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羊水分类与人工智能:挑战与机遇。

Amniotic Fluid Classification and Artificial Intelligence: Challenges and Opportunities.

机构信息

Department of Computer Science, College of Computer Science and Information Technology, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia.

出版信息

Sensors (Basel). 2022 Jun 17;22(12):4570. doi: 10.3390/s22124570.

DOI:10.3390/s22124570
PMID:35746352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9228529/
Abstract

A fetal ultrasound (US) is a technique to examine a baby's maturity and development. US examinations have varying purposes throughout pregnancy. Consequently, in the second and third trimester, US tests are performed for the assessment of Amniotic Fluid Volume (AFV), a key indicator of fetal health. Disorders resulting from abnormal AFV levels, commonly referred to as oligohydramnios or polyhydramnios, may pose a serious threat to a mother's or child's health. This paper attempts to accumulate and compare the most recent advancements in Artificial Intelligence (AI)-based techniques for the diagnosis and classification of AFV levels. Additionally, we provide a thorough and highly inclusive breakdown of other relevant factors that may cause abnormal AFV levels, including, but not limited to, abnormalities in the placenta, kidneys, or central nervous system, as well as other contributors, such as preterm birth or twin-to-twin transfusion syndrome. Furthermore, we bring forth a concise overview of all the Machine Learning (ML) and Deep Learning (DL) techniques, along with the datasets supplied by various researchers. This study also provides a brief rundown of the challenges and opportunities encountered in this field, along with prospective research directions and promising angles to further explore.

摘要

胎儿超声(US)是一种检查婴儿成熟度和发育情况的技术。US 检查在整个怀孕期间有不同的目的。因此,在妊娠的第二和第三个三个月,US 测试用于评估羊水指数(AFV),这是胎儿健康的关键指标。AFV 水平异常导致的疾病,通常称为羊水过少或羊水过多,可能对母亲或孩子的健康构成严重威胁。本文试图收集和比较基于人工智能(AI)的技术在诊断和分类 AFV 水平方面的最新进展。此外,我们还全面深入地分析了可能导致 AFV 水平异常的其他相关因素,包括但不限于胎盘、肾脏或中枢神经系统的异常,以及其他因素,如早产或双胎输血综合征。此外,我们还简要概述了所有机器学习(ML)和深度学习(DL)技术,以及不同研究人员提供的数据集。本研究还介绍了该领域遇到的挑战和机遇,以及未来的研究方向和有前途的探索角度。

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1
Amniotic Fluid Classification and Artificial Intelligence: Challenges and Opportunities.羊水分类与人工智能:挑战与机遇。
Sensors (Basel). 2022 Jun 17;22(12):4570. doi: 10.3390/s22124570.
2
Amniotic fluid volume at presentation with early preterm prelabor rupture of membranes and association with severe neonatal respiratory morbidity.表现为早期早产胎膜早破时的羊水体积与严重新生儿呼吸窘迫发病率的关系。
Ultrasound Obstet Gynecol. 2019 Dec;54(6):767-773. doi: 10.1002/uog.20257.
3
Antenatal fetal surveillance "Assessment of the AFV".产前胎儿监护 “羊水体积评估”
Best Pract Res Clin Obstet Gynaecol. 2017 Jan;38:12-23. doi: 10.1016/j.bpobgyn.2016.08.004. Epub 2016 Sep 16.
4
A systematic review of amniotic fluid assessments in twin pregnancies.双胎妊娠羊水量评估的系统评价
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Comparative efficacy of two sonographic measurements for the detection of aberrations in the amniotic fluid volume and the effect of amniotic fluid volume on pregnancy outcome.两种超声测量方法在检测羊水量异常方面的比较效能以及羊水量对妊娠结局的影响。
Obstet Gynecol. 1994 Jun;83(6):959-62. doi: 10.1097/00006250-199406000-00012.
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Alteration of the amniotic fluid and neonatal outcome.羊水的改变与新生儿结局。
Acta Biomed. 2004;75 Suppl 1:71-5.
7
Abnormal amniotic fluid volume as a screening test prior to targeted ultrasound.在进行针对性超声检查之前,将羊水过少作为一项筛查试验。
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Amniotic fluid and the clinical relevance of the sonographically estimated amniotic fluid volume: oligohydramnios.羊水及超声估计羊水量的临床相关性:羊水过少。
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Amniotic fluid volume in normal pregnancy: comparison of two different normative datasets.正常妊娠羊水量:两种不同标准数据集的比较。
J Obstet Gynaecol Res. 2012 Feb;38(2):364-70. doi: 10.1111/j.1447-0756.2011.01710.x. Epub 2011 Dec 19.
10
Assessment of Amniotic Fluid Volume in Pregnancy.妊娠羊水量评估。
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引用本文的文献

