Evidence map›Paper›PMID 34682647›Full record

SynthesisInternational journal of environmental research and public health2021

Artificial Intelligence and Computer Vision in Low Back Pain: A Systematic Review.

Federico D'Antoni, Fabrizio Russo, Luca Ambrosio, Luca Vollero, Gianluca Vadalà, Mario Merone, Rocco Papalia, Vincenzo Denaro

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Deviation from preoperative planning and pedicle screw accuracy in navigated and robotic spinal fusion: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Pooled it
  2. Pooled it
  3. Artificial Intelligence and Computer Aided Diagnosis in Chronic Low Back Pain: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Artificial Intelligence Applications in Musculoskeletal Imaging.Current reviews in musculoskeletal medicine · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Artificial intelligence and pain medicine education: Benefits and pitfalls for the medical trainee.Pain practice : the official journal of World Institute of Pain · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Federico D'AntoniUnit of Computer Systems and Bioinformatics, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 21, 00128 Rome, Italy.ORCID 0000-0001-7377-5462
Fabrizio RussoDepartment of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy.ORCID 0000-0002-8566-8952
Luca AmbrosioDepartment of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy.ORCID 0000-0003-2424-1274
Luca VolleroUnit of Computer Systems and Bioinformatics, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 21, 00128 Rome, Italy.ORCID 0000-0002-6928-0157
Gianluca VadalàDepartment of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy.ORCID 0000-0001-7142-1660
Mario MeroneUnit of Computer Systems and Bioinformatics, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 21, 00128 Rome, Italy.ORCID 0000-0002-9406-2397
Rocco PapaliaDepartment of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy.
Vincenzo DenaroDepartment of Orthopaedic Surgery, Università Campus Bio-Medico di Roma, Via Alvaro Del Portillo 200, 00128 Rome, Italy.
Università Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic Low Back Pain (LBP) is a symptom that may be caused by several diseases, and it is currently the leading cause of disability worldwide. The increased amount of digital images in orthopaedics has led to the development of methods related to artificial intelligence, and to computer vision in particular, which aim to improve diagnosis and treatment of LBP. In this manuscript, we have systematically reviewed the available literature on the use of computer vision in the diagnosis and treatment of LBP. A systematic research of PubMed electronic database was performed. The search strategy was set as the combinations of the following keywords: "Artificial Intelligence", "Feature Extraction", "Segmentation", "Computer Vision", "Machine Learning", "Deep Learning", "Neural Network", "Low Back Pain", "Lumbar". Results: The search returned a total of 558 articles. After careful evaluation of the abstracts, 358 were excluded, whereas 124 papers were excluded after full-text examination, taking the number of eligible articles to 76. The main applications of computer vision in LBP include feature extraction and segmentation, which are usually followed by further tasks. Most recent methods use deep learning models rather than digital image processing techniques. The best performing methods for segmentation of vertebrae, intervertebral discs, spinal canal and lumbar muscles achieve Sørensen-Dice scores greater than 90%, whereas studies focusing on localization and identification of structures collectively showed an accuracy greater than 80%. Future advances in artificial intelligence are expected to increase systems' autonomy and reliability, thus providing even more effective tools for the diagnosis and treatment of LBP.

Indexed as

Intervertebral DiscLow Back PainArtificial IntelligenceComputersHumansReproducibility of Resultsartificial intelligencecomputer aided diagnosiscomputer visiondecision support systemsdeep learningdigital image processinglow back painorthopaedics

Identifiers

PMID34682647
PMCPMC8535895
OpenAlexW3205361135

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.