The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data
(1) Background: Hip degenerative disorder is a common geriatric disease is the main causes to lead to total hip replacement (THR). The surgical timing of THR is crucial for post-operative recovery. Deep learning (DL) algorithms can be used to detect anomalies in medical images and predict the need f...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Bioengineering |
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| Online Access: | https://www.mdpi.com/2306-5354/10/4/458 |
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| author | Chih-Chi Chen Jen-Fu Huang Wei-Cheng Lin Chi-Tung Cheng Shann-Ching Chen Chih-Yuan Fu Mel S. Lee Chien-Hung Liao Chia-Ying Chung |
| author_facet | Chih-Chi Chen Jen-Fu Huang Wei-Cheng Lin Chi-Tung Cheng Shann-Ching Chen Chih-Yuan Fu Mel S. Lee Chien-Hung Liao Chia-Ying Chung |
| author_sort | Chih-Chi Chen |
| collection | DOAJ |
| description | (1) Background: Hip degenerative disorder is a common geriatric disease is the main causes to lead to total hip replacement (THR). The surgical timing of THR is crucial for post-operative recovery. Deep learning (DL) algorithms can be used to detect anomalies in medical images and predict the need for THR. The real world data (RWD) were used to validate the artificial intelligence and DL algorithm in medicine but there was no previous study to prove its function in THR prediction. (2) Methods: We designed a sequential two-stage hip replacement prediction deep learning algorithm to identify the possibility of THR in three months of hip joints by plain pelvic radiography (PXR). We also collected RWD to validate the performance of this algorithm. (3) Results: The RWD totally included 3766 PXRs from 2018 to 2019. The overall accuracy of the algorithm was 0.9633; sensitivity was 0.9450; specificity was 1.000 and the precision was 1.000. The negative predictive value was 0.9009, the false negative rate was 0.0550, and the F1 score was 0.9717. The area under curve was 0.972 with 95% confidence interval from 0.953 to 0.987. (4) Conclusions: In summary, this DL algorithm can provide an accurate and reliable method for detecting hip degeneration and predicting the need for further THR. RWD offered an alternative support of the algorithm and validated its function to save time and cost. |
| first_indexed | 2024-03-11T05:14:29Z |
| format | Article |
| id | doaj.art-e66d8beb79184f89ab59c44aa8a159ab |
| institution | Directory Open Access Journal |
| issn | 2306-5354 |
| language | English |
| last_indexed | 2024-03-11T05:14:29Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj.art-e66d8beb79184f89ab59c44aa8a159ab2023-11-17T18:22:22ZengMDPI AGBioengineering2306-53542023-04-0110445810.3390/bioengineering10040458The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World DataChih-Chi Chen0Jen-Fu Huang1Wei-Cheng Lin2Chi-Tung Cheng3Shann-Ching Chen4Chih-Yuan Fu5Mel S. Lee6Chien-Hung Liao7Chia-Ying Chung8Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, TaiwanDepartment of Orthopaedic Surgery, Pao-Chien Hospital, Pingtung 90078, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, TaiwanDepartment of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan 33328, Taiwan(1) Background: Hip degenerative disorder is a common geriatric disease is the main causes to lead to total hip replacement (THR). The surgical timing of THR is crucial for post-operative recovery. Deep learning (DL) algorithms can be used to detect anomalies in medical images and predict the need for THR. The real world data (RWD) were used to validate the artificial intelligence and DL algorithm in medicine but there was no previous study to prove its function in THR prediction. (2) Methods: We designed a sequential two-stage hip replacement prediction deep learning algorithm to identify the possibility of THR in three months of hip joints by plain pelvic radiography (PXR). We also collected RWD to validate the performance of this algorithm. (3) Results: The RWD totally included 3766 PXRs from 2018 to 2019. The overall accuracy of the algorithm was 0.9633; sensitivity was 0.9450; specificity was 1.000 and the precision was 1.000. The negative predictive value was 0.9009, the false negative rate was 0.0550, and the F1 score was 0.9717. The area under curve was 0.972 with 95% confidence interval from 0.953 to 0.987. (4) Conclusions: In summary, this DL algorithm can provide an accurate and reliable method for detecting hip degeneration and predicting the need for further THR. RWD offered an alternative support of the algorithm and validated its function to save time and cost.https://www.mdpi.com/2306-5354/10/4/458total hip replacementdeep learningartificial intelligencereal world data |
| spellingShingle | Chih-Chi Chen Jen-Fu Huang Wei-Cheng Lin Chi-Tung Cheng Shann-Ching Chen Chih-Yuan Fu Mel S. Lee Chien-Hung Liao Chia-Ying Chung The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data Bioengineering total hip replacement deep learning artificial intelligence real world data |
| title | The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data |
| title_full | The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data |
| title_fullStr | The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data |
| title_full_unstemmed | The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data |
| title_short | The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data |
| title_sort | feasibility and performance of total hip replacement prediction deep learning algorithm with real world data |
| topic | total hip replacement deep learning artificial intelligence real world data |
| url | https://www.mdpi.com/2306-5354/10/4/458 |
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