Rheumatoid arthritis

Artificial intelligence (AI) automated radiographic scoring in rheumatoid arthritis: Shedding light on barriers to implementation through comprehensive evaluation

Semin Arthritis RheumPublished Diagnostic accuracy study

Authors' conclusion

The performance of the AI systems developed for automating radiographic scoring in RA is insufficient to justify use in research or clinical practice.

Study context

Population
Patients with RA; training cohort of 157 patients (1470 radiographs); external test datasets from two hospitals589 radiographs, external test sets
Participants
253 patients
Comparison
AI automated Sharp van der Heijde scoring vs manual scoring
Outcome
Agreement of AI with consensus score
Methodological detailsdeep learning model development, external validation in two test sets
  • Deep learning model development
  • External validation in two test sets

Performance

As reported in the abstract

Test or modelICCSpearman's correlation coefficient
AI0.03 to 0.270.16 to 0.55

AI

ICC0.03 to 0.27
Spearman's correlation coefficient0.16 to 0.55

Original publication

AI automated radiographic scoring in rheumatoid arthritis: Shedding light on barriers to implementation through comprehensive evaluation. Semin Arthritis Rheum. Published 5 June 2025. doi:10.1016/j.semarthrit.2025.152761

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