Sensors,
Journal Year:
2023,
Volume and Issue:
23(17), P. 7612 - 7612
Published: Sept. 2, 2023
The
aim
of
this
study
was
to
use
geometric
features
and
texture
analysis
discriminate
between
healthy
unhealthy
femurs
identify
the
most
influential
features.
We
scanned
proximal
femoral
bone
(PFB)
284
Iranian
cases
(21
83
years
old)
using
different
dual-energy
X-ray
absorptiometry
(DEXA)
scanners
magnetic
resonance
imaging
(MRI)
machines.
Subjects
were
labeled
as
“healthy”
(T-score
>
−0.9)
“unhealthy”
based
on
results
DEXA
scans.
Based
geometry
PFB
in
MRI,
204
retrieved.
used
support
vector
machine
(SVM)
with
kernels,
decision
tree,
logistic
regression
algorithms
classifiers
Genetic
algorithm
(GA)
select
best
set
maximize
accuracy.
There
185
participants
classified
99
unhealthy.
SVM
radial
basis
function
kernels
had
performance
(89.08%)
geometrical
ones.
Even
though
our
findings
show
high
model,
further
investigation
more
subjects
is
suggested.
To
knowledge,
first
that
investigates
qualitative
classification
PFBs
MRI
reference
scans
learning
methods
GA.
Cancers,
Journal Year:
2024,
Volume and Issue:
16(17), P. 2988 - 2988
Published: Aug. 28, 2024
In
spinal
oncology,
integrating
deep
learning
with
computed
tomography
(CT)
imaging
has
shown
promise
in
enhancing
diagnostic
accuracy,
treatment
planning,
and
patient
outcomes.
This
systematic
review
synthesizes
evidence
on
artificial
intelligence
(AI)
applications
CT
for
tumors.
A
PRISMA-guided
search
identified
33
studies:
12
(36.4%)
focused
detecting
malignancies,
11
(33.3%)
classification,
6
(18.2%)
prognostication,
3
(9.1%)
1
(3.0%)
both
detection
classification.
Of
the
classification
studies,
7
(21.2%)
used
machine
to
distinguish
between
benign
malignant
lesions,
evaluated
tumor
stage
or
grade,
2
(6.1%)
employed
radiomics
biomarker
Prognostic
studies
included
three
that
predicted
complications
such
as
pathological
fractures
AI's
potential
improving
workflow
efficiency,
aiding
decision-making,
reducing
is
discussed,
along
its
limitations
generalizability,
interpretability,
clinical
integration.
Future
directions
AI
oncology
are
also
explored.
conclusion,
while
technologies
promising,
further
research
necessary
validate
their
effectiveness
optimize
integration
into
routine
practice.
Cancer Imaging,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Oct. 10, 2024
Abstract
Background
Accurately
classifying
primary
bone
tumors
is
crucial
for
guiding
therapeutic
decisions.
The
National
Comprehensive
Cancer
Network
guidelines
recommend
multimodal
images
to
provide
different
perspectives
the
comprehensive
evaluation
of
tumors.
However,
in
clinical
practice,
most
patients’
medical
are
often
incomplete.
This
study
aimed
build
a
deep
learning
model
using
incomplete
from
X-ray,
CT,
and
MRI
alongside
characteristics
classify
as
benign,
intermediate,
or
malignant.
Methods
In
this
retrospective
study,
total
1305
patients
with
histopathologically
confirmed
(internal
dataset,
n
=
1043;
external
262)
were
included
two
centers
between
January
2010
December
2022.
We
proposed
Primary
Bone
Tumor
Classification
Transformer
(PBTC-TransNet)
fusion
Areas
under
receiver
operating
characteristic
curve
(AUC),
accuracy,
sensitivity,
specificity
calculated
evaluate
model’s
classification
performance.
Results
PBTC-TransNet
achieved
satisfactory
micro-average
AUCs
0.847
(95%
CI:
0.832,
0.862)
0.782
0.749,
0.817)
on
internal
test
sets.
For
malignant
tumors,
respectively
0.827/0.727,
0.740/0.662,
0.815/0.745
internal/external
Furthermore,
across
all
patient
subgroups
stratified
by
distribution
imaging
modalities,
gained
ranging
0.700
0.909
0.640
sets,
respectively.
showed
highest
AUC
0.909,
accuracy
84.3%,
sensitivity
92.1%
those
only
X-rays
set.
On
set,
X-ray
+
CT.
Conclusions
successfully
developed
externally
validated
transformer-based
PBTC-Transnet
effective
model,
rooted
characteristics,
effectively
mirrors
real-life
scenarios,
thus
enhancing
its
strong
practicability.
Journal of the Pakistan Medical Association,
Journal Year:
2024,
Volume and Issue:
74(4)
Published: May 3, 2024
Integrating
Artificial
Intelligence
(AI)
in
orthopaedic
within
lower-middle-income
countries
(LMICs)
promises
landmark
improvement
patient
care.
Delving
into
specific
use
cases—fracture
detection,
spine
imaging,
bone
tumour
classification,
and
joint
surgery
optimisation—the
review
illuminates
the
areas
where
AI
can
significantly
enhance
practices.
could
play
a
pivotal
role
improving
diagnoses,
enabling
early
ultimately
enhancing
outcomes—
crucial
regions
with
constrained
healthcare
services.
Challenges
to
integration
of
include
financial
constraints,
shortage
skilled
professionals,
data
limitations,
cultural
ethical
considerations.
