Automatic Quality Assessment of First Trimester Crown-Rump-Length Ultrasound Images

Fuente: arXiv
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Autori principali: Cengiz, Sevim, Hamdi, Ibraheem, Yaqub, Mohammad
Natura: Preprint
Pubblicazione: 2025
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author Cengiz, Sevim
Hamdi, Ibraheem
Yaqub, Mohammad
author_facet Cengiz, Sevim
Hamdi, Ibraheem
Yaqub, Mohammad
contents Fetal gestational age (GA) is vital clinical information that is estimated during pregnancy in order to assess fetal growth. This is usually performed by measuring the crown-rump-length (CRL) on an ultrasound image in the Dating scan which is then correlated with fetal age and growth trajectory. A major issue when performing the CRL measurement is ensuring that the image is acquired at the correct view, otherwise it could be misleading. Although clinical guidelines specify the criteria for the correct CRL view, sonographers may not regularly adhere to such rules. In this paper, we propose a new deep learning-based solution that is able to verify the adherence of a CRL image to clinical guidelines in order to assess image quality and facilitate accurate estimation of GA. We first segment out important fetal structures then use the localized structures to perform a clinically-guided mapping that verifies the adherence of criteria. The segmentation method combines the benefits of Convolutional Neural Network (CNN) and the Vision Transformer (ViT) to segment fetal structures in ultrasound images and localize important fetal landmarks. For segmentation purposes, we compare our proposed work with UNet and show that our CNN/ViT-based method outperforms an optimized version of UNet. Furthermore, we compare the output of the mapping with classification CNNs when assessing the clinical criteria and the overall acceptability of CRL images. We show that the proposed mapping is not only explainable but also more accurate than the best performing classification CNNs.
format Preprint
id arxiv_https___arxiv_org_abs_2502_10908
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Automatic Quality Assessment of First Trimester Crown-Rump-Length Ultrasound Images
Cengiz, Sevim
Hamdi, Ibraheem
Yaqub, Mohammad
Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
Fetal gestational age (GA) is vital clinical information that is estimated during pregnancy in order to assess fetal growth. This is usually performed by measuring the crown-rump-length (CRL) on an ultrasound image in the Dating scan which is then correlated with fetal age and growth trajectory. A major issue when performing the CRL measurement is ensuring that the image is acquired at the correct view, otherwise it could be misleading. Although clinical guidelines specify the criteria for the correct CRL view, sonographers may not regularly adhere to such rules. In this paper, we propose a new deep learning-based solution that is able to verify the adherence of a CRL image to clinical guidelines in order to assess image quality and facilitate accurate estimation of GA. We first segment out important fetal structures then use the localized structures to perform a clinically-guided mapping that verifies the adherence of criteria. The segmentation method combines the benefits of Convolutional Neural Network (CNN) and the Vision Transformer (ViT) to segment fetal structures in ultrasound images and localize important fetal landmarks. For segmentation purposes, we compare our proposed work with UNet and show that our CNN/ViT-based method outperforms an optimized version of UNet. Furthermore, we compare the output of the mapping with classification CNNs when assessing the clinical criteria and the overall acceptability of CRL images. We show that the proposed mapping is not only explainable but also more accurate than the best performing classification CNNs.
title Automatic Quality Assessment of First Trimester Crown-Rump-Length Ultrasound Images
topic Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2502.10908