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August 23, 2026Scientific ReportsOpen Access

Effect of artificial intelligence assistance on skull radiograph diagnosis of craniosynostosis

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Authors

TKTaehoon KimDKDong Yeong KimSKSeung-Ki Kim

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Overview

Multireader multicase paired study reveals AI assistance improves craniosynostosis detection from 75.0% to 84.7% on skull radiographs, suggesting reduced diagnostic variability across clinicians.

Key Points

  • To assess whether artificial intelligence assistance improves the accuracy of clinicians interpreting skull radiographs for craniosynostosis.
  • Conducted a multireader, multicase paired study in which 23 clinicians evaluated 59 independent skull radiograph cases both unassisted and with AI assistance.
  • Applied a Dorfman-Berbaum-Metz (DBM) jackknife multireader multicase analysis to assess diagnostic performance while accounting for reader and case variability.
  • AI assistance significantly increased overall clinician diagnostic accuracy from 75.0% to 84.7% (difference, 0.097; 95% CI, 0.053–0.141; p = 0.00015).
  • The standalone AI model achieved a cross-validation mean AUROC of 0.975, with AI assistance narrowing the performance gap between clinicians and the model.
  • Accuracy gains were most pronounced among neurosurgery residents and significantly enhanced the reliability of high-confidence diagnostic decisions.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/6a8aad667677a34114445807https://doi.org/10.1038/s41598-026-67399-9
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