Intelligent ultrasound imaging based on deep learning is one of the important applications in the field of intelligent medical care. In this article, we propose an automatic fetal ultrasound standard plane recognition (FUSPR) model based on deep learning in the Industrial Internet of Things (IIoT) environment. We build a distributed ultrasound data processing and predicting platform by using the IIoT and high-performance computing (HPC) technology. The FUSPR model deployed in the HPC center consists of a convolutional neural network (CNN) component and a recurrent neural network (RNN) component, which learns the spatial and temporal features of the ultrasound video stream by using multitask learning, respectively. The CNN component identifies fetal key anatomical structures from each video frame and accurately recognizes the potential four fetal standard planes. The RNN component obtains the temporal information between adjacent frames, and it realizes precise localization and tracking of fetal organs across frames. In addition, we introduce two feature fusion strategies into the FUSPR model, i.e., CNN fusion and RNN fusion, to fit the spatial sequence and motion representation in the video stream, thereby effectively improving the accuracy and robustness of the model. Extensive experiments conducted on more than 1000 ultrasound videos show that the FUSPR model is superior to the competing baselines in terms of accuracy and performance.

Quality control/assessment of ultrasound (US) images is an essential step in clinical diagnosis. This process is usually done manually, suffering from some drawbacks, such as dependence on operator's experience and extensive labors, as well as high inter- and intra-observer variation. Automatic quality assessment of US images is therefore highly desirable. Fetal US cardiac four-chamber plane (CFP) is one of the most commonly used cardiac views, which was used in the diagnosis of heart anomalies in the early 1980s. In this paper, we propose a generic deep learning framework for automatic quality control of fetal US CFPs. The proposed framework consists of three networks: (1) a basic CNN (B-CNN), roughly classifying four-chamber views from the raw data; (2) a deeper CNN (D-CNN), determining the gain and zoom of the target images in a multi-task learning manner; and (3) the aggregated residual visual block net (ARVBNet), detecting the key anatomical structures on a plane. Based on the output of the three networks, overall quantitative score of each CFP is obtained, so as to achieve fully automatic quality control. Experiments on a fetal US dataset demonstrated our proposed method achieved a highest mean average precision (mAP) of 93.52% at a fast speed of 101 frames per second (FPS). In order to demonstrate the adaptability and generalization capacity, the proposed detection network (i.e., ARVBNet) has also been validated on the PASCAL VOC dataset, obtaining a highest mAP of 81.2% when input size is approximately 300 × 300.

The apical four-chamber (A4C) view in fetal echocardiography is a prenatal examination widely used for the early diagnosis of congenital heart disease (CHD). Accurate segmentation of A4C key anatomical structures is the basis for automatic measurement of growth parameters and necessary disease diagnosis. However, due to the ultrasound imaging arising from artefacts and scattered noise, the variability of anatomical structures in different gestational weeks, and the discontinuity of anatomical structure boundaries, accurately segmenting the fetal heart organ in the A4C view is a very challenging task. To this end, we propose an explicit Feature Pyramid Network (MobileUNet-FPN) by integrating the MobileNet and UNet models for the segmentation of 13 key heart structures in the A4C view. To our knowledge, this is the first AI-based method that can segment so many anatomical structures in the A4C view of fetal ultrasound images. We split the MobileNet backbone network into four stages, and use the features of these four phases as the encoder and the upsampling operation as the decoder. We build an explicit FPN network to enhance multi-scale semantic information and ultimately generate segmentation masks of key anatomical structures. In addition, we design a multi-level edge computing system and deploy the distributed edge nodes in different hospitals and city servers, respectively. Then, we train the proposed lightweight MobileUNet-FPN model in parallel at each edge node to effectively reduce the network communication overhead and improve the training performance of the model. Extensive experiments are conducted and the results show the superior performance of the proposed model by comparing it with the competitive baselines on the fetal A4C and femoral-length images.