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Advances in Artificial Intelligence for automated knee osteoarthritis classification using the IKDC system
Facundo Manuel Segura1,2,3, Florencio Pablo Segura4,5,6, María Paz Lucero Zudaire6
1Segura, Centro Privado de Ortopedia y Traumatología, 358 Justo Jose de Urquiza Street, X5000, Córdoba City, Córdoba, Argentina. facusegura@gmail.com.
Summary
Artificial intelligence (AI) and computer vision accurately detect and classify knee osteoarthritis using radiographic images. This automated system shows high precision in identifying disease severity, aiding clinical diagnosis.
Area of Science:
- Orthopedics and Medical Imaging
- Artificial Intelligence in Healthcare
Background:
- Knee osteoarthritis is a leading cause of disability, particularly in older adults.
- Early and accurate diagnosis of knee osteoarthritis is crucial for effective patient management.
- Current diagnostic methods can be subjective and time-consuming.
Purpose of the Study:
- To develop and evaluate an AI-powered system for automated detection and classification of knee osteoarthritis.
- To utilize computer vision and machine learning for grading osteoarthritis severity based on the IKDC classification system.
Main Methods:
- A dataset of 1901 knee radiographs classified by the IKDC scale was used for training.
- A ConvNext convolutional neural network model was developed using LandingLens software.
- The model was validated on 380 test images for performance evaluation.
Main Results:
- The AI model achieved an overall accuracy of 95.16% in classifying knee osteoarthritis.
- Sensitivity was recorded at 95.11%, demonstrating robust detection capabilities.
- High class-specific accuracies (92.40%-98.45%) were observed for different osteoarthritis severity grades.
Conclusions:
- AI and computer vision offer an effective automated solution for knee osteoarthritis detection and classification.
- The developed system provides a precise and reliable tool for physicians, enhancing diagnostic efficiency.
- Integration into clinical practice can improve patient evaluation consistency and potentially lead to better health outcomes.
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Functional Classification of Joints
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
Knee Joint
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...

