Segmentation of fetal left ventricle in echocardiographic sequences based on dynamic convolutional neural networks
Abstract
Segmentation of fetal left ventricle (LV) in echocardiographic sequences is important for further quantitative analysis of fetal cardiac function. However, image gross inhomogeneities and fetal random movements make the segmentation a challenging problem. In this paper, a dynamic convolutional neural networks (CNN) based on multiscale information and fine-tuning is proposed for fetal LV segmentation. The CNN is pretrained by amount of labeled training data. In the segmentation, the first frame of each echocardiographic sequence is delineated manually. The dynamic CNN is fine-tuned by deep tuning with the first frame and shallow tuning with the rest of frames, respectively, to adapt to the individual fetus. Additionally, to separate the connection region between LV and left atrium (LA), a matching approach, which consists of block matching and line matching, is used for mitral valve (MV) base points tracking. Advantages of our proposed method are compared with an active contour model (ACM), a dynamical appearance model (DAM), and a fixed multiscale CNN method. Experimental results in 51 echocardiographic sequences show that the segmentation results agree well with the ground truth, especially in the cases with leakage, blurry boundaries, and subject-to-subject variations. The CNN architecture can be simple, and the dynamic fine-tuning is efficient.
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The dynamic CNN obtained a performance improvement from 88.35% to 94.5% in mean Dice coefficient compared with the fixed CNN for fetal left ventricle segmentation.
“The experiments showed that the dynamic CNN obtained a remarkable performance improvement from 88.35% to 94.5% in terms of the mean of the Dice coefficient, when compared with the fixed CNN.”
From Deep Learning in Medical Ultrasound Analysis: A Review (2019) · cites this paper as [139]
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- Authors
- Yu, L., Guo, Y., Wang, Y., Yu, J., & Chen, P.
- Affiliations
- Fudan University (CN)
- Tongji University (CN)
- Venue
- IEEE Transactions on Biomedical Engineering
- Published
- 2017-08
- Volume
- 64
- Issue
- 8
- Pages
- 1886-1895
- ISSN
- 0018-9294 (ISSN-L)
- 1558-2531
- OpenAlex
- W2556177465
- Cited by
- 96
- References
- 41
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 5 · 2023: 9 · 2022: 13 · 2021: 12 · 2020: 12 · 2019: 14 · 2018: 12 · 2017: 5
- FWCI
- 7.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- IEEE Transactions on Biomedical Engineering (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Basic Research Program of China (2015CB755500)
- National Natural Science Foundation of China (61401102)
- Clinical Technology Innovation Project of Hospital Development Center of Shanghai ShenKang (SHDC22015018)
- Topics
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Advanced Neural Network Applications
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Keywords
- fetal echocardiography, dynamic convolutional neural network, fine-tuning, block matching, line matching, left atrium, fetal cardiac function, snakes
- MeSH terms
- Echocardiography, Heart Ventricles, Humans, Image Interpretation, Computer-Assisted, Pattern Recognition, Automated, Sensitivity and Specificity, Subtraction Technique, Reproducibility of Results, Ultrasonography, Prenatal, Neural Networks, Computer
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