Peer-Reviewed Publication
BJR Artif Intell2025;2(1):ubaf017.January 1, 2025Journal Article
Lessons learned from a multi-centre implementation of an artificial intelligence algorithm to detect vertebral fractures for radiology, information technology, information governance and clinical leads.
Rohit Vijjhalwar1, Kaiyang Song2, David D G Chappell3, Jane Turton4, Jack Boylan4,5, Jane Threlkeld6, Mike Page6, Madeleine Sampson1, Yuriy Arlachov7, Cass Chisholm6, Rachel Eckert8, Raz Edwards9, Amrita Kumar10, Elizabeth Curtis11, Kenneth E S Poole3, Yotam Kimmel12, Oren Shalem12, Michael Stone4,5, Rafael Pinedo-Villanueva13,14, Opinder Sahota15, Muhammad Kassim Javaid13,14
1Translational and Experimental Sciences Division, University Hospital Southampton NHS Foundation Trust, Southampton, SO16 6YD, United Kingdom.
2Department of Rheumatology, Guy's and St Thomas' NHS Foundation Trust, London, SE11 4TX, United Kingdom.
3Department of Medicine, University of Cambridge, NIHR Cambridge Biomedical Research Centre, Cambridge, CB2 0QQ, United Kingdom.
4Geriatric Medicine and General Internal Medicine, Cardiff and Vale University Health Board, Cardiff, CF11 4XW, United Kingdom.
5School of Medicine, Cardiff University, Cardiff, CF14 4YS, United Kingdom.
6Department of Radiology, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ, United Kingdom.
7Department of Radiology, Nottingham University Hospitals NHS Trust, Nottingham, NG5 1PB, United Kingdom.
8Fracture Prevention Service, Oxford University Hospitals NHS Foundation Trust, Oxford, OX3 7HE, United Kingdom.
9Data Security and Protection, The Royal Wolverhampton NHS Trust, Wolverhampton, WV1 9TD, United Kingdom.
10Department of Radiology, Frimley Health NHS Foundation Trust, Frimley, GU16 7UJ, United Kingdom.
11MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, SO16 6YD, United Kingdom.
12Nanox AI, Petah Tikva, 4970602, Israel.
13Nuffield Department of Orthopedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, OX3 7LD, United Kingdom.
14NIHR Oxford Biomedical Research Centre, Oxford, OX3 7LD, United Kingdom.
15Department of Health Care of Older People, Nottingham University Hospitals NHS Trust, Nottingham, NG5 1PB, United Kingdom.
Abstract
Artificial intelligence (AI) algorithms have been developed to identify vertebral fractures through reanalysis of existing CT scans. This study describes a real-world case study of the deployment of an AI solution in the NHS, from information governance (IG) and technology (IT) perspectives, to inform best practice recommendations. Five NHS hospitals were selected to deploy the Nanox AI solution t…
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