Title
Automated measurement of fetal right-myocardial performance index from pulsed wave Doppler spectrum.
Abstract
Congenital heart disease is the leading cause of birth defect related deaths. The modified myocardial performance index of the right ventricle (R-MPI) is a sensitive and early clinical indicator of fetal cardiac health. Objective repeatable measurement of R-MPI is an important deciding factor for the clinical adaptation of the R-MPI. In this work, we describe a novel method for automatic computation of R-MPI from the Pulsed Wave Doppler (PWD) images. Our method involves a Fourier series based cardiac cycle detection followed by an adaptive windowed energy based valve click localization and weighted gradient based refinement. Using this method, we have been able to measure R-MPI reliably with a mean difference of 0.0075 +/- 0.034 from 170 expert annotations on 68 fetal PWD images with an Intra-Class Correlation (ICC) of 0.9380. Furthermore, we have introduced novel methods for normalization and synchronization of PWD images acquired at two different time intervals for the assessment of iso-volume time intervals and an accurate measurement of R-MPI.
Year
DOI
Venue
2019
10.1117/12.2512402
Proceedings of SPIE
Keywords
DocType
Volume
Fetal Heart,Ultrasound,Doppler,Fetal Heart Rate,Myocardial Performance Index
Conference
10950
ISSN
Citations 
PageRank 
0277-786X
0
0.34
References 
Authors
0
6
Name
Order
Citations
PageRank
Rahul Suresh121.07
Srinivasan Sivanandan200.68
Nitin Singhal311310.55
JinYong Lee400.34
Mi-Young Lee5724.71
Hye-Sung Won600.34