Intended Use

OsteoDetect analyzes wrist radiographs using machine learning techniques to identify and highlight distal radius fractures during the review of posterior-anterior (PA) and lateral (LAT) radiographs of adult wrists.

Technology

OsteoDetect is a software-only device operating in three layers: Network, Presentation, and Decision layers. It accepts CR and DR DICOM images, filters eligible images, preprocesses them, applies a fracture detection deep learning model to analyze for distal radius fractures, then postprocesses results to generate a confidence score and bounding boxes for detected fractures. The output is an annotated DICOM image with fracture markings accessible in PACS.

Performance

The device underwent standalone software validation and a clinical reader study. Standalone testing on 1000 wrist X-rays demonstrated high diagnostic accuracy (AUC 0.965), sensitivity (92.1%), and specificity (90.2%) for distal radius fracture detection. The reader study with 24 clinicians showed OsteoDetect-aided reads had statistically significant improved diagnostic accuracy (AUC 0.889 vs 0.840 unaided, p=0.0056) and better sensitivity/specificity. Testing included localization accuracy and generalizability across patient subgroups and device types.

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