Deep learning approach for screening neonatal cerebral lesions on ultrasound in China.

Journal: Nature communications
Published Date:

Abstract

Timely and accurate diagnosis of severe neonatal cerebral lesions is critical for preventing long-term neurological damage and addressing life-threatening conditions. Cranial ultrasound is the primary screening tool, but the process is time-consuming and reliant on operator's proficiency. In this study, a deep-learning powered neonatal cerebral lesions screening system capable of automatically extracting standard views from cranial ultrasound videos and identifying cases with severe cerebral lesions is developed based on 8,757 neonatal cranial ultrasound images. The system demonstrates an area under the curve of 0.982 and 0.944, with sensitivities of 0.875 and 0.962 on internal and external video datasets, respectively. Furthermore, the system outperforms junior radiologists and performs on par with mid-level radiologists, with 55.11% faster examination efficiency. In conclusion, the developed system can automatically extract standard views and make correct diagnosis with efficiency from cranial ultrasound videos and might be useful to deploy in multiple application scenarios.

Authors

  • Zhouqin Lin
    Department of Medical Ultrasonics, Shenzhen Children's Hospital, Shenzhen, PR China.
  • Haoming Zhang
    Shenzhen Key Laboratory of Smart Healthcare Engineering, Department of Biomedical Engineering, Southern University of Science and Technology, Shenzhen 518055, People's Republic of China.
  • Xingxing Duan
    Department of Ultrasound, Changsha Hospital for Maternal and Child Health Care, Changsha, China.
  • Yan Bai
    Department of Radiology, Henan Provincial People's Hospital, China.
  • Jian Wang
    Veterinary Diagnostic Center, Shanghai Animal Disease Control Center, Shanghai, China.
  • Qianhong Liang
    Department of Ultrasound, Hexian Memorial Affiliated Hospital of Southern Medical University, Guangzhou, P. R. China.
  • Jingran Zhou
    Department of Medical Ultrasonics, Shenzhen Children's Hospital, Shenzhen, PR China.
  • Fusui Xie
    Department of Medical Ultrasonics, Shenzhen Children's Hospital, Shenzhen, PR China.
  • Zhen Shentu
    Shenzhen Pediatrics Institute of Shantou University Medical College, Shenzhen, PR China.
  • Ruobing Huang
    Institute of Biomedical Engineering, Department of Engineering Science, University of Oxford, UK. Electronic address: ruobing.huang@eng.ox.ac.uk.
  • Yayan Chen
    Ultrasound Department of Longhua District Maternal and Child Healthcare Hospital, Shenzhen, PR China.
  • Hongkui Yu
    Department of ultrasound, Shenzhen Baoan Women's and Children's Hospital, Shenzhen, PR China.
  • Zongjie Weng
    Department of Medical Ultrasonics, Fujian Provincial Maternity and Children's Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou City, P. R. China.
  • Dong Ni
  • Lei Liu
    Department of Science and Technology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
  • Luyao Zhou
    Department of Medical Ultrasonics, Institute for Diagnostic and Interventional Ultrasound, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P. R. China. zhouly6@mail.sysu.edu.cn.