Andrew J. Kompel's research while affiliated with University of Massachusetts Boston and other places

Publications (23)

Article
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Background As the number of conventional radiographic examinations in pediatric emergency departments increases, so, too, does the number of reading errors by radiologists. Objective The aim of this study is to investigate the ability of artificial intelligence (AI) to improve the detection of fractures by radiologists in children and young adults...
Article
Objective Describe the radiograph-based screening program and frequencies of ineligibility in 3 large, international, randomized, double-blind, phase 3 studies of subcutaneous tanezumab in patients with osteoarthritis (OA). Design Standardized bilateral shoulder, hip, and knee screening radiographs were obtained by trained imaging technologists an...
Article
Objective: We aimed to perform an external validation of an existing commercial AI software program (BoneView™) for the detection of acute appendicular fractures in pediatric patients. Materials and methods: In our retrospective study, anonymized radiographic exams of extremities, with or without fractures, from pediatric patients (aged 2-21) we...
Article
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Background Missed fractures are a common cause of diagnostic discrepancy between initial radiographic interpretation and the final read by board-certified radiologists. Purpose To assess the effect of assistance by artificial intelligence (AI) on diagnostic performances of physicians for fractures on radiographs. Materials and Methods This retrospe...
Article
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Background Patellofemoral joint (PFJ) disease is a common ailment in elite athletes. Our aim is to report the frequency of superolateral Hoffa’s fat pad (SHFP) edema, and PFJ cartilage damage and bone marrow lesions (BML), among Olympian athletes, and to study the association between measurements of trochlear morphology and vertical patellar positi...
Article
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Purpose: Describe the frequency and severity of knee ligament sprains diagnosed by MRI in athletes participating at the 2016 Summer Olympic Games, their association with certain sports and assess correlations with additional knee structural injury. Patients and methods: All knee MRIs performed in the Olympic Village and polyclinics during the 20...
Article
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Background The cause of mucoid degeneration (MD) of the anterior cruciate ligament (ACL), which is commonly observed on magnetic resonance imaging (MRI) of patients with knee pain, has yet to be elucidated. Despite the limited evidence on the relationship between ACL lesions (injury and MD) and tibial morphologic features (ie, posterior tibial slop...
Article
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Purpose: To report the MRI patterns of knee cartilage damage and concomitant internal derangement in athletes participating at the Rio de Janeiro 2016 Olympic Games. Methods: Knee MRIs obtained at the core imaging facility of the International Olympic Committee were blindly, retrospectively reviewed by a board-certified musculoskeletal radiologi...
Article
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Osteoarthritis (OA) of the hip and knee is among the most common joint disorders. Intra-articular corticosteroid (IACS) injections are frequently performed to treat OA and other joint-related pain syndromes; however, there is conflicting evidence on their potential benefit. There is a lack of prospective and large retrospective studies evaluating p...
Article
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Background: To use Magnetic Resonance Imaging (MRI) to characterize the severity, location, prevalence, and demographics of shoulder injuries in athletes at the Rio de Janeiro 2016 Summer Olympic Games. Methods: This was a retrospective analysis of all routine shoulder MRIs obtained from the Olympic Village Polyclinic during the Rio 2016 Summer...
Article
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Objective: The purpose of this article is to describe knee abnormalities and the occurrence of MRI-detected sports-related knee abnormalities by evaluating MRI examinations performed during the Rio de Janeiro Olympic Games held in August 2016. Conclusion: There were 11,274 athletes at the Rio 2016 Olympic Games, and 113 of them underwent at leas...
Article
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Purpose of review: Injuries to the labrum, joint capsule (in particular the inferior glenohumeral ligament), cartilage, and glenoid periosteum are associated with anterior shoulder instability. The goal of this review is to provide common radiographic images and findings in patients with anterior shoulder instability. Furthermore, we will demonstr...
Chapter
Carpal tunnel syndrome (CTS) is primarily a clinical diagnosis; however, recent advances in diagnostic imaging have increased the relevance of magnetic resonance imaging (MRI) and ultrasound (US) in the clinical evaluation. There are a variety of imaging findings of CTS that are well depicted on both modalities that have varied sensitivities and sp...
Article
Objective Nerve growth factor antibodies (NGF-ab) have shown promising analgesic efficacy. Aim was to describe reader training efforts and present reliability data focusing on radiographic eligibility in the tanezumab program. Methods A multi-step process was used for reader calibration and reliability testing. First, a reference standard set of c...
Article
Many pathologies of the musculoskeletal system involve nontraumatic causes. MR imaging is used in the diagnosis because of its high sensitivity and specificity compared with other modalities. Osteomyelitis, osteonecrosis of the femoral head, and stress fractures are pathologies of bone where early diagnosis and intervention usually lead to an impro...
Chapter
American football games are a centerpiece of sports culture in the United States. The excitement and physicality make the sport attractive to fans, and yet the athletes put themselves at risk for injury with every snap of the football. While this is true for many sports, gridiron football has the highest rate of injury among all major sports. Catas...
Article
Full-text available
OBJECTIVE. The purpose of this article is to review the biomechanical properties of the rotator cuff and glenohumeral joint and the pathophysiology, imaging characteristics, and treatment options of rotator cuff tear arthropathy (RCTA). CONCLUSION. Although multiple pathways have been proposed as the causes of RCTA, the exact cause remains unclear....
Article
Full-text available
To assess the prevalence of anterior cruciate ligament (ACL) mucoid degeneration in patients referred for routine knee magnetic resonance (MR) imaging, and its association with age and structural joint damage. Four independent radiologists assessed 413 consecutive knee MR examinations for the presence of a normal or ruptured ACL, or ACL mucoid dege...
Article
Purpose: To test the hypothesis that in patients with unilateral patellofemoral instability ( PI patellofemoral instability ), the contralateral asymptomatic joints have abnormal morphology and imaging features of osteoarthritis ( OA osteoarthritis ) at four-dimensional ( 4D four-dimensional ) computed tomography (CT). Materials and methods: The...
Conference Paper
PURPOSE Purpose: Two-dimensional fat-suppressed proton density turbo spin echo (2D FS PD-TSE) weighted imaging is commonly used clinically but may suffer from anisotropic voxels and partial volume effects which can be solved and decreased by using three-dimensional water excitation dual echo steady state (3D WE DESS) technique. The purpose of this...

