Evidence map›Paper›PMID 35029078›Full record

ArticleKorean journal of radiology2022

Deep Learning-Assisted Diagnosis of Pediatric Skull Fractures on Plain Radiographs.

Jae Won Choi, Yeon Jin Cho, Ji Young Ha, Yun Young Lee, Seok Young Koh, June Young Seo, Young Hun Choi, Jung-Eun Cheon, Ji Hoon Phi, Injoon Kim and 2 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Korean journal of radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Jae Won ChoiDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5937-7238
Yeon Jin ChoDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9820-3030
Ji Young HaDepartment of Radiology, Gyeongsang National University Changwon Hospital, Changwon, Korea.ORCID https://orcid.org/0000-0001-5769-3045
Yun Young LeeDepartment of Radiology, Chonnam National University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-1200-9462
Seok Young KohDepartment of Radiology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-1853-3166
June Young SeoDepartment of Radiology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-9572-7573
Young Hun ChoiDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1842-9062
Jung-Eun CheonDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-1479-2064
Ji Hoon PhiDivision of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-9603-5843
Injoon KimDepartment of Emergency Medicine, Armed Forces Yangju Hospital, Yangju, Korea.ORCID https://orcid.org/0000-0001-6892-489X
Jaekwang YangArmy Aviation Operations Command, Icheon, Korea.ORCID https://orcid.org/0000-0002-1336-2137
Woo Sun KimDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2184-1311
Seoul National University · KRSeoul National University Hospital · KRArmed Forces Capital Hospital · KRChangwon National University · KRChonnam National University Hospital · KRRepublic of Korea Army · KRSeoul National University Children's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and evaluate a deep learning-based artificial intelligence (AI) model for detecting skull fractures on plain radiographs in children. MATERIALS AND

methodsThis retrospective multi-center study consisted of a development dataset acquired from two hospitals (n = 149 and 264) and an external test set (n = 95) from a third hospital. Datasets included children with head trauma who underwent both skull radiography and cranial computed tomography (CT). The development dataset was split into training, tuning, and internal test sets in a ratio of 7:1:2. The reference standard for skull fracture was cranial CT. Two radiology residents, a pediatric radiologist, and two emergency physicians participated in a two-session observer study on an external test set with and without AI assistance. We obtained the area under the receiver operating characteristic curve (AUROC), sensitivity, and specificity along with their 95% confidence intervals (CIs).

resultsThe AI model showed an AUROC of 0.922 (95% CI, 0.842-0.969) in the internal test set and 0.870 (95% CI, 0.785-0.930) in the external test set. The model had a sensitivity of 81.1% (95% CI, 64.8%-92.0%) and specificity of 91.3% (95% CI, 79.2%-97.6%) for the internal test set and 78.9% (95% CI, 54.4%-93.9%) and 88.2% (95% CI, 78.7%-94.4%), respectively, for the external test set. With the model's assistance, significant AUROC improvement was observed in radiology residents (pooled results) and emergency physicians (pooled results) with the difference from reading without AI assistance of 0.094 (95% CI, 0.020-0.168;

conclusionA deep learning-based AI model improved the performance of inexperienced radiologists and emergency physicians in diagnosing pediatric skull fractures on plain radiographs.

Indexed as

Deep LearningSkull FracturesArtificial IntelligenceChildHumansRadiographic Image Interpretation, Computer-AssistedRadiographyRetrospective StudiesSensitivity and SpecificitySkullArtificial intelligenceDeep learningPediatricPlain radiographSkull fracture

Identifiers

PMID35029078
PMCPMC8876653
OpenAlexW4206748150

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.