RecruitingNot ApplicableNCT06754137

Assessing AI-Supported Fracture Detection in Emergency Care Units

Evaluating the Cost-Efficiency and Workflow Impact of AI-Supported Fracture Detection in an Orthopedic Emergency Care Unit


Sponsor

Salzburger Landeskliniken

Enrollment

4,800 participants

Start Date

Mar 31, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Brief Summary The purpose of this study is to determine if artificial intelligence (AI) can assist doctors in detecting broken bones, effusions, dislocations and bone lesions more quickly and accurately in an emergency room setting. The study will also evaluate whether AI can save time and reduce costs in healthcare. The main questions to be addressed are: * Does AI improve the accuracy of detecting broken bones/dislocations/effusions/bone lesions? * Can AI expedite the process of diagnosing broken bones/dislocations/effusions/bone lesions? * Does AI reduce healthcare costs by enhancing efficiency? To investigate these questions, two groups of patients will be compared. One group will follow the traditional diagnostic approach, while the other group will utilize AI to assist in diagnosing X-rays. Participants in the study will: Undergo standard X-ray imaging of injured arms or legs, as part of routine care. Have X-rays reviewed by doctors with or without AI support, depending on the assigned group. The study will include patients of all ages presenting to the emergency room with an isolated injury or joint complaints. No additional tests or treatments beyond standard care will be involved.


Eligibility

Inclusion Criteria2

  • Presenting to the emergency department with an isolated injury or joint complaint
  • Patients able and willing to provide informed consent.

Exclusion Criteria5

  • Patients with injuries or complaints involving multiple body regions
  • Patients with prior imaging of the affected extremity or region within the past 6 months
  • Contraindications to X-ray imaging (e.g., pregnancy or severe instability)
  • Patients with other ongoing studies that may interfere with this study
  • Patients unable to provide consent due to cognitive impairment or language barriers without an available representative.

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Interventions

DIAGNOSTIC_TESTAI-Assisted Fracture Detection System

The intervention involves the use of an AI-assisted fracture detection system (Aidoc or Gleamer BoneView), which is integrated into the hospital's Picture Archiving and Communication System (PACS). These AI tools analyze X-ray images in real time, highlighting potential fracture sites for physician review. The AI output serves as an additional aid, while the final diagnosis remains the responsibility of the physician.

DIAGNOSTIC_TESTStandard Physician-Interpreted Fracture Detection

Physicians interpret X-ray images using their standard diagnostic practices without any assistance from AI. This represents the traditional approach to diagnosing fractures.


Locations(3)

Landesklinik Hallein, Salzburger Landeskliniken

Hallein, Austria

University Hospital Salzburg, Salzburger Landeskliniken

Salzburg, Austria

University Hosptial Nuremberg, Klinikum Nürnberg

Nuremberg, Germany

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NCT06754137


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