Interview with Dr. Sandrine Gaudart, Radiologist at Radiologie 92 du Sud-Ouest Parisien, France who tested different AI solutions for fracture detection

Fourat Trabelsi

07/19/2021

In which situations does BoneView™ help you the most?

My colleagues and I rotate on positions. We only have one or two standard X-ray shifts a week, which is not many, and they are very busy, often with a lot of emergency cases, and interrupted by interventional procedures or ultrasound exams to perform. In these moments, BoneView is very useful to prevent us from reading too fast or from making a mistake due to lack of concentration. This week, I received feedback from two colleagues: for one, BoneView detected a fracture he missed because he went too fast on the exam, for the other it pointed to a subtle fracture, difficult to spot on a pediatric exam. BoneView highlights areas of interest when there are too many things to look at.

You tested competing solutions for automatic fracture detection. What differentiates solutions, what makes you keep one or the other?

BoneView display

Initially, we tested BoneView and a competing solution and were able to compare both in clinical practice during a few days. The decision was clear. Besides the feeling that BoneView generates significantly fewer false positives, which saves time, it is much more intuitive and easier to use: at a glance, we can see if the system detected something and where, in order to check immediately and form an opinion on these areas of interest. It is fully integrated into our reading workflow, and it is a key criterion to make it applicable and relevant in clinical routine. Today all the feedback is very positive and we want to continue with this solution.

Have you identified any obstacles when getting started with AI?

The advantage of BoneView is that it is very intuitive. We were able to train our team simply by showing each other the tool. From this point of view, the transition to AI was easy, even for those most reluctant to its use. Indeed, they changed their mind as soon as BoneView prevented them from making a diagnostic error or two. The opinion on AI is changing. Initially, some said they were able to see fractures without aid. Ultimately, the question is not so much whether or not you can see the fractures, but rather not to miss anything when you are “swamped”!