":[{"value":"9 September 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 September 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 October 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 October 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This retrospective study was approved by the Istanbul Beykent University Non-Interventional Clinical Research Ethics Committee (Meeting No. 2026\/7, June 8, 2026; Approval Letter No. E-45778635\u2013050.99\u2013231335, June 9, 2026). The study was conducted in accordance with the ethical standards of the institutional research ethics committee and the principles of the 1964 Declaration of Helsinki and its later amendments.","order":1,"name":"Ethics","label":"Ethics Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not specified in the available ethics approval document.","order":2,"name":"Ethics","label":"Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}