Evidence map›Paper›PMID 33460372›Full record

ArticleIEEE transactions on ultrasonics, ferroelectrics, and frequency control2021

Fully Automated 3-D Ultrasound Segmentation of the Placenta, Amniotic Fluid, and Fetus for Early Pregnancy Assessment.

Padraig Looney, Yi Yin, Sally L Collins, Kypros H Nicolaides, Walter Plasencia, Malid Molloholli, Stavros Natsis, Gordon N Stevenson

Registry-linked trialAbstract read
In one paragraph

Article in IEEE transactions on ultrasonics, ferroelectrics, and frequency control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05326191 (First-trimester Placental Ultrasound Study), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05326191 completednot on this mapstarted 2022, after this paper: background citation

First-trimester Placental Ultrasound Study (First PLUS): an Observational Cohort Study to Assess the Clinical Utility of the OxNNet Toolkit for the Prediction of Adverse Pregnancy Outcomes.

TypeobservationalSponsorPerspectumRan2022 to 2023Enrolled4,000ConditionsFetal Growth Complications, Pregnancy ComplicationsArmsUltrasound
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Reference charts for first-trimester placental three-dimensional fractional moving blood volume derived using OxNNet.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Observational
  4. First-trimester Placental Ultrasound (FirstPLUS) study: prediction of fetal growth restriction using OxNNet-derived first-trimester placental volume.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Observational
  5. Reference charts for first-trimester placental volume derived using OxNNet.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Observational
  6. Article
  7. Article
  8. PRISM Lite: A lightweight model for interactive 3D placenta segmentation in ultrasound.Proceedings of SPIE--the International Society for Optical Engineering · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Deep learning based automatic segmentation of the placenta and uterine cavity on prenatal MR images.Proceedings of SPIE--the International Society for Optical Engineering · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Padraig Looney
Yi Yin
Sally L Collins
Kypros H Nicolaides
Walter Plasencia
Malid Molloholli
Stavros Natsis
Gordon N Stevenson

Funding

Development of real-time, automated 3D ultrasound tools for the study of placental invasion and morphologyU01HD087209 · NICHD · HACKENSACK UNIVERSITY MEDICAL CENTER · PI COLLINS, SALLY LOUISE, ZAMUDIO, STACY · 2015 to 2015
$3.3M
NICHD NIH HHS U01 HD087209
6 · The paper itself

Abstract

Volumetric placental measurement using 3-D ultrasound has proven clinical utility in predicting adverse pregnancy outcomes. However, this metric cannot currently be employed as part of a screening test due to a lack of robust and real-time segmentation tools. We present a multiclass (MC) convolutional neural network (CNN) developed to segment the placenta, amniotic fluid, and fetus. The ground-truth data set consisted of 2093 labeled placental volumes augmented by 300 volumes with placenta, amniotic fluid, and fetus annotated. A two-pathway, hybrid (HB) model using transfer learning, a modified loss function, and exponential average weighting was developed and demonstrated the best performance for placental segmentation (PS), achieving a Dice similarity coefficient (DSC) of 0.84- and 0.38-mm average Hausdorff distances (HDAV). The use of a dual-pathway architecture improved the PS by 0.03 DSC and reduced HDAV by 0.27 mm compared with a naïve MC model. The incorporation of exponential weighting produced a further small improvement in DSC by 0.01 and a reduction of HDAV by 0.44 mm. Per volume inference using the FCNN took 7-8 s. This method should enable clinically relevant morphometric measurements (such as volume and total surface area) to be automatically generated for the placenta, amniotic fluid, and fetus. The ready availability of such metrics makes a population-based screening test for adverse pregnancy outcomes possible.

Indexed as

Image Processing, Computer-AssistedPlacentaAmniotic FluidFemaleHumansNeural Networks, ComputerPregnancyUltrasonography

Identifiers

PMID33460372
PMCPMC8154733

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.