RecruitingNAINTERVENTIONAL

Boneview-ED - Impact of Artificial Intelligence Detecting Fractures in the Emergence Department : a Pragmatic Prospective Study

This study is testing a new computer program called "Boneview" to see if it helps emergency doctors find broken bones on X-rays more accurately. When you visit the emergency room with a possible broken bone, doctors usually look at your X-ray themselves. This study will involve the doctor looking at your X-ray as usual, and then looking at it again with the help of the "Boneview" software, which highlights areas that might be fractures. The main goal is to see if using this program helps doctors make better decisions about your care, like whether you need to see a bone specialist. Researchers will also look at how effective the software is compared to specialists reviewing the X-rays. This is important because emergency rooms are often very busy, and this technology could help make sure everyone gets the right diagnosis quickly.

At a glance

Status

Recruiting

Phase

Sponsor

University Hospital, Angers

Enrolment target

1,600

Start

22 Jul 2024

Estimated completion

21 Jan 2025

Fractures, Bone

What is this study about?

When you go to the emergency room after an injury, especially if you think you might have broken a bone, getting an X-ray is a common step. Emergency doctors then look at these X-rays to check for any fractures. Because emergency rooms are often very busy, doctors have a lot to do, and sometimes it can be tricky to spot every small fracture on an X-ray, which could lead to a fracture being missed.

This study is looking at whether a special computer program called "Boneview" can help doctors in the emergency room find fractures more easily and accurately. Think of "Boneview" like an extra pair of eyes that can highlight potential problem areas on an X-ray. The idea is to see if this program can give doctors a helpful boost, especially when things are very busy, to make sure you get the best and quickest care.

Researchers will compare how emergency doctors usually interpret X-rays with how they do so when they have the help of the "Boneview" software. The aim is to find out if this technology can improve the way broken bones are found in a real-life emergency setting. This could mean more accurate diagnoses and quicker decisions about whether you need to see a specialist or receive urgent treatment.

Key takeaways

This study tests a computer program to help spot broken bones on X-rays.
It aims to make fracture diagnosis faster and more accurate in emergency rooms.
You won't have any extra X-rays or procedures by taking part.
Doctors will review your X-rays with and without the software's help.
This research could improve care for future patients with suspected fractures.

Who may be eligible?

To be part of this study, you need to be an adult (18 years or older) who has come to the emergency room within 48 hours of an injury. You must be having an X-ray of your arms, legs, or pelvis because doctors suspect you might have a fracture. Critically, you must agree to take part and be covered by social security or another healthcare plan.

However, this study isn't suitable for everyone. You cannot take part if you have very severe, multiple injuries (polytrauma) or if your X-ray is of your spine (neck or back) or skull, as the software isn't designed for these specific body areas. Also, if you are pregnant, breastfeeding, or in labour, you won't be able to join the study.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

Are you 18 years old or older?
Did you come to the emergency room for an injury within the last 48 hours?
Is your X-ray of your arms, legs, or pelvis?
Are you able to give your consent to participate?
Are you not pregnant or breastfeeding?

Answer every question to see your result.

What does participation involve?

If you are included in this study, the process will be quite similar to a regular emergency room visit. After your X-ray is taken, the emergency doctor will look at it in two ways:

1. First, they will read your X-ray as they normally would, without any extra help. 2. Then, they will look at your X-ray again, this time with the "Boneview" software showing potential fracture areas.

Your management, like whether you go home or need to see a specialist, will be decided after the doctor has reviewed the X-ray with the help of the software. Later on, other medical staff, including a specialist X-ray doctor (radiologist), will also review your X-rays, both with and without the software's help. You won't need any extra X-rays for this study, as it only involves reviewing the X-rays you've already had. The main difference for you is that your X-rays will be looked at by more doctors, some using the special software. The total duration of your participation is just during your emergency room visit. If, at a later date, the specialist review finds something different from the initial emergency room diagnosis, you might be contacted to return for further care.

Potential risks and benefits

There are no significant physical risks for you in taking part, as you won't undergo any extra X-ray scans or tests beyond what your doctor thinks you need. Your privacy is protected, and your information will be kept confidential. A potential benefit is that if the "Boneview" software helps to identify a fracture that might otherwise have been missed, you could receive more timely and appropriate care. However, there's no guarantee of direct benefit to you personally. The results of this study could help improve how fractures are diagnosed for future patients. You have the right to withdraw from the study at any time without affecting your medical care.

Locations (1)

Dr Damien COMBES
Verified postcode
Angers, France· Recruiting

Common questions

What is the main goal of this study?

The study aims to see if a computer program called "Boneview" can help emergency doctors find broken bones on X-rays more accurately and quickly.

Will I have extra X-rays if I join this study?

No, you will not have any extra X-rays. The study only involves reviewing the X-rays you already need for your injury.

How will my X-rays be looked at?

An emergency doctor will look at your X-ray first as usual, then again with the "Boneview" software. Later, other doctors, including specialists, will also review them.

What happens if a different fracture is found later?

If a specialist reviewing your X-ray finds something new or different, you might be contacted and asked to return to the emergency department for further care.

Who is funding this study?

This information is not provided in the brief summary. You can ask the study staff for details.

How to find out more

Damien Combes, Dr

damien.combe@chu-angers.fr (0)2 41 35 42 81 Official trial record

Always speak to your GP or specialist before deciding to take part in a study.