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OrthoInsighter.AI · Build Transparency · Day 008

Proof first.
Points later.

A public, conservative build tracker for a surgeon-led AI surgical-planning platform. Every point below is tied to something that exists, runs, or can be inspected — not to ambition.

Built in public · scored by proof
02505007501000
Last updated: May 25, 2026 · 05:56 Cairo time
Score
125
of 1,000 verified points
Completion
12.5%
platform built
Build day
008
started May 18, 2026
Foundation
0–100
Core build
101–400
Integration
401–650
Validation
651–850
Launch
851–1000
OrthoInsighter Pelvis segmentation proof screenshot
Clickable proof screenshotFirst integrated Pelvis segmentation tool working.
Click to view the full screenshot and open the relevant achievement section.

Build progress.

Points are awarded only for verified deliverables. Planned features, failed prototypes, partial experiments, and future regulatory or commercial milestones are kept pending until they can be demonstrated.

Current stage: early core build — no clinical-use, revenue, CE/FDA, or full production-validation claims are made yet.

🏗️
Infrastructure
24/26
⚖️
Legal
0/50
🦴
Pelvis Tool
51/130
🤖
AI Brain
0/150
🌳
Lit. Tree
36/100
🗺️
Case Atlas
14/105
💬
Community
0/60
📡
OrthoNews
0/40
✅
Validation
0/65
🚀
Launch
0/274
Current verified position

125 / 1000 verified points · Last updated May 25, 2026, 06:16 Cairo time.

OrthoInsighter.AI has moved beyond a static website into two working technical pillars: a branded 3D Slicer-based OrthoInsighter Pelvis application with CT import, synchronized 4-Up MPR visualization, TotalSegmentator integration, and first-level 16-segment pelvic output; and a 2026 Literature Tree baseline with classified hip/pelvis literature, a deployable Knowledge Universe interface, and a safety-tested verified-PDF downloader architecture.

Point distribution — 1,000 pts across 10 pillars

Weighted by complexity and strategic value.

Scoring is intentionally strict: a feature gets points when it exists and is demonstrable. A future plan remains zero, even if it is strategically important.

01🏗️Infrastructure & Identity
Public base24 / 26 pts▲

Domain, hosting, authentication, identity, and the public website foundation.

✓
Domain — orthoinsighter.ai via Cloudflare, 2-year registration
EU-routed DNS, DNSSEC enabled, SSL/TLS full strict.
2 pts
✓
Cloudflare — CDN, DDoS protection, global edge
2 pts
✓
SSL certificate — automatic, enforced, HSTS preload
1 pts
✓
Logo — original OI mark, blue gradient, SVG master file
3 pts
✓
Visual identity system — color tokens, typography, spacing
2 pts
✓
index.html, platform.html, vision.html, founder.html — live
4 pts
✓
login.html + callback.html — authentication entry and redirect
2 pts
✓
progress.html — public build tracker
2 pts
✓
Auth0 — Google OAuth + email/password, EU tenant, GDPR-oriented setup
3 pts
✓
GDPR baseline — EU data residency direction, no cross-Atlantic transfer claim in Auth0 setup
1 pts
✓
Navigation system — consistent across all public pages
2 pts
02⚖️Legal & Compliance
Pending0 / 50 pts▼

Legal, compliance, regulatory, and clinical-use pathway remain intentionally unscored until documents or milestones exist.

Privacy Policy — GDPR and Egyptian data law, live on all pages
Pending.
5 pts
Terms of Service — research-only scope, liability limitation, IP ownership
Pending.
5 pts
Cookie consent — granular, persistent, ePrivacy Directive compliant
Pending.
3 pts
Data Processing Agreement template — institutional partner ready
Pending.
5 pts
Ethics documentation — authorization package displayed where appropriate
Pending.
4 pts
IP protection — prior-art search, timestamped method documentation
Pending.
8 pts
CE pathway — MDR classification, notified body, timeline and budget
Pending.
10 pts
FDA pathway — SaMD risk classification and 510(k) strategy
Pending.
10 pts
03🦴OrthoInsighter Pelvis
Working core51 / 130 pts▼

The first integrated research application is working: branded UI, CT import, synchronized MPR/3D views, TotalSegmentator integration, and first-level 16-segment output. This is not yet the full 81-label production pipeline.

