Diego Javier Martínez Lozano , Yimy F. Medina , Adriana Beltrán-Ostos , Carlos A. Guillén-Astete
{"title":"From traditional to digital: Artificial intelligence, transforming ultrasound in rheumatology","authors":"Diego Javier Martínez Lozano , Yimy F. Medina , Adriana Beltrán-Ostos , Carlos A. Guillén-Astete","doi":"10.1016/j.rcreu.2026.504872","DOIUrl":null,"url":null,"abstract":"<div><div>The use of artificial intelligence (AI) in musculoskeletal ultrasound has grown significantly in recent years, particularly in rheumatology, where standardization of diagnostic accuracy and image acquisition is essential. This article provides a narrative review of the available scientific literature on AI applications in musculoskeletal ultrasound, focusing on the recent advances in machine learning and deep learning algorithms. Sixteen studies published between 2020 and 2023 were reviewed, applying AI to anatomical segmentation and diagnostic prediction in musculoskeletal conditions, such as rheumatoid arthritis and other inflammatory diseases. Most of the reviewed studies employed deep learning algorithms to enhance the diagnostic accuracy and reduce operator-dependent variability. However, a common limitation across studies is the lack of external validation, indicating that future research should focus on confirming the generalizability of these models to larger populations and diverse clinical settings. Despite this limitation, the results suggest that AI has the potential to optimize clinical decision making and improve patient care in the context of musculoskeletal ultrasound in rheumatology.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504872"},"PeriodicalIF":0.5000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Colombiana de Reumatologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0121812326000113","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/9 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Health Professions","Score":null,"Total":0}
引用次数: 0
Abstract
The use of artificial intelligence (AI) in musculoskeletal ultrasound has grown significantly in recent years, particularly in rheumatology, where standardization of diagnostic accuracy and image acquisition is essential. This article provides a narrative review of the available scientific literature on AI applications in musculoskeletal ultrasound, focusing on the recent advances in machine learning and deep learning algorithms. Sixteen studies published between 2020 and 2023 were reviewed, applying AI to anatomical segmentation and diagnostic prediction in musculoskeletal conditions, such as rheumatoid arthritis and other inflammatory diseases. Most of the reviewed studies employed deep learning algorithms to enhance the diagnostic accuracy and reduce operator-dependent variability. However, a common limitation across studies is the lack of external validation, indicating that future research should focus on confirming the generalizability of these models to larger populations and diverse clinical settings. Despite this limitation, the results suggest that AI has the potential to optimize clinical decision making and improve patient care in the context of musculoskeletal ultrasound in rheumatology.
期刊介绍:
The Colombian Journal of Rheumatology (Revista Colombiana de Reumatología) is the official organ of the Colombian Association of Rheumatology (Asociación Colombiana de Reumatología) and the Central American, Caribbean and Andean Association of Rheumatology (Asociación Centroamericana Caribe Andina de Reumatología) - ACCA. It was created in December 1993 with the purpose of disseminating scientific information derived from primary and secondary research and presenting cases coming from the practice of Rheumatology in Latin America. Since its foundation, the Journal has been characterized by its plurality with subjects of all rheumatic and osteomuscular pathologies, in the form of original articles, historical articles, economic evaluations, and articles of reflection and education in Medicine. It covers an extensive area of topics ranging from the broad spectrum of the clinical aspects of rheumatology and related areas in autoimmunity (both in pediatric and adult pathologies), to aspects of basic sciences. It is an academic tool for the different members of the academic and scientific community at their different levels of training, from undergraduate to post-doctoral degrees, managing to integrate all actors inter and trans disciplinarily. It is intended for rheumatologists, general internists, specialists in related areas, and general practitioners in the country and abroad. It has become an important space in the work of all rheumatologists from Central and South America.