Oh TT, et al. - Given that, neuraxial procedures are typically performed via palpation-guided surface landmark, researchers developed a new intelligent image processing system that detects spinal landmarks using ultrasound images. They performed this prospective cohort study of 100 patients who needed spinal anesthesia for surgical procedures, to assess the first attempt success rate of spinal anesthesia using landmarks obtained from the automated spinal landmark identification technique. They found that 92.0% was the success rate (95%CI) for dural puncture at first attempt. With this novel automated ultrasound guided technique, high success rate was achieved and time taken to obtain the surface landmark was short. This may boost clinicians' confidence in using ultrasound guided neuraxial techniques to detect the anatomical landmarks on the ultrasound scans.