Evidence map›Paper›PMID 38578309›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Diagnostic power of ChatGPT 4 in distal radius fracture detection through wrist radiographs.

Sinan Mert, Patrick Stoerzer, Johannes Brauer, Benedikt Fuchs, Elisabeth M Haas-Lützenberger, Wolfram Demmer, Riccardo E Giunta, Tim Nuernberger

RetractedOpen access · hybridAbstract readRetracted Publication
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Sinan MertDivision of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336, München, Germany. Sinan.Mert@med.uni-muenchen.de.
Patrick StoerzerDivision of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336, München, Germany.
Johannes BrauerDivision of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336, München, Germany.
Benedikt FuchsDivision of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336, München, Germany.
Elisabeth M Haas-LützenbergerDivision of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336, München, Germany.
Wolfram DemmerDivision of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336, München, Germany.
Riccardo E GiuntaDivision of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336, München, Germany.
Tim NuernbergerDivision of Hand, Plastic and Aesthetic Surgery, LMU University Hospital, LMU Munich, 80336, München, Germany.
LMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Distal radius fractures rank among the most prevalent fractures in humans, necessitating accurate radiological imaging and interpretation for optimal diagnosis and treatment. In addition to human radiologists, artificial intelligence systems are increasingly employed for radiological assessments. Since 2023, ChatGPT 4 has offered image analysis capabilities, which can also be used for the analysis of wrist radiographs. This study evaluates the diagnostic power of ChatGPT 4 in identifying distal radius fractures, comparing it with a board-certified radiologist, a hand surgery resident, a medical student, and the well-established AI Gleamer BoneView™. Results demonstrate ChatGPT 4's good diagnostic accuracy (sensitivity 0.88, specificity 0.98, diagnostic power (AUC) 0.93), surpassing the medical student (sensitivity 0.98, specificity 0.72, diagnostic power (AUC) 0.85; p = 0.04) significantly. Nevertheless, the diagnostic power of ChatGPT 4 lags behind the hand surgery resident (sensitivity 0.99, specificity 0.98, diagnostic power (AUC) 0.985; p = 0.014) and Gleamer BoneView™(sensitivity 1.00, specificity 0.98, diagnostic power (AUC) 0.99; p = 0.006). This study highlights the utility and potential applications of artificial intelligence in modern medicine, emphasizing ChatGPT 4 as a valuable tool for enhancing diagnostic capabilities in the field of medical imaging.

Indexed as

Radius FracturesAdultAgedArtificial IntelligenceFemaleHumansMaleMiddle AgedRadiographySensitivity and SpecificityWrist FracturesWrist InjuriesArtificial intelligenceChatGPTDistal radius fractureFracture detectionHand surgeryRadiology

Identifiers

PMID38578309
PMCPMC11093861
OpenAlexW4393991699

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.