I read with great interest the article by Wu et al. [1], which externally validated the deep learning system, SpineNetv2, for an automated lumbar spine MRI analysis of various pathologies. I commend the authors on their careful analysis and excellent diagnostic agreement with expert interpretations. The study is a significant advance in the utilization of artificial intelligence (AI) in musculoskeletal imaging. However, there are a few issues that warrant further consideration in placing this te…