IFT-Net: Interactive Fusion Transformer Network for Quantitative Analysis of Pediatric Echocardiography.

Journal: Medical image analysis
Published Date:

Abstract

The task of automatic segmentation and measurement of key anatomical structures in echocardiography is critical for subsequent extraction of clinical parameters. However, the influence of boundary blur, speckle noise, and other factors increase the difficulty of fully automatically segmenting 2D ultrasound images. The previous research has addressed this challenge using convolutional neural networks (CNN), which fails to consider global contextual information and long-range dependency. To further improve the quantitative analysis of pediatric echocardiography, this paper proposes an interactive fusion transformer network (IFT-Net) for quantitative analysis of pediatric echocardiography, which achieves the bidirectional fusion between local features and global context information by constructing interactive learning between the convolution branch and the transformer branch. First, we construct a dual-attention pyramid transformer (DPT) branch to model the long-range dependency from spatial and channels and enhance the learning of global context information. Second, we design a bidirectional interactive fusion (BIF) unit that fuses the local and global features interactively, maximizes their preservation and refines the segmentation. Finally, we measure the clinical anatomical parameters through key point positioning. Based on the parasternal short-axis (PSAX) view of the heart base from pediatric echocardiography, we segment and quantify the right ventricular outflow tract (RVOT) and aorta (AO) with promising results, indicating the potential clinical application. The code is publicly available at: https://github.com/Zhaocheng1/IFT-Net.

Authors

  • Cheng Zhao
    Department of Urology, Xiangya Hospital, Central South University, Changsha 410008, China.
  • Weiling Chen
    Department of Ultrasonography, Shenzhen Children's Hospital, Shenzhen, China.
  • Jing Qin
    School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
  • Peng Yang
  • Zhuo Xiang
    National-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Health Science Centre, Shenzhen University, Shenzhen, China.
  • Alejandro F Frangi
    Information and Communication Technologies Department, Universitat Pompeu Fabra, Barcelona, Spain; Department of Mechanical Engineering, The University of Sheffield, United Kingdom.
  • Minsi Chen
  • Shumin Fan
    Department of Ultrasonography, Shenzhen Children's Hospital, Shenzhen, China.
  • Wei Yu
    Quality Control Department, Jiangxi Provincial Blood Center Nanchang 330052, Jiangxi, China.
  • Xunyi Chen
    Department of Ultrasonography, Shenzhen Children's Hospital, Shenzhen, China.
  • Bei Xia
    Department of Ultrasonography, Shenzhen Children's Hospital, Shenzhen, China.
  • Tianfu Wang
    School of Biomedical Engineering, Shenzhen University Health Sciences Center, Shenzhen, Guangdong 518060, P.R.China.
  • Baiying Lei