The End-to-end Fetal Head Circumference Detection and Estimation in Ultrasound Images

In prenatal examinations, the fetal head circumference (HC) measurement is essential for assessing fetal weight and health conditions. The sonographers obtain the fetal HC manually by fitting peripheral skull ellipse in clinical practice, which is highly subjective, time-consuming, and experience-dependent. Recently, many fetal HC automatic measurement algorithms have been proposed to improve workflow efficiency in prenatal examination. But most automatic measurement algorithms focus on using fetal head segmentation as an intermediate processing step, and HC estimation relies heavily on segmentation results, which causes the accumulation of errors in the above two stages. Independent of the segmentation method, we design a regression network to generate the oriented bounding box to detect the head contour, and directly obtain the fetal head parameters with a pixel-based ellipse regression (PER) loss. Moreover, an effective 3D attention mechanism is integrated into the network to estimate HC more precisely without adding parameters in complex ultrasound images. The extensive experimental results on the public HC18 and our clinical dataset show that the proposed network provides a feasible scheme for end-to-end estimating fetal HC, and avoids the mistake brought by the intermediary processes.