Complete Fetal Head Compounding from Multi-view 3D Ultrasound

Robert Wright*, Nicolas Toussaint, Alberto Gomez, Veronika Zimmer, Bishesh Khanal, Jacqueline Matthew, Emily Skelton, Bernhard Kainz, Daniel Rueckert, Joseph V. Hajnal, Julia A. Schnabel

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference paperpeer-review

9 Citations (Scopus)


Ultrasound (US) images suffer from artefacts which limit its diagnostic value, notably acoustic shadow. Shadows are dependent on probe orientation, with each view giving a distinct, partial view of the anatomy. In this work, we fuse the partially imaged fetal head anatomy, acquired from numerous views, into a single coherent compounding of the full anatomy. Firstly, a stream of freehand 3D US images is acquired, capturing as many different views as possible. The imaged anatomy at each time-point is then independently aligned to a canonical pose using an iterative spatial transformer network (iSTN), making our approach robust to fast fetal and probe motion. Secondly, images are fused by averaging only the best (most salient) features from all images, producing a more detailed compounding. Finally, the compounding is iteratively refined using a groupwise registration approach. We evaluate our compounding approach quantitatively and qualitatively, comparing it with average compounding and individual US frames. We also evaluate our alignment accuracy using two physically attached probes, that capture separate views simultaneously, providing ground-truth. Lastly, we demonstrate the potential clinical impact of our method for assessing cranial, facial and external ear abnormalities, with automated atlas-based masking and 3D volume rendering.

Original languageEnglish
Title of host publicationMedical Image Computing and Computer Assisted Intervention – MICCAI 2019 - 22nd International Conference, Proceedings
EditorsDinggang Shen, Pew-Thian Yap, Tianming Liu, Terry M. Peters, Ali Khan, Lawrence H. Staib, Caroline Essert, Sean Zhou
Number of pages9
ISBN (Print)9783030322472
Publication statusPublished - 1 Jan 2019
Event22nd International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2019 - Shenzhen, China
Duration: 13 Oct 201917 Oct 2019

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume11766 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349


Conference22nd International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2019


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