Automated measurement of fetal head circumference using 2D ultrasound images

Thomas L. A. van den Heuvel, Dagmar de Bruijn, Chris L. de Korte, Bram van Ginneken, Constantino Carlos Reyes-Aldasoro
2018 PLoS ONE  
Please be advised that this information was generated on 2020-03-09 and may be subject to change. Abstract In this paper we present a computer aided detection (CAD) system for automated measurement of the fetal head circumference (HC) in 2D ultrasound images for all trimesters of the pregnancy. The HC can be used to estimate the gestational age and monitor growth of the fetus. Automated HC assessment could be valuable in developing countries, where there is a severe shortage of trained
more » ... of trained sonographers. The CAD system consists of two steps: First, Haar-like features were computed from the ultrasound images to train a random forest classifier to locate the fetal skull. Secondly, the HC was extracted using Hough transform, dynamic programming and an ellipse fit. The CAD system was trained on 999 images and validated on an independent test set of 335 images from all trimesters. The test set was manually annotated by an experienced sonographer and a medical researcher. The reference gestational age (GA) was estimated using the crown-rump length measurement (CRL). The mean difference between the reference GA and the GA estimated by the experienced sonographer was 0.8 ± 2.6, −0.0 ± 4.6 and 1.9 ± 11.0 days for the first, second and third trimester, respectively. The mean difference between the reference GA and the GA estimated by the medical researcher was 1.6 ± 2.7, 2.0 ± 4.8 and 3.9 ± 13.7 days. The mean difference between the reference GA and the GA estimated by the CAD system was 0.6 ± 4.3, 0.4 ± 4.7 and 2.5 ± 12.4 days. The results show that the CAD system performs comparable to an experienced sonographer. The presented system shows similar or superior results compared to systems published in literature. This is the first automated system for HC assessment evaluated on a large test set which contained data of all trimesters of the pregnancy. OPEN ACCESS Citation: van den Heuvel TLA, de Bruijn D, de Korte CL, Ginneken Bv (2018) Automated measurement of fetal head circumference using 2D ultrasound images. PLoS ONE 13(8): e0200412. https://doi. Automated measurement of fetal head circumference using 2D ultrasound images PLOS ONE | https://doi.
doi:10.1371/journal.pone.0200412 pmid:30138319 fatcat:opdwvhtlyfgatfejrpz5pdhmm4