Cited by 81Medical Image Segmentation TechniquesArtificial Intelligence in Healthcare and EducationCongenital Heart Disease Studies

Deep Learning-Based Computer-Aided Fetal Echocardiography: Application to Heart Standard View Segmentation for Congenital Heart Defects Detection

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Nurmaini, Siti, Rachmatullah, Muhammad Naufal, Sapitri, Ade Iriani, Darmawahyuni, Annisa, Tutuko, Bambang, Firdaus, Firdaus, Partan, Radiyati Umi, Bernolian, Nuswil·2021·Sensors

Abstract

Accurate segmentation of fetal heart in echocardiography images is essential for detecting the structural abnormalities such as congenital heart defects (CHDs). Due to the wide variations attributed to different factors, such as maternal obesity, abdominal scars, amniotic fluid volume, and great vessel connections, this process is still a challenging problem. CHDs detection with expertise in general are substandard; the accuracy of measurements remains highly dependent on humans’ training, skills, and experience. To make such a process automatic, this study proposes deep learning-based computer-aided fetal heart echocardiography examinations with an instance segmentation approach, which inherently segments the four standard heart views and detects the defect simultaneously. We conducted several experiments with 1149 fetal heart images for predicting 24 objects, including four shapes of fetal heart standard views, 17 objects of heart-chambers in each view, and three cases of congenital heart defect. The result showed that the proposed model performed satisfactory performance for standard views segmentation, with a 79.97% intersection over union and 89.70% Dice coefficient similarity. It also performed well in the CHDs detection, with mean average precision around 98.30% for intra-patient variation and 82.42% for inter-patient variation. We believe that automatic segmentation and detection techniques could make an important contribution toward improving congenital heart disease diagnosis rates.

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Authors
Nurmaini, S., Rachmatullah, M. N., Sapitri, A. I., Darmawahyuni, A., Tutuko, B., Firdaus, F., Partan, R. U., & Bernolian, N.
Affiliations
  • Sriwijaya University (ID)
  • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Mohammad Hoesin General Hospital, Palembang 30126, Indonesia
Corresponding author
Nurmaini, Siti
Venue
Sensors
Publisher
MDPI AG
Published
2021-11-30
Volume
21
Issue
23
Pages
8007
ISSN
1424-8220 (ISSN-L)
OpenAlex
W3215219625
Cited by
81
References
31
Citations by year
2026: 12 · 2025: 23 · 2024: 15 · 2023: 18 · 2022: 13
FWCI
4.13
Type
journal article
Language
en
Open access
Locations
  • Sensors (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Universitas Sriwijaya
Topics
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
Keywords
fetal echocardiography, congenital heart disease, instance segmentation, computer-aided diagnosis
MeSH terms
Deep Learning, Computers, Echocardiography, Female, Fetal Heart, Heart Defects, Congenital, Humans, Image Processing, Computer-Assisted, Pregnancy

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