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Insights & Research

Technical deep dives, clinical AI research updates, and insights from the Salnus team.

9 min read
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Reading Clinical Validation in Orthopaedic AI

How to read clinical validation of an AI orthopedic tool: which metrics matter (Dice, ICC, AUC, calibration), internal vs external validation, red flags.

Clinical ValidationAIOrthopaedic SurgeryMetricsExternal ValidationEvaluation
7 min read
English

How CT-Based 3D Preoperative Planning Works

A step-by-step guide to CT based preoperative planning in orthopaedics: from DICOM CT to bone segmentation, 3D models, landmarks, and the surgical plan.

Preoperative PlanningCT3D ReconstructionSegmentationOrthopaedic SurgeryAI
9 min read
English

Measurement Reproducibility in Ortho AI

Why measurement reproducibility matters for tibial slope and coronal alignment, ICC and Bland-Altman interpretation, and how AI improves reliability.

Measurement ReproducibilityTibial SlopeCoronal AlignmentICCBland-AltmanOrthopaedic AI
7 min read
English

The Salnus Surgeon Portal: Browser DICOM + AI

A look at how Salnus brings a DICOM viewer and orthopedic AI together in one browser tab, automatic CT bone segmentation, an interactive 3D model, and surgical planning, with an honest account of what is live today and what is still ahead.

DICOM ViewerMedical AICT Segmentation3D ReconstructionSurgical PlanningClient-SideOrthopedicsRoadmap
5 min read
English

Cloud vs Client-Side Medical AI: Data Governance

Where medical AI runs decides your privacy obligations. A comparison of cloud (server-side) and client-side (on-device) processing for orthopaedic imaging, under KVKK, GDPR, and HIPAA.

Data GovernancePrivacyKVKKGDPRMedical AIClient-SideDICOM
5 min read
English

2D Templating vs 3D AI Planning: When Each Wins

A practical comparison of 2D digital templating and 3D AI-based preoperative planning in orthopaedics, accuracy, speed, cost, imaging dose, and the cases where each is the right choice.

Preoperative PlanningTemplating3D ReconstructionAIComparisonOrthopaedic Surgery
5 min read
English

AI vs Manual CT Bone Segmentation Compared

A head-to-head comparison of AI and manual CT bone segmentation for orthopaedic planning, segmentation accuracy, time per case, cost, and where a hybrid AI-plus-human workflow wins.

Bone SegmentationCTAIComparisonSurgical PlanningWorkflownnU-Net
5 min read
English

Automated CT Bone Segmentation for Planning

How deep-learning CT bone segmentation works in orthopaedic planning, accuracy, editability, processing time, and the practical workflow from DICOM to a 3D model surgeons can use.

Bone SegmentationCTDeep LearningSurgical Planning3D ReconstructionnnU-NetDICOM
5 min read
English

Robotic Arthroplasty vs Complementary AI Planning

How robotic-assisted arthroplasty systems like Mako work, the building blocks they provide, and where independent AI-based preoperative planning complements rather than competes with robotic platforms.

Robotic SurgeryArthroplastyPreoperative PlanningAISurgical Planning3D Reconstruction
11 min read
English

Orthopaedic 3D Planning Software Compared (2026)

Surgeon-focused comparison of orthopaedic 3D planning and templating software in 2026 across Ortoma, Materialise Mimics, 3D Slicer, Enhatch, PeekMed, mediCAD, TraumaCad, Kinomatic, Mako, and client-side browser tools: accuracy, workflow, data governance, regulatory status.

Preoperative Planning3D ReconstructionBone SegmentationComparisonOrthopaedic SurgeryDICOMAISurgical Planning
9 min read
EnglishTürkçe

Browser-Based DICOM Processing for Orthopaedic AI

We chose to run orthopaedic AI directly in the browser, with DICOM never leaving the session boundary. Here is the architecture, the tradeoffs, and the regulatory case for client-first inference in clinical pilots.

