Improving Radiographic Fracture Recognition Performance and Efficiency Using Artificial Intelligence.


Journal

Radiology
ISSN: 1527-1315
Titre abrégé: Radiology
Pays: United States
ID NLM: 0401260

Informations de publication

Date de publication:
03 2022
Historique:
pubmed: 22 12 2021
medline: 5 3 2022
entrez: 21 12 2021
Statut: ppublish

Résumé

Background Missed fractures are a common cause of diagnostic discrepancy between initial radiographic interpretation and the final read by board-certified radiologists. Purpose To assess the effect of assistance by artificial intelligence (AI) on diagnostic performances of physicians for fractures on radiographs. Materials and Methods This retrospective diagnostic study used the multi-reader, multi-case methodology based on an external multicenter data set of 480 examinations with at least 60 examinations per body region (foot and ankle, knee and leg, hip and pelvis, hand and wrist, elbow and arm, shoulder and clavicle, rib cage, and thoracolumbar spine) between July 2020 and January 2021. Fracture prevalence was set at 50%. The ground truth was determined by two musculoskeletal radiologists, with discrepancies solved by a third. Twenty-four readers (radiologists, orthopedists, emergency physicians, physician assistants, rheumatologists, family physicians) were presented the whole validation data set (

Identifiants

pubmed: 34931859
doi: 10.1148/radiol.210937
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

627-636

Commentaires et corrections

Type : CommentIn

Auteurs

Ali Guermazi (A)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Chadi Tannoury (C)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Andrew J Kompel (AJ)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Akira M Murakami (AM)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Alexis Ducarouge (A)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

André Gillibert (A)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Xinning Li (X)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Antoine Tournier (A)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Youmna Lahoud (Y)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Mohamed Jarraya (M)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Elise Lacave (E)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Hamza Rahimi (H)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Aloïs Pourchot (A)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Robert L Parisien (RL)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Alexander C Merritt (AC)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Douglas Comeau (D)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Nor-Eddine Regnard (NE)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Daichi Hayashi (D)

From the Departments of Radiology (A. Guermazi, A.J.K., A.M.M., H.R., A.C.M., D.H.), Orthopaedic Surgery (C.T., X.L.), and Family Medicine (D.C.), Boston University School of Medicine, Boston, Mass; Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A. Guermazi); Gleamer, Paris, France (A.D., A.T., E.L., A.P., N.E.); Department of Biostatistics, CHU Rouen, Rouen, France (A. Gillibert); Department of Rheumatology, Harvard Vanguard Medical Associates, Braintree, Mass (Y.L.); Department of Radiology, Musculoskeletal Division, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114 (M.J.); Sorbonne Université, CNRS, Institut des Systèmes Intelligents et de Robotique, Paris, France (A.P.); Department of Orthopaedic Surgery, The Mount Sinai Hospital, New York, NY (R.L.P.); University Health Services and Primary Care Sports Medicine, Boston College, Chestnut Hill, Mass (D.C.); and Department of Radiology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY (D.H.).

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH