用AI识别心超图像中的下腔静脉,让新手也能拍出标准心脏影像。
Decision-based AI Visual Navigation for Cardiac Ultrasounds
- 基于二分类模型判断下腔静脉是否存在,实时定位其空间位置。
- 在高端设备上定位准确率高,在便携设备上也实现零样本迁移。
- 适合缺乏经验的医护人员,助力心超检查走出医院场景。
心脏超声(心超)是诊断心脏病的常用手段,但需专业超声技师和高质量设备,通常仅限医院使用。近年已有基于AI的导航系统帮助新手获取标准心脏视图,多依赖探头旋转方向指导。本文提出一种新AI导航系统,基于决策模型识别心脏下腔静脉(IVC)。该模型离线训练于心超视频,采用二分类判断某视频中是否含IVC;底层集成新型定位算法,利用学习到的特征表示实现实时空间标注。模型在传统高端心超视频上表现优异,且在更廉价的Butterfly iQ手持设备低质量视频上亦展现出色零样本性能,推动心超诊断向非医院场景拓展。当前该系统已在Butterfly iQ应用上线,并进行临床试验。
原文摘要 · Abstract (English)
Ultrasound imaging of the heart (echocardiography) is widely used to diagnose cardiac diseases. However, obtaining an echocardiogram requires an expert sonographer and a high-quality ultrasound imaging device, which are generally only available in hospitals. Recently, AI-based navigation models and algorithms have been used to aid novice sonographers in acquiring the standardized cardiac views necessary to visualize potential disease pathologies. These navigation systems typically rely on directional guidance to predict the necessary rotation of the ultrasound probe. This paper demonstrates a novel AI navigation system that builds on a decision model for identifying the inferior vena cava (IVC) of the heart. The decision model is trained offline using cardiac ultrasound videos and employs binary classification to determine whether the IVC is present in a given ultrasound video. The underlying model integrates a novel localization algorithm that leverages the learned feature representations to annotate the spatial location of the IVC in real-time. Our model demonstrates strong localization performance on traditional high-quality hospital ultrasound videos, as well as impressive zero-shot performance on lower-quality ultrasound videos from a more affordable Butterfly iQ handheld ultrasound machine. This capability facilitates the expansion of ultrasound diagnostics beyond hospital settings. Currently, the guidance system is undergoing clinical trials and is available on the Butterfly iQ app.
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