Evidence mapPaperPMID 40450562Full record

ReviewKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025

Artificial intelligence-assisted analysis of musculoskeletal imaging-A narrative review of the current state of machine learning models.

Felix C Oettl, Bálint Zsidai, Jacob F Oeding, Michael T Hirschmann, Robert Feldt, David Fendrich, Matthew J Kraeutler, Philipp W Winkler, Pawel Szaro, Kristian Samuelsson and 1 more

Abstract readReview
In one paragraph

Review in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Precision medicine in orthopaedics: A review of current technologies and future directions.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Review
  12. Review
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  14. Is orthopaedics entering the age of generative AI?-A narrative review of current applications challenges and future directions.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Felix C OettlDepartment of Orthopedic Surgery, Balgrist University Hospital, University of Zürich, Zurich, Switzerland.ORCID https://orcid.org/0000-0001-9721-685X
Bálint ZsidaiDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-5697-6577
Jacob F OedingDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-4562-4373
Michael T HirschmannDepartment of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland.ORCID https://orcid.org/0000-0002-4014-424X
Robert FeldtDepartment of Computer Science and Engineering, Chalmers University of Technology, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-5179-4205
David FendrichTenfifty, Gothenburg, Sweden.
Matthew J KraeutlerDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-2276-7814
Philipp W WinklerDepartment for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria.ORCID https://orcid.org/0000-0002-3997-1010
Pawel SzaroDepartment of Radiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-0334-7232
Kristian SamuelssonDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-5383-3370
ESSKA Artificial Intelligence Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The potential of Artificial intelligence (AI) is increasingly recognized in musculoskeletal radiology, offering solutions to challenges posed by increasing imaging volumes and fellowship trained radiologist shortages. The integration of AI is not intended to replace radiologists but to augment their capabilities, improving workflow efficiency and diagnostic accuracy. This narrative review examines the current landscape of AI applications in musculoskeletal imaging, focusing on both general-purpose multimodal models and specialized foundation models. AI has proven effective in musculoskeletal imaging, enhancing fracture detection, scoliosis assessment, and lower limb alignment analysis. In osteoarthritis, AI aids early detection by identifying subtle structural changes. AI-accelerated MRI reconstruction reduces scan times by up to 90% while maintaining diagnostic quality, improving efficiency and accessibility. Emerging multimodal models further integrate imaging with clinical data, advancing precision medicine. Technical challenges persist, particularly in addressing motion artifacts and anatomical complexity. Ethical considerations, including data privacy, algorithmic bias, and model transparency, remain crucial for responsible implementation. While challenges remain in clinical validation and implementation, the combination of broad and narrow AI models shows promise in advancing precision medicine and democratizing quality care. LEVEL OF EVIDENCE: Level V.

Indexed as

Artificial IntelligenceMachine LearningMusculoskeletal DiseasesMusculoskeletal SystemHumansMagnetic Resonance ImagingAI in musculoskeletal imagingclinical integrationcomputer visiondeep learningimage analysis

Identifiers

PMID40450562
PMCPMC12310083

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.