The present application relates to the technical field of early screening of osteoporotic vertebral compression fractures, and proposes an osteoporotic compression fracture
screening method based on a multi-
modal large
language model, which takes patient posture images and action videos and other unstructured visual data as input, introduces a multi-
modal large
language model to quantitatively evaluate key functions such as patient posture alignment,
motion coordination and pain-related responses from images and videos, and outputs in the form of standardized scores, automatically extracting structured features with clear
clinical significance. Based on the above structured features, a
machine learning model is constructed to assess the risk of OVCF, and combined with SHAP feature contribution analysis and
decision tree visualization methods, the key
discriminant factors and their action directions are clarified, realizing the interpretable expression of the prediction process. A safe, low-cost, interpretable and easy-to-promote technical solution is provided for the early screening of OVCF, which is suitable for various application scenarios such as
community and home screening.