DICOMBrowser-Based AIClient-Side InferenceKVKKGDPRClinical PilotOrthopaedic AIIsolation ArchitectureCornerstone3DONNX Runtime WebPrivacy by Design
5 min read
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AI in Shoulder and Trauma Imaging

A grounded look at AI for shoulder and trauma orthopaedics, fracture detection and classification, glenoid and shoulder arthroplasty planning, and what is clinically validated versus still emerging.

TraumaShoulderFracture DetectionAIPreoperative PlanningRadiology
5 min read
English

AI in Hip Arthroplasty Templating: Beyond the Knee

How AI is changing preoperative templating for total hip arthroplasty, automated cup and stem sizing, offset and leg-length planning, and where 3D CT planning outperforms 2D templates.

Hip ArthroplastyTemplatingTHAPreoperative PlanningAI3D ReconstructionCT
5 min read
English

What to Ask Before Trusting an AI Imaging Tool

A practical checklist for orthopaedic surgeons evaluating an AI imaging or planning tool, validation, generalisability, explainability, regulatory status, and data governance, with the questions that separate clinical tools from demos.

AI ValidationClinical Decision SupportRegulatoryExplainabilityOrthopaedic SurgeryEvaluation
8 min read
EnglishTürkçe

ARCO Staging in Femoral Head AVN: Can AI Help?

ARCO staging guides treatment decisions in osteonecrosis of the femoral head, but ARCO Stage I-II disagreement among radiologists remains a structural problem. Deep learning shows promise, here is what the literature actually demonstrates.

Avascular NecrosisONFHARCO StagingDeep LearningMRIHip OsteonecrosisInter-Observer AgreementClinical Decision Support
8 min read
EnglishTürkçe

AI in Knee Cartilage Grading Reliability

Inter-observer agreement in MRI-based knee cartilage classification (ICRS, MOAKS, WORMS) often falls below clinical reliability thresholds. Deep learning offers a path to standardised grading, here is what the validation literature actually shows.

Knee CartilageICRSMOAKSInter-Observer VariabilityDeep LearningMRIKnee OsteoarthritisClinical Decision Support
7 min read
EnglishTürkçe

AI in Osteotomy Planning: Angles to Decisions

How AI is changing corrective osteotomy planning (HTO, DFO): automated angle measurement, hinge and slope planning, and end-to-end surgical decision support.

OsteotomyHTODFOArtificial IntelligenceSurgical PlanningMPTALDFAMechanical AxisOrthopaedics
10 min read
EnglishTürkçe

AI in Sports Medicine: Injury to Return-to-Play

How artificial intelligence is transforming sports medicine, from MRI-based ligament and meniscus tear detection to biomechanical motion analysis, return-to-sport prediction, and personalised rehabilitation. A practical guide for sports medicine surgeons and team physicians.

Sports MedicineAIACLReturn to SportBiomechanicsWearable SensorsMachine LearningRehabilitation
7 min read
EnglishTürkçe

Meniscus Tear Detection with AI on Knee MRI

AI detects meniscal tears with 87% sensitivity, but accurately localising them remains a challenge. How deep learning is advancing meniscus assessment, where the gaps are, and what clinicians should know about the detection-localisation asymmetry.

MeniscusMeniscal TearAIMRIDeep LearningKneeMusculoskeletal Radiology
9 min read
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AI Fracture Detection in Emergency Radiology

Emergency departments miss 3–9% of fractures on initial radiograph interpretation. AI-powered fracture detection systems are demonstrating sensitivity improvements from 81% to 92%, here's what clinicians need to know about the technology, commercial tools, and clinical evidence.

Fracture DetectionAIEmergency RadiologyDeep LearningX-RayBoneViewClinical Decision Support
9 min read
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AI 3D Planning in Paediatric Orthopaedics

Children are not small adults, their growing bones demand surgical precision that generic templates cannot provide. How AI-powered 3D planning, patient-specific instrumentation, and predictive modelling are transforming paediatric deformity correction, DDH screening, and fracture management.

