ABSTRACT
Objectives: To evaluate the diagnostic accuracy of artificial intelligence-based algorithms in identifying neck of femur fracture on a plain radiograph. Design: Systematic review and meta-analysis. Data sources: PubMed, Web of science, Scopus, IEEE, and the Science direct databases were searched from inception to 30 July 2023. Eligibility criteria for study selection: Eligible article types were descriptive, analytical, or trial studies published in the English language providing data on the utility of artificial intelligence (AI) based algorithms in the detection of the neck of the femur (NOF) fracture on plain X-ray. Main outcome measures: The prespecified primary outcome was to calculate the sensitivity, specificity, accuracy, Youden index, and positive and negative likelihood ratios. Two teams of reviewers (each consisting of two members) extracted the data from available information in each study. The risk of bias was assessed using a mix of the CLAIM (the Checklist for AI in Medical Imaging) and QUADAS-2 (A Revised Tool for the Quality Assessment of Diagnostic Accuracy Studies) criteria. Results: Of the 437 articles retrieved, five were eligible for inclusion, and the pooled sensitivity of AIs in diagnosing the fracture NOF was 85%, with a specificity of 87%. For all studies, the pooled Youden index (YI) was 0.73. The average positive likelihood ratio (PLR) was 19.88, whereas the negative likelihood ratio (NLR) was 0.17. The random effects model showed an overall odds of 1.16 (0.84-1.61) in the forest plot, comparing the AI system with those of human diagnosis. The overall heterogeneity of the studies was marginal (I2 = 51%). The CLAIM criteria for risk of bias assessment had an overall >70% score. Conclusion: Artificial intelligence (AI)-based algorithms can be used as a diagnostic adjunct, benefiting clinicians by taking less time and effort in neck of the femur (NOF) fracture diagnosis. Study registration: PROSPERO CRD42022375449. Supplementary Information: The online version contains supplementary material available at 10.1007/s43465-024-01130-6.
ABSTRACT
Digital data are rising fast as Internet technology advances through many sources, such as smart phones, social networking sites, IoT, and other communication channels. Therefore, successfully storing, searching, and retrieving desired images from such large-scale databases are critical. Low-dimensional feature descriptors play an essential role in speeding up the retrieval process in such a large-scale dataset. A feature extraction approach based on the integration of color and texture contents has been proposed in the proposed system for the construction of a low-dimensional feature descriptor. In which color contents are quantified from a preprocessed quantized HSV color image and texture contents are retrieved from a Sobel edge detection-based preprocessed V-plane of HSV color image using a block level DCT (discrete cosine transformation) and gray level co-occurrence matrix. On a benchmark image dataset, the suggested image retrieval scheme is validated. The experimental outcomes were compared to ten cutting-edge image retrieval algorithms, which outperformed in the vast majority of cases.
