Evidence map›Paper›PMID 40783476›Full record

ArticleInsights into imaging2025

Deep learning in rib fracture imaging: study quality assessment using the Must AI Criteria-10 (MAIC-10) checklist for artificial intelligence in medical imaging.

Jonas M Getzmann, Kitija Nulle, Cinzia Mennini, Umberto Viglino, Francesca Serpi, Domenico Albano, Carmelo Messina, Stefano Fusco, Salvatore Gitto, Luca Maria Sconfienza

Abstract read
In one paragraph

Article in Insights into imaging, 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

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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

10 authors.

Jonas M GetzmannIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Kitija NulleRadiology Department, Riga East Clinical University Hospital, Riga, Latvia.
Cinzia MenniniIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Umberto ViglinoUnit of Radiology, Ospedale Evangelico Internazionale, Genoa, Italy.
Francesca SerpiIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Domenico AlbanoIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Carmelo MessinaUOC Radiodiagnostica, ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy.
Stefano FuscoDipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy.
Salvatore GittoIRCCS Istituto Ortopedico Galeazzi, Milan, Italy. sal.gitto@gmail.com.ORCID http://orcid.org/0000-0002-3623-7822
Luca Maria SconfienzaIRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyze the methodological quality of studies on deep learning (DL) in rib fracture imaging with the Must AI Criteria-10 (MAIC-10) checklist, and to report insights and experiences regarding the applicability of the MAIC-10 checklist. MATERIALS AND

methodsAn electronic literature search was conducted on the PubMed database. After selection of articles, three radiologists independently rated the articles according to MAIC-10. Differences of the MAIC-10 score for each checklist item were assessed using the Fleiss' kappa coefficient.

resultsA total of 25 original articles discussing DL applications in rib fracture imaging were identified. Most studies focused on fracture detection (n = 21, 84%). In most of the research papers, internal cross-validation of the dataset was performed (n = 16, 64%), while only six studies (24%) conducted external validation. The mean MAIC-10 score of the 25 studies was 5.63 (SD, 1.84; range 1-8), with the item "clinical need" being reported most consistently (100%) and the item "study design" being most frequently reported incompletely (94.8%). The average inter-rater agreement for the MAIC-10 score was 0.771.

conclusionsThe MAIC-10 checklist is a valid tool for assessing the quality of AI research in medical imaging with good inter-rater agreement. With regard to rib fracture imaging, items such as "study design", "explainability", and "transparency" were often not comprehensively addressed. CRITICAL RELEVANCE STATEMENT: AI in medical imaging has become increasingly common. Therefore, quality control systems of published literature such as the MAIC-10 checklist are needed to ensure high quality research output. KEY POINTS: Quality control systems are needed for research on AI in medical imaging. The MAIC-10 checklist is a valid tool to assess AI in medical imaging research quality. Checklist items such as "study design", "explainability", and "transparency" are frequently addressed incomprehensively.

Indexed as

Artificial intelligenceChecklistDeep learningFractureGuideline

Identifiers

PMID40783476
PMCPMC12335413

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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.