Exploring a new paradigm for the fetal anomaly ultrasound scan: Artificial intelligence in real time
Matthew, Jacqueline, Skelton, Emily 
ORCID: 0000-0003-0132-7948, Day, Thomas G , Zimmer, Veronika A, Gomez, Alberto, Wheeler, Gavin, Toussaint, Nicolas, Liu, Tianrui, Budd, Samuel, Lloyd, Karen, Wright, Robert, Deng, Shujie, Ghavami, Nooshin, Sinclair, Matthew, Meng, Qingjie, Kainz, Bernhard, Schnabel, Julia A, Rueckert, Daniel, Razavi, Reza, Simpson, John & Hajnal, Jo (2022).
Exploring a new paradigm for the fetal anomaly ultrasound scan: Artificial intelligence in real time.
Prenatal Diagnosis, 42(1),
pp. 49-59.
doi: 10.1002/pd.6059
Abstract
Abstract
Objective
Advances in artificial intelligence (AI) have demonstrated potential to improve medical diagnosis. We piloted the end-to-end automation of the mid-trimester screening ultrasound scan using AI-enabled tools.
Methods
A prospective method comparison study was conducted. Participants had both standard and AI-assisted US scans performed. The AI tools automated image acquisition, biometric measurement, and report production. A feedback survey captured the sonographers' perceptions of scanning.
Results
Twenty-three subjects were studied. The average time saving per scan was 7.62 min (34.7%) with the AI-assisted method (p < 0.0001). There was no difference in reporting time. There were no clinically significant differences in biometric measurements between the two methods. The AI tools saved a satisfactory view in 93% of the cases (four core views only), and 73% for the full 13 views, compared to 98% for both using the manual scan. Survey responses suggest that the AI tools helped sonographers to concentrate on image interpretation by removing disruptive tasks.
Conclusion
Separating freehand scanning from image capture and measurement resulted in a faster scan and altered workflow. Removing repetitive tasks may allow more attention to be directed identifying fetal malformation. Further work is required to improve the image plane detection algorithm for use in real time.
| Publication Type: | Article |
|---|---|
| Additional Information: | This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2021 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd |
| Subjects: | Q Science > QA Mathematics > QA75 Electronic computers. Computer science R Medicine > RG Gynecology and obstetrics R Medicine > RJ Pediatrics |
| Departments: | School of Health & Psychological Sciences > Midwifery & Radiography |
| SWORD Depositor: |
Available under License Creative Commons: Attribution International Public License 4.0.
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