Evidence map›Paper›PMID 40128676›Full record

ArticleBMC medical imaging2025

Intelligent detection and grading diagnosis of fresh rib fractures based on deep learning.

Tongxin Li, Mingyi Liao, Yong Fu, Fanghong Zhang, Luya Shen, Junliang Che, Shulei Wu, Jie Liu, Wei Wu, Ping He and 2 more

Abstract read
In one paragraph

Article in BMC medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Evaluating the age of rib fractures throughInternational journal of legal medicine · 2026
    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

12 authors.

Tongxin Li *Department of Digital Medicine, College of Biomedical Engineering and Medical Imaging, Army Medical University, Third Military Medical University, Chongqing, China.
Mingyi Liao *National Center for Applied Mathematics in Chongqing, Chongqing Normal University, Chongqing, China.
Yong Fu *Department of Cardiothoracic Surgery, Dianjiang People's Hospital of Chongqing, Chongqing, China.
Fanghong ZhangNational Center for Applied Mathematics in Chongqing, Chongqing Normal University, Chongqing, China.
Luya ShenDepartment of Digital Medicine, College of Biomedical Engineering and Medical Imaging, Army Medical University, Third Military Medical University, Chongqing, China.
Junliang CheNational Center for Applied Mathematics in Chongqing, Chongqing Normal University, Chongqing, China.
Shulei WuNational Center for Applied Mathematics in Chongqing, Chongqing Normal University, Chongqing, China.
Jie LiuDepartment of Thoracic Surgery, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China.
Wei WuDepartment of Thoracic Surgery, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China.
Ping HeDepartment of Cardiac Surgery, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China.
Qingyuan XuDepartment of Thoracic Surgery, Southwest Hospital, Army Medical University, Third Military Medical University, Chongqing, China. mirachare@163.com.
Yi WuDepartment of Digital Medicine, College of Biomedical Engineering and Medical Imaging, Army Medical University, Third Military Medical University, Chongqing, China. wuy1979@tmmu.edu.cn.

Funding

Chongqing key research and development program CSTB2022TIAD-KPX0181Chongqing Municipal Youth Science and Technology Talent Training Project CQYC201905037Joint Project of Chongqing Health Commission and Science and Technology Bureau 2024MSXM054Science-Health Joint Medical Scientific Research Project of Chongqing 2022ZDXM018University Funded Science and Technology Innovation Capacity Improvement Project 2019XYY14
6 · The paper itself

Abstract

backgroundAccurate detection and grading of fresh rib fractures are crucial for patient management but remain challenging due to the complexity of rib structures on CT images.

methodsChest CT images from 383 patients with rib fractures were retrospectively analyzed. The dataset was divided into a training set (n = 306) and an internal testing set (n = 77). An external testing set of 50 patients from the public RibFrac dataset was included. Fractures were classified into severe and non-severe categories. A modified YOLO-based deep learning model was developed for detection and grading. Performance was compared with thoracic surgeons using precision, recall, mAP50, and F1 score.

resultsThe deep learning model showed excellent performance in diagnosing fresh rib fractures. For all fractures types in internal test set, the precision, recall, mAP50, and F1 score were 0.963, 0.934, 0.972, and 0.948, respectively. The model outperformed thoracic surgeons of varying experience levels (all p < 0.01).

conclusionThe proposed deep learning model can automatically detect and grade fresh rib fractures with accuracy comparable to that of physicians. This model helps improve diagnostic accuracy, reduce physician workload, save medical resources, and strengthen health care in resource-limited areas. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Deep LearningRadiographic Image Interpretation, Computer-AssistedRib FracturesTomography, X-Ray ComputedAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesArtificial intelligenceDeep learningDetectionFresh rib fractureGrading diagnosis

Identifiers

PMID40128676
PMCPMC11934624

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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.