Emphasising
AI's
collaborative
role,
it
act
as
complementary
tool
working
tandem
physicians,
aiming
address
gaps
access
education.
We
need
continued
research
conscientious
approach,
envisioning
catalyst
for
equitable,
efficient,
accessible
patients
LMICs.
Keywords:
Intelligence,
Orthopaedics,
Health
Services,
Patient
Care,
Bone
Neoplasms,
Physicians,
precision
medicine;
predictive
analysis
Frontiers in Oncology,
Journal Year:
2023,
Volume and Issue:
13
Published: Sept. 7, 2023
Background
Malignant
bone
tumors
are
a
type
of
cancer
with
varying
malignancy
and
prognosis.
Accurate
diagnosis
classification
crucial
for
treatment
prognosis
assessment.
Machine
learning
has
been
introduced
early
differential
malignant
tumors,
but
its
performance
is
controversial.
This
systematic
review
meta-analysis
aims
to
explore
the
diagnostic
value
machine
tumors.
Methods
PubMed,
Embase,
Cochrane
Library,
Web
Science
were
searched
literature
on
in
up
October
31,
2022.
The
risk
bias
assessment
was
conducted
using
QUADAS-2.
A
bivariate
mixed-effects
model
used
meta-analysis,
subgroup
analyses
by
methods
modeling
approaches.
Results
inclusion
comprised
31
publications
382,371
patients,
including
141,315
Meta-analysis
results
showed
sensitivity
specificity
0.87
[95%
CI:
0.81,0.91]
0.91
0.86,0.94]
training
set,
0.83
0.74,0.89]
0.79,0.92]
validation
set.
Subgroup
analysis
revealed
MRI-based
radiomics
most
common
approach,
0.85
0.74,0.91]
0.79
0.70,0.86]
Convolutional
neural
networks
type,
0.86
0.72,0.94]
0.92
0.82,0.97]
0.51,0.98]
0.69,0.96]
Conclusion
mainly
applied
diagnosing
showing
desirable
performance.
can
be
an
adjunctive
method
requires
further
research
determine
practical
efficiency
clinical
application
prospects.
Systematic
registration
https://www.crd.york.ac.uk/prospero/
,
identifier
CRD42023387057.
JBJS Reviews,
Journal Year:
2024,
Volume and Issue:
12(7)
Published: July 1, 2024
»
Artificial
intelligence
is
an
umbrella
term
for
computational
calculations
that
are
designed
to
mimic
human
and
problem-solving
capabilities,
although
in
the
future,
this
may
become
incomplete
definition.
Machine
learning
(ML)
encompasses
development
of
algorithms
or
predictive
models
generate
outputs
without
explicit
instructions,
assisting
clinical
predictions
based
on
large
data
sets.
Deep
a
subset
ML
utilizes
layers
networks
use
various
inter-relational
connections
define
generalize
data.
can
enhance
radiomics
techniques
improved
image
evaluation
diagnosis.
While
shows
promise
with
advent
radiomics,
there
still
obstacles
overcome.
Several
calculators
leveraging
have
been
developed
predict
survival
primary
sarcomas
metastatic
bone
disease
utilizing
patient-specific
these
often
report
exceptionally
accurate
performance,
it
crucial
evaluate
their
robustness
using
standardized
guidelines.
increased
computing
power
suggests
continuous
improvement
algorithms,
advancements
must
be
balanced
against
challenges
such
as
diversifying
data,
addressing
ethical
concerns,
enhancing
model
interpretability.
Skeletal Radiology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 24, 2024
Abstract
Bone
lesions
of
the
appendicular
skeleton
can
be
caused
by
primary
benign
or
malignant
tumors,
metastases,
osteomyelitis,
pseudotumors.
Conventional
radiography
plays
a
crucial
role
in
initial
assessment
osseous
and
should
not
underestimated
even
this
era
modern
complex
advanced
imaging
technologies.
Combined
with
patient
age,
clinical
symptoms
biology,
lesion
features
including
location,
solitary
versus
multiplicity,
density,
margin
(transitional
zone
evaluated
Lodwick-Madewell
grading
score),
and,
if
present,
type
periosteal
reaction
matrix
mineralization
narrow
differential
diagnosis
offer
likely
diagnosis.
These
radiographic
help
guide
further
follow-up
management.
Sensors,
Journal Year:
2023,
Volume and Issue:
23(17), P. 7612 - 7612
Published: Sept. 2, 2023
The
aim
of
this
study
was
to
use
geometric
features
and
texture
analysis
discriminate
between
healthy
unhealthy
femurs
identify
the
most
influential
features.
We
scanned
proximal
femoral
bone
(PFB)
284
Iranian
cases
(21
83
years
old)
using
different
dual-energy
X-ray
absorptiometry
(DEXA)
scanners
magnetic
resonance
imaging
(MRI)
machines.
Subjects
were
labeled
as
“healthy”
(T-score
>
−0.9)
“unhealthy”
based
on
results
DEXA
scans.
Based
geometry
PFB
in
MRI,
204
retrieved.
used
support
vector
machine
(SVM)
with
kernels,
decision
tree,
logistic
regression
algorithms
classifiers
Genetic
algorithm
(GA)
select
best
set
maximize
accuracy.
There
185
participants
classified
99
unhealthy.
SVM
radial
basis
function
kernels
had
performance
(89.08%)
geometrical
ones.
Even
though
our
findings
show
high
model,
further
investigation
more
subjects
is
suggested.
To
knowledge,
first
that
investigates
qualitative
classification
PFBs
MRI
reference
scans
learning
methods
GA.