DeepGA for automatically estimating fetal gestational age through ultrasound imaging.

Journal: Artificial intelligence in medicine
Published Date:

Abstract

Accurate estimation of gestational age (GA) is vital for identifying fetal abnormalities. Conventionally, GA is estimated by measuring the morphology of the cranium, abdomen, and femur manually and inputting them into the classic Hadlock formula to assess fetal growth. However, this procedure incurs considerable overhead and suffers from bias caused by the operators, yielding suboptimal estimations. To address this challenge, we develop an automatic DeepGA model to achieve fully automatic GA prediction in an end-to-end manner. Our model uses a deep segmentation model (DeepSeg) to accurately identify and segment three critical tissues, including the cranium, abdomen, and femur, in which their morphology is automatically extracted. After that, we are able to directly estimate the GA via a deep regression model (DeepReg). We evaluate DeepGA on a large dataset, including 10,413 ultrasound images from 7113 subjects. It achieves superior performance over the traditional measurement approach, with a mean absolute estimation error (MAE) of 5 days. Our DeepGA model is a novel automatic solution on the basis of artificial intelligence learning that can help radiologists improve the performance of GA estimation in various clinical scenarios, thereby enhancing the efficiency of prenatal examinations.

Authors

  • Tingting Dan
    School of Computer Science and Engineering, South China University of Technology, Guangzhou, 510600, China.
  • Xijie Chen
    School of Computer Science and Engineering, South China University of Technology, Guangzhou, 510600, China.
  • Miao He
    Department of Ultrasonic Medicine, Fetal Medical Center, First Affiliated Hospital of Sun Yat-sen University, Zhongshan Er Road 58, Guangzhou, 510080, Guangdong, China.
  • Hongmei Guo
    Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University, Shandong Key Laboratory of Oral Tissue Regeneration, Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, China. Electronic address: guohm@sdu.edu.cn.
  • Xiaoqin He
    Women and Children's Hospital, School of Medicine, Xiamen University, China.
  • Jiazhou Chen
    School of Computer Science and Engineering, South China University of Technology, Guangzhou 510000, China.
  • Jianbo Xian
    South China University of Technology, Guangzhou, China.
  • Yu Hu
    Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Bin Zhang
    Department of Psychiatry, Sleep Medicine Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.
  • Nan Wang
    Department of Gastroenterology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
  • Hongning Xie
    Department of Ultrasonic Medicine, Fetal Medical Center, First Affiliated Hospital of Sun Yat-sen University, Zhongshan Er Road 58, Guangzhou, 510080, Guangdong, China. hongning_x@126.com.
  • Hongmin Cai
    School of Computer Science& Engineering, South China University of Technology, Guangdong, China. hmcai@scut.edu.cn.