arXiv:2602.06761eess.IVcs.CV2026-02

无需标注,自动识别胎儿心脏收缩舒张相,对体位变化鲁棒。

Orientation-Robust Latent Motion Trajectory Learning for Annotation-free Cardiac Phase Detection in Fetal Echocardiography

  • 利用图像配准自监督学习心脏形变轨迹,捕捉心律周期转折点。
  • 正常与先天性心脏病数据上,检测误差均低于2.5帧,精度稳定。
  • 适合无心电图的胎儿超声分析,推动全自动先天性心脏病筛查。

胎儿超声心动图对先天性心脏病(CHD)的早期发现至关重要,有助于妊娠管理、分娩计划优化和产后及时干预。在标准成像切面中,四腔心(4CH)视图提供全面的结构与运动信息,临床医生需仔细分析舒张末期(ED)和收缩末期(ES)帧以评估心脏功能。自动化识别这些关键帧是实现完全自动化CHD分析的关键。然而,在缺乏胎儿心电图(ECG)的情况下,手动定位ED和ES帧仍为耗时瓶颈。本文提出ORBIT(Orientation-Robust Beat Inference from Trajectories),一种无需人工标注的自监督框架,可在多种胎儿心脏体位下准确识别心脏周期相位。ORBIT以图像配准作为自监督任务,学习心脏形变的潜在运动轨迹,其拐点对应心肌收缩与舒张的转换,从而实现对ED和ES帧的精确且体位鲁棒的定位。仅在正常胎儿超声视频上训练,ORBIT在正常病例(ED: MAE = 1.9帧,ES: MAE = 1.6帧)和先天性心脏病病例(ED: MAE = 2.4帧,ES: MAE = 2.1帧)上均表现一致,优于依赖固定体位假设的现有无标注方法。结果表明,ORBIT可直接从4CH胎儿超声中实现稳健的心脏周期相位检测。

原文摘要 · Abstract (English)

Fetal echocardiography is essential for detecting congenital heart disease (CHD), facilitating pregnancy management, optimized delivery planning, and timely postnatal interventions. Among standard imaging planes, the four-chamber (4CH) view provides comprehensive information for CHD diagnosis, where clinicians carefully inspect the end-diastolic (ED) and end-systolic (ES) phases to evaluate cardiac structure and motion. Automated detection of these cardiac phases is thus a critical component toward fully automated CHD analysis. Yet, in the absence of fetal electrocardiography (ECG), manual identification of ED and ES frames remains a labor-intensive bottleneck. We present ORBIT (Orientation-Robust Beat Inference from Trajectories), a self-supervised framework that identifies cardiac phases without manual annotations under various fetal heart orientation. ORBIT employs registration as self-supervision task and learns a latent motion trajectory of cardiac deformation, whose turning points capture transitions between cardiac relaxation and contraction, enabling accurate and orientation-robust localization of ED and ES frames across diverse fetal positions. Trained exclusively on normal fetal echocardiography videos, ORBIT achieves consistent performance on both normal (MAE = 1.9 frames for ED and 1.6 for ES) and CHD cases (MAE = 2.4 frames for ED and 2.1 for ES), outperforming existing annotation-free approaches constrained by fixed orientation assumptions. These results highlight the potential of ORBIT to facilitate robust cardiac phase detection directly from 4CH fetal echocardiography.

心脏检测自监督胎儿超声轨迹学习

Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。