Evidence map›Paper›PMID 42254870›Full record

ReviewMayo Clinic proceedings. Digital health2026

Artificial Intelligence in Pelvic Fracture Diagnosis and Outcome Prediction: A Systematic Review and Meta-analysis.

Kevin J Wang, Aazad Abbas, Geoffrey W Schemitsch, Matthew Raleigh, Johnathan R Lex, Hilary Felice, Markku Nousiainen, Cari Whyne, Bheeshma Ravi, Robert Koucheki

Abstract readReview
In one paragraph

Review in Mayo Clinic proceedings. Digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Kevin J WangTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Aazad AbbasDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Geoffrey W SchemitschDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Matthew RaleighDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Johnathan R LexDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Hilary FeliceDivision of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Markku NousiainenDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Cari WhyneDivision of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Bheeshma RaviDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Robert KouchekiDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To synthesize the performance of artificial intelligence (AI) applications for detecting pelvic fractures, classifying severity, and predicting clinical outcomes relative to clinicians. Patients and Methods: The study was designed as a systematic review and meta-analysis (PROSPERO CRD420251141768). Ovid Embase, Ovid MEDLINE, PubMed, Scopus, and Cochrane CENTRAL were searched for articles published from database inception to September 11, 2025. Studies were included if they evaluated AI models for pelvic ring fractures in adults using pelvic radiographs. Case series, reviews, and abstracts without full data were excluded. Summary level data were independently extracted using a standardized template. Diagnostic metrics were pooled using a random-effects model. Outcomes included pooled sensitivity, specificity, area under the receiver operating characteristic curve (AUC), and accuracy. Results: Fourteen studies were included. Thirteen studies evaluated radiographic fracture detection or classification (n=31,166 radiographs) and one study evaluated outcome prediction. AI demonstrated high pooled performance: accuracy 0.96 (95% CI, 0.91-0.98; Conclusion: AI algorithms show promise as supportive tools for pelvic fracture detection, achieving diagnostic performance comparable to expert clinicians. However, included studies exhibit substantial heterogeneity, selection bias, and limited external validation. Large-scale, prospective validation is necessary before widespread clinical adoption.

Identifiers

PMID42254870
PMCPMC13241727

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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.