Evidence map›Paper›PMID 38386028›Full record

SynthesisEuropean radiology2024

Artificial intelligence applied to magnetic resonance imaging reliably detects the presence, but not the location, of meniscus tears: a systematic review and meta-analysis.

Yi Zhao, Andrew Coppola, Urvi Karamchandani, Dimitri Amiras, Chinmay M Gupte

Erratum issuedAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. AI for Lesion Detection in Musculoskeletal Radiology.Journal of the Korean Society of Radiology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Yi ZhaoImperial College London School of Medicine, Exhibition Rd, South Kensington, London, SW7 2BU, UK. Yi.zhao18@ic.ac.uk.ORCID http://orcid.org/0000-0002-4563-4344
Andrew CoppolaImperial College London School of Medicine, Exhibition Rd, South Kensington, London, SW7 2BU, UK.ORCID http://orcid.org/0000-0002-6757-9876
Urvi KaramchandaniImperial College London NHS Trust, London, UK.ORCID http://orcid.org/0000-0002-7571-2059
Dimitri AmirasImperial College London School of Medicine, Exhibition Rd, South Kensington, London, SW7 2BU, UK.
Chinmay M GupteImperial College London School of Medicine, Exhibition Rd, South Kensington, London, SW7 2BU, UK.ORCID http://orcid.org/0000-0003-1317-4512

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo review and compare the accuracy of convolutional neural networks (CNN) for the diagnosis of meniscal tears in the current literature and analyze the decision-making processes utilized by these CNN algorithms. MATERIALS AND

methodsPubMed, MEDLINE, EMBASE, and Cochrane databases up to December 2022 were searched in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement. Risk of analysis was used for all identified articles. Predictive performance values, including sensitivity and specificity, were extracted for quantitative analysis. The meta-analysis was divided between AI prediction models identifying the presence of meniscus tears and the location of meniscus tears.

resultsEleven articles were included in the final review, with a total of 13,467 patients and 57,551 images. Heterogeneity was statistically significantly large for the sensitivity of the tear identification analysis (I

conclusionsAI prediction models achieved favorable performance in the diagnosis, but not location, of meniscus tears. Further studies on the clinical utilities of deep learning should include standardized reporting, external validation, and full reports of the predictive performances of these models, with a view to localizing tears more accurately. CLINICAL RELEVANCE STATEMENT: Meniscus tears are hard to diagnose in the knee magnetic resonance images. AI prediction models may play an important role in improving the diagnostic accuracy of clinicians and radiologists. KEY POINTS: • Artificial intelligence (AI) provides great potential in improving the diagnosis of meniscus tears. • The pooled diagnostic performance for artificial intelligence (AI) in identifying meniscus tears was better (sensitivity 87%, specificity 89%) than locating the tears (sensitivity 88%, specificity 84%). • AI is good at confirming the diagnosis of meniscus tears, but future work is required to guide the management of the disease.

Indexed as

Artificial IntelligenceMagnetic Resonance ImagingTibial Meniscus InjuriesHumansNeural Networks, ComputerSensitivity and SpecificityArtificial intelligenceDeep learningDiagnosisMagnetic resonance imagingMeniscus tear

Identifiers

PMID38386028
PMCPMC11364796

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Registered trials

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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.