Abstract:
AIM:To gather and compare related clinical studies, and to investigate the accuracy and reliability of deep learning in detecting orthopaedic fractures. MATERIALS AND METHODS:This study is a retrospective combination and interpretation of prospectively acquired data. Articles from PubMed, EMBASE, the Cochrane library databases, and reference lists of the qualified articles were retrieved. Heterogeneity between studies was assessed using a random effective model. Pooled sensitivity, specificity, diagnostic odds ratio, and area under the receiver operating characteristic curve (AUC) were obtained by a random model. This work was managed from October 2018 to March 2020. RESULTS:Fourteen studies were included in this systematic review and nine were synthesized in the meta-analysis. The pooled sensitivity and specificity for the whole group (17 trials, 5,434 images) were 0.87 and 0.91, respectively. The AUC was 0.95. Eight trials (1,574 images) were included in the long-bone group, which contained seven studies. The pooled sensitivity was 0.96 and specificity was 0.94. The AUC was 0.99. Heterogeneity existed in the four pooled results of the whole group and the pooled specificity of the long-bone group. CONCLUSIONS:Deep learning is reliable in fracture diagnosis and has high diagnostic accuracy, which is similar to that of general physicians and is unlikely to produce a large number of false diagnoses; however, the ability of deep learning to localize the fracture needs more attention and testing. Deep learning can be extremely helpful with pre-classification of clinical diagnoses.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Yang S,Yin B,Cao W,Feng C,Fan G,He Sdoi
10.1016/j.crad.2020.05.021subject
Has Abstractpub_date
2020-09-01 00:00:00pages
713.e17-713.e28issue
9eissn
0009-9260issn
1365-229Xpii
S0009-9260(20)30207-5journal_volume
75pub_type
杂志文章abstract:AIM:To investigate the presence of fatty infiltrate in the cervical extensor musculature in patients with insidious-onset neck pain to better understand the possible pathophysiology underlying such changes in chronic whiplash-associated disorders (WAD). MATERIALS AND METHODS:A sample of convenience of 23 women with pe...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2007.11.011
更新日期:2008-06-01 00:00:00
abstract::Plain radiographs, computed tomographic (CT) scans and clinical records of 100 patients with nasopharyngeal carcinoma were studied. CT scans and plain radiographs provided similar information in 46 patients. There were 54 cases in which the two techniques disagreed. In 45 cases CT demonstrated abnormalities not seen i...
journal_title:Clinical radiology
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doi:10.1016/s0009-9260(05)81001-3
更新日期:1992-06-01 00:00:00
abstract:AIM:To investigate the frequency, clinical significance, and outcome of small-bowel intussusceptions in adults detected using ultrasound in an outpatient setting. PATIENTS AND METHODS:In two different retrospective (January 2001 to April 2003) and prospective (May 2003 to June 2005) periods, 33 small-bowel intussuscep...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2007.02.009
更新日期:2007-08-01 00:00:00
abstract::Mycobacterial infection is re-emerging as a major health care concern. Although Mycobacterium tuberculosis(MTB) is still the most important pathogen, atypical mycobacterium (AMB) infections are becoming increasingly common. We present a pictorial review of the imaging features of these infections in the chest, abdomen...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1053/crad.2001.0755
更新日期:2001-07-01 00:00:00
abstract:AIM:To determine whether cardiac magnetic resonance imaging (cMRI) is more sensitive than electrocardiogram (ECG) and echocardiogram (ECHO) for detecting myocardial involvement in a Latin American migrant population with untreated Chagas disease (CD) in the United States. MATERIALS AND METHODS:All untreated CD patient...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.02.015
更新日期:2016-06-01 00:00:00
abstract:AIMS:To investigate the clinical spectrum, cardiovascular magnetic resonance imaging (cMRI) characteristics, including T1 and extracellular volume fraction, and outcomes of Danon disease to facilitate further understanding of the phenotype of patients with Danon disease. MATERIALS AND METHODS:The study comprised six m...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2020.04.012
更新日期:2020-09-01 00:00:00
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journal_title:Clinical radiology
