ARANet: Adaptive Resolution Attention Network for Precise MRI-Based Segmentation and Quantification of Fetal Size and Amniotic Fluid Volume.

Amniotic fluid volume (AFV) is a critical indicator of fetal health, traditionally assessed using ultrasound-based methods, which are limited by operator dependency and 2D measurements. While MRI offers superior tissue characterization, it remains underutilized for AFV assessment due to labor-intens...

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Published in:Journal of Imaging Informatics in Medicine Vol. 39; no. 2; pp. 1202 - 1217
Main Authors: Alkhadrawi, Adham M., Peña-Trujillo, Valeria, Gallo-Bernal, Sebastian, Gee, Michael S., Cobos, Camilo E. Jaimes, Kim, Kyungsu, Langarica, Saul, Kim, Young-Tak, Victoria, Teresa, Do, Synho
Format: diagnostic images equations & formulas research tables/charts Journal Article
Published: Springer Nature Apr2026
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: ARANet: Adaptive Resolution Attention Network for Precise MRI-Based Segmentation and Quantification of Fetal Size and Amniotic Fluid Volume.
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        au:
          Alkhadrawi, Adham M.
          Peña-Trujillo, Valeria
          Gallo-Bernal, Sebastian
          Gee, Michael S.
          Cobos, Camilo E. Jaimes
          Kim, Kyungsu
          Langarica, Saul
          Kim, Young-Tak
          Victoria, Teresa
          Do, Synho
        affil: https://ror.org/01wspgy28 Department of Molecular Biosciences and Bioengineering, University of Hawaii at Manoa, 96822, Honolulu, HI, USA
      sug:
        subj:
          Deep Learning
          Magnetic Resonance Imaging Methods
          Fetal Development Evaluation
          Amniotic Fluid
          Prenatal Diagnosis
          Maternal Health Services
          Human
          Germany
          Male
          Female
          Adult
          Retrospective Design
          Record Review
          Academic Medical Centers
          Gestational Age
          Oligohydramnios
          Polyhydramnios
          Workflow
          Fetus
          Adult: 19-44 years
          Fetus, conception to birth
          Male
          Female
      ab: Amniotic fluid volume (AFV) is a critical indicator of fetal health, traditionally assessed using ultrasound-based methods, which are limited by operator dependency and 2D measurements. While MRI offers superior tissue characterization, it remains underutilized for AFV assessment due to labor-intensive manual segmentations. Pulse sequence variations in MRI can significantly influence image contrast through T1 and T2 weighting and potentially cause signal dropout in certain regions, making automated analysis challenging. To address these challenges, we present ARANet (Adaptive Resolution Attention Network), featuring a novel adaptive resolution attention module that uniquely combines adaptive resolution processing with channel-wise attention mechanisms for precise MRI-based segmentation. In extensive evaluations, ARANet demonstrates superior performance with a Dice score of 0.961 at full brightness, maintaining robust performance (0.909) even at 30% brightness, significantly outperforming existing models in challenging low-contrast conditions. We introduce FAFO3D, a new metric integrating amniotic fluid overlap, fetal age, and volume, which achieves 100% accuracy in clinical AFV classification (normal, oligohydramnios, and polyhydramnios) when combined with a support vector classifier. A comprehensive web platform automates the workflow from DICOM processing to analysis, providing detailed reports and 3D visualizations for clinical implementation. This solution offers a novel, accurate, and clinically applicable approach for AFV assessment, though further validation in diverse clinical environments is recommended.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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