Artificial Intelligence in Fetal Growth Restriction Management: A Narrative Review.

Journal: Journal of clinical ultrasound : JCU
Published Date:

Abstract

This narrative review examines the integration of Artificial Intelligence (AI) in prenatal care, particularly in managing pregnancies complicated by Fetal Growth Restriction (FGR). AI provides a transformative approach to diagnosing and monitoring FGR by leveraging advanced machine-learning algorithms and extensive data analysis. Automated fetal biometry using AI has demonstrated significant precision in identifying fetal structures, while predictive models analyzing Doppler indices and maternal characteristics improve the reliability of adverse outcome predictions. AI has enabled early detection and stratification of FGR risk, facilitating targeted monitoring strategies and individualized delivery plans, potentially improving neonatal outcomes. For instance, studies have shown enhancements in detecting placental insufficiency-related abnormalities when AI tools are integrated with traditional ultrasound techniques. This review also explores challenges such as algorithm bias, ethical considerations, and data standardization, underscoring the importance of global accessibility and regulatory frameworks to ensure equitable implementation. The potential of AI to revolutionize prenatal care highlights the urgent need for further clinical validation and interdisciplinary collaboration.

Authors

  • Ugo Maria Pierucci
    Department of Pediatric Surgery, "V. Buzzi" Children's Hospital, Milan, Italy.
  • Gabriele Tonni
    Department of Obstetrics and Neonatology, and Researcher, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), AUSL Reggio Emilia, Reggio Emilia, Italy.
  • Gloria Pelizzo
    Pediatric Surgery Unit, Children's Hospital G. Di Cristina, ARNAS Civico-Di Cristina-Benfratelli, Palermo, Italy.
  • Irene Paraboschi
    Department of Biomedical and Clinical Science, University of Milano, Milan, Italy.
  • Heron Werner
    Biodesign Lab Dasa/PUC-Rio, Pontificia Universidade Catolica Rio de Janeiro, Rio de Janeiro, Brazil.
  • Rodrigo Ruano
    Division of Fetal Medicine, Department of Obstetric, Gynecology and Reproductive Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA.