Journal of Clinical Medicine Research

Objective — Intelligent Scoliosis screening Application (ISSAPP) is an intelligent scoliosis screening application based on back photos, which is used to determine the effectiveness and reliability of the new tool and reduce the cost of screening by comparing it with traditional physical examination. Method — To design and upgrade the measurement procedures for back photographs during physical examination, including the measurement of bilateral shoulder apex line and horizon plus angle, and the measurement of the angle between the thoracic apex line and horizon during Adams' spinal flexion experiment so as to determine the validity and reliability of measurement program tools. Results — The first and second versions of the designed AI measurement program were more sensitive than the traditional physical examination, Adams spinal flexion test, and lateral flexion instrument. The majority of patients who were tested positive using the measurement procedure tool met the requirements for diagnosis of scoliosis. Conclusions — This new AI based measurement and screening tool can be used for early detection of shoulder and thoracic malformation caused by scoliosis, which is a simple, convenient and sensitive early screening tool. Based on this development idea, an upgraded version can be further developed for early screening of scoliosis.