Title
Automatic segmentation method of pelvic floor levator hiatus in ultrasound using a self-normalising neural network.
Abstract
Segmentation of the levator hiatus in ultrasound allows the extraction of biometrics, which are of importance for pelvic floor disorder assessment. We present a fully automatic method using a convolutional neural network (CNN) to outline the levator hiatus in a two-dimensional image extracted from a three-dimensional ultrasound volume. In particular, our method uses a recently developed scaled exponential linear unit (SELU) as a nonlinear self-normalizing activation function, which for the first time has been applied in medical imaging with CNN. SELU has important advantages such as being parameter-free and mini-batch independent, which may help to overcome memory constraints during training. A dataset with 91 images from 35 patients during Valsalva, contraction, and rest, all labeled by three operators, is used for training and evaluation in a leave-one-patient-out cross validation. Results show a median Dice similarity coefficient of 0.90 with an inter-quartile range of 0.08, with equivalent performance to the three operators (with a Williams' index of 1.03), and outperforming a U-Net architecture without the need for batch normalization. We conclude that the proposed fully automatic method achieved equivalent accuracy in segmenting the pelvic floor levator hiatus compared to a previous semiautomatic approach. (c) The Authors. Published by SPIE under a Creative Commons Attribution 3.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.
Year
DOI
Venue
2017
10.1117/1.JMI.5.2.021206
JOURNAL OF MEDICAL IMAGING
Keywords
Field
DocType
levator hiatus,automatic segmentation,self-normalizing neural network,ultrasound,convolutional neural network
Normalization (statistics),Pattern recognition,Convolutional neural network,Medical imaging,Segmentation,Computer science,Pelvic floor,Artificial intelligence,Biometrics,Artificial neural network,Cross-validation
Journal
Volume
Issue
ISSN
5
2
2329-4302
Citations 
PageRank 
References 
2
0.41
12
Authors
8
Name
Order
Citations
PageRank
Ester Bonmati141.15
Yipeng Hu217014.83
Nikhil Sindhwani331.18
Hans Peter Dietz420.74
Jan D'hooge528432.31
Dean C. Barratt620.74
Jan Deprest712320.45
Tom Vercauteren81956108.68