Article (Scientific journals)
Enhancing fetal ultrasound image quality and anatomical plane recognition in low-resource settings using super-resolution models.
Boumeridja, Hafida; Ammar, Mohammed; Alzubaidi, Mahmood et al.
2025In Scientific Reports, 15 (1), p. 8376
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Keywords :
Fetal ultrasound image; Low-resource Settings; Super-resolution; Humans; Female; Pregnancy; Algorithms; Ultrasonography, Prenatal/methods; Image Processing, Computer-Assisted/methods; Fetus/diagnostic imaging; Fetus; Image Processing, Computer-Assisted; Ultrasonography, Prenatal; Multidisciplinary
Abstract :
[en] Super-resolution (SR) techniques present a suitable solution to increase the image resolution acquired using an ultrasound device characterized by a low image resolution. This can be particularly beneficial in low-resource imaging settings. This work surveys advanced SR techniques applied to enhance the resolution and quality of fetal ultrasound images, focusing Dual back-projection based internal learning (DBPISR) technique, which utilizes internal learning for blind super-resolution, as opposed to blind super-resolution generative adversarial network (BSRGAN), real-world enhanced super-resolution generative adversarial network (Real-ESRGAN), swin transformer for image restoration (SwinIR) and SwinIR-Large. The dual back-projection approach enhances SR by iteratively refining downscaling and super-resolution processes through a dual network training method, achieving high accuracy in kernel estimation and image reconstruction. Real-ESRGAN uses synthetic data to simulate complex real-world degradations, incorporating a U-shaped network (U-Net) discriminator to improve training stability and visual performance. BSRGAN addresses the limitations of traditional degradation models by introducing a realistic and comprehensive degradation process involving blur, downsampling, and noise, leading to superior real-world SR performance. Swin models (SwinIR and SwinIR_large) employ a Swin Transformer architecture for image restoration, excelling in capturing long-range dependencies and complex structures, resulting in an outstanding performance in PSNR, SSIM, NIQE, and BRISQUE metrics. The tested images, sourced from five developing countries and often of lower quality, enabled us to show that these approaches can help enhance the quality of the images. Evaluations on fetal ultrasound images reveal that these methods significantly enhance image quality, with DBPISR, Real-ESRGAN, BSRGAN, SwinIR, and SwinIR-Large showing notable improvements in PSNR and SSIM, thereby highlighting their potential for improving the resolution and diagnostic utility of fetal ultrasound images. We evaluated the five aforementioned Super-Resolution models, analyzing their impact on both image quality and classification tasks. Our findings indicate that these techniques hold great potential for enhancing the evaluation of medical images, particularly in development countries. Among the models tested, Real-ESRGAN consistently enhanced both image quality and diagnostic accuracy, even when challenged by limited and variable datasets. This finding was further supported by deploying the ConvNext-base classifier, which demonstrated improved performance when applied to the super-resolved images. Real-ESRGAN's capacity to enhance image quality, and in turn, classification accuracy, highlights its potential to address the resource constraints often encountered in these settings.
Disciplines :
Computer science
Author, co-author :
Boumeridja, Hafida;  LIST Laboratory, University M'Hamed Bougara, Boumerdes, Algeria
Ammar, Mohammed;  LIST Laboratory, University M'Hamed Bougara, Boumerdes, Algeria. m.ammar@univ-boumerdes.dz
Alzubaidi, Mahmood;  College of Science and Engineering, Hamad Bin Khalifa University, Doha, 34110, Qatar. Malzubaidi@hbku.edu.qa
Mahmoudi, Saïd  ;  Université de Mons - UMONS > Faculté Polytechnique > Service Informatique, Logiciel et Intelligence artificielle
Benamer, Lamya Nawal;  Obstetrics and Gynecology Department, School of Medicine, Algiers University, Algiers, Algeria
Agus, Marco;  College of Science and Engineering, Hamad Bin Khalifa University, Doha, 34110, Qatar
Househ, Mowafa;  College of Science and Engineering, Hamad Bin Khalifa University, Doha, 34110, Qatar
Lekadir, Karim;  Artificial Intelligence in Medicine Lab (BCN-AIM), Department of Mathematics and Computer Science, Universitat de Barcelona, Barcelona, Spain ; Institució Catalana de Recerca i Estudis Avançats (ICREA), Passeig Lluís Companys 23, Barcelona, Spain
El Habib Daho, Mostafa;  Univ Bretagne Occidentale, Brest, 29200, France ; Inserm, UMR 1101, Brest, 29200, France
Language :
English
Title :
Enhancing fetal ultrasound image quality and anatomical plane recognition in low-resource settings using super-resolution models.
Publication date :
11 March 2025
Journal title :
Scientific Reports
eISSN :
2045-2322
Publisher :
Nature Research, England
Volume :
15
Issue :
1
Pages :
8376
Peer reviewed :
Peer Reviewed verified by ORBi
Research unit :
F114 - Informatique, Logiciel et Intelligence artificielle
Research institute :
R300 - Institut de Recherche en Technologies de l'Information et Sciences de l'Informatique
Funders :
Hamad Bin Khalifa University, Qatar
Funding text :
This publication was funded by the PPM-7th Cycle grant (PPM 07-0409-240041, AMAL-For-Qatar) from the Qatar National Research Fund, a member of the Qatar Foundation. The project was supported through a subcontract agreement between the American University of Beirut (AUB) and Hamad Bin Khalifa University (HBKU) for the project titled \u201CFADA\u201D (AUB Reference: 104348). This research was partly funded by a grant from the European Research Council (ERC) under the European Union\u2019s Horizon Europe research and innovation programme (AIMIX project - Grant Agreement No. 101044779).
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