Evidence-Based Medicine

Research Appraisals

Evidence-based critical appraisals of the latest medical research, systematically evaluated using Oxford CEBM methodology.

Showing 2 appraisals

otherEvidence: Moderate
75CEBM

PloS one

Smartphone-based accurate pothole depth estimation using monocular RGB and LiDAR-guided deep learning

The maintenance of the road infrastructure is vital to ensure public safety and the efficiency of transportation, but the unpredictable and widespread occurrence of potholes often hinders continuous monitoring. Traditional detection approaches typically rely on expensive equipment or manual inspections, rendering them impractical for large-scale, real-time deployment. To overcome these limitations, we present a low-cost and scalable pothole assessment framework that leverages the built-in LiDAR sensors available in modern smartphones in combination with a hybrid deep learning pipeline. The proposed system fuses RGB imagery with LiDAR-guided refinement to achieve precise depth estimation and accurate pothole segmentation, further enhanced through post-processing for improved boundary alignment. A comprehensive dataset of 25,000 RGB-LiDAR image pairs, collected under various road and lighting conditions, was curated to train and evaluate the framework. Extensive experiments demonstrate that our approach achieves high accuracy in both depth estimation and pothole delineation, significantly outperforming existing methods. This work highlights the potential of lightweight smartphone-based solutions for real-time automated road condition assessment, offering a practical and economical tool for modern infrastructure management.

12 May 2026

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observationalEvidence: Insufficient
50CEBM

PloS one

Resilient road safety modeling through spatially disaggregated explainable AI

Understanding spatial disparities in traffic accident severity is essential not only for improving transport safety but also for advancing sustainable and inclusive transportation systems. Road crashes represent a persistent public health and equity challenge, directly linked to the United Nations Sustainable Development Goals (SDG 3: Good Health and Well-Being and SDG 11: Sustainable Cities and Communities). This study proposes an explainable, spatially segmented machine learning framework to examine urban-rural heterogeneity in crash outcomes, using disaggregated accident data from Kent, UK (2022-2024). By treating urban and rural systems as separate analytical units, the study captures risk heterogeneity that conventional pooled approaches often obscure. Among five tested models, Random Forest achieved the best performance and was further interpreted using SHapley Additive exPlanations (SHAP) to uncover how key factors differ in influence across spatial contexts. The results reveal a behavioral risk profile dominating in urban areas and infrastructure-driven risks in rural environments. These findings highlight the need for context-sensitive, evidence-based interventions that ensure transport equity across regions. Additionally, the study contributes to sustainable governance frameworks, enabling spatially adaptive risk mitigation, inclusive policy design and the long-term resilience of transport infrastructures.

27 Apr 2026

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