{
  "id": 520279,
  "title": "Is there a L6?",
  "url": "/competitions/rsna-2024-lumbar-spine-degenerative-classification/discussion/520279",
  "author_name": "",
  "post_date": "2024-07-15T13:23:09.637427700Z",
  "votes": 10,
  "comment_count": 11,
  "views": 0,
  "content": "<p>i am not a doctor, but l read that some people (?%) has L6?</p>\n<p><img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F113660%2Fa3cd2919291cc62787667479bae21e76%2FSelection_096.png?generation=1721049749114050&amp;alt=media\"></p>",
  "messages": [
    {
      "id": "2922759",
      "postDate": "07/15/2024 13:23:09",
      "content": "<p>i am not a doctor, but l read that some people (?%) has L6?</p>\n<p><img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F113660%2Fa3cd2919291cc62787667479bae21e76%2FSelection_096.png?generation=1721049749114050&amp;alt=media\"></p>",
      "rawMarkdown": "i am not a doctor, but l read that some people (?%) has L6?\n\n\n![](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F113660%2Fa3cd2919291cc62787667479bae21e76%2FSelection_096.png?generation=1721049749114050&alt=media)",
      "votes": null
    },
    {
      "id": "2922797",
      "postDate": "07/15/2024 13:56:27",
      "content": "<p>based on data doc, It seems named s1， in stead of L6?</p>",
      "rawMarkdown": "based on data doc, It seems named s1， in stead of L6?",
      "votes": null
    },
    {
      "id": "2923139",
      "postDate": "07/15/2024 17:21:48",
      "content": "<p>That's interesting. 10% seems too much and it could be in this dataset.</p>",
      "rawMarkdown": "That's interesting. 10% seems too much and it could be in this dataset.",
      "votes": null
    },
    {
      "id": "2923289",
      "postDate": "07/15/2024 18:41:25",
      "content": "<p>It can be hard to tell on a lumbar spine MRI without seeing the patient's entire spine. If a patient did have six lumbar-type vertebral bodies, then \"L6\" would probably end up being designated L5 or S1. </p>",
      "rawMarkdown": "It can be hard to tell on a lumbar spine MRI without seeing the patient's entire spine. If a patient did have six lumbar-type vertebral bodies, then \"L6\" would probably end up being designated L5 or S1.",
      "votes": null
    },
    {
      "id": "2923298",
      "postDate": "07/15/2024 18:48:09",
      "content": "<p>yes. i agree. this is also why sometimes it is difficult to apply AI in medical. <br>\nassume I  build a shape/graph model with 5 points (L1 to L5), it may get confused. </p>\n<p>abnormalities are OOD and AI predictions are unpredictable.</p>",
      "rawMarkdown": "yes. i agree. this is also why sometimes it is difficult to apply AI in medical. \nassume I  build a shape/graph model with 5 points (L1 to L5), it may get confused. \n \n\nabnormalities are OOD and AI predictions are unpredictable.",
      "votes": null
    },
    {
      "id": "2923435",
      "postDate": "07/15/2024 22:04:16",
      "content": "<p>Looking through out-of-fold predictions, our model seems to get the vertebrae level incorrect on series_id <code>2421706412</code>. Hard for me to tell, but maybe this patient has an L6?</p>\n<p><img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F5570735%2Fb5edda2fbdc16899b681f2ec3e2fb94b%2FCapture.JPG?generation=1721080796788452&amp;alt=media\"></p>",
      "rawMarkdown": "Looking through out-of-fold predictions, our model seems to get the vertebrae level incorrect on series_id `2421706412`. Hard for me to tell, but maybe this patient has an L6?\n\n\n![](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F5570735%2Fb5edda2fbdc16899b681f2ec3e2fb94b%2FCapture.JPG?generation=1721080796788452&alt=media)",
      "votes": null
    },
    {
      "id": "2923971",
      "postDate": "07/16/2024 08:17:50",
      "content": "<p>after googling, i managed to find how L6 (and L4 , … about 3% of population has only FOUR! ) look like:<br>\n<img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F113660%2F66c7830bc50e100d32d695051bef033d%2FSelection_107.png?generation=1721117852056545&amp;alt=media\"></p>\n<p>you really need to identify where is S1 and T12</p>",
