{"id":2776,"date":"2026-01-14T11:29:08","date_gmt":"2026-01-14T11:29:08","guid":{"rendered":"https:\/\/www.raylytic.com\/?page_id=2776"},"modified":"2026-01-14T11:30:56","modified_gmt":"2026-01-14T11:30:56","slug":"algorithm-for-automation-of-sagittal-balance-parameters","status":"publish","type":"page","link":"https:\/\/www.raylytic.com\/en\/references\/algorithm-for-automation-of-sagittal-balance-parameters\/","title":{"rendered":"Algorithm for automation of sagittal balance parameters"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2776\" class=\"elementor elementor-2776\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5466c158 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5466c158\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7f07972f\" data-id=\"7f07972f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-139be7a8 elementor-widget elementor-widget-heading\" data-id=\"139be7a8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Prof. Dr. J\u00f6rg Franke  \/\/ Clinic Magdeburg<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-756bbb68 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"756bbb68\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-509a1fea elementor-widget elementor-widget-heading\" data-id=\"509a1fea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\"><b>Fully automated method for measuring spinal sagittal balance parameters<\/b><\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6f80e7e8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6f80e7e8\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-438ba3db\" data-id=\"438ba3db\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1838273d elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"1838273d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10486fc5 elementor-widget elementor-widget-heading\" data-id=\"10486fc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><b>Challenge<\/b><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3627c315 elementor-widget elementor-widget-text-editor\" data-id=\"3627c315\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"NormalTextRun SCXW181190986 BCX0\">Measuring parameters of<\/span><span class=\"NormalTextRun SCXW181190986 BCX0\">\u00a0<\/span><span class=\"NormalTextRun SCXW181190986 BCX0\">sagittal balance (SB) is essential in the treatment of spinal disorders<\/span><span class=\"NormalTextRun SCXW181190986 BCX0\">. Howe<\/span><span class=\"NormalTextRun SCXW181190986 BCX0\">ver<\/span><span class=\"NormalTextRun SCXW181190986 BCX0\">, <\/span><span class=\"NormalTextRun SCXW181190986 BCX0\">it<\/span><span class=\"NormalTextRun SCXW181190986 BCX0\"> is a time-consuming and labor-intensive manual process.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-2fca8a46\" data-id=\"2fca8a46\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5004ab94 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"5004ab94\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-70d97bf1 elementor-widget elementor-widget-heading\" data-id=\"70d97bf1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><b>Solution<\/b><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5cf1230e elementor-widget elementor-widget-text-editor\" data-id=\"5cf1230e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW140172818 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW140172818 BCX0\">RAYLYTIC partnered with Prof. Dr. J\u00f6rg Franke to develop and systematically evaluate a fully automated algorithm for determining SB parameters.<\/span><\/span><span class=\"EOP SCXW140172818 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-5015e55f\" data-id=\"5015e55f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8edfdc1 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"8edfdc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c563b42 elementor-widget elementor-widget-heading\" data-id=\"c563b42\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><b>Outcome<\/b><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-17b814a8 elementor-widget elementor-widget-text-editor\" data-id=\"17b814a8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW185046606 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW185046606 BCX0\">The algorithm demonstrated excellent reliability when compared to <\/span><span class=\"NormalTextRun SCXW185046606 BCX0\">manual <\/span><span class=\"NormalTextRun SCXW185046606 BCX0\">measurements<\/span><span class=\"NormalTextRun SCXW185046606 BCX0\"> by experienced physicians<\/span><span class=\"NormalTextRun SCXW185046606 BCX0\">. <\/span><span class=\"NormalTextRun SCXW185046606 BCX0\">The r<\/span><span class=\"NormalTextRun SCXW185046606 BCX0\">esults of the <\/span><span class=\"NormalTextRun SCXW185046606 BCX0\">validation study <\/span><span class=\"NormalTextRun SCXW185046606 BCX0\">w<\/span><span class=\"NormalTextRun SCXW185046606 BCX0\">ere<\/span><span class=\"NormalTextRun SCXW185046606 BCX0\"> published in the <\/span><\/span><em><span class=\"TrackedChange SCXW185046606 BCX0\"><span class=\"TextRun SCXW185046606 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW185046606 BCX0\">European Spine Journal <\/span><\/span><\/span><\/em><span class=\"TrackedChange SCXW185046606 BCX0\"><span class=\"TextRun SCXW185046606 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW185046606 BCX0\">in July 2022<\/span><\/span><\/span><span class=\"TextRun SCXW185046606 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW185046606 BCX0\">.