Evaluating AI-powered predictive solutions for MRI in lumbar spinal stenosis: a systematic review
Abstract
Lumbar spinal stenosis (LSS) involves the narrowing of the spinal canal, leading to compression of the spinal cord and nerves in the lower back. Common causes include injuries, degenerative age-related changes, congenital conditions, and tumors, all of which contribute to back pain. Early diagnosis is critical for symptom management, preventing progression, and preserving quality of life. This study systematically reviews AI-based approaches for predicting LSS using MRI axial and sagittal imaging. The review focuses on various AI tasks: detection, segmentation, classification, hybrid approaches, spinal index measurements (SIM), and explainable AI frameworks. The aim is to highlight current knowledge, identify limitations in existing models, and propose future research directions. Following PRISMA guidelines and the PICO method (Population, Intervention, Comparison, Outcome), the review collects data from databases like PubMed, Web of Science, ScienceDirect, and IEEE Xplore (2005–2024). The Rayyan AI tool is used for duplicate removal and screening. The screening process includes an initial review of titles and abstracts, followed by full-text appraisal. The Meta Quality Appraisal Tool (MetaQAT) assesses the quality of selected articles. Of 1323 records, 97 duplicates were removed. After screening, 895 records were excluded, leaving 331 for full-text review. Among these, 184 articles were excluded for lacking AI relevance. Ultimately, 95 key articles (91 technical papers and…
How strong is the evidence?
Evidence Hub reads this as a systematic review. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.
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