Journal Article

Automated measurement of fetal head circumference using 2D ultrasound images

Ginneken, Bram van, de Bruijn, Dagmar, van den Heuvel, Thomas L. A., de Korte, Chris L.

2018

Overview

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.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Artificial intelligence / Automation / Biology and Life Sciences / Biometrics / Data collection / Developing countries / Diagnostic medical sonographers / Dynamic programming / Female / Fetal Development / Fetus - anatomy & histology / Fetus - diagnostic imaging / Fetus - embryology / Fetuses / Gestational Age / Head - anatomy & histology / Head - diagnostic imaging / Head - embryology / Hough transformation / Humans / Image detection / International conferences / LDCs / Medical examination / Medical imaging / Medical research / Medicine and Health Sciences / Methods / Nuclear medicine / Obstetrics / Physical Sciences / Practice / Pregnancy / Pregnant women / Research and Analysis Methods / Skull / Ultrasonic imaging / Ultrasonography, Prenatal - methods / Ultrasound / Ultrasound imaging / Womens health