Artificial intelligence and machine learning capabilities in the detection of acute scaphoid fracture: a critical review.

J Hand Surg Eur Vol · Jan 23 2025 · Review

Miller R, Jackson L, Vilic D, Boyce L, Shuaib H

Clinical Scientific Computing, Guy's and St Thomas' NHS Foundation Trust, London, UK

Hand & Upper Extremity

SUMMARY — THE REDUCTIONThis critical review finds that current AI/machine learning models for detecting scaphoid fractures have significant methodological flaws and bias, limiting valid comparison to clinician accuracy.
Abstract, as published

This paper discusses the current literature surrounding the potential use of artificial intelligence and machine learning models in the diagnosis of acute obvious and occult scaphoid fractures. Current studies have notable methodological flaws and are at high risk of bias, precluding meaningful comparisons with clinician performance (the current reference standard). Specific areas should be addressed in future studies to help advance the meaningful and clinical use of artificial intelligence for radiograph interpretation.

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