Evidence map›Paper›PMID 36515712›Full record

ArticleEuropean radiology2023

Artificial intelligence vs. radiologist: accuracy of wrist fracture detection on radiographs.

Mathieu Cohen, Julien Puntonet, Julien Sanchez, Elliott Kierszbaum, Michel Crema, Philippe Soyer, Elisabeth Dion

Abstract read
PubMed Publisher
In one paragraph

Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

33 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
  9. Review
  10. Impact of discrepancies in radiological interpretation on forensic report outcomes: A retrospective study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  11. Advances in Artificial Intelligence for Wrist Joint Injury Diagnosis.International journal of medical sciences · 2026
    Review
  12. Novel artificial intelligence model predicts the need for reduction of distal radius fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

7 authors.

Mathieu CohenDepartment of Radiology - Hotel Dieu Hospital, Assistance Publique-Hopitaux de Paris, Paris, France.
Julien PuntonetDepartment of Radiology - Hotel Dieu Hospital, Assistance Publique-Hopitaux de Paris, Paris, France. julien.puntonet@gmail.com.ORCID http://orcid.org/0000-0002-6566-7397
Julien SanchezUniversité Paris Cité, F-75006, Paris, France.
Elliott KierszbaumUniversité Paris Cité, F-75006, Paris, France.
Michel CremaDepartment of Radiology - Hotel Dieu Hospital, Assistance Publique-Hopitaux de Paris, Paris, France.
Philippe SoyerUniversité Paris Cité, F-75006, Paris, France.
Elisabeth DionDepartment of Radiology - Hotel Dieu Hospital, Assistance Publique-Hopitaux de Paris, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the performances of artificial intelligence (AI) to those of radiologists in wrist fracture detection on radiographs.

methodsThis retrospective study included 637 patients (1917 radiographs) with wrist trauma between January 2017 and December 2019. The AI software used was a deep neuronal network algorithm. Ground truth was established by three senior musculoskeletal radiologists who compared the initial radiology reports (IRR) made by non-specialized radiologists, the results of AI, and the combination of AI and IRR (IR+AI)

resultsA total of 318 fractures were reported by the senior radiologists in 247 patients. Sensitivity of AI (83%; 95% CI: 78-87%) was significantly greater than that of IRR (76%; 95% CI: 70-81%) (p < 0.001). Specificities were similar for AI (96%; 95% CI: 93-97%) and for IRR (96%; 95% CI: 94-98%) (p = 0.80). The combination of AI+IRR had a significantly greater sensitivity (88%; 95% CI: 84-92%) compared to AI and IRR (p < 0.001) and a lower specificity (92%; 95% CI: 89-95%) (p < 0.001). The sensitivity for scaphoid fracture detection was acceptable for AI (84%) and IRR (80%) but poor for the detection of other carpal bones fracture (41% for AI and 26% for IRR).

conclusionsPerformance of AI in wrist fracture detection on radiographs is better than that of non-specialized radiologists. The combination of AI and radiologist's analysis yields best performances. KEY POINTS: • Artificial intelligence has better performances for wrist fracture detection compared to non-expert radiologists in daily practice. • Performance of artificial intelligence greatly differs depending on the anatomical area. • Sensitivity of artificial intelligence for the detection of carpal bones fractures is 56%.

Indexed as

Fractures, BoneScaphoid BoneWrist FracturesWrist InjuriesArtificial IntelligenceHumansRadiologistsRetrospective StudiesArtificial intelligenceBonesFracturesRadiographyWrist

Identifiers

What OpenQuestion holds

Textmetadata
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.