Gao L, Jiao T, Feng Q, et al. - Since artificial intelligence (AI) is a potentially reliable assistant in the diagnosis of osteoporosis, researchers conducted this systematic review and meta-analysis to evaluate the diagnostic accuracy of the AI-based systems using medical images. The sample consisted of 3,186 patients. The results showed that the AI-based systems had good accuracy in the diagnosis of osteoporosis. The result was less compelling due to the high probability of bias in patient selection and the high heterogeneity in the meta-analysis. More prospective research in multi-centers, including more random samples from complete patient types, are required to validate the use of AI-based systems in osteoporosis diagnosis.