Paediatric OrthopaedicsAI3D PlanningPSIDeformity CorrectionDDHGrowth PlateScoliosis
10 min read
EnglishTürkçe

CT to 3D Model: AI Bone Segmentation for Planning

How deep learning transforms CT scans into patient-specific 3D bone models in minutes, replacing hours of manual segmentation and enabling precision surgical planning for knee osteotomy, arthroplasty, and complex reconstruction.

CT Segmentation3D ReconstructionDeep LearningnnU-NetSurgical PlanningPreoperative PlanningSTL
2 min read
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AI in Orthopaedics: Turkey 2026 Guide

Comprehensive guide to AI applications in orthopaedic surgery with focus on Turkey's regulatory framework, TİTCK, ÜTS registration, TÜSEB/TÜBİTAK funding, and clinical adoption.

AIOrthopaedicsTurkeyTİTCKRegulatoryKL-GradeSurgical PlanningKVKK
9 min read
EnglishTürkçe

Preoperative Planning Software: 2026 Guide

A practical guide to modern preoperative planning software for orthopaedic surgery, from 2D templating to AI-powered 3D reconstruction, and what features matter for clinical workflow.

Preoperative PlanningOrthopaedic Surgery3D ReconstructionAIDICOMPSISurgical Planning
9 min read
EnglishTürkçe

AI in Orthopaedic Surgery: Where We Stand in 2026

Comprehensive guide to AI in orthopaedic surgery, radiographic OA grading, MRI ligament analysis, 3D surgical planning, robotics, regulatory landscape, and privacy architecture.

AIOrthopaedicsDeep LearningSurgical PlanningMedical AIKL-GradeRoboticsRegulatory
9 min read
EnglishTürkçe

How to Choose an AI Tool for Knee OA Assessment

A practical evaluation framework for orthopaedic surgeons comparing AI-powered knee osteoarthritis grading tools, what to ask vendors, which metrics matter, and red flags to watch for.

Knee OAAIKL-GradeBuyer GuideClinical Decision SupportSaMD
6 min read
EnglishTürkçe

PCL: The Forgotten Ligament in AI Research

Of 29 deep learning studies on cruciate ligament injury detection, only one addresses the PCL. Why the posterior cruciate ligament remains AI's blind spot, and what needs to change.

PCLPosterior Cruciate LigamentACLMRIDeep LearningSports Medicine
6 min read
EnglishTürkçe

ACL Injury Assessment with AI on Knee MRI

How deep learning detects ACL tears on knee MRI, grades severity, predicts surgical outcomes, and moves from research toward clinical decision support.

ACLAnterior Cruciate LigamentMRIDeep LearningSports MedicineKnee Injury
7 min read
EnglishTürkçe

AI in Hip Osteoarthritis Research

AI in hip osteoarthritis, radiographic classification, progression prediction, and Salnus's PROSPERO-registered systematic review.

Hip OAArtificial IntelligenceDeep LearningSystematic ReviewPROSPEROOrthopaedics
5 min read
EnglishTürkçe

Best DICOM Viewers for Orthopaedic Surgeons (2026)

Comparing DICOM viewers for orthopaedic surgeons, free tools, desktop apps, and AI-integrated platforms with automated measurements.

DICOMViewerRadiologyAIOrthopaedicsMedical Imaging
6 min read
EnglishTürkçe

AI-Powered OA Screening: X-Ray to Clinical Insight

How deep learning screens for knee OA from radiographs, model architecture, training on OAI data, and clinical integration at Salnus.

OA ScreeningDeep LearningDenseNetKnee OAGradCAMAI Diagnostics
5 min read
EnglishTürkçe

What Is DICOM? A Guide to Medical Imaging Standards

DICOM for orthopaedic surgeons, the universal standard behind every CT, MRI, and X-ray, and what clinicians need to know.

