Placenta segmentation in ultrasound imaging: Addressing sources of uncertainty and limited field-of-view
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Published version
OA Location
Author(s)
Type
Journal Article
Abstract
Automatic segmentation of the placenta in fetal ultrasound (US) is challenging due to the (i) high diversity of placenta appearance, (ii) the restricted quality in US resulting in highly variable reference annotations, and (iii) the limited field-of-view of US prohibiting whole placenta assessment at late gestation. In this work, we address these three challenges with a multi-task learning approach that combines the classification of placental location (e.g., anterior, posterior) and semantic placenta segmentation in a single convolutional neural network. Through the classification task the model can learn from larger and more diverse datasets while improving the accuracy of the segmentation task in particular in limited training set conditions. With this approach we investigate the variability in annotations from multiple raters and show that our automatic segmentations (Dice of 0.86 for anterior and 0.83 for posterior placentas) achieve human-level performance as compared to intra- and inter-observer variability. Lastly, our approach can deliver whole placenta segmentation using a multi-view US acquisition pipeline consisting of three stages: multi-probe image acquisition, image fusion and image segmentation. This results in high quality segmentation of larger structures such as the placenta in US with reduced image artifacts which are beyond the field-of-view of single probes.
Date Issued
2023-01-01
Date Acceptance
2022-09-15
Citation
Medical Image Analysis, 2023, 83
ISSN
1361-8415
Publisher
Elsevier
Journal / Book Title
Medical Image Analysis
Volume
83
Copyright Statement
© 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
License URL
Sponsor
Engineering & Physical Science Research Council (E
Wellcome Trust
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/36257132
PII: S1361-8415(22)00267-5
Grant Number
RTJ5557761-1
PO :RTJ5557761-1
Subjects
Multi-task learning
Multi-view imaging
Ultrasound placenta segmentation
Uncertainty/variability
Publication Status
Published
Coverage Spatial
Netherlands
Article Number
ARTN 102639
Date Publish Online
2022-09-28