FetalNet: Low-light fetal echocardiography enhancement and dense convolutional network classifier for improving heart defect prediction

Background: Fetal heart defect (FHD) examination by ultrasound (US) is challenging because it involves low light, contrast, and brightness. Inadequate US images of fetal echocardiography play an important role in the failure to detect FHDs manually. The automatic interpretation of fetal echocardiogr...

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Main Authors: Sutarno Sutarno, Siti Nurmaini, Radiyati Umi Partan, Ade Iriani Sapitri, Bambang Tutuko, Muhammad Naufal Rachmatullah, Annisa Darmawahyuni, Firdaus Firdaus, Nuswil Bernolian, Deny Sulistiyo
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Informatics in Medicine Unlocked
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352914822002738
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author Sutarno Sutarno
Siti Nurmaini
Radiyati Umi Partan
Ade Iriani Sapitri
Bambang Tutuko
Muhammad Naufal Rachmatullah
Annisa Darmawahyuni
Firdaus Firdaus
Nuswil Bernolian
Deny Sulistiyo
author_facet Sutarno Sutarno
Siti Nurmaini
Radiyati Umi Partan
Ade Iriani Sapitri
Bambang Tutuko
Muhammad Naufal Rachmatullah
Annisa Darmawahyuni
Firdaus Firdaus
Nuswil Bernolian
Deny Sulistiyo
author_sort Sutarno Sutarno
collection DOAJ
description Background: Fetal heart defect (FHD) examination by ultrasound (US) is challenging because it involves low light, contrast, and brightness. Inadequate US images of fetal echocardiography play an important role in the failure to detect FHDs manually. The automatic interpretation of fetal echocardiography was proposed in a previous study. However, the low quality of US images reduces the prediction rate of computer-assisted diagnosis results. Methods: To increase the FHD prediction rate, we propose low-light fetal echocardiography enhancement stacking with a dense convolutional network classifier named “FetalNet.” Our proposed FetalNet model was developed using 460 US images to produce an image enhancement model. The results showed that all raw US images could be improved with satisfactory performance in terms of increasing the peak signal-to-noise ratio of 30.85 dB, a structural similarity index of 0.96, and a mean squared error of 18.16. Furthermore, all reconstructed images were used as inputs in a convolutional neural network to generate the best classifier for predicting FHD. Results: The proposed FetalNet model increased the FHD prediction rate by approximately 25% in terms of accuracy, sensitivity, and specificity and produced 100% predictive negative using unseen data. Conclusions: The proposed deep learning model has the potential to identify FHD accurately and shows potential for practical use in identifying congenital heart diseases in the future.
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spelling doaj.art-999607e08cb44b63b2f6d0794ae4f2f22022-12-22T04:36:18ZengElsevierInformatics in Medicine Unlocked2352-91482022-01-0135101136FetalNet: Low-light fetal echocardiography enhancement and dense convolutional network classifier for improving heart defect predictionSutarno Sutarno0Siti Nurmaini1Radiyati Umi Partan2Ade Iriani Sapitri3Bambang Tutuko4Muhammad Naufal Rachmatullah5Annisa Darmawahyuni6Firdaus Firdaus7Nuswil Bernolian8Deny Sulistiyo9Intelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Indonesia; Doctoral Program, Faculty of Engineering, Universitas Sriwijaya, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Indonesia; Corresponding author. Intelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, Palembang, 30139, Indonesia.Faculty of Medicine, Universitas Sriwijaya, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, IndonesiaDivision of Fetomaternal, Department of Obstetrics and Gynaecology, Mohammad Hoesin General Hospital, IndonesiaIntelligent System Research Group, Faculty of Computer Science, Universitas Sriwijaya, IndonesiaBackground: Fetal heart defect (FHD) examination by ultrasound (US) is challenging because it involves low light, contrast, and brightness. Inadequate US images of fetal echocardiography play an important role in the failure to detect FHDs manually. The automatic interpretation of fetal echocardiography was proposed in a previous study. However, the low quality of US images reduces the prediction rate of computer-assisted diagnosis results. Methods: To increase the FHD prediction rate, we propose low-light fetal echocardiography enhancement stacking with a dense convolutional network classifier named “FetalNet.” Our proposed FetalNet model was developed using 460 US images to produce an image enhancement model. The results showed that all raw US images could be improved with satisfactory performance in terms of increasing the peak signal-to-noise ratio of 30.85 dB, a structural similarity index of 0.96, and a mean squared error of 18.16. Furthermore, all reconstructed images were used as inputs in a convolutional neural network to generate the best classifier for predicting FHD. Results: The proposed FetalNet model increased the FHD prediction rate by approximately 25% in terms of accuracy, sensitivity, and specificity and produced 100% predictive negative using unseen data. Conclusions: The proposed deep learning model has the potential to identify FHD accurately and shows potential for practical use in identifying congenital heart diseases in the future.http://www.sciencedirect.com/science/article/pii/S2352914822002738Deep learningUltrasoundCongenital heart diseaseLow light image enhancement
spellingShingle Sutarno Sutarno
Siti Nurmaini
Radiyati Umi Partan
Ade Iriani Sapitri
Bambang Tutuko
Muhammad Naufal Rachmatullah
Annisa Darmawahyuni
Firdaus Firdaus
Nuswil Bernolian
Deny Sulistiyo
FetalNet: Low-light fetal echocardiography enhancement and dense convolutional network classifier for improving heart defect prediction
Informatics in Medicine Unlocked
Deep learning
Ultrasound
Congenital heart disease
Low light image enhancement
title FetalNet: Low-light fetal echocardiography enhancement and dense convolutional network classifier for improving heart defect prediction
title_full FetalNet: Low-light fetal echocardiography enhancement and dense convolutional network classifier for improving heart defect prediction
title_fullStr FetalNet: Low-light fetal echocardiography enhancement and dense convolutional network classifier for improving heart defect prediction
title_full_unstemmed FetalNet: Low-light fetal echocardiography enhancement and dense convolutional network classifier for improving heart defect prediction
title_short FetalNet: Low-light fetal echocardiography enhancement and dense convolutional network classifier for improving heart defect prediction
title_sort fetalnet low light fetal echocardiography enhancement and dense convolutional network classifier for improving heart defect prediction
topic Deep learning
Ultrasound
Congenital heart disease
Low light image enhancement
url http://www.sciencedirect.com/science/article/pii/S2352914822002738
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