自动检测产科超声扫描质量,提升低资源地区AI诊断可靠性
Automated Quality Assessment of Blind Sweep Obstetric Ultrasound for Improved Diagnosis
- 通过模拟扫描偏差,评估超声图像质量对AI判断的影响
- 开发自动质检模型,可识别方向错误、探头反转等10种问题
- 闭环反馈机制使重扫后诊断准确率显著提升,适合基层医疗
盲扫产科超声(BSOU)通过允许训练有限的操作员获取标准化扫查视频,实现低资源环境下的可扩展胎儿影像采集,并由人工智能(AI)自动解读。然而,此类AI系统的可靠性高度依赖于采集质量,目前尚不清楚采集过程中的偏差如何影响下游预测结果。本文系统评估了BSOU质量及其对三项关键AI任务的影响:扫查标签分类、胎儿位置分类和胎盘位置分类。我们模拟了可能的采集偏差,包括反向扫查、探头反转和不完整扫查,以量化模型鲁棒性,并开发了能检测这些扰动的自动化质量评估模型。为模拟真实部署场景,我们构建了反馈循环,对标记异常的扫查进行重采,结果显示该修正机制可显著提升下游任务性能。研究揭示了基于BSOU的AI模型对采集变异的高度敏感性,并证明自动化质量评估在构建可靠、可扩展的AI辅助产前超声流程中具有核心作用,尤其适用于低资源环境。
原文摘要 · Abstract (English)
Blind Sweep Obstetric Ultrasound (BSOU) enables scalable fetal imaging in low-resource settings by allowing minimally trained operators to acquire standardized sweep videos for automated Artificial Intelligence(AI) interpretation. However, the reliability of such AI systems depends critically on the quality of the acquired sweeps, and little is known about how deviations from the intended protocol affect downstream predictions. In this work, we present a systematic evaluation of BSOU quality and its impact on three key AI tasks: sweep-tag classification, fetal presentation classification, and placenta-location classification. We simulate plausible acquisition deviations, including reversed sweep direction, probe inversion, and incomplete sweeps, to quantify model robustness, and we develop automated quality-assessment models capable of detecting these perturbations. To approximate real-world deployment, we simulate a feedback loop in which flagged sweeps are re-acquired, showing that such correction improves downstream task performance. Our findings highlight the sensitivity of BSOU-based AI models to acquisition variability and demonstrate that automated quality assessment can play a central role in building reliable, scalable AI-assisted prenatal ultrasound workflows, particularly in low-resource environments.
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。