<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-370b928a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"370b928a\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-617094aa\" data-id=\"617094aa\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-11104c20\" data-id=\"11104c20\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-643d626d elementor-widget elementor-widget-heading\" data-id=\"643d626d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><b>Excerpt<\/b><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-31ce667a elementor-widget elementor-widget-text-editor\" data-id=\"31ce667a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW110426753 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW110426753 BCX0\">RAYLYTIC partnered with Prof. Dr. J\u00f6rg Franke, chief of orthopedic and emergency surgery at the <\/span><span class=\"NormalTextRun SCXW110426753 BCX0\">Clinic Magdeburg<\/span><span class=\"NormalTextRun SCXW110426753 BCX0\"> in Germany<\/span><span class=\"NormalTextRun SCXW110426753 BCX0\">, to develop a fully automat<\/span><span class=\"NormalTextRun SCXW110426753 BCX0\">ed<\/span><span class=\"NormalTextRun SCXW110426753 BCX0\"> method that would reduce the time and effort needed to compute essential pre- and postoperative SB parameters.\u00a0<\/span><\/span><span class=\"EOP SCXW110426753 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7af22751 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7af22751\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-75b795dd\" data-id=\"75b795dd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b43784b elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"5b43784b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>Challenge: Essential, yet time-consuming sagittal balance measurements <\/b><br><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29e7d5b1 elementor-widget elementor-widget-heading\" data-id=\"29e7d5b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-medium\">Sagittal balance parameters in clinical routines<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-799b0a7b elementor-widget elementor-widget-text-editor\" data-id=\"799b0a7b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">Reestablishing SB is the goal of many spinal surgeries, as radiographic parameters of SB have been shown to correlate significantly with patient outcomes, like quality of life and condition-specific disability<\/span><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\"> The accurate pre- and postoperative analysis of SB parameters is therefore essential to the successful treatment of spinal disorders.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">For Prof. Franke, global and segmental analysis of these geometric interrelations between spine and pelvis heavily influence his surgical care strategies. Preoperatively, they can be used to guide surgical decision making, while postoperatively, they can serve as a quality metric to determine if surgery achieved and maintained balance in the sagittal plane.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e477e2 elementor-widget elementor-widget-heading\" data-id=\"4e477e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Limitations of current clinical approaches <\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-11dfe7d7 elementor-widget elementor-widget-text-editor\" data-id=\"11dfe7d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">Current clinical approaches for determining SB parameters are not only time-consuming and labor-intensive, but also rely on the subjective experience of the observer. Although software exists for measuring SB parameters, it still requires manual \u2013 and therefore subjective \u2013 user input for the placement of anatomical landmarks.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">Moreover, higher volumes of imaging data and more complex cases have put additional strain on his staff. According to Prof. Franke, these manual measurements can take up to 15 minutes per patient \u2013 a tall order for his clinic\u2019s radiology department that is reckoning with resource shortages.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">Taken together, these limitations make the objective and efficient of analysis of SB parameters for different purposes \u2013 clinical diagnostics, treatment planning, scientific research, registry and big data analyses \u2013 difficult in the face of skyrocketing radiology workloads, which have tripled in the last 15 years.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">A fully automated tool for measuring SB parameters could not only alleviate clinics from routine manual tasks, but also elevate patient care by generating insights from massive repositories of data.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7748888 elementor-widget elementor-widget-heading\" data-id=\"7748888\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><b>Solution: Fully automated algorithm for measuring sagittal balance parameters <\/b> <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61f8d7ea elementor-widget elementor-widget-text-editor\" data-id=\"61f8d7ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">RAYLYTIC partnered with Prof. Franke to develop and systematically evaluate the reliability of an algorithm that could significantly relieve these challenges by automatically computing the following SB parameters:\u00a0<\/span><\/p><ul><li><span data-contrast=\"auto\">pelvic incidence<\/span><\/li><li><span style=\"color: var( --e-global-color-text );\" data-contrast=\"auto\">sacral slope<\/span><\/li><li><span style=\"color: var( --e-global-color-text );\" data-contrast=\"auto\">pelvic tilt<\/span><\/li><li><span style=\"color: var( --e-global-color-text );\" data-contrast=\"auto\">L1\/S1 lumbar lordosis<\/span><\/li><li><span style=\"color: var( --e-global-color-text );\" data-contrast=\"auto\"> T4\/T12 thoracic kyphosis (TK)<\/span><\/li><li><span style=\"color: var( --e-global-color-text );\" data-contrast=\"auto\">spino-sacral angle (SSA). <\/span><span style=\"color: var( --e-global-color-text );\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/li><\/ul><div>\u00a0<\/div><p><span data-contrast=\"auto\">Although recent research has demonstrated the potential of artificial intelligence (AI) to \u201cautomatically extract complex radiographic parameters from medical images with high accuracy and precision\u201d<\/span><span data-contrast=\"auto\"><sup><em>1<\/em><\/sup><\/span><span data-contrast=\"auto\">, these studies have conducted validation using small patient cohorts and exclusively preoperative imaging data.