Abstract
Angle of progress (AOP) is an important indicator used in assessing the progress of labor during delivery. However, manually measuring AOP is time consuming and subjective. In this study, we address the challenge of automatic AOP measurement of transperineal ultrasound (TPU) to achieve accurate monitoring of maternal and infant status. We propose a multitask framework for simultaneously locating the landmark of pubic symphysis endpoints and segmenting the region of the fetal head and pubic symphysis. We then exploit the localization of the landmarks to obtain the central axis of pubic symphysis. Afterward, we calculate the tangent of fetal head as it passes through the lower endpoint of pubic symphysis. Finally, we compute AOP from the central axis and tangent. Our framework is evaluated on the basis of a TPU dataset acquired at The First Affiliated Hospital of Jinan University, which is annotated by an ultrasound physician with over 10 years of experience. Our method achieves a mean difference of 7.6° and displays promising prospects for real-time monitoring of labor progress in clinical practice. To the best of our knowledge, this study is the first to apply deep learning methods to AOP measurements.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Barbera, A., Pombar, X., Perugino, G., Lezotte, D., Hobbins, J.: A new method to assess fetal head descent in labor with transperineal ultrasound. Ultrasound Obstet. Gynecol. 33(3), 313–319 (2009)
Bradski, G., Kaehler, A.: Opencv. Dr. Dobb’s J. Softw. Tools 3 (2000)
Conversano, F., et al.: Automatic ultrasound technique to measure angle of progression during labor. Ultrasound Obstet. Gynecol. 50(6), 766–775 (2017)
Kendall, A., Gal, Y., Cipolla, R.: Multi-task learning using uncertainty to weigh losses for scene geometry and semantics. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 7482–7491 (2018)
Liu, S., Johns, E., Davison, A.J.: End-to-end multi-task learning with attention. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 1871–1880 (2019)
Milletari, F., Navab, N., Ahmadi, S.A.: V-net: Fully convolutional neural networks for volumetric medical image segmentation. In: 2016 Fourth International Conference on 3D Vision (3DV), pp. 565–571. IEEE (2016)
Payer, C., Štern, D., Bischof, H., Urschler, M.: Integrating spatial conguration into heatmap regression based CNNS for landmark localization. Med. Image Anal. 54, 207–219 (2019)
Ronneberger, O., Fischer, P., Brox, T.: U-Net: convolutional networks for biomedical image segmentation. In: Navab, N., Hornegger, J., Wells, W.M., Frangi, A.F. (eds.) MICCAI 2015. LNCS, vol. 9351, pp. 234–241. Springer, Cham (2015). https://doi.org/10.1007/978-3-319-24574-4_28
Simonyan, K., Zisserman, A.: Very deep convolutional networks for large-scale image recognition. arXiv preprint arXiv:1409.1556 (2014)
Tompson, J.J., Jain, A., LeCun, Y., Bregler, C.: Joint training of a convolutional network and a graphical model for human pose estimation. In: Advances in Neural Information Processing Systems, pp. 1799–1807 (2014)
Acknowledgement
This work was supported by the National Key Research and Development Project [2019YFC0120100, 2019YFC0121907].
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this paper
Cite this paper
Zhou, M., Yuan, C., Chen, Z., Wang, C., Lu, Y. (2020). Automatic Angle of Progress Measurement of Intrapartum Transperineal Ultrasound Image with Deep Learning. In: Martel, A.L., et al. Medical Image Computing and Computer Assisted Intervention – MICCAI 2020. MICCAI 2020. Lecture Notes in Computer Science(), vol 12266. Springer, Cham. https://doi.org/10.1007/978-3-030-59725-2_39
Download citation
DOI: https://doi.org/10.1007/978-3-030-59725-2_39
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-59724-5
Online ISBN: 978-3-030-59725-2
eBook Packages: Computer ScienceComputer Science (R0)