ArticleAnimals : an open access journal from MDPI2026
Deep Learning-Based Automated Anatomical Landmark Detection and Saw Blade Size Prediction for Canine Tibial Plateau Leveling Osteotomy.
Article in Animals : an open access journal from MDPI, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop and validate a fully automated deep learning workflow that localizes key anatomical landmarks on standard canine hindlimb lateral radiographs, derives the tibial plateau angle (TPA), and recommends a saw blade size for tibial plateau leveling osteotomy (TPLO) preoperative planning. STUDY
designRetrospective validation study. ANIMALS: Two hundred annotated lateral radiographs obtained from 130 dogs representing 14 breeds, with body weights ranging from 2.4 to 38.0 kg.
methodsA customized four-stage U-Net was trained using three complementary grayscale representations (normalized, contrast-enhanced, and gamma-adjusted images) to detect five TPLO-related landmarks. A deterministic geometric module then calculated TPA and mapped the derived osteotomy geometry to the nearest clinically available saw blade class.
resultsThe mean absolute error for TPA prediction was 1.34 ± 1.73°, and the median absolute error was 0.75°. Overall, 164/200 cases (82.0%) were within 2° and 188/200 cases (94.0%) were within 4.8° of the surgeon reference. Mean bias was -0.39°, the 95% limits of agreement ranged from -4.62° to 3.85°, and Pearson's correlation coefficient was 0.87. For saw blade size prediction, mean absolute error was 0.32 ± 0.85 mm, exact agreement was achieved in 175/200 cases (87.5%), and all predictions remained within one adjacent class.
conclusionsThe proposed pipeline provided clinically useful automated estimates of TPA and saw blade size from routine lateral radiographs. However, occasional high-impact landmark failures remained, indicating that the system should be positioned as an interpretable decision-support tool that requires surgeon verification rather than as an unsupervised autonomous planning system.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.