A practical guide to the development and deployment of deep learning models for the Orthopedic surgeon: part I.

Journal: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
Published Date:

Abstract

Deep learning has a profound impact on daily life. As Orthopedics makes use of this rapid escalation in technology, Orthopedic surgeons will need to take leadership roles on deep learning projects. Moreover, surgeons must possess an understanding of what is necessary to design and implement deep learning-based project pipelines. This review provides a practical guide for the Orthopedic surgeon to understand the steps needed to design, develop, and deploy a deep learning pipeline for clinical applications. A detailed description of the processes involved in defining the problem, building the team, acquiring and curating the data, labeling the data, establishing the ground truth, pre-processing and augmenting the data, and selecting the required hardware is provided. In addition, an overview of unique considerations involved in the training and evaluation of deep learning models is provided. This review strives to provide surgeons with the groundwork needed to identify gaps in the clinical landscape that deep learning models may be able to fill and equips them with the knowledge needed to lead an interdisciplinary team through the process of creating novel deep-learning-based solutions to fill those gaps.

Authors

  • Jacob F Oeding
    School of Medicine, Mayo Clinic Alix School of Medicine Rochester Minnesota USA.
  • Riley J Williams
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.
  • Benedict U Nwachukwu
    Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A.
  • R Kyle Martin
    Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA rkylemmartin@gmail.com.
  • Bryan T Kelly
    Sports Medicine - Hip Preservation Service, Hospital for Special Surgery, New York, New York, USA.
  • Jón Karlsson
    Orthopaedic Research Department, Göteborg University, Göteborg, SE, Sweden.
  • Christopher L Camp
    Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
  • Andrew D Pearle
    Hospital for Special Surgery, New York, NY; Weill Cornell Medical College, New York, NY.
  • Anil S Ranawat
    Sports Medicine - Hip Preservation Service, Hospital for Special Surgery, New York, New York, USA.
  • Ayoosh Pareek
    Department of Orthopaedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota, USA.