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doi:10.1016/s0009-9260(97)80252-8
更新日期:1997-08-01 00:00:00
abstract:AIM:To determine the most robust commonly available magnetic resonance imaging (MRI) sequence to quantify breast tissue composition at 1.5 T. MATERIALS AND METHODS:Two-dimensional (2D) T1-weighted, Dixon fat, Dixon water and SPAIR images were obtained from five participants and a breast phantom using a 1.5 T Siemens A...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.11.020
更新日期:2016-03-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.06.013
更新日期:2018-11-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0443
更新日期:2000-06-01 00:00:00
abstract:AIMS:To report the magnetic resonance imaging (MRI) findings of osteomalacic insufficiency fractures of the pelvis. MATERIALS AND METHODS:In all, 12 persons presenting with chronic pelvic pain and with a definitive diagnosis of osteomalacia (OM) were enrolled in this study. Radiological work-up included direct radiogr...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2004.04.021
更新日期:2005-01-01 00:00:00
abstract::The presence and extent of axillary nodal metastases at the time of breast cancer diagnosis is a critical factor in disease prognosis and plays a central role in deciding the best treatment for patients. Accurate assessment of the axilla is therefore an essential component in staging breast cancer. Over the years, axi...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2018.01.003
更新日期:2018-04-01 00:00:00
abstract:AIM:To evaluate the use of a phantom system to help teach the basic techniques of accurate CT-guided needle placement, thereby avoiding the risks associated with teaching on patients. MATERIALS AND METHODS:Gelatine phantoms with five, 1.9 cm embedded spherical wooden targets were constructed. Four trainee operators pe...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2006.09.010
更新日期:2007-02-01 00:00:00
abstract:AIM:To investigate the significance of abnormal axillary lymph nodes detected at mammographic screening in the absence of a concomitant breast lesion. METHODS:Twenty-three thousand, seven hundred and seven women were screened at the Merrion Unit as part of the Irish National Breast Screening Programme ("BreastCheck") ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(03)00339-8
更新日期:2004-01-01 00:00:00
abstract::Dual-energy (DE) pulmonary blood volume (PBV) computed tomography (CT) has recently become available on clinical CT systems. The underlying physical principle of DECT is the fact that the photoelectric effect is strongly dependent on the CT energies resulting in different degrees of x-ray attenuation for different mat...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2010.12.021
更新日期:2012-01-01 00:00:00
abstract::Glioblastoma (GBM) is a common brain tumour in adults, which, despite multimodality treatment, has a poor median survival. Efficacy of therapy is assessed by clinical examination and magnetic resonance imaging (MRI) features. There is now a recognised subset of treated patients with imaging features that indicate "pro...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2015.06.096
更新日期:2015-11-01 00:00:00
abstract:AIM:To evaluate the role of computed tomography (CT) after herniography in the diagnosis and management of primary and recurrent groin hernias not detectable on clinical examination. MATERIAL AND METHODS:Fifty-one patients underwent CT post-herniography over a 6-year period for suspected primary or recurrent inguinal ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2004.02.013
更新日期:2005-02-01 00:00:00
abstract:AIM:To compare excretory phase, helical computed tomography (CT) with intravenous (IV) urography for evaluation of the urinary tract in patients with painless haematuria. MATERIALS AND METHODS:Ninety-one out-patients had IV urography followed by helical CT limited to the urinary tract. Both IV urograms and CT images w...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(02)00464-6
更新日期:2003-04-01 00:00:00
abstract:UNLABELLED:This review considers the process of contracting for a picture archiving and communication system (PACS) using the private finance initiative (PFI) managed service route. The PFI process is reviewed and the advantages and disadvantages of a managed service detailed. During contract negotiations several areas...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1053/crad.2001.0901
更新日期:2002-03-01 00:00:00
