Use of artificial intelligence for classification of fractures around the elbow in adults according to the 2018 AO/OTA classification system
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.An artificial intelligence (AI) system using convolutional neural networks (CNNs) accurately classifies elbow fractures according to the 2018 AO/OTA system. This AI tool aids clinicians in improving diagnostic accuracy and treatment decisions for elbow fractures.
Area Of Science
- Orthopedic radiology
- Artificial intelligence in medicine
- Deep learning for medical imaging
Background
- Evaluating the diagnostic accuracy of AI for elbow fractures.
- Utilizing the 2018 AO/OTA fracture classification system.
- Assessing a convolutional neural network (CNN) for fracture classification.
Purpose Of The Study
- To assess the accuracy of an AI system in classifying elbow fractures.
- To determine the AI's performance against the 2018 AO/OTA classification.
- To explore AI's potential to improve fracture diagnosis.
Main Methods
- Retrospective analysis of 5,367 elbow radiographs (adult patients, 2002-2016).
- Manual AO/OTA classification by orthopedic surgeons.
- Fine-tuning a pretrained Efficientnet B4 CNN model.
- Performance evaluation on a test set of 208 radiographs.
Main Results
- The AI system achieved an overall fracture detection AUC of 0.88 (95% CI 0.83-0.93).
- Weighted mean AUCs: 0.80 for proximal radius, 0.86 for proximal ulna, 0.85 for distal humerus.
- AI demonstrated accurate classification across 54 distinct fracture types.
Conclusions
- AI systems (CNNs) can augment clinical decision-making for elbow fractures.
- AI offers a complementary tool to enhance diagnostic accuracy.
- AI may reduce undiagnosed fractures, improving patient outcomes and radiologic evaluation.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
The bones of the human skeletal system are of varied shapes, sizes, and functions. They can be classified based on their shape and function into four major classes: long bones, short bones, flat bones, and irregular bones. Some classifications include a fifth type, the sesamoid bones, as a separate class, whereas others categorize them under short bones.
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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...
Joints, also known as articulations, are classified based on their structural characteristics, i.e., based on whether the articulating surfaces of the adjacent bones are directly connected by fibrous connective tissue or cartilage, or whether the articulating surfaces contact each other within a fluid-filled joint cavity. These differences serve to divide the joints of the body into three structural classifications.
A fibrous joint is where the adjacent bones are united by fibrous connective...
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...