Citations

... Some studies have focused on a particular type of fracture or a specific anatomical region [2,[8][9][10][11][12], while others have analyzed appendicular fractures [6,7,[13][14][15][16]. However, the number of studies specifically analyzing the contribution of AI to fracture detection in a pediatric population remains limited [17,18]. ...
... Commercial FDA-approved tools All 21 studies using commercial tools with FDA approval at last search were published between 2018 and 2022. FDA-approved products included Aidoc ICH [41][42][43][44][45][46][47], QureAI qER [38], and RAPID [48] for CT intracranial hemorrhage detection, triage, and notification; Annalise Enterprise CXR [36,49], which detects rib, scapular, and humeral fractures, pneumothorax, and pneumomediastinum among numerous other findings unrelated to trauma on chest radiographs; Aidoc C-Spine CSF [50,51] and Aidoc RibFx [52] for CT cervical spine and rib fracture detection, triage, and notification; Gleamer BoneView [53][54][55], AZMed Rayvolve [56], and Imagen FractureDetect FX [37] for plain radiograph detection of Only the Siemens tool, a quantitative visualization method that outputs midsagittal vertebral height measurements, can be considered to provide intrinsic interpretability for a multistage task, as caliper measurements are used in practice to determine the Genant vertebral fracture grade [58]. The other methods, all of which perform a single-stage task (namely, detection), use forms of post hoc explainability. ...
... FDA-approved commercialized products currently include a variety of use cases, primarily for detection (CADe) and triage or workflow prioritization (CADt). These include tools for stroke [14], pulmonary embolus [15], intracranial hemorrhage [16], acute pathology on chest radiographs [17], and fractures on musculoskeletal plain radiographs [18]. Additionally, the FDA recognizes tools for diagnosis, risk stratification and prognostication (CADx), and image processing and quantitative visualization (IPQ) [4], which may have a role in augmenting emergency radiology interpretation in the future. ...
... 1,27,33 Anterior cruciate ligament (ACL) injuries in wrestlers are generally associated with rotation on a planted foot with the leg in or near full extension, usually during a takedown. 22,25 Previous investigations have estimated the rate of ACL injuries in wrestlers, ranging from 0% to 10.4% of knee injuries. 1,25 Despite this, ACL injuries remain relevant due to the elevated need for surgical intervention. ...
... development, such as the interposition of synovial fluid within the substance of the ACL (the synovial theory), [5] previous history of trauma (the traumatic theory), [5] aging (the degenerative theory) [5,9] or the presence of ectopic synovial tissue inside the ACL fiber [5,10]. Moreover, several factors associated with MD-ACL have been suggested, including posterior tibial slope (PTS) angle, [11,12] intercondylar notch geometry, [13,14] degeneration or injury to articular cartilage along with increased age [1,9] or trochlear dysplasia [15]. Increased PTS with axial loading could increase the strain on the ACL, [16] which might induce secondary malfunction or degeneration of ACL along with anterior translation of the tibia [11,17,18]. ...
... The authors highlight injuries associated with overload, cumulative injuries, injuries of the musculoskeletal system. In a study by Ahmad et al. [18] is identified a tendency towards an increase in the proportion of athletes with cartilage damage with age. Closs et al. [19] presented estimates of the effectiveness of combined methods for rapid recovery. ...
... [2,3] In the end this leaves the patient with unmitigated pain and inflammation in conjunction with targeted destruction of local articular cartilage, cortical bone, and systemic immune suppression. [4][5][6] Therefore emulsion optimization and carrier functionalization will focus on reducing burst release effects and instead sustaining a consistent extended-release driven via diffusion. ...
... In addition, known risk factors of bone stress injuries increase the risk for osteoporosis, a significant long-term health concern [5]. Previous studies of bone stress injury at the Olympic Games were conducted at Rio de Janeiro (2016) and London (2012) [6][7][8][9][10][11][12], where they accounted for approximately 2-3% of all injuries [13]. In these summer Olympics, bone stress injuries were most common in female athletes, track and field athletes, and the lower extremities [13,14]. ...
... MRI played an important role for the evaluation of sports injuries and knee pain among athletes participating to the 2016 Olympic Games of Rio de Janeiro [7]. Descriptive epidemiology of cartilage and ligamentous injuries among these athletes has been reported previously [8,9]. In particular, a study showed a high prevalence of PFJ cartilage damage in this population, especially in certain disciplines such as weightlifting, volleyball and beach volleyball [9]. ...
... Gr was not measured in the axial section as it may be affected by the glenoid bone defect in patients with ASI; it was measured in sagittal sections using the circle method defined elsewhere [9,11,22] (Fig. 2). ...