1. Artificial intelligence in traumatology: a comparative study between conventional and AI-aided diagnostic performance in distal radius fractures
- Author
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Rosmarie Breu, Carolina Avelar, Zsolt Bertalan, Johannes Grillari, Heinz Redl, Richard Ljuhar, Stefan Quadlbauer, and Thomas Hausner
- Subjects
distal radius fracture ,artificial intelligence ,wrist x-ray ,cnn model ,diagnostic accuracy ,reader study ,radiographs ,physicians ,hand surgeons ,wrist ,distal radius fractures ,traumatology ,digital radiographs ,orthopaedic trauma ,paired t-test ,orthopaedic trauma surgeons ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Aims: The aim of this study was to create artificial intelligence (AI) software with the purpose of providing a second opinion to physicians to support distal radius fracture (DRF) detection, and to compare the accuracy of fracture detection of physicians with and without software support. Methods: The dataset consisted of 26,121 anonymized anterior-posterior (AP) and lateral standard view radiographs of the wrist, with and without DRF. The convolutional neural network (CNN) model was trained to detect the presence of a DRF by comparing the radiographs containing a fracture to the inconspicuous ones. A total of 11 physicians (six surgeons in training and five hand surgeons) assessed 200 pairs of randomly selected digital radiographs of the wrist (AP and lateral) for the presence of a DRF. The same images were first evaluated without, and then with, the support of the CNN model, and the diagnostic accuracy of the two methods was compared. Results: At the time of the study, the CNN model showed an area under the receiver operating curve of 0.97. AI assistance improved the physician’s sensitivity (correct fracture detection) from 80% to 87%, and the specificity (correct fracture exclusion) from 91% to 95%. The overall error rate (combined false positive and false negative) was reduced from 14% without AI to 9% with AI. Conclusion: The use of a CNN model as a second opinion can improve the diagnostic accuracy of DRF detection in the study setting. Cite this article: Bone Joint Res 2024;13(10):588–595.
- Published
- 2024
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