{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T02:47:05Z","timestamp":1793155625024,"version":"4.5.0"},"reference-count":28,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T00:00:00Z","timestamp":1733788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81930049"],"award-info":[{"award-number":["81930049"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2025,2]]},"DOI":"10.1016\/j.wneu.2024.123567","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T00:05:45Z","timestamp":1736381145000},"page":"123567","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Deep Learning-Based Segmentation of Cervical Posterior Longitudinal Ligament Ossification in Computed Tomography Images and Assessment of Spinal Cord Compression: A Two-Center Study"],"prefix":"10.1016","volume":"194","author":[{"given":"Baiyang","family":"Jiang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayang","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaochun","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianxi","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Xiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingyang","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yimin","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3420-0310","authenticated-orcid":false,"given":"Shiyuan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2024.123567_bib1","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.14245\/ns.2244700.350","article-title":"Prevalence, distribution, and concomitance of whole-spine ossification of the posterior longitudinal ligament and ossification of the ligament flavum in South Koreans: a whole-spine-CT-based cross-sectional study","volume":"19","author":"Choi","year":"2022","journal-title":"Neurospine"},{"key":"10.1016\/j.wneu.2024.123567_bib2","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/2010.12.FOCUS10271","article-title":"Ossification of the posterior longitudinal ligament: genetics and pathophysiology","volume":"30","author":"Stapleton","year":"2011","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2024.123567_bib3","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1007\/s00264-018-4106-5","article-title":"Ossification of the posterior longitudinal ligament in the cervical spine: a review","volume":"43","author":"Boody","year":"2019","journal-title":"Int Orthop"},{"key":"10.1016\/j.wneu.2024.123567_bib4","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.2106\/JBJS.RVW.16.00023","article-title":"Prediction of outcome following surgical treatment of cervical myelopathy based on features of ossification of the posterior longitudinal ligament: a systematic review","volume":"5","author":"Nakashima","year":"2017","journal-title":"JBJS Rev"},{"key":"10.1016\/j.wneu.2024.123567_bib5","article-title":"Consensus statement on diagnosis and treatment of cervical ossification of posterior longitudinal ligament from Asia Pacific Spine Society (APSS) 2020","volume":"28","author":"Sun","year":"2020","journal-title":"J\u00a0Orthop Surg"},{"key":"10.1016\/j.wneu.2024.123567_bib6","doi-asserted-by":"crossref","first-page":"205","DOI":"10.14245\/kjs.2012.9.3.205","article-title":"Diagnosis of cervical OPLL in lateral radiograph and MRI: is it reliable?","volume":"9","author":"Kang","year":"2012","journal-title":"Korean J Spine"},{"key":"10.1016\/j.wneu.2024.123567_bib7","doi-asserted-by":"crossref","first-page":"8","DOI":"10.4055\/cios.2010.2.1.8","article-title":"Inter- and intra-observer variability of a cervical OPLL classification using reconstructed CT images","volume":"2","author":"Chang","year":"2010","journal-title":"Clin Orthop Surg"},{"key":"10.1016\/j.wneu.2024.123567_bib8","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1097\/01.brs.0000257560.91147.86","article-title":"Surgical strategy for cervical myelopathy due to ossification of the posterior longitudinal ligament: part 1: clinical results and limitations of laminoplasty","volume":"32","author":"Iwasaki","year":"2007","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.123567_bib9","doi-asserted-by":"crossref","first-page":"W134","DOI":"10.2214\/AJR.10.5560","article-title":"New MRI grading system for the cervical canal stenosis","volume":"197","author":"Kang","year":"2011","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.wneu.2024.123567_bib10","doi-asserted-by":"crossref","first-page":"W197","DOI":"10.2214\/AJR.11.7599","article-title":"Clinical correlation of a new practical MRI method for assessing cervical spinal canal compression","volume":"199","author":"Park","year":"2012","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.wneu.2024.123567_bib11","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.clineuro.2018.09.018","article-title":"Relationship of preoperative intramedullary MRI signal intensity and dynamic factors with surgical outcomes of laminoplasty for cervical ossification of the posterior longitudinal ligament","volume":"174","author":"Miyazaki","year":"2018","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2024.123567_bib12","doi-asserted-by":"crossref","first-page":"3797","DOI":"10.1007\/s00586-023-07562-2","article-title":"Deep learning-based prediction model for postoperative complications of cervical posterior longitudinal ligament ossification","volume":"32","author":"Ito","year":"2023","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2024.123567_bib13","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1016\/j.spinee.2022.01.004","article-title":"Detecting ossification of the posterior longitudinal