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ImageBiopsy Lab has released two updated AI modules — IB Lab LAMA 3.0 and IB Lab HIPPO 2.0 — expanding their coverage of arthroplasty planning and post-operative follow-up directly within the radiological workflow.
Both modules run as zero-click analysis: once an X-ray reaches the PACS, the AI processes it automatically, generates a structured report, and writes it back to the study as a DICOM-PDF. No separate workstation, no additional steps at acquisition, no change to the existing imaging protocol.
Full leg and knee X-ray · AP and LAT · Ages 8+ · THA & TKA supported
LAMA 3.0 adds three clinically significant features to an already comprehensive measurement set. The module now covers full-leg, AP knee, and lateral knee radiographs — and for the first time, can predict leg alignment parameters without a full-leg image.
LAMA 3.0 predicts the HKA angle and related leg alignment parameters — including mLDFA, mMPTA, AMA, JLCA, and MAD — directly from a standard AP knee radiograph, without requiring a full-leg standing image. The report is clearly labeled as prediction-based and includes rotation correction. Particularly relevant where full-leg radiographs are not routinely acquired pre-operatively.
LAMA now analyzes lateral knee images and measures the Posterior Tibial Slope (PTS). Two established methods are supported and configurable: the Proximal Anatomical Axis (PAA) method and the Anterior Cortical Reference (ACR) method. PTS is a key parameter in both primary TKA planning and ACL reconstruction.
For full-leg radiographs, LAMA detects the rotation angle of the leg (based on proximal tibiofibular overlap), calculates rotation-corrected measurement values, and generates a dedicated report. Supported rotation range: −20° to +40°. Applies to both full-leg and rotation-corrected AP knee views.
Measurements (16 parameters): HKA, AMA, mLPFA, mLDFA, mMPTA, mLDTA, MAD, JLCA, CPAK (aHKA + JLO), Rotation Angle, Femur Length, Tibia Length, Full Leg Length, Leg Length Discrepancy, Posterior Tibial Slope, Predicted Axis Parameters.
Speed: LAMA 3.0 averages 13.5 seconds per study vs. 135 seconds for manual measurement — a 10× reduction. CE-marked Class IIa. Validated in 19+ peer-reviewed publications.
Hip and pelvis X-ray · AP view · Ages 18+ · THA pre- and post-operative
HIPPO 2.0 extends the module's scope from pre-operative assessment into post-operative arthroplasty follow-up. The new version adds a full set of implant measurements for THA control radiographs and introduces EndoCert-ready cup inclination documentation.
HIPPO 2.0 automatically measures the key parameters on post-THA control radiographs: Leg Length Discrepancy (LLD), Cup Inclination Angle (CIA), Cup Version (Ante/Retroversion), Femoral Offset, Acetabular Offset, Global Offset, Head Diameter, and CCD. Standardized, reproducible follow-up — consistent across examiners and time points — without manual measurement. Cup inclination measurement is generated according to the documentation standards required for EndoCert certification (EndoProthetikZentrum). The structured DICOM report provides the standardized documentation that certified arthroplasty centers are required to maintain for quality assurance.
Measurements (14 parameters): Pelvic Obliquity, CCD, LCE, SHARP, Acetabular Index, Extrusion Index, Head Coverage, LLD (post-op), Cup Inclination Angle, Cup Version, Femoral Offset, Acetabular Offset, Global Offset, Head Diameter.
Speed: HIPPO 2.0 averages 15.8 seconds per study vs. 171 seconds for manual measurement — a 10× reduction. CE-marked Class IIa. Validated in 8+ peer-reviewed publications.
Both modules integrate into the existing radiology workflow via DICOM, with no change to image acquisition protocols or modality settings.
The report is available in dark-background DICOM format and white-background DICOM-PDF. Measurements outside pre-defined norm ranges are flagged automatically. All findings are to be reviewed by the responsible clinician.
Time savings. Both modules reduce per-study measurement time from 2–3 minutes to under 20 seconds. For practices and clinics performing hip and knee X-rays at volume, this time is recovered for clinical work rather than manual documentation.
Documented, reproducible findings. The DICOM report provides a structured, examiner-independent measurement for every study — relevant for pre-operative counseling, consent documentation, and IGeL billing in outpatient settings. The same report serves as the baseline against which post-operative outcomes are compared.
Arthroplasty pathway coverage. With LAMA handling pre-operative knee alignment assessment and HIPPO covering both pre- and post-operative hip measurements, the two modules cover the full arthroplasty pathway — from initial imaging through post-operative control — within the standard radiology workflow and without additional equipment.
IB Lab HIPPO 2.0 and LAMA 3.0 are CE-marked Class IIa medical devices. All AI-generated outputs must be verified by a trained healthcare professional before clinical use. IB Lab GmbH, Vienna, Austria.
