Semantic Segmentation of Cerebellum in 2D Fetal Ultrasound Brain Images Using Convolutional Neural Networks

Cerebellum measurements of routinely acquired ultrasound (US) images are commonly used to estimate gestational age and to assess structural abnormalities of the developing central nervous system. Investigating associations between the developing cerebellum and neurodevelopmental outcomes post partum requires standardized cerebellum measurements from large clinical datasets. Such investigations have the potential to identify structural changes that can be used as biomarkers to predict growth and neurodevelopmental outcomes. For this purpose, high throughput, accurate, and unbiased measurements are necessary to replace existing manual, semi-automatic, and automated approaches which are tedious and lack reproducibility and accuracy. In this study, we propose a new deep learning algorithm for automated segmentation of the fetal cerebellum from 2-dimensional (2D) US images. We propose ResU-Net-c a semantic segmentation model optimized for fetal cerebellum structure. We leverage U-Net as a base model with the integration of residual blocks (Res) and introduce dilation convolution in the last two layers to segment the cerebellum (c) from noisy US images. Our experiments used a 5-fold cross-validation with 588 images for training and 146 for testing. Our ResU-Net-c achieved a mean Dice Score Coefficient, Hausdorff Distance, Recall, and Precision of 87.00%, 28.15, 86.00%, and 90.00%, respectively. The superiority of the proposed method over the other U-Net based methods is statistically significant (p < 0.001). Our proposed method can be leveraged to enable high throughput image analysis in clinical research fetal US images and can be employed in the biometric assessment in fetal US images on a larger scale.