Deep Learning-Based Computer-Aided Fetal Echocardiography: Application to Heart Standard View Segmentation for Congenital Heart Defects Detection

Accurate segmentation of fetal heart in echocardiography images is essential for detecting the structural abnormalities such as congenital heart defects (CHDs). Due to the wide variations attributed to different factors, such as maternal obesity, abdominal scars, amniotic fluid volume, and great ves...

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Main Authors: Siti Nurmaini, Muhammad Naufal Rachmatullah, Ade Iriani Sapitri, Annisa Darmawahyuni, Bambang Tutuko, Firdaus Firdaus, Radiyati Umi Partan, Nuswil Bernolian
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/21/23/8007
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author Siti Nurmaini
Muhammad Naufal Rachmatullah
Ade Iriani Sapitri
Annisa Darmawahyuni
Bambang Tutuko
Firdaus Firdaus
Radiyati Umi Partan
Nuswil Bernolian
author_facet Siti Nurmaini
Muhammad Naufal Rachmatullah
Ade Iriani Sapitri
Annisa Darmawahyuni
Bambang Tutuko
Firdaus Firdaus
Radiyati Umi Partan
Nuswil Bernolian
author_sort Siti Nurmaini
collection DOAJ
description Accurate segmentation of fetal heart in echocardiography images is essential for detecting the structural abnormalities such as congenital heart defects (CHDs). Due to the wide variations attributed to different factors, such as maternal obesity, abdominal scars, amniotic fluid volume, and great vessel connections, this process is still a challenging problem. CHDs detection with expertise in general are substandard; the accuracy of measurements remains highly dependent on humans’ training, skills, and experience. To make such a process automatic, this study proposes deep learning-based computer-aided fetal heart echocardiography examinations with an instance segmentation approach, which inherently segments the four standard heart views and detects the defect simultaneously. We conducted several experiments with 1149 fetal heart images for predicting 24 objects, including four shapes of fetal heart standard views, 17 objects of heart-chambers in each view, and three cases of congenital heart defect. The result showed that the proposed model performed satisfactory performance for standard views segmentation, with a 79.97% intersection over union and 89.70% Dice coefficient similarity. It also performed well in the CHDs detection, with mean average precision around 98.30% for intra-patient variation and 82.42% for inter-patient variation. We believe that automatic segmentation and detection techniques could make an important contribution toward improving congenital heart disease diagnosis rates.
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spelling doaj.art-69f5dc1112474a5588a9fadf9203700e2023-11-23T03:02:30ZengMDPI AGSensors1424-82202021-11-012123800710.3390/s21238007Deep Learning-Based Computer-Aided Fetal Echocardiography: Application to Heart Standard View Segmentation for Congenital Heart Defects DetectionSiti Nurmaini0Muhammad Naufal Rachmatullah1Ade Iriani Sapitri2Annisa Darmawahyuni3Bambang Tutuko4Firdaus Firdaus5Radiyati Umi Partan6Nuswil Bernolian7Intelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang 30139, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang 30139, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang 30139, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang 30139, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang 30139, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang 30139, IndonesiaFaculty of Medicine, Universitas Sriwijaya, Palembang 30139, IndonesiaDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mohammad Hoesin General Hospital, Palembang 30126, IndonesiaAccurate segmentation of fetal heart in echocardiography images is essential for detecting the structural abnormalities such as congenital heart defects (CHDs). Due to the wide variations attributed to different factors, such as maternal obesity, abdominal scars, amniotic fluid volume, and great vessel connections, this process is still a challenging problem. CHDs detection with expertise in general are substandard; the accuracy of measurements remains highly dependent on humans’ training, skills, and experience. To make such a process automatic, this study proposes deep learning-based computer-aided fetal heart echocardiography examinations with an instance segmentation approach, which inherently segments the four standard heart views and detects the defect simultaneously. We conducted several experiments with 1149 fetal heart images for predicting 24 objects, including four shapes of fetal heart standard views, 17 objects of heart-chambers in each view, and three cases of congenital heart defect. The result showed that the proposed model performed satisfactory performance for standard views segmentation, with a 79.97% intersection over union and 89.70% Dice coefficient similarity. It also performed well in the CHDs detection, with mean average precision around 98.30% for intra-patient variation and 82.42% for inter-patient variation. We believe that automatic segmentation and detection techniques could make an important contribution toward improving congenital heart disease diagnosis rates.https://www.mdpi.com/1424-8220/21/23/8007fetal echocardiographydeep learningfetal heart standard viewheart defectinstance segmentation
spellingShingle Siti Nurmaini
Muhammad Naufal Rachmatullah
Ade Iriani Sapitri
Annisa Darmawahyuni
Bambang Tutuko
Firdaus Firdaus
Radiyati Umi Partan
Nuswil Bernolian
Deep Learning-Based Computer-Aided Fetal Echocardiography: Application to Heart Standard View Segmentation for Congenital Heart Defects Detection
Sensors
fetal echocardiography
deep learning
fetal heart standard view
heart defect
instance segmentation
title Deep Learning-Based Computer-Aided Fetal Echocardiography: Application to Heart Standard View Segmentation for Congenital Heart Defects Detection
title_full Deep Learning-Based Computer-Aided Fetal Echocardiography: Application to Heart Standard View Segmentation for Congenital Heart Defects Detection
title_fullStr Deep Learning-Based Computer-Aided Fetal Echocardiography: Application to Heart Standard View Segmentation for Congenital Heart Defects Detection
title_full_unstemmed Deep Learning-Based Computer-Aided Fetal Echocardiography: Application to Heart Standard View Segmentation for Congenital Heart Defects Detection
title_short Deep Learning-Based Computer-Aided Fetal Echocardiography: Application to Heart Standard View Segmentation for Congenital Heart Defects Detection
title_sort deep learning based computer aided fetal echocardiography application to heart standard view segmentation for congenital heart defects detection
topic fetal echocardiography
deep learning
fetal heart standard view
heart defect
instance segmentation
url https://www.mdpi.com/1424-8220/21/23/8007
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