Fetal Head and Abdomen Measurement Using Convolutional Neural Network,
  Hough Transform, and Difference of Gaussian Revolved along Elliptical Path
  (Dogell) Algorithm

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Abstract

The number of fetal-neonatal death in Indonesia is still high compared to developed countries. This is caused by the absence of maternal monitoring during pregnancy. This paper presents an automated measurement for fetal head circumference (HC) and abdominal circumference (AC) from the ultrasonography (USG) image. This automated measurement is beneficial to detect early fetal abnormalities during the pregnancy period. We used the convolutional neural network (CNN) method, to preprocess the USG data. After that, we approximate the head and abdominal circumference using the Hough transform algorithm and the difference of Gaussian Revolved along Elliptical Path (Dogell) Algorithm. We used the data set from national hospitals in Indonesia and for the accuracy measurement, we compared our results to the annotated images measured by professional obstetricians. The result shows that by using CNN, we reduced errors caused by a noisy image. We found that the Dogell algorithm performs better than the Hough transform algorithm in both time and accuracy. This is the first HC and AC approximation that used the CNN method to preprocess the data.

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Automated measurement of fetal head circumference using 2D ultrasound images

Thomas L. A. van den Heuvel, Dagmar de Bruijn, Chris De Korte … (2018)

In this paper we present a computer aided detection (CAD) system for automated measurement of the fetal head circumference (HC) in 2D ultrasound images for all trimesters of the pregnancy. The HC can be used to estimate the gestational age and monitor growth of the fetus. Automated HC assessment could be valuable in developing countries, where there is a severe shortage of trained sonographers. The CAD system consists of two steps: First, Haar-like features were computed from the ultrasound images to train a random forest classifier to locate the fetal skull. Secondly, the HC was extracted using Hough transform, dynamic programming and an ellipse fit. The CAD system was trained on 999 images and validated on an independent test set of 335 images from all trimesters. The test set was manually annotated by an experienced sonographer and a medical researcher. The reference gestational age (GA) was estimated using the crown-rump length measurement (CRL). The mean difference between the reference GA and the GA estimated by the experienced sonographer was 0.8 ± 2.6, −0.0 ± 4.6 and 1.9 ± 11.0 days for the first, second and third trimester, respectively. The mean difference between the reference GA and the GA estimated by the medical researcher was 1.6 ± 2.7, 2.0 ± 4.8 and 3.9 ± 13.7 days. The mean difference between the reference GA and the GA estimated by the CAD system was 0.6 ± 4.3, 0.4 ± 4.7 and 2.5 ± 12.4 days. The results show that the CAD system performs comparable to an experienced sonographer. The presented system shows similar or superior results compared to systems published in literature. This is the first automated system for HC assessment evaluated on a large test set which contained data of all trimesters of the pregnancy.

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Detection and Measurement of Fetal Anatomies from Ultrasound Images using a Constrained Probabilistic Boosting Tree

G. Carneiro, B. Georgescu, S. Good … (2008)

We propose a novel method for the automatic detection and measurement of fetal anatomical structures in ultrasound images. This problem offers a myriad of challenges, including: difficulty of modeling the appearance variations of the visual object of interest, robustness to speckle noise and signal dropout, and large search space of the detection procedure. Previous solutions typically rely on the explicit encoding of prior knowledge and formulation of the problem as a perceptual grouping task solved through clustering or variational approaches. These methods are constrained by the validity of the underlying assumptions and usually are not enough to capture the complex appearances of fetal anatomies. We propose a novel system for fast automatic detection and measurement of fetal anatomies that directly exploits a large database of expert annotated fetal anatomical structures in ultrasound images. Our method learns automatically to distinguish between the appearance of the object of interest and background by training a constrained probabilistic boosting tree classifier. This system is able to produce the automatic segmentation of several fetal anatomies using the same basic detection algorithm. We show results on fully automatic measurement of biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), femur length (FL), humerus length (HL), and crown rump length (CRL). Notice that our approach is the first in the literature to deal with the HL and CRL measurements. Extensive experiments (with clinical validation) show that our system is, on average, close to the accuracy of experts in terms of segmentation and obstetric measurements. Finally, this system runs under half second on a standard dual-core PC computer.