Fracture detection plays a critical role in medical imaging analysis, traditional fracture diagnosis relies on visual assessment by experienced physicians, however the speed and accuracy of this approach are constrained by the expertise. With the rapid advancements in artificial intelligence, deep learning models based on the YOLO framework have been widely employed for fracture detection, demonstrating significant potential in improving diagnostic efficiency and accuracy. This study proposes an improved YOLO-based model, termed Fracture-YOLO, which integrates novel Critical-Region-Selector Attention (CRSelector) and Scale-Aware (ScA) heads to further enhance detection performance. Specifically, the CRSelector module utilizes global texture information to focus on critical features of fracture regions. Meanwhile, the ScA module dynamically adjusts the weights of features at different scales, enhancing the model's capacity to identify fracture targets at multiple scales. Experimental results demonstrate that, compared to the baseline model, Fracture-YOLO achieves a significant improvement in detection precision, with mAP50 and mAP50-95 increasing by 4 and 3, surpassing the baseline model and achieving state-of-the-art (SOTA) performance.

Background: Accurate diagnosis of wrist and hand fractures using radiographs is essential in emergency care, but manual interpretation is slow and prone to errors. Transformer-based models show promise in improving medical image analysis, but their application to extremity fractures is limited. This study addresses this gap by applying object detection transformers to wrist and hand X-rays. Methods: We fine-tuned the RT-DETR and Co-DETR models, pre-trained on COCO, using over 26,000 annotated X-rays from a proprietary clinical dataset. Each image was labeled for fracture presence with bounding boxes. A ResNet-50 classifier was trained on cropped regions to refine abnormality classification. Supervised contrastive learning was used to enhance embedding quality. Performance was evaluated using AP@50, precision, and recall metrics, with additional testing on real-world X-rays. Results: RT-DETR showed moderate results (AP@50 = 0.39), while Co-DETR outperformed it with an AP@50 of 0.615 and faster convergence. The integrated pipeline achieved 83.1% accuracy, 85.1% precision, and 96.4% recall on real-world X-rays, demonstrating strong generalization across 13 fracture types. Visual inspection confirmed accurate localization. Conclusion: Our Co-DETR-based pipeline demonstrated high accuracy and clinical relevance in wrist and hand fracture detection, offering reliable localization and differentiation of fracture types. It is scalable, efficient, and suitable for real-time deployment in hospital workflows, improving diagnostic speed and reliability in musculoskeletal radiology.

Early and accurate detection of the bone fracture is paramount to initiating treatment as early as possible and avoiding any delay in patient treatment and outcomes. Interpretation of X-ray image is a time consuming and error prone task, especially when resources for such interpretation are limited by lack of radiology expertise. Additionally, deep learning approaches used currently, typically suffer from misclassifications and lack interpretable explanations to clinical use. In order to overcome these challenges, we propose an automated framework of bone fracture detection using a VGG-19 model modified to our needs. It incorporates sophisticated preprocessing techniques that include Contrast Limited Adaptive Histogram Equalization (CLAHE), Otsu's thresholding, and Canny edge detection, among others, to enhance image clarity as well as to facilitate the feature extraction. Therefore, we use Grad-CAM, an Explainable AI method that can generate visual heatmaps of the model's decision making process, as a type of model interpretability, for clinicians to understand the model's decision making process. It encourages trust and helps in further clinical validation. It is deployed in a real time web application, where healthcare professionals can upload X-ray images and get the diagnostic feedback within 0.5 seconds. The performance of our modified VGG-19 model attains 99.78\% classification accuracy and AUC score of 1.00, making it exceptionally good. The framework provides a reliable, fast, and interpretable solution for bone fracture detection that reasons more efficiently for diagnoses and better patient care.

Background: Shoulder fractures are often underdiagnosed, especially in emergency and high-volume clinical settings. Studies report up to 10% of such fractures may be missed by radiologists. AI-driven tools offer a scalable way to assist early detection and reduce diagnostic delays. We address this gap through a dedicated AI system for shoulder radiographs. Methods: We developed a multi-model deep learning system using 10,000 annotated shoulder X-rays. Architectures include Faster R-CNN (ResNet50-FPN, ResNeXt), EfficientDet, and RF-DETR. To enhance detection, we applied bounding box and classification-level ensemble techniques such as Soft-NMS, WBF, and NMW fusion. Results: The NMW ensemble achieved 95.5% accuracy and an F1-score of 0.9610, outperforming individual models across all key metrics. It demonstrated strong recall and localization precision, confirming its effectiveness for clinical fracture detection in shoulder X-rays. Conclusion: The results show ensemble-based AI can reliably detect shoulder fractures in radiographs with high clinical relevance. The model's accuracy and deployment readiness position it well for integration into real-time diagnostic workflows. The current model is limited to binary fracture detection, reflecting its design for rapid screening and triage support rather than detailed orthopedic classification.

