论文标题

深度学习胎儿超声视频模型与生物特征测量中的人类观察者相匹配

Deep Learning Fetal Ultrasound Video Model Match Human Observers in Biometric Measurements

论文作者

Płotka, Szymon, Klasa, Adam, Lisowska, Aneta, Seliga-Siwecka, Joanna, Lipa, Michał, Trzciński, Tomasz, Sitek, Arkadiusz

论文摘要

客观的。这项工作调查了使用深卷积神经网络(CNN)自动对胎儿体部件进行测量,包括头围,两次直径,腹膜和股骨长度,并使用胎儿超声视频估算妊娠年龄和胎儿体重。方法。我们开发了一种新型的基于多任务CNN的新型时空胎儿胎胎提取和标准平面检测算法(称为Fuvai),并在50次徒步胎儿美国视频扫描中评估了该方法。我们将Fuvai胎儿生物特征测量结果与五位经验丰富的超声仪在两个时间点进行至少两个星期的测量值进行了比较。估计了观察者内和观察者间的变化。主要结果。我们发现,通过Fuvai获得的自动胎儿生物识别测量值与经验丰富的超声仪进行的测量值相当。观察到的测量值的差异在观察者内和观察者内变异性的范围内。此外,分析表明,将任何个人医学专家与我们的模型进行比较时,这些差异在统计上并不显着。意义。我们认为,Fuvai有潜力通过向临床环境中进行胎儿生物识别测量的超声检查员提供有关最佳测量框架以及自动测量结果的建议。此外,Fuvai能够在短短几秒钟内执行这些任务,这与超声波师平均六分钟相比是一个巨大的差异。考虑到能够解释许多国家 /地区能够解释胎儿超声图像的医学专家的短缺,这很重要。

Objective. This work investigates the use of deep convolutional neural networks (CNN) to automatically perform measurements of fetal body parts, including head circumference, biparietal diameter, abdominal circumference and femur length, and to estimate gestational age and fetal weight using fetal ultrasound videos. Approach. We developed a novel multi-task CNN-based spatio-temporal fetal US feature extraction and standard plane detection algorithm (called FUVAI) and evaluated the method on 50 freehand fetal US video scans. We compared FUVAI fetal biometric measurements with measurements made by five experienced sonographers at two time points separated by at least two weeks. Intra- and inter-observer variabilities were estimated. Main results. We found that automated fetal biometric measurements obtained by FUVAI were comparable to the measurements performed by experienced sonographers The observed differences in measurement values were within the range of inter- and intra-observer variability. Moreover, analysis has shown that these differences were not statistically significant when comparing any individual medical expert to our model. Significance. We argue that FUVAI has the potential to assist sonographers who perform fetal biometric measurements in clinical settings by providing them with suggestions regarding the best measuring frames, along with automated measurements. Moreover, FUVAI is able perform these tasks in just a few seconds, which is a huge difference compared to the average of six minutes taken by sonographers. This is significant, given the shortage of medical experts capable of interpreting fetal ultrasound images in numerous countries.

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