abstract::Subphrenic abscess will continually plague the post-laparotomy patient. The high mortality associated with these abscesses can be reduced by diagnosing and draining them early. In 42 patients with 55 subphrenic abscesses, the most important diagnostic modality proved to be conventional radiographs of the abdomen allow...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(81)80150-x
更新日期:1981-03-01 00:00:00
abstract:AIM:To assess the impact of mammotome biopsy on preoperative diagnosis rate. METHODS:A prospective study was undertaken to examine the referral patterns, radiological abnormalities, sensitivity, specificity and outcome of the first 150 patients undergoing mammotome biopsy at our institution. Most of the referrals were...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2005.08.017
更新日期:2006-03-01 00:00:00
abstract::Computed tomographic (CT) findings in two cases of hepatic oil embolism following lymphangiography are described. Both patients had lymphatic obstruction and opacification of the liver due to collateral flow of lymphangiographic contrast. Computed tomography of the liver showed a distinctive branching pattern due to t...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(89)80189-8
更新日期:1989-05-01 00:00:00
abstract:AIM:To compare the diagnostic performance of the 2017 (v2017) and 2018 versions (v2018) of the Liver Imaging-Reporting and Data System (LI-RADS) for hepatocellular carcinoma (HCC) using gadoxetic acid-enhanced magnetic resonance imaging (Gd-EOB-MRI) and to evaluate the effect in v2018. MATERIALS AND METHODS:Treatment-...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.11.004
更新日期:2020-04-01 00:00:00
abstract::The retropharyngeal space is a potential route for the spread of infection and malignancy. We present patients with squamous cell carcinoma of the larynx and tongue with superior contiguous spread along the retropharyngeal space resulting in skull base erosion. The fascia defining the retropharyngeal space is attached...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(98)80038-x
更新日期:1998-01-01 00:00:00
abstract::Cavernous haemangiomas (CH) are relatively uncommon non-shunting vascular malformations of the central nervous system and can present with seizures or with neurological deficits due to haemorrhage. Radiologists can often suggest the diagnosis of CH based on characteristic magnetic resonance imaging (MRI) features, thu...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2011.10.013
更新日期:2012-04-01 00:00:00
abstract::We present a case of a large saccular aneurysm arising from the azygos arch in an asymptomatic 62-year-old man. Chest radiography showed a well-defined right paratracheal mass. Dynamic computed tomography revealed marked enhancement of the mass suggesting a vascular structure, but no flow void was demonstrated on magn...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81114-6
更新日期:1993-12-01 00:00:00
abstract::In this report, we illustrate the imaging findings of diseases in the subperitoneal space of the broad ligament and sigmoid mesocolon and discuss the pathways of subperitoneal spread of disease. The subperitoneal space of the broad ligament and sigmoid mesocolon is continuous with that of the parietal peritoneum overl...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/s0009-9260(98)80213-4
更新日期:1998-12-01 00:00:00
abstract:AIM:To compare prostate volumes and distances between anatomical landmarks on MRI images obtained with a phased-array coil (PAC) only and with a PAC and an endorectal coil (ERC). MATERIALS AND METHODS:Informed consent was waived for this Health Insurance Portability and Accountability Act-compliant study. Fifty-nine m...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2014.12.002
更新日期:2015-04-01 00:00:00
abstract:AIM:To report the authors' experience of focal nodular haematopoietic marrow hyperplasia (FNHMH) and diffuse haematopoietic marrow hyperplasia (DHMH) clinically masquerading as skip, distant, or disseminated metastasis in seven patients with underlying malignant neoplasms. MATERIALS AND METHODS:Five patients with FNHM...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.10.015
更新日期:2017-03-01 00:00:00
abstract:AIM:To determine the accuracy and therapeutic success of localisation of impalpable breast lesions by hookwire with additional lesion marking with carbon suspension to mark screen detected abnormalities requiring surgical excision. MATERIALS AND METHODS:Retrospective review of all breast localisation procedures perfor...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2002.0994
更新日期:2002-10-01 00:00:00