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Mo-fi-disc scoring system: Towards understanding the radiological tools to better delineate the disease process and enhancing our solutions for low back pain in artificial intelligence era.
Eksi, Murat Sakir; Berikol, Gürkan; Özcan-Eksi, Emel Ece.
Afiliación
  • Eksi MS; Health Sciences University, School of Medicine, Department of Neurosurgery, Istanbul, Turkey; Fatih Sultan Mehmet Training and Research Hospital, Neurosurgery Clinic, Istanbul, Turkey. Electronic address: muratsakireksi@gmail.com.
  • Berikol G; Taksim Training and Research Hospital, Neurosurgery Clinic, Istanbul, Turkey.
  • Özcan-Eksi EE; Acibadem Bagdat Caddesi Medical Center, Physical Therapy and Rehabilitation Unit, Istanbul, Turkey.
J Orthop Sci ; 2024 Apr 02.
Article en En | MEDLINE | ID: mdl-38570287
ABSTRACT

BACKGROUND:

'Mo-fi-disc' is a new scoring system that quantifies degeneration of the lumbar spine and predicts the intensity of low back pain (LBP). However, its association with LBP-related disability is unknown. In the present study, we aimed to analyze whether 'Mo-fi-disc' scoring system could predict LBP-related disability and distinguish patients with LBP from asymptomatic subjects, while the spine medicine marching towards the era of artificial intelligence (AI).

METHODS:

This is a cross-sectional analysis of a prospectively collected database. We included age-, gender-, and BMI-matched 132 subjects (patients 66, asymptomatic

subjects:

66). Modic changes (Mo), fatty infiltration in the paraspinal muscles (fi), and intervertebral disc degeneration (disc) were evaluated using 'Mo-fi-disc' scoring system on lumbar spine magnetic resonance imaging. Pain and disability were evaluated with visual analogue scale (VAS) and Oswestry disability index (ODI), respectively.

RESULTS:

A Mo-fi-disc score of 5.5 was the most appropriate cut-off value. Mo-fi-disc scoring system had an OR of 1.79 in distinguishing patients with LBP from asymptomatic subjects. One point increment in VAS and ODI had ORs of 1.82 and 1.13 for predicting higher Mo-fi-disc scores.

CONCLUSION:

'Mo-fi-disc' scoring system is a useful tool depicting intensity of LBP and LBP-related disability. The cut off value of Mo-fi-disc score is 5.5 to distinguish patients with LBP from asymptomatic subjects. This scoring system, with progressive improvement of its faults, could help clinicians to select appropriate patients for conservative and surgical management in the very near future, in AI-based spine medicine. IRB APPROVAL NO ATADEK 2019-12/4.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Sci Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Sci Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Japón