Machine Learning-Assisted Decision Making in Orthopaedic Oncology
Paul A Rizk1, Marcos R Gonzalez1, Bishoy M Galoaa2
1Division of Orthopaedic Oncology, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
JBJS Reviews
|July 11, 2024
Summary
Artificial intelligence (AI) and machine learning (ML) offer advanced clinical predictions and enhance radiomics. Further research is needed to address challenges in data diversity, ethics, and interpretability for robust AI applications.
Area of Science:
- Computational intelligence and predictive analytics in medicine.
Background:
- Artificial intelligence (AI) mimics human problem-solving, with machine learning (ML) developing algorithms for data-driven predictions.
- Deep learning, a subset of ML, uses layered networks for data generalization.
- ML shows potential in enhancing radiomics for medical image analysis and diagnosis.
Purpose of the Study:
- To explore the application and challenges of machine learning in clinical predictions and radiomics.
- To highlight the development of ML-based calculators for survival prediction in specific cancers.
- To emphasize the need for robust evaluation of ML models.
Main Methods:
- Utilizing machine learning algorithms for clinical prediction and survival analysis.
- Developing and applying ML models to large datasets for diagnostic and prognostic purposes.
- Leveraging deep learning techniques within ML frameworks for enhanced data analysis.
Main Results:
- ML algorithms show promise in improving radiomics and clinical predictions.
- Several ML calculators demonstrate high accuracy in predicting survival for sarcomas and bone metastases.
- Existing ML models require standardized evaluation for robustness.
Conclusions:
- Machine learning offers significant potential in medical imaging and clinical decision support.
- Challenges remain in data diversity, ethical considerations, and model interpretability for widespread AI adoption.
- Balancing computational advancements with these challenges is crucial for the future of AI in healthcare.


