Multimodal Analysis of Liver Injuries in Children with Road Traffic Injuries Using Artificial Intelligence and Digital Morphometry
Abstract
Road traffic injuries remain a major cause of morbidity and mortality among children and young people worldwide. Abdominal trauma associated with road traffic accidents may result in clinically significant liver injuries, ranging from minor parenchymal lesions to extensive lacerations and vascular damage. Early and accurate assessment of hepatic trauma is essential for selecting an appropriate treatment strategy and preventing complications. Conventional diagnostic approaches, including ultrasonography and computed tomography (CT), remain central to the evaluation of pediatric abdominal trauma; however, interpretation of complex imaging findings may be challenging, particularly in emergency settings. Recent advances in artificial intelligence (AI), medical image segmentation, radiomics, and digital morphometry provide opportunities for more objective and quantitative assessment of traumatic liver damage. This article reviews the potential role of AI-assisted multimodal analysis in children with liver injuries caused by road traffic accidents. Particular attention is given to automated liver segmentation, measurement of liver volume and injury dimensions, assessment of lesion morphology, radiomics-based characterization, and integration of imaging parameters with clinical data. Digital morphometry may complement conventional qualitative radiological interpretation by providing reproducible quantitative indicators of tissue damage. AI-based machine learning models have already demonstrated promising results in the identification of traumatic liver injuries on CT images, although most available evidence is derived from adult or mixed-age populations. Pediatric-specific validation remains necessary because anatomical proportions, imaging protocols, and clinical management differ from those of adults. A multimodal framework integrating clinical, laboratory, ultrasonographic, CT, and quantitative morphometric information could improve diagnostic consistency, support injury grading, facilitate monitoring, and potentially assist clinical decision-making. Nevertheless, issues related to data quality, radiation exposure, algorithmic bias, explainability, and external validation must be addressed before routine clinical implementation.
Keywords
Artificial intelligence, pediatric trauma, liver injury
References
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