Evidence map›Paper›PMID 36284017›Full record

ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Artificial intelligence fracture recognition on computed tomography: review of literature and recommendations.

Lente H M Dankelman, Sanne Schilstra, Frank F A IJpma, Job N Doornberg, Joost W Colaris, Michael H J Verhofstad, Mathieu M E Wijffels, Jasper Prijs, Machine Learning Consortium

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Impact of deep learning on pediatric elbow fracture detection: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Pooled it
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  10. Postoperative Outcomes of Anteromedial Approach in Patients with Elbow Varus Posteromedial Rotatory Instability: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2025
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  15. Juvenile Osteochondritis Dissecans: A Case Report.Diagnostics (Basel, Switzerland) · 2024
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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

9 authors at 2 institutions in 2 countries.

Lente H M DankelmanTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands. l.dankelman@erasmusmc.nl.ORCID http://orcid.org/0000-0001-8106-680X
Sanne SchilstraDepartment of Orthopedic Surgery, Groningen University Medical Centre, Groningen, The Netherlands.
Frank F A IJpmaDepartment of Surgery, Groningen University Medical Centre, Groningen, The Netherlands.
Job N DoornbergDepartment of Orthopedic Surgery, Groningen University Medical Centre, Groningen, The Netherlands.
Joost W ColarisDepartment of Orthopedics, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Michael H J VerhofstadTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Mathieu M E WijffelsTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Jasper PrijsDepartment of Orthopedic Surgery, Groningen University Medical Centre, Groningen, The Netherlands.
Machine Learning Consortium
University Medical Center Groningen · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe use of computed tomography (CT) in fractures is time consuming, challenging and suffers from poor inter-surgeon reliability. Convolutional neural networks (CNNs), a subset of artificial intelligence (AI), may overcome shortcomings and reduce clinical burdens to detect and classify fractures. The aim of this review was to summarize literature on CNNs for the detection and classification of fractures on CT scans, focusing on its accuracy and to evaluate the beneficial role in daily practice.

methodsLiterature search was performed according to the PRISMA statement, and Embase, Medline ALL, Web of Science Core Collection, Cochrane Central Register of Controlled Trials and Google Scholar databases were searched. Studies were eligible when the use of AI for the detection of fractures on CT scans was described. Quality assessment was done with a modified version of the methodologic index for nonrandomized studies (MINORS), with a seven-item checklist. Performance of AI was defined as accuracy, F1-score and area under the curve (AUC).

resultsOf the 1140 identified studies, 17 were included. Accuracy ranged from 69 to 99%, the F1-score ranged from 0.35 to 0.94 and the AUC, ranging from 0.77 to 0.95. Based on ten studies, CNN showed a similar or improved diagnostic accuracy in addition to clinical evaluation only.

conclusionsCNNs are applicable for the detection and classification fractures on CT scans. This can improve automated and clinician-aided diagnostics. Further research should focus on the additional value of CNN used for CT scans in daily clinics.

Indexed as

Artificial IntelligenceFractures, BoneHumansReproducibility of ResultsTomography, X-Ray ComputedArtificial intelligenceComputed tomographyConvolutional neural networksFracturesOrthopedics

Identifiers

PMID36284017
PMCPMC10175338
OpenAlexW4307249045

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.