Evidence map›Paper›PMID 39361058›Full record

ArticleArchives of orthopaedic and trauma surgery2024

A radiographic artificial intelligence tool to identify candidates suitable for partial knee arthroplasty.

Thomas J York, Bartosz Szyszka, Angela Brivio, Omar Musbahi, David Barrett, Justin P Cobb, Gareth G Jones

Abstract read
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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
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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.

Thomas J YorkMSk Lab, Imperial College London, Sir Michael Uren Hub, 86 Wood Lane, London, W12 0BZ, UK.
Bartosz SzyszkaMSk Lab, Imperial College London, Sir Michael Uren Hub, 86 Wood Lane, London, W12 0BZ, UK.
Angela BrivioIstituto Clinico Citta Studi, Milan, Italy.
Omar MusbahiMSk Lab, Imperial College London, Sir Michael Uren Hub, 86 Wood Lane, London, W12 0BZ, UK.
David BarrettSchool of Engineering Sciences, University of Southampton, Southampton, UK.
Justin P CobbMSk Lab, Imperial College London, Sir Michael Uren Hub, 86 Wood Lane, London, W12 0BZ, UK.
Gareth G JonesMSk Lab, Imperial College London, Sir Michael Uren Hub, 86 Wood Lane, London, W12 0BZ, UK. g.g.jones@imperial.ac.uk.ORCID http://orcid.org/0000-0002-3428-8765

Funding

Wellcome Trust 208858/Z/17/ZWellcome Trust 302632Wellcome Trust MSk Accelerator Award
6 · The paper itself

Abstract

introductionKnee osteoarthritis is a prevalent condition frequently necessitating knee replacement surgery, with demand projected to rise substantially. Partial knee arthroplasty (PKA) offers advantages over total knee arthroplasty (TKA), yet its utilisation remains low despite guidance recommending consideration alongside TKA in shared decision making. Radiographic decision aids exist but are underutilised due to clinician time constraints. MATERIALS AND

methodsThis research develops a novel radiographic artificial intelligence (AI) tool using a dataset of knee radiographs and a panel of expert orthopaedic surgeons' assessments. Six AI models were trained to identify PKA candidacy.

results1241 labelled four-view radiograph series were included. Models achieved statistically significant accuracies above random assignment, with EfficientNet-ES demonstrating the highest performance (AUC 95%, F1 score 83% and accuracy 80%).

conclusionsThe AI decision tool shows promise in identifying PKA candidates, potentially addressing underutilisation of this procedure. Its integration into clinical practice could enhance shared decision making and improve patient outcomes. Further validation and implementation studies are warranted to assess real-world utility and impact.

Indexed as

Arthroplasty, Replacement, KneeArtificial IntelligenceOsteoarthritis, KneeAgedFemaleHumansMaleMiddle AgedPatient SelectionRadiographyArtificial intelligenceKnee replacement surgeryMachine learning algorithmMSK radiographyPartial knee arthroplastyRadiographic decision tool

Identifiers

PMID39361058
PMCPMC11582309

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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.