A practical guide to the implementation of artificial intelligence in orthopaedic research—Part 2: A technical introduction

Author:

Zsidai Bálint12ORCID,Kaarre Janina123ORCID,Narup Eric12,Hamrin Senorski Eric145ORCID,Pareek Ayoosh6ORCID,Grassi Alberto27,Ley Christophe8,Longo Umile Giuseppe910ORCID,Herbst Elmar11ORCID,Hirschmann Michael T.12ORCID,Kopf Sebastian1314ORCID,Seil Romain151617ORCID,Tischer Thomas18ORCID,Samuelsson Kristian1219ORCID,Feldt Robert20ORCID,

Affiliation:

1. Sahlgrenska Sports Medicine Center Gothenburg Sweden

2. Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

3. Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh USA

4. Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

5. Sportrehab Sports Medicine Clinic Gothenburg Sweden

6. Sports and Shoulder Service, Hospital for Special Surgery New York New York USA

7. IIa Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli Bologna Italy

8. Department of Mathematics University of Luxembourg Esch‐sur‐Alzette Luxembourg

9. Fondazione Policlinico Universitario Campus Bio‐Medico Rome Italy

10. Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery Università Campus Bio‐Medico di Roma Rome Italy

11. Department of Trauma, Hand and Reconstructive Surgery University Hospital Münster Münster Germany

12. Department of Orthopedic Surgery and Traumatology, Head Knee Surgery and DKF Head of Research Kantonsspital Baselland Bruderholz Switzerland

13. Center of Orthopaedics and Traumatology University Hospital Brandenburg a.d.H., Brandenburg Medical School Theodor Fontane Brandenburg a.d.H. Germany

14. Faculty of Health Sciences Brandenburg Brandenburg Medical School Theodor Fontane Brandenburg a.d.H. Germany

15. Department of Orthopaedic Surgery Luxembourg Centre Hospitalier de Luxembourg—Clinique d'Eich Luxembourg Luxembourg

16. Luxembourg Institute of Research in Orthopaedics Sports Medicine and Science (LIROMS) Luxembourg Luxembourg

17. Luxembourg Institute of Health, Human Motion, Orthopaedics Sports Medicine and Digital Methods (HOSD) Luxembourg Luxembourg

18. Clinic for Orthopaedics and Trauma Surgery Erlangen Germany

19. Department of Orthopaedics Sahlgrenska University Hospital Mölndal Sweden

20. Department of Computer Science and Engineering Chalmers University of Technology Gothenburg Sweden

Abstract

AbstractRecent advances in artificial intelligence (AI) present a broad range of possibilities in medical research. However, orthopaedic researchers aiming to participate in research projects implementing AI‐based techniques require a sound understanding of the technical fundamentals of this rapidly developing field. Initial sections of this technical primer provide an overview of the general and the more detailed taxonomy of AI methods. Researchers are presented with the technical basics of the most frequently performed machine learning (ML) tasks, such as classification, regression, clustering and dimensionality reduction. Additionally, the spectrum of supervision in ML including the domains of supervised, unsupervised, semisupervised and self‐supervised learning will be explored. Recent advances in neural networks (NNs) and deep learning (DL) architectures have rendered them essential tools for the analysis of complex medical data, which warrants a rudimentary technical introduction to orthopaedic researchers. Furthermore, the capability of natural language processing (NLP) to interpret patterns in human language is discussed and may offer several potential applications in medical text classification, patient sentiment analysis and clinical decision support. The technical discussion concludes with the transformative potential of generative AI and large language models (LLMs) on AI research. Consequently, this second article of the series aims to equip orthopaedic researchers with the fundamental technical knowledge required to engage in interdisciplinary collaboration in AI‐driven orthopaedic research.Level of EvidenceLevel IV.

Publisher

Wiley

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