Figure 1
From: Prediction of Fishman’s skeletal maturity indicators using artificial intelligence

Overview of the steps involved in the modified SMI-based skeletal maturation assessment system. In the pre-processing step, the image size of hand-wrist radiographs is adjusted, and right-hand radiographs are mirrored. In addition to the detection and classification of each ROI, the evaluation of the whole hand as a holistic image is performed to enhance the performance by including maturity features that are not parts of the ROIs.