# Automatic Estimation of Fetal Abdominal Circumference from Ultrasound Images

## TL;DR

This paper presents a CNN-based method for automatic fetal abdominal circumference estimation from ultrasound images, addressing challenges like low contrast and irregular shapes, with promising results on clinical data.

## Contribution

The study introduces a novel CNN approach combined with Hough transformation for automatic fetal AC measurement, improving accuracy with limited training samples.

## Key findings

- Achieved classification accuracy of 0.809 and 0.771 against experts.
- Method performs well even with ultrasound artifacts.
- Limitations include difficulty with oversized fetuses and distorted images.

## Abstract

Ultrasound diagnosis is routinely used in obstetrics and gynecology for fetal biometry, and owing to its time-consuming process, there has been a great demand for automatic estimation. However, the automated analysis of ultrasound images is complicated because they are patient-specific, operator-dependent, and machine-specific. Among various types of fetal biometry, the accurate estimation of abdominal circumference (AC) is especially difficult to perform automatically because the abdomen has low contrast against surroundings, non-uniform contrast, and irregular shape compared to other parameters.We propose a method for the automatic estimation of the fetal AC from 2D ultrasound data through a specially designed convolutional neural network (CNN), which takes account of doctors' decision process, anatomical structure, and the characteristics of the ultrasound image. The proposed method uses CNN to classify ultrasound images (stomach bubble, amniotic fluid, and umbilical vein) and Hough transformation for measuring AC. We test the proposed method using clinical ultrasound data acquired from 56 pregnant women. Experimental results show that, with relatively small training samples, the proposed CNN provides sufficient classification results for AC estimation through the Hough transformation. The proposed method automatically estimates AC from ultrasound images. The method is quantitatively evaluated, and shows stable performance in most cases and even for ultrasound images deteriorated by shadowing artifacts. As a result of experiments for our acceptance check, the accuracies are 0.809 and 0.771 with the expert 1 and expert 2, respectively, while the accuracy between the two experts is 0.905. However, for cases of oversized fetus, when the amniotic fluid is not observed or the abdominal area is distorted, it could not correctly estimate AC.