R2AoP: Reliable and Robust Angle of Progression Estimation from Intrapartum Ultrasound

Fuente: arXiv
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Autores principales: Wang, Yuanhan, Chen, Yifei, Wu, Beining, Liu, Mingxuan, Hu, Xiaotian, Jiang, Chunbo, Li, Yijin, Wang, Changmiao, Qin, Feiwei, Tian, Qiyuan
Formato: Preprint
Publicado: 2026
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author Wang, Yuanhan
Chen, Yifei
Wu, Beining
Liu, Mingxuan
Hu, Xiaotian
Jiang, Chunbo
Li, Yijin
Wang, Changmiao
Qin, Feiwei
Tian, Qiyuan
author_facet Wang, Yuanhan
Chen, Yifei
Wu, Beining
Liu, Mingxuan
Hu, Xiaotian
Jiang, Chunbo
Li, Yijin
Wang, Changmiao
Qin, Feiwei
Tian, Qiyuan
contents Accurate estimation of the Angle of Progression (AoP) from intrapartum transperineal ultrasound is critical for objective assessment of labor progression, yet remains highly sensitive to imaging noise, boundary ambiguities, and the geometric amplification of local segmentation errors. We propose R2AoP, a reliable and robust AoP estimation framework that integrates structurally informed segmentation and confidence-guided geometric modeling to achieve stable and reproducible measurements. A three-branch local-structure-enhanced backbone improves the delineation of the pubic symphysis (PS) and fetal head (FH), while confidence-weighted contour fitting explicitly suppresses the influence of unreliable boundary points in AoP computation. To further improve performance under heterogeneous acquisition conditions, we introduce a lightweight geometry-reliable test-time adaptation strategy as an auxiliary component, enabling stable inference without target annotations. Extensive evaluations on multi-center benchmarks demonstrate consistent reductions in AoP error and boundary metrics compared with state-of-the-art AoP methods. Our source code is available at https://github.com/baiyou1234/R2AoP.
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id arxiv_https___arxiv_org_abs_2605_21099
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle R2AoP: Reliable and Robust Angle of Progression Estimation from Intrapartum Ultrasound
Wang, Yuanhan
Chen, Yifei
Wu, Beining
Liu, Mingxuan
Hu, Xiaotian
Jiang, Chunbo
Li, Yijin
Wang, Changmiao
Qin, Feiwei
Tian, Qiyuan
Computer Vision and Pattern Recognition
Accurate estimation of the Angle of Progression (AoP) from intrapartum transperineal ultrasound is critical for objective assessment of labor progression, yet remains highly sensitive to imaging noise, boundary ambiguities, and the geometric amplification of local segmentation errors. We propose R2AoP, a reliable and robust AoP estimation framework that integrates structurally informed segmentation and confidence-guided geometric modeling to achieve stable and reproducible measurements. A three-branch local-structure-enhanced backbone improves the delineation of the pubic symphysis (PS) and fetal head (FH), while confidence-weighted contour fitting explicitly suppresses the influence of unreliable boundary points in AoP computation. To further improve performance under heterogeneous acquisition conditions, we introduce a lightweight geometry-reliable test-time adaptation strategy as an auxiliary component, enabling stable inference without target annotations. Extensive evaluations on multi-center benchmarks demonstrate consistent reductions in AoP error and boundary metrics compared with state-of-the-art AoP methods. Our source code is available at https://github.com/baiyou1234/R2AoP.
title R2AoP: Reliable and Robust Angle of Progression Estimation from Intrapartum Ultrasound
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2605.21099