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Main Authors: M, Hemanth Kumar, M, Karthika, M, Saianiruth, Venugopal, Vasanthakumar, D, Anandakumar, Ezhumalai, Revathi, K, Charulatha, J, Kishore Kumar, G, Dayana, Sivasailam, Kalyan, Subramanian, Bargava
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2507.13408
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author M, Hemanth Kumar
M, Karthika
M, Saianiruth
Venugopal, Vasanthakumar
D, Anandakumar
Ezhumalai, Revathi
K, Charulatha
J, Kishore Kumar
G, Dayana
Sivasailam, Kalyan
Subramanian, Bargava
author_facet M, Hemanth Kumar
M, Karthika
M, Saianiruth
Venugopal, Vasanthakumar
D, Anandakumar
Ezhumalai, Revathi
K, Charulatha
J, Kishore Kumar
G, Dayana
Sivasailam, Kalyan
Subramanian, Bargava
contents Background: Shoulder fractures are often underdiagnosed, especially in emergency and high-volume clinical settings. Studies report up to 10% of such fractures may be missed by radiologists. AI-driven tools offer a scalable way to assist early detection and reduce diagnostic delays. We address this gap through a dedicated AI system for shoulder radiographs. Methods: We developed a multi-model deep learning system using 10,000 annotated shoulder X-rays. Architectures include Faster R-CNN (ResNet50-FPN, ResNeXt), EfficientDet, and RF-DETR. To enhance detection, we applied bounding box and classification-level ensemble techniques such as Soft-NMS, WBF, and NMW fusion. Results: The NMW ensemble achieved 95.5% accuracy and an F1-score of 0.9610, outperforming individual models across all key metrics. It demonstrated strong recall and localization precision, confirming its effectiveness for clinical fracture detection in shoulder X-rays. Conclusion: The results show ensemble-based AI can reliably detect shoulder fractures in radiographs with high clinical relevance. The model's accuracy and deployment readiness position it well for integration into real-time diagnostic workflows. The current model is limited to binary fracture detection, reflecting its design for rapid screening and triage support rather than detailed orthopedic classification.
format Preprint
id arxiv_https___arxiv_org_abs_2507_13408
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Deep Learning-Based Ensemble System for Automated Shoulder Fracture Detection in Clinical Radiographs
M, Hemanth Kumar
M, Karthika
M, Saianiruth
Venugopal, Vasanthakumar
D, Anandakumar
Ezhumalai, Revathi
K, Charulatha
J, Kishore Kumar
G, Dayana
Sivasailam, Kalyan
Subramanian, Bargava
Computer Vision and Pattern Recognition
Artificial Intelligence
68T07
I.2.10
Background: Shoulder fractures are often underdiagnosed, especially in emergency and high-volume clinical settings. Studies report up to 10% of such fractures may be missed by radiologists. AI-driven tools offer a scalable way to assist early detection and reduce diagnostic delays. We address this gap through a dedicated AI system for shoulder radiographs. Methods: We developed a multi-model deep learning system using 10,000 annotated shoulder X-rays. Architectures include Faster R-CNN (ResNet50-FPN, ResNeXt), EfficientDet, and RF-DETR. To enhance detection, we applied bounding box and classification-level ensemble techniques such as Soft-NMS, WBF, and NMW fusion. Results: The NMW ensemble achieved 95.5% accuracy and an F1-score of 0.9610, outperforming individual models across all key metrics. It demonstrated strong recall and localization precision, confirming its effectiveness for clinical fracture detection in shoulder X-rays. Conclusion: The results show ensemble-based AI can reliably detect shoulder fractures in radiographs with high clinical relevance. The model's accuracy and deployment readiness position it well for integration into real-time diagnostic workflows. The current model is limited to binary fracture detection, reflecting its design for rapid screening and triage support rather than detailed orthopedic classification.
title A Deep Learning-Based Ensemble System for Automated Shoulder Fracture Detection in Clinical Radiographs
topic Computer Vision and Pattern Recognition
Artificial Intelligence
68T07
I.2.10
url https://arxiv.org/abs/2507.13408