ligament on plain radiographs using a deep convolutional neural network: a pilot study","volume":"22","author":"Ogawa","year":"2022","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2024.123567_bib14","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1038\/s41598-022-06140-8","article-title":"A\u00a0deep learning algorithm to identify cervical ossification of posterior longitudinal ligaments on radiography","volume":"12","author":"Tamai","year":"2022","journal-title":"Sci Rep"},{"key":"10.1016\/j.wneu.2024.123567_bib15","doi-asserted-by":"crossref","first-page":"2185","DOI":"10.1007\/s00586-021-06914-0","article-title":"Use of residual neural network for the detection of ossification of the posterior longitudinal ligament on plain cervical radiography","volume":"30","author":"Murata","year":"2021","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2024.123567_bib16","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0267643","article-title":"Improved diagnostic performance of plain radiography for cervical ossification of the posterior longitudinal ligament using deep learning","volume":"17","author":"Chae","year":"2022","journal-title":"PLoS One"},{"key":"10.1016\/j.wneu.2024.123567_bib17","doi-asserted-by":"crossref","first-page":"E11","DOI":"10.3171\/2023.3.FOCUS2390","article-title":"MRI-based detection of cervical ossification of the posterior longitudinal ligament using a novel automated machine learning diagnostic tool","volume":"54","author":"Shemesh","year":"2023","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2024.123567_bib18","series-title":"U-Net: Convolutional Networks for Biomedical Image Segmentation, Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)","first-page":"234","author":"Ronneberger","year":"2015"},{"key":"10.1016\/j.wneu.2024.123567_bib19","series-title":"Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition (CVPR)","first-page":"936","article-title":"Feature pyramid networks for object detection","author":"Lin","year":"2017"},{"key":"10.1016\/j.wneu.2024.123567_bib20","series-title":"Proceedings of the 31st International Conference on Neural Information Processing Systems (NeurIPS)","first-page":"5999","article-title":"Attention is all you need","author":"Vaswani","year":"2017"},{"key":"10.1016\/j.wneu.2024.123567_bib21","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1148\/radiol.2017161786","article-title":"Proton density fat fraction measurements at 1.5- and 3-T hepatic MR imaging: same-day agreement among readers and across two imager manufacturers","volume":"284","author":"Serai","year":"2017","journal-title":"Radiology"},{"key":"10.1016\/j.wneu.2024.123567_bib22","doi-asserted-by":"crossref","first-page":"2280","DOI":"10.1016\/j.acra.2023.06.009","article-title":"Deep learning-based fully automated segmentation of regional muscle volume and spatial intermuscular fat using CT","volume":"30","author":"Zhang","year":"2023","journal-title":"Acad Radiol"},{"key":"10.1016\/j.wneu.2024.123567_bib23","first-page":"175","article-title":"Bland-Altman plots, medsurg nursing","volume":"17","author":"Connelly","year":"2008","journal-title":"Med Surg Nurs"},{"key":"10.1016\/j.wneu.2024.123567_bib24","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1148\/rg.2021200210","article-title":"Deep learning: an update for radiologists","volume":"41","author":"Cheng","year":"2021","journal-title":"Radiographics"},{"key":"10.1016\/j.wneu.2024.123567_bib25","doi-asserted-by":"crossref","DOI":"10.1016\/j.compmedimag.2024.102350","article-title":"Knowledge distillation on individual vertebrae segmentation exploiting 3D U-Net, computerized medical imaging and graphics","volume":"113","author":"Serrador","year":"2024","journal-title":"Comput Med Imaging Graph"},{"key":"10.1016\/j.wneu.2024.123567_bib26","doi-asserted-by":"crossref","first-page":"1649","DOI":"10.1109\/TMI.2015.2389334","article-title":"A\u00a0framework for automated spine and vertebrae interpolation-based detection and model-based segmentation","volume":"34","author":"Korez","year":"2015","journal-title":"IEEE Trans Med Imag"},{"key":"10.1016\/j.wneu.2024.123567_bib27","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1186\/s12891-019-2569-1","article-title":"Epidemiology of ossification of the spinal ligaments and associated factors in the Chinese population: a cross-sectional study of 2000 consecutive individuals","volume":"20","author":"Liang","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.wneu.2024.123567_bib28","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/00003086-198404000-00010","article-title":"Ossification of the posterior longitudinal ligament of the spine","volume":"184","author":"Tsuyama","year":"1984","journal-title":"Clin Orthop Relat Res"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024020175?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024020175?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T00:21:01Z","timestamp":1762561261000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875024020175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":28,"alternative-id":["S1878875024020175"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2024.123567","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Deep Learning-Based Segmentation of Cervical Posterior Longitudinal Ligament Ossification in Computed Tomography Images and Assessment of Spinal Cord Compression: A Two-Center Study","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2024.123567","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"123567"}}