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">Conversely, the study initiated by RAYLYTIC together with Prof. Franke validated the fully automated algorithm using a larger, 170-patient cohort with as well as without spinal instrumentation. Furthermore, the study differentiated between pre- and post-operative images. Post-operative images are a notorious challenge for AI-based analysis tools due to the difficulty of placing anatomical landmarks in images containing cages, screws, and other instrumentation.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><span style=\"color: var( --e-global-color-text );\" data-contrast=\"auto\">\u00a0<\/span><span style=\"color: var( --e-global-color-text );\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5972433b elementor-widget elementor-widget-image\" data-id=\"5972433b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.raylytic.com\/wp-content\/uploads\/2025\/11\/Automated-SB-parameters-2.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Automated-SB-parameters-2.png\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6IjEwMDMiLCJ1cmwiOiJodHRwczpcL1wvd3d3LnJheWx5dGljLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMTFcL0F1dG9tYXRlZC1TQi1wYXJhbWV0ZXJzLTIucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"768\" height=\"440\" src=\"https:\/\/www.raylytic.com\/wp-content\/uploads\/2025\/11\/Automated-SB-parameters-2-768x440.png\" class=\"attachment-medium_large size-medium_large wp-image-1003\" alt=\"\" srcset=\"https:\/\/www.raylytic.com\/wp-content\/uploads\/2025\/11\/Automated-SB-parameters-2-768x440.png 768w, https:\/\/www.raylytic.com\/wp-content\/uploads\/2025\/11\/Automated-SB-parameters-2-300x172.png 300w, https:\/\/www.raylytic.com\/wp-content\/uploads\/2025\/11\/Automated-SB-parameters-2.png 845w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Fig. 1: Workflow of the method developed with Prof. Franke, starting with the input of a lateral X-ray image of the spine, then automatic segmentation of the anatomical units and finally calculation of the SB parameters.<sup>1<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4256fc94 elementor-widget elementor-widget-text-editor\" data-id=\"4256fc94\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">By omitting any specific inclusion criteria and sourcing the images from routine care, it also established a realistic and broad representation of clinical daily routine from the outset.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">The algorithm itself is based on two separate convolutional neural networks. The first detects and localizes relevant anatomical structures in the X-ray images, and the second places landmarks on the vertebral bodies, sacrum, and femurs. These can then be used to compute spinopelvic parameters in the sagittal plane.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a4fbe35 elementor-widget elementor-widget-heading\" data-id=\"2a4fbe35\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><b>Outcomes<\/b><\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a639ae1 elementor-widget elementor-widget-heading\" data-id=\"6a639ae1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Excellent reliability<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e360a10 elementor-widget elementor-widget-text-editor\" data-id=\"1e360a10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW151779072 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW151779072 BCX0\">When compared to human-generated <\/span><span class=\"NormalTextRun SCXW151779072 BCX0\">manual <\/span><span class=\"NormalTextRun SCXW151779072 BCX0\">measurements, the AI-generated measurements demonstrated excellent reliability across the board. The algorithm was able to determine all parameters in 95% of all preoperative images and 91% of all postoperative images with excellent ICC values (<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW151779072 BCX0\">PreOp<\/span><span class=\"NormalTextRun SCXW151779072 BCX0\"> Range: 0.83<\/span><span class=\"NormalTextRun SCXW151779072 BCX0\">\u2013<\/span><span class=\"NormalTextRun SCXW151779072 BCX0\">0.91, <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW151779072 BCX0\">PostOp<\/span><span class=\"NormalTextRun SCXW151779072 BCX0\">: 0.72<\/span><span class=\"NormalTextRun SCXW151779072 BCX0\">\u2013<\/span><span class=\"NormalTextRun SCXW151779072 BCX0\">0.89). Mean errors were smallest for SSA and largest for TK.<\/span><\/span><span class=\"EOP SCXW151779072 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b898ea0 elementor-widget elementor-widget-image\" data-id=\"2b898ea0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.raylytic.com\/wp-content\/uploads\/2025\/11\/SB-paramaters-reliability.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"SB-paramaters-reliability.png\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6IjEwMDUiLCJ1cmwiOiJodHRwczpcL1wvd3d3LnJheWx5dGljLmNvbVwvd3AtY29udGVudFwvdXBsb2Fkc1wvMjAyNVwvMTFcL1NCLXBhcmFtYXRlcnMtcmVsaWFiaWxpdHkucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"678\" height=\"410\" src=\"https:\/\/www.raylytic.com\/wp-content\/uploads\/2025\/11\/SB-paramaters-reliability.png\" class=\"attachment-large size-large wp-image-1005\" alt=\"\" srcset=\"https:\/\/www.raylytic.com\/wp-content\/uploads\/2025\/11\/SB-paramaters-reliability.png 678w, https:\/\/www.raylytic.com\/wp-content\/uploads\/2025\/11\/SB-paramaters-reliability-300x181.png 300w\" sizes=\"(max-width: 678px) 100vw, 678px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Fig. 2: Scatter plot showing correlation between the measurements of rater 2 and AI method for 170 postoperative images.