Automatic Segmentation of Sylvian Fissure in Brain Ultrasound Images of Pre-Term Infants Using Deep Learning Models.


Por: Regalado M, Carreras-Blesa N, Mata-Miquel C, Oliver A, Lladó X and Agut-Quijano T

Publicada: 1 mar 2025 Ahead of Print: 15 dic 2024
Resumen:
OBJECTIVE: Segmentation of brain sulci in pre-term infants is crucial for monitoring their development. While magnetic resonance imaging has been used for this purpose, cranial ultrasound (cUS) is the primary imaging technique used in clinical practice. Here, we present the first study aiming to automate brain sulci segmentation in pre-term infants using ultrasound images. METHODS: Our study focused on segmentation of the Sylvian fissure in a single cUS plane (C3), although this approach could be extended to other sulci and planes. We evaluated the performance of deep learning models, specifically U-Net and ResU-Net, in automating the segmentation process in two scenarios. First, we conducted cross-validation on images acquired from the same ultrasound machine. Second, we applied fine-tuning techniques to adapt the models to images acquired from different vendors. RESULTS: The ResU-Net approach achieved Dice and Sensitivity scores of 0.777 and 0.784, respectively, in the cross-validation experiment. When applied to external datasets, results varied based on similarity to the training images. Similar images yielded comparable results, while different images showed a drop in performance. Additionally, this study highlighted the advantages of ResU-Net over U-Net, suggesting that residual connections enhance the model's ability to learn and represent complex anatomical structures. CONCLUSION: This study demonstrated the feasibility of using deep learning models to automatically segment the Sylvian fissure in cUS images. Accurate sonographic characterisation of cerebral sulci can improve the understanding of brain development and aid in identifying infants with different developmental trajectories, potentially impacting later functional outcomes.

Filiaciones:
Regalado M:
 Research Institute of Computer Vision and Robotics, University of Girona, Girona, Spain

 Neonatal Brain Research Group, Institut de Recerca Sant Joan de Déu, Barcelona, Spain

Carreras-Blesa N:
 Neonatal Brain Research Group, Institut de Recerca Sant Joan de Déu, Barcelona, Spain

Mata-Miquel C:
 Neonatal Brain Research Group, Institut de Recerca Sant Joan de Déu, Barcelona, Spain

 Universitat Politècnica de Barcelona, Barcelona, Spain

Oliver A:
 Research Institute of Computer Vision and Robotics, University of Girona, Girona, Spain

Lladó X:
 Research Institute of Computer Vision and Robotics, University of Girona, Girona, Spain

Agut-Quijano T:
 Neonatal Brain Research Group, Institut de Recerca Sant Joan de Déu, Barcelona, Spain
ISSN: 03015629





ULTRASOUND IN MEDICINE AND BIOLOGY
Editorial
ELSEVIER SCIENCE INC, STE 800, 230 PARK AVE, NEW YORK, NY 10169, Reino Unido
Tipo de documento: Article
Volumen: 51 Número: 3
Páginas: 543-550
WOS Id: 001407220900001
ID de PubMed: 39676003
imagen Green Accepted, hybrid

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