DICOMMedical ImagingPACSRadiologyOrthopaedics
4 min read
EnglishTürkçe

Kellgren-Lawrence Grading System: A Complete Guide

The KL grading system for knee OA, radiographic criteria, clinical interpretation, inter-observer variability, and AI-assisted grading.

Kellgren-LawrenceOsteoarthritisKL GradeKnee OAAIDeep Learning
5 min read
EnglishTürkçe

How to Read a Knee X-Ray: A Systematic Approach

Systematic knee radiograph interpretation, technical adequacy, bone assessment, joint space, soft tissue, alignment, and clinical correlation.

Knee X-RayRadiograph InterpretationOrthopaedicsMedical EducationOA
5 min read
EnglishTürkçe

Orthopaedic AI Needs Surgeon-Engineer Teams

Why pure-tech teams fail in medical AI and how surgeon-engineer collaboration from day one produces better orthopaedic AI models and outcomes.

CollaborationMedical AIOrthopaedicsProduct DevelopmentClinical Validation
4 min read
EnglishTürkçe

Building a Medical AI Startup in Turkey

Building an orthopaedic AI startup in Istanbul, architecture decisions, regulatory navigation, and Turkey's medical AI ecosystem.

StartupTurkeyMedical AIKVKKOrthopaedicsLessons Learned
4 min read
EnglishTürkçe

PSI for Multi-Ligament Knee Reconstruction

Our OJSM-published study validating 3D-printed patient-specific instrumentation for multi-ligament knee reconstruction: the tunnel-placement problem, our CT-driven workflow, clinical accuracy, and how it anchors the Salnus planning platform.

PSI3D PrintingOJSMKneeSurgical Planning
6 min read
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GradCAM: AI Visualisation in Medical Imaging

How GradCAM works, why it matters for clinical trust in medical AI, and what the heatmaps reveal when overlaid on a knee radiograph.

GradCAMExplainable AIXAIDeep LearningMedical ImagingTrust
5 min read
EnglishTürkçe

3D-Printed Surgical Guides in Orthopaedics

Patient-specific 3D-printed surgical guides, design workflow, clinical evidence, material selection, and AI-accelerated production.

3D PrintingPSISurgical GuidesPatient-SpecificOrthopaedicsHTO
5 min read
EnglishTürkçe

Knee OA Progression: Early to End-Stage

Knee OA stages from pre-radiographic disease to end-stage, risk factors, treatment at each stage, and AI-assisted progression monitoring.

Knee OAOsteoarthritisProgressionTreatmentClinical Guide
5 min read
EnglishTürkçe

Privacy by Design in Medical AI

Client-side AI for medical imaging, browser-based inference, KVKK/HIPAA compliance, and why architecture is the privacy strategy.

PrivacyKVKKHIPAAGDPRMedical AIClient-SideONNX
5 min read
EnglishTürkçe

Mechanical Axis Alignment: LDFA, MPTA, HKA

Lower limb alignment for orthopaedic surgeons, LDFA, MPTA, HKA, FTA measurement, normal values, and role in OA and surgical planning.

Mechanical AxisLDFAMPTAHKAKnee AlignmentOsteotomy
5 min read
EnglishTürkçe

DICOM vs JPEG in Medical Imaging

DICOM vs JPEG for medical imaging, why JPEG loses critical clinical data and how DICOM preserves diagnostic fidelity for surgeons.

DICOMJPEGMedical ImagingRadiologyData Quality
5 min read
EnglishTürkçe

Joint Space Width in Knee OA: Techniques and Values

JSW measurement in knee OA, standardised techniques, normal reference values, common pitfalls, and AI-assisted reproducibility.

JSWJoint Space WidthKnee OARadiographic MeasurementOsteoarthritis

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