Deep Learning Analysis of Prenatal Ultrasound for Identification of Ventriculomegaly

Fuente: arXiv
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Auteurs principaux: Megahed, Youssef, Lee, Inok, Ducharme, Robin, Erman, Aylin, Miguel, Olivier X., Dick, Kevin, Chan, Adrian D. C., Hawken, Steven, Walker, Mark, Moretti, Felipe
Format: Preprint
Publié: 2025
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author Megahed, Youssef
Lee, Inok
Ducharme, Robin
Erman, Aylin
Miguel, Olivier X.
Dick, Kevin
Chan, Adrian D. C.
Hawken, Steven
Walker, Mark
Moretti, Felipe
author_facet Megahed, Youssef
Lee, Inok
Ducharme, Robin
Erman, Aylin
Miguel, Olivier X.
Dick, Kevin
Chan, Adrian D. C.
Hawken, Steven
Walker, Mark
Moretti, Felipe
contents The proposed study aimed to develop a deep learning model capable of detecting ventriculomegaly on prenatal ultrasound images. Ventriculomegaly is a prenatal condition characterized by dilated cerebral ventricles of the fetal brain and is important to diagnose early, as it can be associated with an increased risk for fetal aneuploidies and/or underlying genetic syndromes. An Ultrasound Self-Supervised Foundation Model with Masked Autoencoding (USF-MAE), recently developed by our group, was fine-tuned for a binary classification task to distinguish fetal brain ultrasound images as either normal or showing ventriculomegaly. The USF-MAE incorporates a Vision Transformer encoder pretrained on more than 370,000 ultrasound images from the OpenUS-46 corpus. For this study, the pretrained encoder was adapted and fine-tuned on a curated dataset of fetal brain ultrasound images to optimize its performance for ventriculomegaly detection. Model evaluation was conducted using 5-fold cross-validation and an independent test cohort, and performance was quantified using accuracy, precision, recall, specificity, F1-score, and area under the receiver operating characteristic curve (AUC). The proposed USF-MAE model reached an F1-score of 91.76% on the 5-fold cross-validation and 91.78% on the independent test set, with much higher scores than those obtained by the baseline models by 19.37% and 16.15% compared to VGG-19, 2.31% and 2.56% compared to ResNet-50, and 5.03% and 11.93% compared to ViT-B/16, respectively. The model also showed a high mean test precision of 94.47% and an accuracy of 97.24%. The Eigen-CAM (Eigen Class Activation Map) heatmaps showed that the model was focusing on the ventricle area for the diagnosis of ventriculomegaly, which has explainability and clinical plausibility.
format Preprint
id arxiv_https___arxiv_org_abs_2511_07827
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Deep Learning Analysis of Prenatal Ultrasound for Identification of Ventriculomegaly
Megahed, Youssef
Lee, Inok
Ducharme, Robin
Erman, Aylin
Miguel, Olivier X.
Dick, Kevin
Chan, Adrian D. C.
Hawken, Steven
Walker, Mark
Moretti, Felipe
Image and Video Processing
Computer Vision and Pattern Recognition
The proposed study aimed to develop a deep learning model capable of detecting ventriculomegaly on prenatal ultrasound images. Ventriculomegaly is a prenatal condition characterized by dilated cerebral ventricles of the fetal brain and is important to diagnose early, as it can be associated with an increased risk for fetal aneuploidies and/or underlying genetic syndromes. An Ultrasound Self-Supervised Foundation Model with Masked Autoencoding (USF-MAE), recently developed by our group, was fine-tuned for a binary classification task to distinguish fetal brain ultrasound images as either normal or showing ventriculomegaly. The USF-MAE incorporates a Vision Transformer encoder pretrained on more than 370,000 ultrasound images from the OpenUS-46 corpus. For this study, the pretrained encoder was adapted and fine-tuned on a curated dataset of fetal brain ultrasound images to optimize its performance for ventriculomegaly detection. Model evaluation was conducted using 5-fold cross-validation and an independent test cohort, and performance was quantified using accuracy, precision, recall, specificity, F1-score, and area under the receiver operating characteristic curve (AUC). The proposed USF-MAE model reached an F1-score of 91.76% on the 5-fold cross-validation and 91.78% on the independent test set, with much higher scores than those obtained by the baseline models by 19.37% and 16.15% compared to VGG-19, 2.31% and 2.56% compared to ResNet-50, and 5.03% and 11.93% compared to ViT-B/16, respectively. The model also showed a high mean test precision of 94.47% and an accuracy of 97.24%. The Eigen-CAM (Eigen Class Activation Map) heatmaps showed that the model was focusing on the ventricle area for the diagnosis of ventriculomegaly, which has explainability and clinical plausibility.
title Deep Learning Analysis of Prenatal Ultrasound for Identification of Ventriculomegaly
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2511.07827