Evidence map›Paper›PMID 40554500›Full record

SynthesisPloS one2025

Diagnosis of knee meniscal injuries using artificial intelligence: A systematic review and meta-analysis of diagnostic performance.

Soheil Mohammadi, Ali Jahanshahi, Mohammad Shahrabi Farahani, Mohammad Amin Salehi, Negin Frounchi, Ali Guermazi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Soheil MohammadiMallinckrodt Institute of Radiology, Washington University in St. Louis, Saint Louis, Missouri, United States of America.
Ali JahanshahiSocial Determinants of Health Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran.ORCID 0000-0002-6700-6162
Mohammad Shahrabi FarahaniMedical Students Research Committee, Shahed University, Tehran, Iran.
Mohammad Amin SalehiResearch Institute, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0002-5078-4224
Negin FrounchiKidney Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Ali GuermaziDepartment of Radiology, VA Boston Healthcare System, Boston University School of Medicine, Boston, Massachusetts, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of the studyThe aim was to systematically review the literature and perform a meta-analysis to estimate the performance of artificial intelligence (AI) algorithms in detecting meniscal injuries. MATERIALS AND

methodsA systematic search was performed in the Scopus, PubMed, EBSCO, Cinahl, Web of Science, IEEE Xplore, and Cochrane Central databases on July, 2024. The included studies' reporting quality and risk of bias were evaluated using the Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis (TRIPOD) and the Prediction Model Study Risk of Bias Assessment Tool (PROBAST), respectively. Also, a meta-analysis was done using contingency tables to estimate diagnostic performance metrics (sensitivity and specificity), and a meta-regression analysis was performed to investigate the effect of the following variables on the main outcome: imaging view, data augmentation and transfer learning usage, and presence of meniscal tear in the injury, with a corresponding 95% confidence interval (CI) and a P-value of 0.05 as a threshold for significance.

resultsAmong 28 included studies, 92 contingency tables were extracted from 15 studies. The reference standard of the studies were mostly expert radiologists, orthopedics, or surgical reports. The pooled sensitivity and specificity for AI algorithms on internal validation were 81% (95% CI: 78, 85), and 78% (95% CI: 72, 83), and for clinicians on internal validation were 85% (95% CI: 76, 91), and 88% (95% CI: 83, 92), respectively. The pooled sensitivity and specificity for studies validating algorithms with an external test set were 82% (95% CI: 74, 88), and 88% (95% CI: 84, 91), respectively.

conclusionThe results of this study imply the lower diagnostic performance of AI-based algorithms in knee meniscal injuries compared with clinicians.

Indexed as

Artificial IntelligenceKnee InjuriesTibial Meniscus InjuriesAlgorithmsHumansSensitivity and Specificity

Identifiers

PMID40554500
PMCPMC12186967

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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.