A Deep Learning–Based Framework for Automatic Determination of Developmental Dysplasia of the Hip from Graf Angles.

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Title: A Deep Learning–Based Framework for Automatic Determination of Developmental Dysplasia of the Hip from Graf Angles.
Authors: Taşolar, Sevgi1 (AUTHOR) drsevgidemiroz@gmail.com, Günen, Mehmet Akif2 (AUTHOR) akif@gumushane.edu.tr, Sığırcı, Ahmet3 (AUTHOR) asigirci@gmail.com, Taşolar, Hakan4 (AUTHOR) hakantasolar@gmail.com
Source: Journal of Imaging Informatics in Medicine. Feb2026, Vol. 39 Issue 1, p250-264. 15p.
Subjects: Hip joint dislocation, Computer-assisted image analysis (Medicine), Human services programs, Research funding, Diagnostic imaging, Dysplasia, Hip joint, Deep learning, Conceptual structures, Artificial neural networks, Automation, Comparative studies, Transducers
Abstract: Developmental dysplasia of the hip (DDH) is a common neonatal condition that necessitates early diagnosis to ensure effective treatment. The traditional Graf method, while widely used for evaluating infant hips via ultrasound, is limited by operator dependency and measurement variability. This research has proposed a framework using deep learning network, morphological operation and local maxima method to diagnose DDH in newborns using ultrasound images. The method utilizes DeepLabv3 + for image segmentation, evaluating multiple backbone architectures (ResNet50, InceptionResNetV2, MobilenetV2, and Xception) to identify the region of interest accurately. Local maxima method was used to determine the extremum points of the line defining the Graf angles. Denoising filters, including mean, median, and Wiener, are applied to determine local maxima points accurately. The evaluation comprises two stages: first, assessing the performance of DeepLabv3 + backbones in producing masks for Graf angles determination, and second, comparing the angles obtained through proposed framework with those determined by expert radiologists. Comparative analysis demonstrates that MobileNetV2 (94.64 accuracy, 86.99 Cohen's kappa, 94.31 F-score) surpasses other models in segmentation accuracy and measurement reliability. This conclusion is backed by key performance metrics such as accuracy, IoU, PSNR, F-score, SSIM, Cohen's kappa, as well as by the intraclass correlation coefficient and Bland–Altman analyses. The proposed framework shows considerable promise in automating hip ultrasound analysis for DDH diagnosis, minimizing operator dependency while enhancing measurement consistency. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Imaging Informatics in Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: A Deep Learning–Based Framework for Automatic Determination of Developmental Dysplasia of the Hip from Graf Angles.
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  Data: <searchLink fieldCode="AR" term="%22Taşolar%2C+Sevgi%22">Taşolar, Sevgi</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> drsevgidemiroz@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Günen%2C+Mehmet+Akif%22">Günen, Mehmet Akif</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> akif@gumushane.edu.tr</i><br /><searchLink fieldCode="AR" term="%22Sığırcı%2C+Ahmet%22">Sığırcı, Ahmet</searchLink><relatesTo>3</relatesTo> (AUTHOR)<i> asigirci@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Taşolar%2C+Hakan%22">Taşolar, Hakan</searchLink><relatesTo>4</relatesTo> (AUTHOR)<i> hakantasolar@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Imaging+Informatics+in+Medicine%22">Journal of Imaging Informatics in Medicine</searchLink>. Feb2026, Vol. 39 Issue 1, p250-264. 15p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Hip+joint+dislocation%22">Hip joint dislocation</searchLink><br /><searchLink fieldCode="DE" term="%22Computer-assisted+image+analysis+%28Medicine%29%22">Computer-assisted image analysis (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+imaging%22">Diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Dysplasia%22">Dysplasia</searchLink><br /><searchLink fieldCode="DE" term="%22Hip+joint%22">Hip joint</searchLink><br /><searchLink fieldCode="DE" term="%22Deep+learning%22">Deep learning</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Artificial+neural+networks%22">Artificial neural networks</searchLink><br /><searchLink fieldCode="DE" term="%22Automation%22">Automation</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Transducers%22">Transducers</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Developmental dysplasia of the hip (DDH) is a common neonatal condition that necessitates early diagnosis to ensure effective treatment. The traditional Graf method, while widely used for evaluating infant hips via ultrasound, is limited by operator dependency and measurement variability. This research has proposed a framework using deep learning network, morphological operation and local maxima method to diagnose DDH in newborns using ultrasound images. The method utilizes DeepLabv3 + for image segmentation, evaluating multiple backbone architectures (ResNet50, InceptionResNetV2, MobilenetV2, and Xception) to identify the region of interest accurately. Local maxima method was used to determine the extremum points of the line defining the Graf angles. Denoising filters, including mean, median, and Wiener, are applied to determine local maxima points accurately. The evaluation comprises two stages: first, assessing the performance of DeepLabv3 + backbones in producing masks for Graf angles determination, and second, comparing the angles obtained through proposed framework with those determined by expert radiologists. Comparative analysis demonstrates that MobileNetV2 (94.64 accuracy, 86.99 Cohen's kappa, 94.31 F-score) surpasses other models in segmentation accuracy and measurement reliability. This conclusion is backed by key performance metrics such as accuracy, IoU, PSNR, F-score, SSIM, Cohen's kappa, as well as by the intraclass correlation coefficient and Bland–Altman analyses. The proposed framework shows considerable promise in automating hip ultrasound analysis for DDH diagnosis, minimizing operator dependency while enhancing measurement consistency. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Imaging Informatics in Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s10278-025-01518-2
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 250
    Subjects:
      – SubjectFull: Hip joint dislocation
        Type: general
      – SubjectFull: Computer-assisted image analysis (Medicine)
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Diagnostic imaging
        Type: general
      – SubjectFull: Dysplasia
        Type: general
      – SubjectFull: Hip joint
        Type: general
      – SubjectFull: Deep learning
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Artificial neural networks
        Type: general
      – SubjectFull: Automation
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Transducers
        Type: general
    Titles:
      – TitleFull: A Deep Learning–Based Framework for Automatic Determination of Developmental Dysplasia of the Hip from Graf Angles.
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            NameFull: Taşolar, Sevgi
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            NameFull: Günen, Mehmet Akif
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            NameFull: Sığırcı, Ahmet
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            NameFull: Taşolar, Hakan
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            – D: 01
              M: 02
              Text: Feb2026
              Type: published
              Y: 2026
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