Evidence map›Paper›PMID 36542269›Full record

ArticleJournal of digital imaging2023

Detecting Distal Radius Fractures Using a Segmentation-Based Deep Learning Model.

Turkka T Anttila, Teemu V Karjalainen, Teemu O Mäkelä, Eero M Waris, Nina C Lindfors, Miika M Leminen, Jorma O Ryhänen

Open access · hybridFull text read
In one paragraph

Article in Journal of digital imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.9field-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

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

  1. Pooled it
  2. Pooled it
  3. Fracture detection of distal radius using deep-learning-based dual-channel feature fusion algorithm.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026
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  13. [Study on automatic and rapid diagnosis of distal radius fracture by X-ray].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 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

7 authors at 2 institutions in 1 country.

Turkka T AnttilaMusculoskeletal and Plastic Surgery, Department of Hand Surgery, University of Helsinki and Helsinki University Hospital, Topeliuksenkatu 5B, Helsinki, 00260, Finland. turkka.anttila@helsinki.fi.ORCID 0000-0003-1563-1940
Teemu V KarjalainenDepartment of Orthopedics, Traumatology and Hand Surgery, Central Finland Hospital, Jyvaskyla, Finland.
Teemu O MäkeläMedical Imaging Center, Radiology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Eero M WarisMusculoskeletal and Plastic Surgery, Department of Hand Surgery, University of Helsinki and Helsinki University Hospital, Topeliuksenkatu 5B, Helsinki, 00260, Finland.
Nina C LindforsMusculoskeletal and Plastic Surgery, Department of Hand Surgery, University of Helsinki and Helsinki University Hospital, Topeliuksenkatu 5B, Helsinki, 00260, Finland.
Miika M LeminenAnalytics and AI Development Services, IT Department, Helsinki University Hospital, Helsinki, Finland.
Jorma O RyhänenMusculoskeletal and Plastic Surgery, Department of Hand Surgery, University of Helsinki and Helsinki University Hospital, Topeliuksenkatu 5B, Helsinki, 00260, Finland.
University of Helsinki · FICentral Finland Health Care District · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep learning algorithms can be used to classify medical images. In distal radius fracture treatment, fracture detection and radiographic assessment of fracture displacement are critical steps. The aim of this study was to use pixel-level annotations of fractures to develop a deep learning model for precise distal radius fracture detection. We randomly divided 3785 consecutive emergency wrist radiograph examinations from six hospitals to a training set (3399 examinations) and test set (386 examinations). The training set was used to develop the deep learning model and the test set to assess its validity. The consensus of three hand surgeons was used as the gold standard for the test set. The area under the ROC curve was 0.97 (CI 0.95-0.98) and 0.95 (CI 0.92-0.98) for examinations without a cast. Fractures were identified with higher accuracy in the postero-anterior radiographs than in the lateral radiographs. Our deep learning model performed well in our multi-hospital and multi-radiograph system manufacturer settings. Thus, segmentation-based deep learning models may provide additional benefit. Further research is needed with algorithm comparison and external validation.

Indexed as

Deep LearningWrist FracturesAlgorithmsHumansRadiographyRetrospective StudiesArtificial intelligenceDeep learningDiagnostic testsFracturesRadius fractures

Identifiers

PMID36542269
PMCPMC10039188
OpenAlexW4312046019

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read27
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.