AI Can Detect Spine Fractures

Background: Vertebral compression fractures have been reported to be underdiagnosed on chest x-rays; however, identifying their presence can aid in the detection of significant osteoporosis. Multiple artificial intelligence (AI) programs that can detect vertebral fractures have received FDA(k) 510 clearance. Objective: To assess the ability of the AI program, Annalise Enterprise CXR Triage Trauma device, to effectively detect vertebral fractures. Methods: With institutional review board approval, consecutive patient radiology chest x-ray reports between November 1, 2015, and October 31, 2021, were reviewed. These x-rays were acquired on both inpatients and outpatients, with no limitations based on the clinical indication for the examination. Using first a natural-language processing search engine with subsequent manual review, the cases reported as positive for vertebral fractures were obtained. Negative examinations were then obtained as the first negative case after the positive ca more...