      "rawMarkdown": "after googling, i managed to find how L6 (and L4 , ... about 3% of population has only FOUR! ) look like:\n![](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F113660%2F66c7830bc50e100d32d695051bef033d%2FSelection_107.png?generation=1721117852056545&alt=media)\n\nyou really need to identify where is S1 and T12",
      "votes": null
    },
    {
      "id": "2924321",
      "postDate": "07/16/2024 13:03:53",
      "content": "<p>When encountering variant number of vertebral bodies, usually a radiology report will contain statements like \"There are six non-rib bearing vertebra. For the purpose of reporting, the first non-rib bearing vertebra is designated as L1\" or \"There are six non-rib bearing vertebra. For the purpose of reporting, the last non-rib bearing vertebra is designated as L5\". For this competition, since they have declared an L5-S1 intervertebral level to be graded, I think it is safe to assume that the vertebral body above the sacrum is always L5. </p>",
      "rawMarkdown": "When encountering variant number of vertebral bodies, usually a radiology report will contain statements like \"There are six non-rib bearing vertebra. For the purpose of reporting, the first non-rib bearing vertebra is designated as L1\" or \"There are six non-rib bearing vertebra. For the purpose of reporting, the last non-rib bearing vertebra is designated as L5\". For this competition, since they have declared an L5-S1 intervertebral level to be graded, I think it is safe to assume that the vertebral body above the sacrum is always L5.",
      "votes": null
    },
    {
      "id": "2924923",
      "postDate": "07/16/2024 19:54:07",
      "content": "<p>Here is another interesting example <code>series_id=1212326388</code>. In this series it looks like the left and right labels are given to different levels of the spine. Maybe locating L5 is hard for experts too..</p>\n<p>Similar examples: <code>[3893961572, 3620276777, 3657125167, 3625340069, 1724042057]</code></p>\n<p><img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F5570735%2F58e8723b146015d8e577221f372ac528%2FCapture.JPG?generation=1721159426224378&amp;alt=media\" alt=\"image\"></p>",
      "rawMarkdown": "Here is another interesting example `series_id=1212326388`. In this series it looks like the left and right labels are given to different levels of the spine. Maybe locating L5 is hard for experts too..\n\nSimilar examples: `[3893961572, 3620276777, 3657125167, 3625340069, 1724042057]`\n\n![image](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F5570735%2F58e8723b146015d8e577221f372ac528%2FCapture.JPG?generation=1721159426224378&alt=media)",
      "votes": null
    },
    {
      "id": "2925180",
      "postDate": "07/17/2024 01:35:32",
      "content": "<p>i read that there is such a thing called fused L5. it is naturally fused into S1. anyway, thanks for showing these. i need to adjust my method a bit.</p>",
      "rawMarkdown": "i read that there is such a thing called fused L5. it is naturally fused into S1. anyway, thanks for showing these. i need to adjust my method a bit.",
      "votes": null
    },
    {
      "id": "2925814",
      "postDate": "07/17/2024 12:02:19",
      "content": "<p>just to add few more, this is where my model got confused <img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F6259210%2F8e6c688e9b1d8c65429534e30f701031%2Ffew%20more.png?generation=1721217684312651&amp;alt=media\"></p>",
      "rawMarkdown": "just to add few more, this is where my model got confused ![](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F6259210%2F8e6c688e9b1d8c65429534e30f701031%2Ffew%20more.png?generation=1721217684312651&alt=media)",
      "votes": null
    },
    {
      "id": "2925915",
      "postDate": "07/17/2024 13:22:45",
      "content": "<p>delete. I'll have to take a look at the dataset a little more.</p>",
      "rawMarkdown": "delete. I'll have to take a look at the dataset a little more.",
      "votes": null
    }
  ],
  "comments": [
    {
      "id": 2922797,
      "author_name": "dragonzhang",
      "author_url": "",
      "post_date": "07/15/2024 13:56:27",
      "content": "<p>based on data doc, It seems named s1， in stead of L6?</p>",
      "votes": null,
      "replies": []
    },
    {
      "id": 2923139,
      "author_name": "gunesevitan",
      "author_url": "",
      "post_date": "07/15/2024 17:21:48",
