Statistical Characterisation of Fetal Anatomy in Simple Obstetric Ultrasound Video Sweeps

Ultrasound Med Biol. 2024 Jul;50(7):985-993. doi: 10.1016/j.ultrasmedbio.2024.03.006. Epub 2024 May 1.

Abstract

Objective: We present a statistical characterisation of fetal anatomies in obstetric ultrasound video sweeps where the transducer follows a fixed trajectory on the maternal abdomen.

Methods: Large-scale, frame-level manual annotations of fetal anatomies (head, spine, abdomen, pelvis, femur) were used to compute common frame-level anatomy detection patterns expected for breech, cephalic, and transverse fetal presentations, with respect to video sweep paths. The patterns, termed statistical heatmaps, quantify the expected anatomies seen in a simple obstetric ultrasound video sweep protocol. In this study, a total of 760 unique manual annotations from 365 unique pregnancies were used.

Results: We provide a qualitative interpretation of the heatmaps assessing the transducer sweep paths with respect to different fetal presentations and suggest ways in which the heatmaps can be applied in computational research (e.g., as a machine learning prior).

Conclusion: The heatmap parameters are freely available to other researchers (https://github.com/agleed/calopus_statistical_heatmaps).

Keywords: Fetal presentation; Probabilistic; Standardized obstetric sweep protocols; Statistical priors; Ultrasound video sweeps.

MeSH terms

  • Female
  • Fetus* / anatomy & histology
  • Fetus* / diagnostic imaging
  • Humans
  • Pregnancy
  • Ultrasonography, Prenatal* / methods
  • Video Recording