<sup>1<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-52be42c9 elementor-widget elementor-widget-heading\" data-id=\"52be42c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Future possibilities<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-791eca4e elementor-widget elementor-widget-text-editor\" data-id=\"791eca4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">These results are laying the groundwork for the algorithm\u2019s use in clinical routines. As Prof. Franke put it, \u201cTurning deep learning studies such as this one into clinically viable solutions will require validating the algorithm on all the possible parameters of sagittal balance.\u201d\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">For him, this progress would mean enormous time savings \u2013 not only because of the algorithm\u2019s speed, assessing SB parameters in under a minute, but also because AI \u201cis available anytime.\u201d In scientific research, the algorithm shows promise for rapidly analyzing large registry datasets, accelerating the rate at which researchers and clinicians can draw conclusions and correlations.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fe4b80 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3fe4b80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-552f992c elementor-widget elementor-widget-text-editor\" data-id=\"552f992c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><em>1 <span class=\"TextRun SCXW24352429 BCX0\" lang=\"DE-DE\" xml:lang=\"DE-DE\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">Grover, P.,\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">Siebenwirth<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">, J., Caspari, C.\u00a0<\/span><\/span><span class=\"TextRun SCXW24352429 BCX0\" lang=\"DE-DE\" xml:lang=\"DE-DE\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">et al.<\/span><\/span><span class=\"TextRun SCXW24352429 BCX0\" lang=\"DE-DE\" xml:lang=\"DE-DE\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0Can\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">artificial<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">intelligence<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0support\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">or<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">even<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">replace<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">physicians<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0in\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">measuring<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0sagittal\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">balance<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">? A\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">validation<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">study<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0on\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">preoperative<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0and postoperative\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">full<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">spine<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">images<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">of<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0170\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">patients<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">.\u00a0<\/span><\/span><span class=\"TextRun SCXW24352429 BCX0\" lang=\"DE-DE\" xml:lang=\"DE-DE\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">Eur<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">Spine<\/span><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0J<\/span><\/span><span class=\"TextRun SCXW24352429 BCX0\" lang=\"DE-DE\" xml:lang=\"DE-DE\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">\u00a0<\/span><\/span><span class=\"TextRun SCXW24352429 BCX0\" lang=\"DE-DE\" xml:lang=\"DE-DE\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">31,\u00a0<\/span><\/span><span class=\"TextRun SCXW24352429 BCX0\" lang=\"DE-DE\" xml:lang=\"DE-DE\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW24352429 BCX0\" data-ccp-parastyle=\"footnote text\">1943\u20131951 (2022).\u00a0<\/span><\/span><\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-77c8b118\" data-id=\"77c8b118\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Prof. Dr. J\u00f6rg Franke \/\/ Clinic Magdeburg Fully automated method for measuring spinal sagittal balance parameters Challenge Measuring parameters of\u00a0sagittal balance (SB) is essential in the treatment of spinal disorders. However, it is a time-consuming and labor-intensive manual process. Solution RAYLYTIC partnered with Prof. Dr. J\u00f6rg Franke to develop and systematically evaluate a fully automated [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":96,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2776","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Algorithm for automation of sagittal balance parameters - RAYLYTIC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.raylytic.com\/en\/references\/algorithm-for-automation-of-sagittal-balance-parameters\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Algorithm for automation of sagittal balance parameters\" \/>\n<meta property=\"og:description\" content=\"Prof. Dr. J\u00f6rg Franke \/\/ Clinic Magdeburg Fully automated method for measuring spinal sagittal balance parameters Challenge Measuring parameters of\u00a0sagittal balance (SB) is essential in the treatment of spinal disorders. However, it is a time-consuming and labor-intensive manual process. 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