During evaluation of fetal growth on ultrasound images, it is a vital requirement the expert selection of standard measurement planes of the fetal brain, abdomen and femur. Manual expert plane selection is a process subject to intra- and inter-operator variability, therefore some authors have proposed deep learning-based systems for automatic detection of standard fetal planes in the second trimester of pregnancy. However, fetal growth evaluation is increasingly recommended during the third trimester of gestation. This work proposes the fine-tuning, retraining, and validation of a system based on convolutional neural networks to improve the detection of the three main fetometry planes: brain, abdomen, and femur. The system was fine-tuned by retraining using ultrasound images from the second and third trimesters. The results of the proposed system were compared with standard planes of the same patient selected by medical specialists of the National Institute of Perinatology of Mexico, obtaining average structural similarity indices of 0.79, average similarity indices based on histogram correlation of 0.99, and average Pearson correlation coefficients of 0.96.

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Automatic Standard Plane Detection in Fetal Ultrasound Improved by Fine-Tuning

  • N. Orlando Castellanos-Díaz,
  • Jorge Pérez-González,
  • Fernando Arámbula-Cosío,
  • Lisbeth Camargo-Marín,
  • Mario Guzmán-Huerta,
  • Boris Escalante-Ramírez,
  • Jimena Olveres-Montiel,
  • Jesús García-Ramírez,
  • Verónica Medina-Bañuelos,
  • Raquel Valdés-Cristerna

摘要

During evaluation of fetal growth on ultrasound images, it is a vital requirement the expert selection of standard measurement planes of the fetal brain, abdomen and femur. Manual expert plane selection is a process subject to intra- and inter-operator variability, therefore some authors have proposed deep learning-based systems for automatic detection of standard fetal planes in the second trimester of pregnancy. However, fetal growth evaluation is increasingly recommended during the third trimester of gestation. This work proposes the fine-tuning, retraining, and validation of a system based on convolutional neural networks to improve the detection of the three main fetometry planes: brain, abdomen, and femur. The system was fine-tuned by retraining using ultrasound images from the second and third trimesters. The results of the proposed system were compared with standard planes of the same patient selected by medical specialists of the National Institute of Perinatology of Mexico, obtaining average structural similarity indices of 0.79, average similarity indices based on histogram correlation of 0.99, and average Pearson correlation coefficients of 0.96.