-- Bone fractures are a leading cause of morbidity and disability worldwide, imposing significant clinical and economic burdens on healthcare systems. Traditional X - ray inter pretation is time - consuming and error - prone, while existing machine learning and deep learning solutions often demand extensive feature engineering, large, annotated datasets, and high computational resources. To address these challenges, a distributed hyb rid quantum - classical pipeline is proposed that first applies Principal Component Analysis (PCA) for dimensionality reduction and then leverages a 4 - qubit quantum amplitude - encoding circuit for feature enrichment. By fusing eight PCA - derived features with eight quantum - enhanced features into a 16 - dimensional vector and then classifying with different machine learning models achieving 99% accuracy using a public multi - region X - ray dataset on par with state - of - the - art transfer learning models -- while reducing feature extraction time by 82%. I. INTRODUCTION one fractures present a major challenge in orthopedic and trauma care, where accurate and timely diagnosis is critical for effective trea tment and patient recovery. These may result from trauma, accidents, or conditions like osteoporosis, and if fractures are misdiagnosed or undiagnosed, patients may suffer complications such as improper heali ng or long - term disability [1]. Globally, the fractures contribute substantially to morbidity, disability, and healthcare costs [1 ], [ 2]. X - ray imaging remains the most common diagnostic tool due to its accessibility and non - invasive nature.

Rib fractures are a common and potentially severe injury that can be challenging and labor-intensive to detect in CT scans. While there have been efforts to address this field, the lack of large-scale annotated datasets and evaluation benchmarks has hindered the development and validation of deep learning algorithms. To address this issue, the RibFrac Challenge was introduced, providing a benchmark dataset of over 5,000 rib fractures from 660 CT scans, with voxel-level instance mask annotations and diagnosis labels for four clinical categories (buckle, nondisplaced, displaced, or segmental). The challenge includes two tracks: a detection (instance segmentation) track evaluated by an FROC-style metric and a classification track evaluated by an F1-style metric. During the MICCAI 2020 challenge period, 243 results were evaluated, and seven teams were invited to participate in the challenge summary. The analysis revealed that several top rib fracture detection solutions achieved performance comparable or even better than human experts. Nevertheless, the current rib fracture classification solutions are hardly clinically applicable, which can be an interesting area in the future. As an active benchmark and research resource, the data and online evaluation of the RibFrac Challenge are available at the challenge website. As an independent contribution, we have also extended our previous internal baseline by incorporating recent advancements in large-scale pretrained networks and point-based rib segmentation techniques. The resulting FracNet+ demonstrates competitive performance in rib fracture detection, which lays a foundation for further research and development in AI-assisted rib fracture detection and diagnosis.

In recent years, computer-aided diagnosis systems have shown great potential in assisting radiologists with accurate and efficient medical image analysis. This paper presents a novel approach for bone pathology localization and classification in wrist X-ray images using a combination of YOLO (You Only Look Once) and the Shifted Window Transformer (Swin) with a newly proposed block. The proposed methodology addresses two critical challenges in wrist X-ray analysis: accurate localization of bone pathologies and precise classification of abnormalities. The YOLO framework is employed to detect and localize bone pathologies, leveraging its real-time object detection capabilities. Additionally, the Swin, a transformer-based module, is utilized to extract contextual information from the localized regions of interest (ROIs) for accurate classification.

Vertebral fractures are a consequence of osteoporosis, with significant health implications for affected patients. Unfortunately, grading their severity using CT exams is hard and subjective, motivating automated grading methods. However, current approaches are hindered by imbalance and scarcity of data and a lack of interpretability. To address these challenges, this paper proposes a novel approach that leverages unlabelled data to train a generative Diffusion Autoencoder (DAE) model as an unsupervised feature extractor. We model fracture grading as a continuous regression, which is more reflective of the smooth progression of fractures. Specifically, we use a binary, supervised fracture classifier to construct a hyperplane in the DAE's latent space. We then regress the severity of the fracture as a function of the distance to this hyperplane, calibrating the results to the Genant scale. Importantly, the generative nature of our method allows us to visualize different grades of a given vertebra, providing interpretability and insight into the features that contribute to automated grading.

The thighbone is the largest bone supporting the lower body. If the thighbone fracture is not treated in time, it will lead to lifelong inability to walk. Correct diagnosis of thighbone disease is very important in orthopedic medicine. Deep learning is promoting the development of fracture detection technology. However, the existing computer aided diagnosis (CAD) methods baesd on deep learning rely on a large number of manually labeled data, and labeling these data costs a lot of time and energy. Therefore, we develop a object detection method with limited labeled image quantity and apply it to the thighbone fracture localization. In this work, we build a semi-supervised object detection(SSOD) framework based on single-stage detector, which including three modules: adaptive difficult sample oriented (ADSO) module, Fusion Box and deformable expand encoder (Dex encoder). ADSO module takes the classification score as the label reliability evaluation criterion by weighting, Fusion Box is designed to merge similar pseudo boxes into a reliable box for box regression and Dex encoder is proposed to enhance the adaptability of image augmentation. The experiment is conducted on the thighbone fracture dataset, which includes 3484 training thigh fracture images and 358 testing thigh fracture images. The experimental results show that the proposed method achieves the state-of-the-art AP in thighbone fracture detection at different labeled data rates, i.e. 1%, 5% and 10%. Besides, we use full data to achieve knowledge distillation, our method achieves 86.2% AP50 and 52.6% AP75.

Researchers have noted that traumatic fractures are among the most commonly missed diagnoses.1,2 However, a new study suggests that artificial intelligence (AI) may have significant benefit in improving the assessment of fractures.3 In the study of 500 patients (268 men and 232 women), researchers compared unassisted assessment of acute fractures versus assessment with the assistance of an FDA-cleared algorithm (Boneview, Gleamer) and stand-alone use of AI. The authors found that AI assisted assessment had a 20 percent higher sensitivity (86 percent) of diagnosing fractures on radiographs in comparison to unassisted assessment (66 percent). The use of AI assistance led to a lower number of false negatives (26) in comparison to unassisted radiograph assessment (64), according to the study.