      "content": "<p>That's interesting. 10% seems too much and it could be in this dataset.</p>",
      "votes": null,
      "replies": []
    },
    {
      "id": 2923289,
      "author_name": "vaillant",
      "author_url": "",
      "post_date": "07/15/2024 18:41:25",
      "content": "<p>It can be hard to tell on a lumbar spine MRI without seeing the patient's entire spine. If a patient did have six lumbar-type vertebral bodies, then \"L6\" would probably end up being designated L5 or S1. </p>",
      "votes": null,
      "replies": [
        {
          "id": 2923298,
          "author_name": "hengck23",
          "author_url": "",
          "post_date": "07/15/2024 18:48:09",
          "content": "<p>yes. i agree. this is also why sometimes it is difficult to apply AI in medical. <br>\nassume I  build a shape/graph model with 5 points (L1 to L5), it may get confused. </p>\n<p>abnormalities are OOD and AI predictions are unpredictable.</p>",
          "votes": null,
          "replies": [
            {
              "id": 2923435,
              "author_name": "brendanartley",
              "author_url": "",
              "post_date": "07/15/2024 22:04:16",
              "content": "<p>Looking through out-of-fold predictions, our model seems to get the vertebrae level incorrect on series_id <code>2421706412</code>. Hard for me to tell, but maybe this patient has an L6?</p>\n<p><img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F5570735%2Fb5edda2fbdc16899b681f2ec3e2fb94b%2FCapture.JPG?generation=1721080796788452&amp;alt=media\"></p>",
              "votes": null,
              "replies": [
                {
                  "id": 2923971,
                  "author_name": "hengck23",
                  "author_url": "",
                  "post_date": "07/16/2024 08:17:50",
                  "content": "<p>after googling, i managed to find how L6 (and L4 , … about 3% of population has only FOUR! ) look like:<br>\n<img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F113660%2F66c7830bc50e100d32d695051bef033d%2FSelection_107.png?generation=1721117852056545&amp;alt=media\"></p>\n<p>you really need to identify where is S1 and T12</p>",
                  "votes": null,
                  "replies": [
                    {
                      "id": 2924923,
                      "author_name": "brendanartley",
                      "author_url": "",
                      "post_date": "07/16/2024 19:54:07",
                      "content": "<p>Here is another interesting example <code>series_id=1212326388</code>. In this series it looks like the left and right labels are given to different levels of the spine. Maybe locating L5 is hard for experts too..</p>\n<p>Similar examples: <code>[3893961572, 3620276777, 3657125167, 3625340069, 1724042057]</code></p>\n<p><img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F5570735%2F58e8723b146015d8e577221f372ac528%2FCapture.JPG?generation=1721159426224378&amp;alt=media\" alt=\"image\"></p>",
                      "votes": null,
                      "replies": [
                        {
                          "id": 2925180,
                          "author_name": "hengck23",
                          "author_url": "",
                          "post_date": "07/17/2024 01:35:32",
                          "content": "<p>i read that there is such a thing called fused L5. it is naturally fused into S1. anyway, thanks for showing these. i need to adjust my method a bit.</p>",
                          "votes": null,
                          "replies": []
                        },
                        {
                          "id": 2925915,
                          "author_name": "yeeseng",
                          "author_url": "",
                          "post_date": "07/17/2024 13:22:45",
                          "content": "<p>delete. I'll have to take a look at the dataset a little more.</p>",
                          "votes": null,
                          "replies": []
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "id": 2925814,
              "author_name": "sergiosaharovskiy",
              "author_url": "",
              "post_date": "07/17/2024 12:02:19",
