The improved treatment of knee injuries critically relies on having an accurate and cost-effective detection. In recent years, deep-learning-based approaches have monopolized knee injury detection in MRI studies. The aim of this paper is to present the findings of a systematic literature review of knee (anterior cruciate ligament, meniscus, and cartilage) injury detection papers using deep learning. The systematic review was carried out following the PRISMA guidelines on several databases, including PubMed, Cochrane Library, EMBASE, and Google Scholar. Appropriate metrics were chosen to interpret the results. The prediction accuracy of the deep-learning models for the identification of knee injuries ranged from 72.5–100%. Deep learning has the potential to act at par with human-level performance in decision-making tasks related to the MRI-based diagnosis of knee injuries. The limitations of the present deep-learning approaches include data imbalance, model generalizability across different centers, verification bias, lack of related classification studies with more than two classes, and ground-truth subjectivity. There are several possible avenues of further exploration of deep learning for improving MRI-based knee injury diagnosis. Explainability and lightweightness of the deployed deep-learning systems are expected to become crucial enablers for their widespread use in clinical practice.
CrossFit has gained recognition and interest among physically active populations being one of the most popular and rapidly growing exercise regimens worldwide. Due to the intense and repetitive nature of CrossFit, concerns have been raised over the potential injury risks that are associated with its training including rhabdomyolysis and musculoskeletal injuries. However, identification of risk factors for predicting injuries in CrossFit athletes has been limited by the absence of relevant big epidemiological studies. The main purpose of this paper is the identification of risk factors and the development of machine learning-based models using ensemble learning that can predict CrossFit injuries. To accomplish the aforementioned targets, a survey-based epidemiological study was conducted in Greece to collect data on musculoskeletal injuries in CrossFit practitioners. A Machine Learning (ML) pipeline was then implemented that involved data pre-processing, feature selection and well-known ML models. The performance of the proposed ML models was assessed using a comprehensive cross validation mechanism whereas a discussion on the nature of the selected features is also provided. An area under the curve (AUC) of 77.93% was achieved by the best ML model using ensemble learning (Adaboost) on the group of six selected risk factors. The effectiveness of the proposed approach was evaluated in a comparative analysis with respect to numerous performance metrics including accuracy, sensitivity, specificity, AUC and confusion matrices to confirm its clinical relevance. The results are the basis for the development of reliable tools for the prediction of injuries in CrossFit.
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