✓
AI pipeline dependencies stable in embedded Python
nnUNet, TotalSegmentator, torch, SimpleITK, reportlab, PyJWT and supporting packages confirmed in the embedded runtime.
3 pts
✓
Windows installer / branded launch path demonstrated
Installed and launched from the custom OrthoInsightPelvis environment.
4 pts
✓
UI/UX design locked
Dark surgical-planning interface, 4-Up layout, workflow panel, right module panel, import control, and MPR sync direction finalized.
2 pts
✓
Clean custom build launches
Core VTK/ITK/CTK/Slicer build path established; application opens under OrthoInsighter Pelvis identity.
3 pts
✓
Branding complete
Title, icon, splash direction, Ortholine/OI identity, and no visible Kitware branding in the working interface.
2 pts
✓
Safe overlay UI architecture wired to Slicer
Python Qt overlay preserves Slicer central viewport instead of destroying render widgets.
8 pts
✓
4-Up MPR layout working
Axial, coronal, sagittal, and 3D views shown simultaneously with synchronized crosshair behavior.
6 pts
✓
CT import functional in app
Real CT case loaded in the custom application interface.
8 pts
✓
TotalSegmentator integrated in embedded runtime
The app executes TotalSegmentator from the packaged Python/runtime environment and imports starter masks.
6 pts
✓
First-level 16-segment pelvic/proximal femur output confirmed
Complete=True, Missing=[], Extra=[] for femoral heads, acetabula, ilium, pubis, ischium, proximal femur, anterior columns, and posterior columns.
4 pts
✓
Public medRxiv preprint with DOI
Timestamped public scientific disclosure; not counted as peer-reviewed publication.
4 pts
✓
First institutional revision round completed
Internal/institutional feedback round completed; response-to-comments pending.
1 pts
Full 81-label SegmentAll pipeline in installed app
Pending: the demonstrated output is first-level 16 segments, not the final full subsegmentation tree.
16 pts
Pelvimetry outputs — 7 measurements displayed bilaterally
Pending.
10 pts
PBQI bone quality — regional HU heatmap functional in app
Pending.
8 pts
Case report PDF — structured clinical output from app
Pending.
6 pts
Final peer-reviewed publication confirmed
Pending: current manuscript is a preprint, not peer reviewed.
20 pts
Cloud backend — REST API, GPU instance, async queue
Pending.
14 pts
Browser 3D viewer — WebGL, 81 labels togglable
Pending.
10 pts
Beta program — 10 verified surgeons, structured feedback
Pending.
8 pts
04🤖Robotic Surgeon Brain
Concept0 / 150 pts▼

Surgical reasoning remains a planned layer. No points until a working, verifiable, benchmarked system exists.

Architecture specification — clinical reasoning graph and verification layer
Pending.
12 pts
Surgical knowledge base — curated evidence-graded corpus
Pending.
20 pts
Reasoning engine core — claim → evidence tier → source → confidence
Pending.
24 pts
Verification layer — source traceability and unverifiable-claim flagging
Pending.
18 pts
Integration with OrthoInsighter Pelvis case segmentation
Pending.
14 pts
Integration with Literature Tree evidence graph
Pending.
12 pts
Clinical safety guardrails
Pending.
16 pts
Tone calibration — senior pelvic surgeon communication style
Pending.
10 pts
Benchmarking — 50 cases with expert panel review
Pending.
12 pts
User interface + API endpoint
Pending.
12 pts
05🌳Science Literature Tree
2026 locked36 / 100 pts▼

The 2026 hip/pelvis literature baseline is locked and mapped into a deployable Knowledge Universe. The PDF downloader is built but still validation-stage.

