Evidence map›Paper›PMID 38826500›Full record

ReviewJournal of experimental orthopaedics2024

A practical guide to the implementation of AI in orthopaedic research, Part 6: How to evaluate the performance of AI research?

Felix C Oettl, Ayoosh Pareek, Philipp W Winkler, Bálint Zsidai, James A Pruneski, Eric Hamrin Senorski, Sebastian Kopf, Christophe Ley, Elmar Herbst, Jacob F Oeding and 7 more

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
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  5. Is orthopaedics entering the age of generative AI?-A narrative review of current applications challenges and future directions.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Review
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  7. Review
  8. Review
  9. Artificial intelligence agents in orthopaedics: Concepts, capabilities and the road ahead.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Review
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  12. Article
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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

17 authors.

Felix C OettlHospital for Special Surgery New York New York USA.ORCID 0000-0001-9721-685X
Ayoosh PareekSports Medicine and Shoulder Institute, Hospital for Special Surgery New York New York USA.ORCID 0000-0001-8683-1697
Philipp W WinklerDepartment for Orthopaedics and Traumatology, Kepler University Hospital GmbH Johannes Kepler University Linz Linz Austria.
Bálint ZsidaiDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.ORCID 0000-0002-5697-6577
James A PruneskiDepartment of Orthopaedic Surgery Tripler Army Medical Center Honolulu Hawaii USA.ORCID 0000-0002-8645-9386
Eric Hamrin SenorskiSahlgrenska Sports Medicine Center Göteborg Sweden.ORCID 0000-0002-9340-0147
Sebastian KopfCenter of Orthopaedics and Traumatology, University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane Germany.
Christophe LeyDepartment of Mathematics University of Luxembourg Esch-sur-Alzette Luxembourg.
Elmar HerbstDepartment of Trauma, Hand and Reconstructive Surgery University Hospital Muenster Muenster Germany.ORCID 0000-0002-5652-0692
Jacob F OedingDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.ORCID 0000-0002-4562-4373
Alberto GrassiIIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli Bologna Italy.
Michael T HirschmannDepartment of Orthopaedic Surgery and Traumatology Kantonsspital Baselland Bruderholz Switzerland.ORCID 0000-0002-4014-424X
Volker MusahlDepartment of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania USA.ORCID 0000-0001-8881-6212
Kristian SamuelssonDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.ORCID 0000-0001-5383-3370
Thomas TischerDepartment of Orthopaedic Surgery Universitymedicine Rostock Rostock Germany.
Robert FeldtDepartment of Computer Science and Engineering Chalmers University of Technology Gothenburg Sweden.ORCID 0000-0002-5179-4205
ESSKA Artificial Intelligence Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial intelligence's (AI) accelerating progress demands rigorous evaluation standards to ensure safe, effective integration into healthcare's high-stakes decisions. As AI increasingly enables prediction, analysis and judgement capabilities relevant to medicine, proper evaluation and interpretation are indispensable. Erroneous AI could endanger patients; thus, developing, validating and deploying medical AI demands adhering to strict, transparent standards centred on safety, ethics and responsible oversight. Core considerations include assessing performance on diverse real-world data, collaborating with domain experts, confirming model reliability and limitations, and advancing interpretability. Thoughtful selection of evaluation metrics suited to the clinical context along with testing on diverse data sets representing different populations improves generalisability. Partnering software engineers, data scientists and medical practitioners ground assessment in real needs. Journals must uphold reporting standards matching AI's societal impacts. With rigorous, holistic evaluation frameworks, AI can progress towards expanding healthcare access and quality. Level of Evidence: Level V.

Indexed as

AIdigitalizationhealthcareMLperformance metrics

Identifiers

PMID38826500
PMCPMC11141501

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.