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Applicability of Deep Learning to Dynamically Identify the Different Organs of the Pelvic Floor in the Midsagittal Plane.
García-Mejido, José Antonio; Solis-Martín, David; Martín-Morán, Marina; Fernández-Conde, Cristina; Fernández-Palacín, Fernando; Sainz-Bueno, José Antonio.
Afiliación
  • García-Mejido JA; Department of Obstetrics and Gynecology, Valme University Hospital, Seville, Spain. jgmejido@us.es.
  • Solis-Martín D; Department of Surgery, Faculty of Medicine, University of Seville, Seville, Spain. jgmejido@us.es.
  • Martín-Morán M; Department of Computer Science and Artificial Intelligence, Faculty of Mathematics, University of Seville, Seville, Spain.
  • Fernández-Conde C; Department of Obstetrics and Gynecology, Valme University Hospital, Seville, Spain.
  • Fernández-Palacín F; Department of Obstetrics and Gynecology, Valme University Hospital, Seville, Spain.
  • Sainz-Bueno JA; Department of Statistics and Operational Research, University of Cadiz, Cadiz, Spain.
Int Urogynecol J ; 2024 Jun 24.
Article en En | MEDLINE | ID: mdl-38913129
ABSTRACT
INTRODUCTION AND

HYPOTHESIS:

The objective was to create and validate the usefulness of a convolutional neural network (CNN) for identifying different organs of the pelvic floor in the midsagittal plane via dynamic ultrasound.

METHODS:

This observational and prospective study included 110 patients. Transperineal ultrasound scans were performed by an expert sonographer of the pelvic floor. A video of each patient was made that captured the midsagittal plane of the pelvic floor at rest and the change in the pelvic structures during the Valsalva maneuver. After saving the captured videos, we manually labeled the different organs in each video. Three different architectures were tested-UNet, FPN, and LinkNet-to determine which CNN model best recognized anatomical structures. The best model was trained with the 86 cases for the number of epochs determined by the stop criterion via cross-validation. The Dice Similarity Index (DSI) was used for CNN validation.

RESULTS:

Eighty-six patients were included to train the CNN and 24 to test the CNN. After applying the trained CNN to the 24 test videos, we did not observe any failed segmentation. In fact, we obtained a DSI of 0.79 (95% CI 0.73 - 0.82) as the median of the 24 test videos. When we studied the organs independently, we observed differences in the DSI of each organ. The poorest DSIs were obtained in the bladder (0.71 [95% CI 0.70 - 0.73]) and uterus (0.70 [95% CI 0.68 - 0.74]), whereas the highest DSIs were obtained in the anus (0.81 [95% CI 0.80 - 0.86]) and levator ani muscle (0.83 [95% CI 0.82 - 0.83]).

CONCLUSIONS:

Our results show that it is possible to apply deep learning using a trained CNN to identify different pelvic floor organs in the midsagittal plane via dynamic ultrasound.
Palabras clave

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: Int Urogynecol J Asunto de la revista: GINECOLOGIA / UROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: Int Urogynecol J Asunto de la revista: GINECOLOGIA / UROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España