Slipped Capital Femoral Epiphysis

Purpose	To assist radiologists in the interpretation of pediatric hip radiographs
Tag(s)
Panel	Musculoskeletal
Define-AI ID	18050012
Originator	Jay Patti
Panel Chair	Jay Patti
Panel Reviewers	Musculoskeletal Panel
License	Creative Commons 4.0
Status	Published

Value Proposition

One cause of hip pain in the pediatric population is when the femoral head epiphysis slips before the head fuses with the femoral shaft. This is often a subtle finding with a characteristic appearance on radiograph. Identification of this finding, when present, could help the radiologist interpret pediatric hip radiographs and reduce false-negative interpretations.

Narrative(s)

A pediatric (10-year-old) patient with a history of atraumatic hip pain presents for hip radiographs. Slipped capital femoral epiphysis (SCFE) is present on the right. Because of the characteristic appearance of the hip morphology, the radiologist is warned when the images are displayed.

Workflow Description

All hip radiographs for patients ages 8 to 15 are sent to the AI engine to assess for the presence or absence of SCFE. The radiograph is processed by the algorithm, which is tuned to identify SCFE when present. The area of the image that triggered the SCFE alert is highlighted for the radiologist for review.

Procedures(s): {X-ray, Hip; X-ray, Pelvis}

View(s): {AP, Frog Leg}

 

Sex at Birth: {Male, Female}

 

Age (years): [8,15]

 

History: hip pain

 

Source: {Pediatric ER, Urgent Care facilities, general ER}

 

Anatomic Location: {Hip, Pelvis}

Inputs

DICOM Study

Procedure	XRAY, Hip; XRAY, Pelvis
Views	AP, Frog Leg
Data Type	DICOM
Modality	XRAY
Body Region	Pelvis
Anatomic Focus	Hip

Primary Outputs

Femoral Epiphysis

RadElement ID	RDE255
Definition	The status of the femoral epiphysis
Data Type	Categorical
Value Set	0-Unknown 1-Normal 2-Abnormal
Units	N/A

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