A regression framework to head-circumference delineation from US fetal images

Background and Objectives: Measuring head-circumference (HC) length from ultrasound (US) images is a crucial clinical task to assess fetus growth. To lower intra- and inter-operator variability in HC length measuring, several computer-assisted solutions have been proposed in the years. Recently, a large number of deep-learning approaches is addressing the problem of HC delineation through the segmentation of the whole fetal head via convolutional neural networks (CNNs). Since the task is a edge-delineation problem, we propose a different strategy based on regression CNNs. Methods: The proposed framework consists of a region-proposal CNN for head localization and centering, and a regression CNN for accurately delineate the HC. The first CNN is trained exploiting transfer learning, while we propose a training strategy for the regression CNN based on distance fields. Results: The framework was tested on the HC18 Challenge dataset, which consists of 999 training and 335 testing images. A mean absolute difference of 1.90 ( ± 1.76) mm and a Dice similarity coefficient of 97.75 ( ± 1.32) % were achieved, overcoming approaches in the literature. Conclusions: The experimental results showed the effectiveness of the proposed framework, proving its potential in supporting clinicians during the clinical practice

Segmentation of fetal 2D images with deep learning: a review

Image segmentation plays a vital role in providing sustainable medical care in this evolving biomedical image processing technology. Nowadays, it is considered one of the most important research directions in the computer vision field. Since the last decade, deep learning-based medical image processing has become a research hotspot due to its exceptional performance. In this paper, we present a review of different deep learning techniques used to segment fetal 2D images. First, we explain the basic ideas of each approach and then thoroughly investigate the methods used for the segmentation of fetal images. Secondly, the results and accuracy of different approaches are also discussed. The dataset details used for assessing the performance of the respective method are also documented. Based on the review studies, the challenges and future work are also pointed out at the end. As a result, it is shown that deep learning techniques are very effective in the segmentation of fetal 2D images.info:eu-repo/semantics/publishedVersio

A supervised texton based approach for automatic segmentation and measurement of the fetal head and femur in 2D ultrasound images

This paper presents a supervised texton based approach for the accurate segmentation and measurement of ultrasound fetal head (BPD, OFD, HC) and femur (FL). The method consists of several steps. First, a non-linear diffusion technique is utilized to reduce the speckle noise. Then, based on the assumption that cross sectional intensity profiles of skull and femur can be approximated by Gaussian-like curves, a multi-scale and multi-orientation filter bank is designed to extract texton features specific to ultrasound fetal anatomic structure. The extracted texton cues, together with multi-scale local brightness, are then built into a unified framework for boundary detection of ultrasound fetal head and femur. Finally, for fetal head, a direct least square ellipse fitting method is used to construct a closed head contour, whilst, for fetal femur a closed contour is produced by connecting the detected femur boundaries. The presented method is demonstrated to be promising for clinical applications. Overall the evaluation results of fetal head segmentation and measurement from our method are comparable with the inter-observer difference of experts, with the best average precision of 96.85%, the maximum symmetric contour distance (MSD) of 1.46 mm, average symmetric contour distance (ASD) of 0.53 mm; while for fetal femur, the overall performance of our method is better than the inter-observer difference of experts, with the average precision of 84.37%, MSD of 2.72 mm and ASD of 0.31 mm

Automatic image quality assessment and measurement of fetal head in two-dimensional ultrasound image

Owing to the inconsistent image quality existing in routine obstetric ultrasound (US) scans that leads to a large intraobserver and interobserver variability, the aim of this study is to develop a quality-assured, fully automated US fetal head measurement system. A texton-based fetal head segmentation is used as a prerequi- site step to obtain the head region. Textons are calculated using a filter bank designed specific for US fetal head structure. Both shape- and anatomic-based features calculated from the segmented head region are then fed into a random forest classifier to determine the quality of the image (e.g., whether the image is acquired from a correct imaging plane), from which fetal head measurements [biparietal diameter (BPD), occipital–frontal diam- eter (OFD), and head circumference (HC)] are derived. The experimental results show a good performance of our method for US quality assessment and fetal head measurements. The overall precision for automatic image quality assessment is 95.24% with 87.5% sensitivity and 100% specificity, while segmentation performance shows 99.27% (`0.26) of accuracy, 97.07% (`2.3) of sensitivity, 2.23 mm (`0.74) of the maximum symmetric contour distance, and 0.84 mm (`0.28) of the average symmetric contour distance. The statistical analysis results using paired t-test and Bland–Altman plots analysis indicate that the 95% limits of agreement for inter observer variability between the automated measurements and the senior expert measurements are 2.7 mm of BPD, 5.8 mm of OFD, and 10.4 mm of HC, whereas the mean differences are −0.038 ` 1.38 mm, −0.20 ` 2.98 mm, and −0.72 ` 5.36 mm, respectively. These narrow 95% limits of agreements indicate a good level of consistency between the automated and the senior expert’s measurements

Difference of gaussians revolved along elliptical paths for ultrasound fetal head segmentation

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SIS 2017. Statistics and Data Science: new challenges, new generations

The 2017 SIS Conference aims to highlight the crucial role of the Statistics in Data Science. In this new domain of ‘meaning’ extracted from the data, the increasing amount of produced and available data in databases, nowadays, has brought new challenges. That involves different fields of statistics, machine learning, information and computer science, optimization, pattern recognition. These afford together a considerable contribute in the analysis of ‘Big data’, open data, relational and complex data, structured and no-structured. The interest is to collect the contributes which provide from the different domains of Statistics, in the high dimensional data quality validation, sampling extraction, dimensional reduction, pattern selection, data modelling, testing hypotheses and confirming conclusions drawn from the data