Evidence map›Paper›PMID 35731736›Full record

ArticlePloS one2022

Using deep-learning in fetal ultrasound analysis for diagnosis of cystic hygroma in the first trimester.

Mark C Walker, Inbal Willner, Olivier X Miguel, Malia S Q Murphy, Darine El-Chaâr, Felipe Moretti, Alysha L J Dingwall Harvey, Ruth Rennicks White, Katherine A Muldoon, André M Carrington and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Emerging applications of artificial intelligence for obstetric ultrasound: A scoping review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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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

12 authors at 3 institutions in 1 country.

Mark C WalkerDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada.ORCID 0000-0001-8974-4548
Inbal WillnerDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada.
Olivier X MiguelClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Malia S Q MurphyClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Darine El-ChaârDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada.
Felipe MorettiDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada.
Alysha L J Dingwall HarveyClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Ruth Rennicks WhiteClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.ORCID 0000-0002-1883-9977
Katherine A MuldoonDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada.ORCID 0000-0002-0766-4294
André M CarringtonDepartment of Systems Design Engineering, University of Waterloo, Waterloo, Canada.ORCID 0000-0002-0062-5567
Steven HawkenClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Richard I AvivDepartment of Radiology and Medical Imaging, University of Ottawa, Ottawa, Canada.
University of Ottawa · CAOttawa Hospital · CAUniversity of Waterloo · CA

Funding

CIHR FDN 148438
6 · The paper itself

Abstract

objectiveTo develop and internally validate a deep-learning algorithm from fetal ultrasound images for the diagnosis of cystic hygromas in the first trimester.

methodsAll first trimester ultrasound scans with a diagnosis of a cystic hygroma between 11 and 14 weeks gestation at our tertiary care centre in Ontario, Canada were studied. Ultrasound scans with normal nuchal translucency were used as controls. The dataset was partitioned with 75% of images used for model training and 25% used for model validation. Images were analyzed using a DenseNet model and the accuracy of the trained model to correctly identify cases of cystic hygroma was assessed by calculating sensitivity, specificity, and the area under the receiver-operating characteristic (ROC) curve. Gradient class activation heat maps (Grad-CAM) were generated to assess model interpretability.

resultsThe dataset included 289 sagittal fetal ultrasound images;129 cystic hygroma cases and 160 normal NT controls. Overall model accuracy was 93% (95% CI: 88-98%), sensitivity 92% (95% CI: 79-100%), specificity 94% (95% CI: 91-96%), and the area under the ROC curve 0.94 (95% CI: 0.89-1.0). Grad-CAM heat maps demonstrated that the model predictions were driven primarily by the fetal posterior cervical area.

conclusionsOur findings demonstrate that deep-learning algorithms can achieve high accuracy in diagnostic interpretation of cystic hygroma in the first trimester, validated against expert clinical assessment.

Indexed as

Deep LearningLymphangioma, CysticChromosome AberrationsFemaleHumansOntarioPregnancyPregnancy Trimester, FirstUltrasonography, Prenatal

Identifiers

PMID35731736
PMCPMC9216531
OpenAlexW4283375416

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.