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AI-Assisted Fracture Detection in Emergency Radiography

CompletedNA

Sponsor: Salzburger Landeskliniken

Conditions: Bone Fractures

Interventions: BoneView AI-Assisted Radiograph Interpretation

Countries: Austria, Germany

This study evaluates whether artificial intelligence (AI) can support doctors who interpret X-rays for suspected fractures in emergency care. In the participating hospitals, X-rays are usually interpreted first by the frontline treating physician, while the formal radiology report is generally available later and not before the patient leaves the emergency department. AI may therefore provide an immediate additional assessment while clinical decisions are being made. Patients were randomly assigned to one of two groups. In the AI-assisted group, physicians interpreted the X-rays with support from an AI system. In the control group, physicians interpreted the same type of X-rays without AI support. All final diagnoses and treatment decisions remained with the treating physician. The main question is whether AI assistance affects the time from triage to completion of emergency department treatment. The study also evaluates whether AI influences physician diagnostic confidence, the use of additional imaging, missed fractures, and diagnostic accuracy. The study includes patients aged 2 years or older presenting after trauma with a suspected fracture requiring X-ray imaging. No additional imaging or treatment was required solely because of study participation.

Eligibility overview

Sex: ALL

Age: 2 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Age 2 years or older.
* Presentation to the emergency department following trauma requiring plain radiographic imaging.
* Injury involving a single anatomical region within the supported anatomical scope of the AI system.
* Written informed consent provided by the participant or legally authorized representative, with age-appropriate assent where applicable.

Exclusion Criteria:

* Age younger than 2 years.
* Injuries involving multiple anatomical regions.
* Head or cervical spine injuries.
* Previous radiographic imaging or medical assessment for the same injury before the index presentation.
* Contraindication to X-ray imaging, including pregnancy.
* Lack of informed consent.

Reduced image quality was not an exclusion criterion. Multiple fractures within the same anatomical injury region were eligible.

Locations (3)

Hallein, Austria
Salzburg, Austria
Nuremberg, Germany