Classification of normal and abnormal fetal heart ultrasound images and identification of ventricular septal defects based on deep learning
Abstract
Objectives
Congenital heart defects (CHDs) are the most common birth defects. Recently, artificial intelligence (AI) was used to assist in CHD diagnosis. No comparison has been made among the various types of algorithms that can assist in the prenatal diagnosis.
Methods
Normal and abnormal fetal ultrasound heart images, including five standard views, were collected according to the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) Practice guidelines. You Only Look Once version 5 (YOLOv5) models were trained and tested. An excellent model was screened out after comparing YOLOv5 with other classic detection methods.
Results
On the training set, YOLOv5n performed slightly better than the others. On the validation set, YOLOv5n attained the highest overall accuracy (90.67 %). On the CHD test set, YOLOv5n, which only needed 0.007 s to recognize each image, had the highest overall accuracy (82.93 %), and YOLOv5l achieved the best accuracy on the abnormal dataset (71.93 %). On the VSD test set, YOLOv5l had the best performance, with a 92.79 % overall accuracy rate and 92.59 % accuracy on the abnormal dataset. The YOLOv5 models achieved better performance than the Fast region-based convolutional neural network (RCNN) & ResNet50 model and the Fast RCNN & MobileNetv2 model on the CHD test set (p<0.05) and VSD test set (p<0.01).
Conclusions
YOLOv5 models are able to accurately distinguish normal and abnormal fetal heart ultrasound images, especially with respect to the identification of VSD, which have the potential to assist ultrasound in prenatal diagnosis.
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Research funding: None declared.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Ethical approval: This study was approved by the Medical Ethics Committee of the Second Affiliated Hospital of Fujian Medical University.
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Supplementary Material
This article contains supplementary material (https://doi.org/10.1515/jpm-2023-0041).
© 2023 Walter de Gruyter GmbH, Berlin/Boston
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Artikel in diesem Heft
- Frontmatter
- Editorial
- ChatGPT and artificial intelligence in the Journal of Perinatal Medicine
- Reviews
- A systematic review and critical evaluation of quality of clinical practice guidelines on fetal growth restriction
- An exploration of barriers to access to trial of labor and vaginal birth after cesarean in the United States: a scoping review
- Opinion Paper
- A call for public funding of invasive and non-invasive prenatal testing
- Original Articles – Obstetrics
- The AccuFlow sensor: a novel digital health tool to assess intrapartum blood loss at cesarean delivery
- Risk factors associated with third- and fourth-degree perineal lacerations in singleton vaginal deliveries: a comprehensive United States population analysis 2016–2020
- Changes in use of 17-OHPC after the PROLONG trial: a physician survey
- Retrospective comparison of monochorionic diamniotic twin pregnancies stratified by spontaneous or artificial conception
- Associations of cesarean sections with comorbidities within the Pregnancy Risk Assessment Monitoring System
- The spatial expression of mTORC2-AKT-IP3R signal pathway in mitochondrial combination of endoplasmic reticulum of maternal fetal interface trophoblast in intrahepatic cholestasis of pregnancy
- Comprehensive analysis of macrosomia: exploring the association between first-trimester alanine aminotransferase and uric acid measurements in pregnant women
- Use, misuse, and overuse of antenatal corticosteroids. A retrospective cohort study
- Classification of normal and abnormal fetal heart ultrasound images and identification of ventricular septal defects based on deep learning
- Virtual touch IQ elastography in the evaluation of fetal liver and placenta in pregnancies with gestational diabetes mellitus
- Fetomaternal outcome of scarred uterine rupture compared with primary uterine rupture: a retrospective cohort study
- Original Articles – Fetus
- The assessment of fetal cardiac functions in pregnancies with autoimmune diseases: a prospective case-control study
- The relationship of maternal polymorphisms of genes related to meiosis and DNA damage repair with fetal chromosomal stability
- Original Articles – Neonates
- German obstetrician’s self-reported attitudes and handling in threatening preterm birth at the limits of viability
- Do parents get what they want during bad news delivery in NICU?