Automatic identification and segmentation of slice of minimal hiatal dimensions in transperineal ultrasound volumes.

Objective: To develop and validate a tool for automatic selection of the slice of minimal hiatal dimensions (SMHD) and segmentation of the urogenital hiatus (UH) in transperineal ultrasound (TPUS) volumes.Methods: Manual selection of the SMHD and segmentation of the UH was performed in TPUS volumes...

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Publicado en:Ultrasound in Obstetrics & Gynecology Vol. 60; no. 4; pp. 570 - 577
Autores principales: van den Noort, F., Manzini, C., van der Vaart, C. H., van Limbeek, M. A. J., Slump, C. H., Grob, A. T. M.
Formato: Journal Article
Publicado: Wiley-Blackwell Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2022
      vid: 60
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        159454371
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        NLM34767663
        10.1002/uog.24810
        NLM34767663
        159454371
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        atl: Automatic identification and segmentation of slice of minimal hiatal dimensions in transperineal ultrasound volumes.
      aug:
        au:
          van den Noort, F.
          Manzini, C.
          van der Vaart, C. H.
          van Limbeek, M. A. J.
          Slump, C. H.
          Grob, A. T. M.
        affil: Robotics and Mechatronics, Faculty of Electrical Engineering, Mathematics and Computer Science, Technical Medical Centre, University of Twente, Enschede, The Netherlands
      sug:
        subj:
          Obstetrics
          Pelvic Organ Prolapse
          Female
          Imaging, Three-Dimensional Methods
          Algorithms
          Ultrasonography Methods
          Pregnancy
          Scales
          Female
      ab: Objective: To develop and validate a tool for automatic selection of the slice of minimal hiatal dimensions (SMHD) and segmentation of the urogenital hiatus (UH) in transperineal ultrasound (TPUS) volumes.Methods: Manual selection of the SMHD and segmentation of the UH was performed in TPUS volumes of 116 women with symptomatic pelvic organ prolapse (POP). These data were used to train two deep-learning algorithms. The first algorithm was trained to provide an estimation of the position of the SMHD. Based on this estimation, a slice was selected and fed into the second algorithm, which performed automatic segmentation of the UH. From this segmentation, measurements of the UH area (UHA), anteroposterior diameter (APD) and coronal diameter (CD) were computed automatically. The mean absolute distance between manually and automatically selected SMHD, the overlap (dice similarity index (DSI)) between manual and automatic UH segmentation and the intraclass correlation coefficient (ICC) between manual and automatic UH measurements were assessed on a test set of 30 TPUS volumes.Results: The mean absolute distance between manually and automatically selected SMHD was 0.20 cm. All DSI values between manual and automatic UH segmentations were above 0.85. The ICC values between manual and automatic UH measurements were 0.94 (95% CI, 0.87-0.97) for UHA, 0.92 (95% CI, 0.78-0.97) for APD and 0.82 (95% CI, 0.66-0.91) for CD, demonstrating excellent agreement.Conclusions: Our deep-learning algorithms allowed reliable automatic selection of the SMHD and UH segmentation in TPUS volumes of women with symptomatic POP. These algorithms can be implemented in the software of TPUS machines, thus reducing clinical analysis time and simplifying the examination of TPUS data for research and clinical purposes. © 2021 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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