CASE STUDIES

Development and
Implementation of
the SENDD System

An Innovation Shaping the Future of Pediatrics

CASE STUDIES

Development and Implementation of the SENDD System

An Innovation Shaping the Future of Pediatrics

Challenge: Innovation in Diagnosing the Youngest Patients

SENDD (System for Early Neurological Deviation Detection) is an innovative system that uses artificial intelligence to analyze spontaneous infant movements, enabling early detection of potential neurodevelopmental deviations. Developed in collaboration between Poliklinika Sabol and TIS Grupa, SENDD is the first such system in Croatia and beyond. It is designed to provide families with access to top-tier medical diagnostics without the need for physical visits to healthcare facilities.

The system has been recognized as one of Croatia’s most innovative high-tech products, as evidenced by winning the prestigious Zlatno jaje (Golden Egg) Award for E-Innovation, given to projects that bring measurable change and leverage technology to improve society.

 

The project’s goal was to provide healthcare professionals with a unique solution for assessing infant developmental quality by analyzing spontaneous movements in early infancy to detect high-risk neurodevelopmental deviations or predict normal outcomes in at-risk children. The process is based on a medically validated method and classification of spontaneous movement assessment, GMA (General Movement Assessment).

During research and development, the highest ethical and security standards were followed. However, the project's realization presented several specific challenges:
• Collecting high-quality video materials:

Infant recordings had to meet high technical and diagnostic standards.

• GDPR compliance and privacy:

The system must be fully aligned with GDPR, ensuring the secure storage and management of sensitive data.

• Defining key movements for analysis:

Precise identification of movement tracking points was required while allowing room for future system improvements.

• Remote collaboration:

The project was carried out during the pandemic, requiring team adaptations and intensive remote communication.

Approach: Combining Technology and Medical Expertise

The SENDD project was developed in partnership with Poliklinika Sabol, with TIS Grupa as the technological leader. Our approach was based on integrating advanced technologies such as computer vision, machine learning, and deep neural networks, using programming languages and tools like Python, TensorFlow, PyTorch, .NET, and Angular.

The project was divided into two key phases:

 

  1. Research Phase (08/2020 – 02/2022):
  • Video materials of infants were collected and analyzed in collaboration with Poliklinika Sabol, focusing on the quality of recordings needed for diagnostics.
  • Various AI/ML algorithms were explored and tested to identify optimal solutions for movement analysis.
  • External evaluators and medical experts validated the accuracy and reliability of the research findings.
  1. Development Phase (02/2022 – 08/2023):
  • A comprehensive video annotation system was developed, including software tailored for medical professionals and parents.
  • Mobile applications for iOS and Android were created, enhancing user experience and simplifying video recording and uploading.
  • The system underwent extensive testing, achieving a negative predictive value (NPV) of approximately 90%, meaning high accuracy in detecting potential issues and an extremely low likelihood of failing to identify problematic movements.

Results: Expanding the Reach and Accessibility of Diagnostics

The SENDD system has significantly transformed how Poliklinika Sabol delivers its services:
Increased accessibility:

More than 500 infants from Croatia, the EU, and beyond have been analyzed using SENDD, giving families from remote areas access to top-tier diagnostics.

Time and resource savings:

Parents no longer needed to travel for early diagnostics, allowing doctors to focus on interpreting data.

Sustainability:

Although the project has formally concluded, Poliklinika Sabol and TIS Grupa continue to invest in SENDD, ensuring its further development as a private initiative.

Conclusion: A Technology That Changes Lives

SENDD is not just a technological product—it is an innovation shaping the future of pediatrics and making a tangible difference for families. Combining science, technology, and medical expertise has created a solution that provides early answers and potentially saves lives.

As one parent put it:
"This system gave us an early assessment and peace of mind. We knew what steps to take and did everything from the comfort of our home without unnecessary stress for our baby. For us, that was a big deal."

Today, SENDD is a model for future healthcare innovations, combining precision, accessibility, and humanity.

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