A Computer-Aided Approach to Canine Hip Dysplasia Assessment: Measuring Femoral Head–Acetabulum Distance with Deep Learning

Canine hip dysplasia (CHD) screening relies on radiographic assessment, but traditional scoring methods often lack consistency due to inter-rater variability. This study presents an AI-driven system for automated measurement of the femoral head center to dorsal acetabular edge (FHC/DAE) distance, a key metric in CHD evaluation. Unlike most AI models that directly classify CHD severity using convolutional neural networks, this system provides an interpretable, measurement-based output to support a more transparent evaluation. The system combines a keypoint regression model for femoral head center localization with a U-Net-based segmentation model for acetabular edge delineation. It was trained on 7967 images for hip joint detection, 571 for keypoints, and 624 for acetabulum segmentation, all from ventrodorsal hip-extended radiographs. On a test set of 70 images, the keypoint model achieved high precision (Euclidean Distance = 0.055 mm; Mean Absolute Error = 0.0034 mm; Mean Squared Error = 2.52 × 10−5 mm2), while the segmentation model showed strong performance (Dice Score = 0.96; Intersection over Union = 0.92). Comparison with expert annotations demonstrated strong agreement (Intraclass Correlation Coefficients = 0.97 and 0.93; Weighted Kappa = 0.86 and 0.79; Standard Error of Measurement = 0.92 to 1.34 mm). By automating anatomical landmark detection, the system enhances standardization, reproducibility, and interpretability in CHD radiographic assessment. Its strong alignment with expert evaluations supports its integration into CHD screening workflows for more objective and efficient diagnosis and CHD scoring.