Artificial Intelligence Accurately Detects Fractures On X-rays, Alerts Human Readers

A variety of readers were used to simulate real-life scenarios, including radiologists, orthopedic surgeons, emergency physicians and physician assistants, rheumatologists, and family physicians, all of whom read x-rays in real clinical practice to diagnose fractures in their patients. Each reader's diagnostic accuracy of fractures, with and without AI assistance, were compared against the gold standard. They also assessed the diagnostic performance of AI alone against the gold standard. AI assistance helped reduce missed fractures by 29% and increased readers' sensitivity by 16%, and by 30% for exams with more than 1 fracture, while improving specificity by 5%.