              "content": "<p>just to add few more, this is where my model got confused <img src=\"https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F6259210%2F8e6c688e9b1d8c65429534e30f701031%2Ffew%20more.png?generation=1721217684312651&amp;alt=media\"></p>",
              "votes": null,
              "replies": []
            }
          ]
        }
      ]
    },
    {
      "id": 2924321,
      "author_name": "yeeseng",
      "author_url": "",
      "post_date": "07/16/2024 13:03:53",
      "content": "<p>When encountering variant number of vertebral bodies, usually a radiology report will contain statements like \"There are six non-rib bearing vertebra. For the purpose of reporting, the first non-rib bearing vertebra is designated as L1\" or \"There are six non-rib bearing vertebra. For the purpose of reporting, the last non-rib bearing vertebra is designated as L5\". For this competition, since they have declared an L5-S1 intervertebral level to be graded, I think it is safe to assume that the vertebral body above the sacrum is always L5. </p>",
      "votes": null,
      "replies": []
    }
  ],
  "raw_markdown_by_id": {
    "2922759": "i am not a doctor, but l read that some people (?%) has L6?\n\n\n![](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F113660%2Fa3cd2919291cc62787667479bae21e76%2FSelection_096.png?generation=1721049749114050&alt=media)",
    "2922797": "based on data doc, It seems named s1， in stead of L6?",
    "2923139": "That's interesting. 10% seems too much and it could be in this dataset.",
    "2923289": "It can be hard to tell on a lumbar spine MRI without seeing the patient's entire spine. If a patient did have six lumbar-type vertebral bodies, then \"L6\" would probably end up being designated L5 or S1.",
    "2923298": "yes. i agree. this is also why sometimes it is difficult to apply AI in medical. \nassume I  build a shape/graph model with 5 points (L1 to L5), it may get confused. \n \n\nabnormalities are OOD and AI predictions are unpredictable.",
    "2923435": "Looking through out-of-fold predictions, our model seems to get the vertebrae level incorrect on series_id `2421706412`. Hard for me to tell, but maybe this patient has an L6?\n\n\n![](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F5570735%2Fb5edda2fbdc16899b681f2ec3e2fb94b%2FCapture.JPG?generation=1721080796788452&alt=media)",
    "2923971": "after googling, i managed to find how L6 (and L4 , ... about 3% of population has only FOUR! ) look like:\n![](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F113660%2F66c7830bc50e100d32d695051bef033d%2FSelection_107.png?generation=1721117852056545&alt=media)\n\nyou really need to identify where is S1 and T12",
    "2924321": "When encountering variant number of vertebral bodies, usually a radiology report will contain statements like \"There are six non-rib bearing vertebra. For the purpose of reporting, the first non-rib bearing vertebra is designated as L1\" or \"There are six non-rib bearing vertebra. For the purpose of reporting, the last non-rib bearing vertebra is designated as L5\". For this competition, since they have declared an L5-S1 intervertebral level to be graded, I think it is safe to assume that the vertebral body above the sacrum is always L5.",
    "2924923": "Here is another interesting example `series_id=1212326388`. In this series it looks like the left and right labels are given to different levels of the spine. Maybe locating L5 is hard for experts too..\n\nSimilar examples: `[3893961572, 3620276777, 3657125167, 3625340069, 1724042057]`\n\n![image](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F5570735%2F58e8723b146015d8e577221f372ac528%2FCapture.JPG?generation=1721159426224378&alt=media)",
    "2925180": "i read that there is such a thing called fused L5. it is naturally fused into S1. anyway, thanks for showing these. i need to adjust my method a bit.",
    "2925814": "just to add few more, this is where my model got confused ![](https://www.googleapis.com/download/storage/v1/b/kaggle-forum-message-attachments/o/inbox%2F6259210%2F8e6c688e9b1d8c65429534e30f701031%2Ffew%20more.png?generation=1721217684312651&alt=media)",
    "2925915": "delete. I'll have to take a look at the dataset a little more."
  },
  "source": "meta"
}