AI Article Synopsis

  • Osteoporotic vertebral fractures (OVFs) often go undetected in chest radiographs, especially in post-menopausal women over 60, necessitating an effective detection tool.
  • The study evaluated the AI tool Ofeye 1.0's performance in identifying OVFs on lateral chest x-rays, finding that it detected missed fractures in 28.8% of cases and had improved sensitivity compared to original radiologist reports.
  • While Ofeye 1.0 showed high specificity (92.8%) and moderate overall accuracy (80.3%), its lower sensitivity (49%) indicates it should be used as a complementary tool alongside traditional radiology.

Article Abstract

Osteoporotic vertebral fractures (OVFs) are often not reported by radiologists on routine chest radiographs. This study aims to investigate the clinical value of a newly developed artificial intelligence (AI) tool, Ofeye 1.0, for automated detection of OVFs on lateral chest radiographs in post-menopausal women (>60 years) who were referred to undergo chest x-rays for other reasons. A total of 510 de-identified lateral chest radiographs from three clinical sites were retrieved and analysed using the Ofeye 1.0 tool. These images were then reviewed by a consultant radiologist with findings serving as the reference standard for determining the diagnostic performance of the AI tool for the detection of OVFs. Of all the original radiologist reports, missed OVFs were found in 28.8% of images but were detected using the AI tool. The AI tool demonstrated high specificity of 92.8% (95% CI: 89.6, 95.2%), moderate accuracy of 80.3% (95% CI: 76.3, 80.4%), positive predictive value (PPV) of 73.7% (95% CI: 65.2, 80.8%), and negative predictive value (NPV) of 81.5% (95% CI: 79, 83.8%), but low sensitivity of 49% (95% CI: 40.7, 57.3%). The AI tool showed improved sensitivity compared with the original radiologist reports, which was 20.8% (95% CI: 14.5, 28.4). The new AI tool can be used as a complementary tool in routine diagnostic reports for the reduction in missed OVFs in elderly women.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743975PMC
http://dx.doi.org/10.3390/jcm12247730DOI Listing

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