用AI自动判断孕早期超声图像是否符合测量标准,提升胎儿年龄估算准确率。
Automatic Quality Assessment of First Trimester Crown-Rump-Length Ultrasound Images
- 融合CNN与ViT的分割模型定位胎儿关键结构
- 在临床标准验证上比分类CNN更准且可解释
- 适合超声医生和医学AI开发者参考
胎儿妊娠龄(GA)是孕期评估胎儿生长的重要信息,通常通过早孕期超声检查中的头臀长(CRL)测量来估计。然而,若图像未获取到正确视图,测量结果可能误导。尽管临床指南规定了正确的CRL视图标准,但超声医师未必始终遵循。本文提出一种基于深度学习的新方法,用于验证CRL图像是否符合临床指南,从而评估图像质量并促进准确的GA估算。首先,通过结合卷积神经网络(CNN)与视觉变换器(ViT)的优势,对超声图像中的胎儿结构进行分割并定位关键解剖标志。相比优化后的UNet,该方法在分割性能上表现更优。随后,利用局部结构进行临床导向的映射分析,以判断图像是否满足标准。实验表明,该映射方法不仅具备可解释性,且在评估临床标准和图像整体可接受性方面,优于表现最佳的分类型CNN模型。
原文摘要 · Abstract (English)
Fetal gestational age (GA) is vital clinical information that is estimated during pregnancy in order to assess fetal growth. This is usually performed by measuring the crown-rump-length (CRL) on an ultrasound image in the Dating scan which is then correlated with fetal age and growth trajectory. A major issue when performing the CRL measurement is ensuring that the image is acquired at the correct view, otherwise it could be misleading. Although clinical guidelines specify the criteria for the correct CRL view, sonographers may not regularly adhere to such rules. In this paper, we propose a new deep learning-based solution that is able to verify the adherence of a CRL image to clinical guidelines in order to assess image quality and facilitate accurate estimation of GA. We first segment out important fetal structures then use the localized structures to perform a clinically-guided mapping that verifies the adherence of criteria. The segmentation method combines the benefits of Convolutional Neural Network (CNN) and the Vision Transformer (ViT) to segment fetal structures in ultrasound images and localize important fetal landmarks. For segmentation purposes, we compare our proposed work with UNet and show that our CNN/ViT-based method outperforms an optimized version of UNet. Furthermore, we compare the output of the mapping with classification CNNs when assessing the clinical criteria and the overall acceptability of CRL images. We show that the proposed mapping is not only explainable but also more accurate than the best performing classification CNNs.
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