✓
Full hip/pelvis taxonomy and source-family mapping
36-category detailed scientific classifier with source families and subspecialty logic.
8 pts
✓
PubMed/OpenAlex 2026 collection and bulk pipeline
Collection/enrichment/classification pipeline established for the 2026 corpus.
5 pts
✓
Search architecture and yearly pipeline SOP
Reusable prompt/SOP logic for future years and collaborator handoff.
2 pts
✓
100-point scientific importance scoring baseline
Implemented as baseline; calibration still pending for recent-paper citation behavior.
1 pts
✓
2026 classification baseline locked
3,557 raw records; 3,488 included; 69 excluded; 2,824 specifically classified; 480 broad catch-all; 184 true unclassified.
6 pts
✓
20-pillar visualization layer and subclassification mapping
High-level public navigation layer added above the detailed primary_subspecialty classifier.
3 pts
✓
Knowledge Universe 2026 deployable HTML
36 categories, 3,557 papers, 937 open-access records embedded in DATA_2026 with Atlas/search/right panel.
6 pts
✓
First visual scientific universe concept
Galaxy grouping, paper-count planet sizing, OA-based rings, category atlas, search, and evidence panel.
3 pts
✓
Smart verified-PDF downloader architecture and 20-record safety test
Built and tested safety-first resolver/verifier; Unpaywall/yield validation remains pending.
2 pts
Multi-year corpus — 2010–2025 complete
Pending.
10 pts
Citation network + deduplication edges
Pending.
10 pts
Scientific importance calibrated by expert review
Pending.
5 pts
Search + filter with evidence level and access tags at production scale
Pending.
8 pts
User annotation and personal library
Pending.
5 pts
Literature alerts and weekly digest
Pending.
5 pts
Manuscript Assistant integrated with Literature Tree
Pending.
14 pts
1,000-paper curated corpus manually reviewed and signed off
Pending.
10 pts
06🗺️Case Atlas & Deep Learning
Early data14 / 105 pts▼

Dataset acquisition and abnormal-case preparation are real, but training, expert correction, validation, and production nnUNet integration are not yet scored.

✓
Abnormal dataset categorized
Approximately 300 abnormal cases sorted into 5 clinical pathology folders.
2 pts
✓
TargetSegmentAll.py batch module
Batch preparation module with multi-format CT intake, TotalSegmentator gate, Z-axis crop, routing, metadata, and memory-error detection.
6 pts
✓
Open CT library downloaded and inspected
TotalSegmentator, CTPelvic1K, and PENGWIN Task 1 inspected; 2,562 public CT cases in hand.
6 pts
Open CT library license verification complete
Partial download/source checks only; full legal verification pending.
4 pts
Downloaded datasets categorized by anatomy/pathology/quality
Pending.
4 pts
TargetSegmentAll run on all abnormal cases and outputs reviewed
Pending.
8 pts
Manual expert correction of abnormal segmentations
Pending.
10 pts
nnUNet dataset merged/fingerprinted/verified
Pending.
8 pts
nnUNet first training run complete
Pending.
12 pts
nnUNet validation with Dice per segment
Pending.
10 pts
nnUNet integrated to replace TotalSegmentator
Pending.
10 pts
Open CT Library live on website
Pending.
6 pts
Case browser live
Pending.
8 pts
Normative data outputs from 757+ normal cases
Pending.
9 pts
07💬Community
Pending0 / 60 pts▼

Community value requires real users and real engagement; no points are awarded before that.

Tool-linked thread system
Pending.
8 pts
Verified user profiles
Pending.
6 pts
Case-linked discussions anchored to anatomy
Pending.
10 pts
Literature-linked discussions
Pending.
8 pts
Reputation layer
Pending.
6 pts
Moderation system
Pending.
6 pts
Notification system
Pending.
4 pts
100-member founding cohort
Pending.
8 pts
Mobile community experience
Pending.
4 pts
08📡OrthoNews Intelligence
Pending0 / 40 pts▼

News intelligence remains planned; no ingestion or ranking system is live.

