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10 to 0.06 (4.5% decrease). Segmentation prediction maps were reconstructed to 3-dimensional volumes and scoliosis was measured in all patients. Measurement in these reconstructions took less than 1 minute and had a maximum error of 2.2° compared to X-ray. CONCLUSION automatic spine segmentation makes scoliosis measurement both efficient and accurate in tracked ultrasound scans. SIGNIFICANCE Automatic segmentation may overcome the limitations of tracked ultrasound that so far prevented its use as an alternative of X-ray in scoliosis mea