Fiorentino Maria Chiara, Villani Francesca Pia, Di Cosmo Mariachiara, Frontoni Emanuele, Moccia Sara
Department of Information Engineering, Università Politecnica delle Marche, Italy.
Department of Humanities, Università degli Studi di Macerata, Italy.
Med Image Anal. 2023 Jan;83:102629. doi: 10.1016/j.media.2022.102629. Epub 2022 Oct 14.
Deep-learning (DL) algorithms are becoming the standard for processing ultrasound (US) fetal images. A number of survey papers in the field is today available, but most of them are focusing on a broader area of medical-image analysis or not covering all fetal US DL applications. This paper surveys the most recent work in the field, with a total of 153 research papers published after 2017. Papers are analyzed and commented from both the methodology and the application perspective. We categorized the papers into (i) fetal standard-plane detection, (ii) anatomical structure analysis and (iii) biometry parameter estimation. For each category, main limitations and open issues are presented. Summary tables are included to facilitate the comparison among the different approaches. In addition, emerging applications are also outlined. Publicly-available datasets and performance metrics commonly used to assess algorithm performance are summarized, too. This paper ends with a critical summary of the current state of the art on DL algorithms for fetal US image analysis and a discussion on current challenges that have to be tackled by researchers working in the field to translate the research methodology into actual clinical practice.
深度学习(DL)算法正成为处理超声(US)胎儿图像的标准方法。目前该领域有许多综述论文,但其中大多数关注的是医学图像分析这一更广泛的领域,或者没有涵盖所有胎儿超声深度学习应用。本文综述了该领域的最新研究成果,共涉及2017年之后发表的153篇研究论文。从方法和应用两个角度对这些论文进行了分析和评论。我们将这些论文分为以下几类:(i)胎儿标准平面检测;(ii)解剖结构分析;(iii)生物测量参数估计。针对每一类,都介绍了主要局限性和未解决的问题。文中还包含汇总表,以方便不同方法之间的比较。此外,还概述了新兴应用。同时,总结了公开可用的数据集以及常用于评估算法性能的指标。本文最后对胎儿超声图像分析深度学习算法的当前技术水平进行了批判性总结,并讨论了该领域研究人员为将研究方法转化为实际临床实践而必须应对的当前挑战。
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