Abstract

Significance Historically, computer-assisted detection (CAD) in radiology has failed to achieve improvements in diagnostic accuracy, decreasing clinician sensitivity and leading to unnecessary further diagnostic tests. With the advent of deep learning approaches to CAD, there is great excitement about its application to medicine, yet there is little evidence demonstrating improved diagnostic accuracy in clinically-relevant applications. We trained a deep learning model to detect fractures on radiographs with a diagnostic accuracy similar to that of senior subspecialized orthopedic surgeons. We demonstrate that when emergency medicine clinicians are provided with the assistance of the trained model, their ability to accurately detect fractures significantly improves.

Keywords

RadiographyOrthopedic surgeryMedicineEmergency departmentDiagnostic accuracyWristMEDLINEEmergency medicineRadiologySurgeryPsychiatry

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Publication Info

Year
2018
Type
article
Volume
115
Issue
45
Pages
11591-11596
Citations
565
Access
Closed

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Robert Lindsey, Aaron Daluiski, Sumit Chopra et al. (2018). Deep neural network improves fracture detection by clinicians. Proceedings of the National Academy of Sciences , 115 (45) , 11591-11596. https://doi.org/10.1073/pnas.1806905115

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DOI
10.1073/pnas.1806905115