Exploring a new paradigm for the fetal anomaly ultrasound scan: Artificial intelligence in real time

被引：22

作者：

Matthew, Jacqueline ^{[1
,2
]}

Skelton, Emily ^{[1
,2
,3
]}

Day, Thomas G. ^{[1
,2
]}

Zimmer, Veronika A. ^{[1
]}

Gomez, Alberto ^{[1
]}

Wheeler, Gavin ^{[1
]}

Toussaint, Nicolas ^{[1
]}

Liu, Tianrui ^{[4
]}

Budd, Samuel ^{[4
]}

Lloyd, Karen ^{[1
]}

Wright, Robert ^{[1
]}

Deng, Shujie ^{[1
]}

Ghavami, Nooshin ^{[1
]}

Sinclair, Matthew ^{[1
]}

Meng, Qingjie ^{[4
]}

Kainz, Bernhard ^{[4
]}

Schnabel, Julia A. ^{[1
]}

Rueckert, Daniel ^{[4
,5
]}

Razavi, Reza ^{[1
,2
]}

Simpson, John ^{[1
,2
]}

Hajnal, Jo ^{[1
]}

机构：

[1] Kings Coll London, Sch Biomed Engn & Imaging Sci, London, England

[2] Guys & St Thomas NHS Fdn Trust, London, England

[3] City Univ London, Sch Hlth Sci, London, England

[4] Imperial Coll London, Dept Comp, London, England

[5] Tech Univ Munich, Sch Informat & Med, Klinikum Rechts Isar, Munich, Germany

来源：

PRENATAL DIAGNOSIS | 2022年 / 42卷 / 01期

基金：

英国惠康基金; 英国工程与自然科学研究理事会;

关键词：

CHARTS; SIZE;

D O I：

10.1002/pd.6059

中图分类号：

Q3 [遗传学];

学科分类号：

071007 ; 090102 ;

摘要：

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 foetal malformation. Further work is required to improve the image plane detection algorithm for use in real time.

引用

页码：49 / 59

页数：11

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