Source aggregation — curated orthopedic feeds
Pending.
5 pts
Clinical impact ranking algorithm
Pending.
12 pts
Subspecialty tagging on ingestion
Pending.
5 pts
Daily digest
Pending.
5 pts
Preference learning
Pending.
5 pts
Archive + search
Pending.
4 pts
Literature Tree link
Pending.
4 pts
09✅Validation & Growth Track
Pending0 / 65 pts▼

Certificates, growth tracking, and verification APIs remain future milestones.

Peer Validation Engine
Pending.
10 pts
Cryptographic signatures
Pending.
12 pts
Certificate tiers
Pending.
6 pts
Growth Track personal knowledge map
Pending.
12 pts
Gap identification
Pending.
10 pts
Third-party verification API
Pending.
8 pts
50-user milestone
Pending.
4 pts
Institutional reporting
Pending.
3 pts
10🚀Launch & Monetization
Future0 / 274 pts▼

Commercial and regulatory points remain at zero until payment, contracts, regulatory action, or revenue are confirmed.

Payment infrastructure live
Pending.
12 pts
Protocol Builder — 10 validated protocols
Pending.
14 pts
First paying subscriber
Pending.
18 pts
10 paying subscribers
Pending.
14 pts
50 paying subscribers
Pending.
16 pts
150 paying subscribers
Pending.
18 pts
First university research agreement
Pending.
18 pts
First hospital pilot
Pending.
22 pts
Conference abstract accepted
Pending.
10 pts
CE marking process initiated
Pending.
18 pts
FDA 510(k) pre-submission completed
Pending.
18 pts
CE marking granted
Pending.
30 pts
First team member hired
Pending.
14 pts
$10,000 ARR confirmed
Pending.
18 pts
$50,000 ARR confirmed
Pending.
18 pts
Public launch — 1,000 points complete
Pending.
16 pts
Pelvis segmentation proof

Proof linked to OrthoInsighter Pelvis achievement

The screenshot shows the branded app running with CT views, 3D pelvic segmentation, right-panel segment list, and Complete=True status for the first-level 16-segment output.

Build log

Consolidated daily record.

This public log is organized by the most logical milestone date when multiple chat sessions overlapped. It records verified deliverables only.

May 18, 2026
Day 001
Platform infrastructure live.
Domain secured, authentication active, visual identity complete, core public pages deployed, and the build tracker launched.
+24 pts
Total: 24
May 19, 2026
Day 002
Scientific preprint posted.
The OrthoInsighter Pelvis segmentation manuscript became publicly available as a medRxiv preprint with DOI. It is counted only as timestamped scientific disclosure, not as peer-reviewed validation.
+5 pts
Total: 29
May 21, 2026
Day 004
Initial core build baseline reached.
Early Pelvis app dependencies/build work, Literature Tree pipeline foundation, and Case Atlas dataset preparation were consolidated into the first public score baseline.
+42 pts
Total: 71
May 22, 2026
Day 005
No scored build day.
No new verified public deliverable was added. The score stayed unchanged.
+0 pts
Total: 71
May 23, 2026
Day 006
OrthoInsighter Pelvis branding and UI architecture stabilized.
After failed destructive UI attempts, the safe direction was locked: preserve the native Slicer viewport and place the OrthoInsighter interface as overlay panels with branded identity and stable workflow structure.
+14 pts
Total: 85
May 24, 2026
Day 007
First integrated Pelvis segmentation tool working.
The custom app demonstrated CT import, synchronized 4-Up MPR visualization, TotalSegmentator execution inside the embedded runtime, canonical starter-name mapping, right-panel Pelvis Segmentation workflow, 2D/3D overlays, and complete first-level 16-segment output.
+20 pts
Total: 105
May 25, 2026
Day 008
Knowledge Universe and 2026 Literature Tree baseline locked.
The 2026 hip/pelvis corpus was locked as a classified ontology baseline and mapped into detailed categories, 20 high-level pillars, and subclasses. A deployable Knowledge Universe HTML layer was built, and a safety-first verified-PDF downloader architecture was tested but remains under validation.
+20 pts
Total: 125