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Chinese Population Reference Curves for Ultrasound-Measured Amniotic Fluid Deepest Vertical Pocket in Dichorionic Twin Pregnancies, and Their Associations With Pregnancy Outcomes.双绒毛膜双胎妊娠超声测量羊水最大深度的中国人群参考曲线及其与妊娠结局的关联。
Matern Fetal Med. 2024 Jan 16;6(1):29-36. doi: 10.1097/FM9.0000000000000208. eCollection 2024 Jan.
2
Too Much of a Good Thing: Updated Current Management and Perinatal Outcomes of Polyhydramnios.过犹不及:羊水过多的最新管理及围产期结局
J Med Ultrasound. 2024 Nov 30;32(4):285-290. doi: 10.4103/jmu.jmu_83_24. eCollection 2024 Oct-Dec.
3
CystNet: An AI driven model for PCOS detection using multilevel thresholding of ultrasound images.

本文引用的文献

1
Automatic Placenta Localization From Ultrasound Imaging in a Resource-Limited Setting Using a Predefined Ultrasound Acquisition Protocol and Deep Learning.在资源有限的环境中,使用预定义的超声采集协议和深度学习技术从超声图像中自动进行胎盘定位。
Ultrasound Med Biol. 2022 Apr;48(4):663-674. doi: 10.1016/j.ultrasmedbio.2021.12.006. Epub 2022 Jan 19.
2
Defining the undefinable: the black box problem in healthcare artificial intelligence.定义无法定义之物:医疗人工智能中的黑匣子问题。
J Med Ethics. 2021 Jul 21. doi: 10.1136/medethics-2021-107529.
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Automatic fetal biometry prediction using a novel deep convolutional network architecture.
CystNet:一种使用超声图像多级阈值处理的 AI 驱动的多囊卵巢综合征检测模型。
Sci Rep. 2024 Oct 23;14(1):25012. doi: 10.1038/s41598-024-75964-3.
利用新型深度卷积网络架构进行自动胎儿生物测量预测。
Phys Med. 2021 Aug;88:127-137. doi: 10.1016/j.ejmp.2021.06.020. Epub 2021 Jul 6.
4
Prediction of newborn's body mass index using nationwide multicenter ultrasound data: a machine-learning study.利用全国多中心超声数据预测新生儿体重指数:一项机器学习研究
BMC Pregnancy Childbirth. 2021 Mar 2;21(1):172. doi: 10.1186/s12884-021-03660-5.
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Automated ultrasound assessment of amniotic fluid index using deep learning.深度学习在羊水指数自动超声评估中的应用。
Med Image Anal. 2021 Apr;69:101951. doi: 10.1016/j.media.2020.101951. Epub 2021 Jan 7.
6
Amniotic fluid disorders and the effects on prenatal outcome: a retrospective cohort study.羊水异常与围产结局的相关性:一项回顾性队列研究。
BMC Pregnancy Childbirth. 2021 Jan 22;21(1):75. doi: 10.1186/s12884-021-03549-3.
7
Fully Automated 3-D Ultrasound Segmentation of the Placenta, Amniotic Fluid, and Fetus for Early Pregnancy Assessment.全自动 3D 超声胎盘、羊水和胎儿分割在早期妊娠评估中的应用。
IEEE Trans Ultrason Ferroelectr Freq Control. 2021 Jun;68(6):2038-2047. doi: 10.1109/TUFFC.2021.3052143. Epub 2021 May 25.
8
Artificial intelligence for ultrasonography: unique opportunities and challenges.超声检查中的人工智能:独特机遇与挑战
Ultrasonography. 2021 Jan;40(1):3-6. doi: 10.14366/usg.20078. Epub 2020 Nov 3.
9
Knowledge-guided Pretext Learning for Utero-placental Interface Detection.用于子宫胎盘界面检测的知识引导 pretext 学习
Med Image Comput Comput Assist Interv. 2020 Oct;12261:582-593. doi: 10.1007/978-3-030-59710-8_57. Epub 2020 Sep 29.
10
Deep learning-based fetoscopic mosaicking for field-of-view expansion.基于深度学习的羊膜镜拼接技术,用于视野扩展。
Int J Comput Assist Radiol Surg. 2020 Nov;15(11):1807-1816. doi: 10.1007/s11548-020-02242-8. Epub 2020 Aug 17.