{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T20:39:38Z","timestamp":1792442378948,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T00:00:00Z","timestamp":1751760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Developmental dysplasia of the hip (DDH) includes a range of conditions caused by inadequate hip joint development. Early diagnosis is essential to prevent long\u2010term complications. Ultrasound, particularly the Graf method, is commonly used for DDH screening, but its interpretation is highly operator\u2010dependent and lacks standardization, especially in identifying the correct standard plane. This variability often leads to misdiagnosis, particularly among less experienced users. This study presents AI\u2010SPS, an AI\u2010based instant standard plane detection software for real\u2010time hip ultrasound analysis. Using 2,737 annotated frames, including 1,737 standard and 1,000 non\u2010standard examples extracted from 45 clinical ultrasound videos, we trained and evaluated two object detection models: SSD\u2010MobileNet V2 and YOLOv11n. The software was further validated on an independent set of 934 additional frames (347 standard and 587 non\u2010standard) from the same video sources. YOLOv11n achieved an accuracy of 86.3%, precision of 0.78, recall of 0.88, and F1\u2010score of 0.83, outperforming SSD\u2010MobileNet V2, which reached an accuracy of 75.2%. These results indicate that AI\u2010SPS can detect the standard plane with expert\u2010level performance and improve consistency in DDH screening. By reducing operator variability, the software supports more reliable ultrasound assessments. Integration with live systems and Graf typing may enable a fully automated DDH diagnostic workflow.<\/jats:p><jats:p><jats:bold>Level of Evidence:<\/jats:bold> Level III, diagnostic study<\/jats:p>","DOI":"10.1002\/jor.70020","type":"journal-article","created":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T23:38:57Z","timestamp":1751845137000},"page":"1813-1825","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Artificial Intelligence\u2010Assisted Standard Plane Detection in Hip Ultrasound for Developmental Dysplasia of the Hip: A Novel Real\u2010Time Deep Learning Approach"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6562-6026","authenticated-orcid":false,"given":"Muhammed Furkan","family":"Darilmaz","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Istanbul University Istanbul Faculty of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1131-7719","authenticated-orcid":false,"given":"Mehmet","family":"Demirel","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Istanbul University Istanbul Faculty of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8875-6878","authenticated-orcid":false,"given":"H\u00fcseyin Oktay","family":"Altun","sequence":"additional","affiliation":[{"name":"Institute of Data Science and Artificial Intelligence Bo\u011fazi\u00e7i University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8615-1210","authenticated-orcid":false,"given":"Mevl\u00fct Can","family":"Adiyaman","sequence":"additional","affiliation":[{"name":"Department of Computer Engineering KTO Karatay University Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9417-2166","authenticated-orcid":false,"given":"Fuat","family":"Bilgili","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Istanbul University Istanbul Faculty of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2571-6617","authenticated-orcid":false,"given":"Hayati","family":"Durmaz","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Istanbul University Istanbul Faculty of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4475-8211","authenticated-orcid":false,"given":"Yavuz","family":"Sa\u011flam","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Istanbul University Istanbul Faculty of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199209000-00006"},{"issue":"1","key":"e_1_2_11_3_1","first-page":"176","article-title":"Prevention of Developmental Hip Dysplasia in Turkey","volume":"31","author":"T\u00fcmer Y.","year":"1997","journal-title":"Acta Orthopaedica et Traumatologica Turcica"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/bpb.0000000000001110"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","unstructured":"R.Graf S.Scott K.Lercher F.Baumgartner andA.BenaroyaHip Sonography: Diagnosis and Management of Infant Hip Dysplasia.; 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