Evidence map›Paper›PMID 41492595›Full record

ReviewCureus2025

Computer Vision Applications in Spinal Orthopaedics: A Scoping Review of Imaging-Based Algorithms for Diagnosis, Measurement, and Surgical Planning.

Nimra Akram, Donia Karimaghaei, Sirtaaj Mattoo, Dheeraj Panchaksharam Selvarajan, Sarkhell Radha

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Nimra AkramOrthopaedics and Trauma, Royal Berkshire NHS Foundation Trust, Reading, GBR.
Donia KarimaghaeiOrthopaedics and Trauma, Epsom and St. Helier's NHS Foundation Trust, London, GBR.
Sirtaaj MattooOrthopaedics and Trauma, Royal Berkshire NHS Foundation Trust, Reading, GBR.
Dheeraj Panchaksharam SelvarajanMedicine and Surgery, Ashford and St. Peter's Hospital NHS Trust, Surrey, GBR.
Sarkhell RadhaOrthopaedics, Croydon University Hospital, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Computer vision has advanced in spinal imaging, enabling automated interpretation of radiographs, CT, and MRI for diagnosis, surgical planning, and postoperative assessment. The spine's complex anatomy and high imaging volume make it a key area for algorithmic assistance. This scoping review maps current applications of computer vision in spinal orthopaedics and describes the clinical tasks, imaging modalities, and computational methods used in published studies. A systematic search of Ovid MEDLINE and Embase was performed from January 1995 to October 2025. Studies were included if they applied automated or semi-automated computer vision techniques to spinal imaging for diagnostic, morphometric, or surgical planning. Two reviewers screened and recorded data in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. Twenty studies met the inclusion criteria. CT (45%) and MRI (35%) were the dominant imaging modalities, followed by radiographs (15%) and ultrasound (5%). Deep learning methods were employed in 90% of studies, mainly convolutional architectures such as U-Net, ResNet, and YOLOv5. Segmentation and vertebral labeling were the most common tasks (60%), achieving Dice coefficients of 0.86-0.97 and accuracies of 90-98%. Fracture detection networks (25%) reached AUCs of 0.91-0.95, while morphometric measurement algorithms (15%) produced intraclass correlations of 0.93-0.98 compared with human analysis. Despite strong technical performance, only 20% of studies included external validation, and none conducted prospective testing. Computer vision has demonstrated strong performance in spinal image segmentation and fracture detection, particularly on CT and MRI. Nevertheless, clinical translation remains limited. Future research should prioritize multi-center datasets, real-world validation, and integration into surgical clinical practice to support preoperative and intraoperative care.

Indexed as

artificial intelligence in surgerycomputer visionmsk radiologyorthopaedics surgeryspine surgery

Identifiers

PMID41492595
PMCPMC12765031

What OpenQuestion holds

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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.