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Title: Intelligent contour extraction approach for accurate segmentation of medical ultrasound images
Authors: Peng, T 
Wu, Y
Gu, Y
Xu, D
Wang, C
Li, Q
Cai, J 
Issue Date: 2023
Source: Frontiers in physiology, 2023, v. 14, 1177351
Abstract: Introduction: Accurate contour extraction in ultrasound images is of great interest for image-guided organ interventions and disease diagnosis. Nevertheless, it remains a problematic issue owing to the missing or ambiguous outline between organs (i.e., prostate and kidney) and surrounding tissues, the appearance of shadow artifacts, and the large variability in the shape of organs.
Methods: To address these issues, we devised a method that includes four stages. In the first stage, the data sequence is acquired using an improved adaptive selection principal curve method, in which a limited number of radiologist defined data points are adopted as the prior. The second stage then uses an enhanced quantum evolution network to help acquire the optimal neural network. The third stage involves increasing the precision of the experimental outcomes after training the neural network, while using the data sequence as the input. In the final stage, the contour is smoothed using an explicable mathematical formula explained by the model parameters of the neural network.
Results: Our experiments showed that our approach outperformed other current methods, including hybrid and Transformer-based deep-learning methods, achieving an average Dice similarity coefficient, Jaccard similarity coefficient, and accuracy of 95.7 ± 2.4%, 94.6 ± 2.6%, and 95.3 ± 2.6%, respectively.
Discussion: This work develops an intelligent contour extraction approach on ultrasound images. Our approach obtained more satisfactory outcome compared with recent state-of-the-art approaches . The knowledge of precise boundaries of the organ is significant for the conservation of risk structures. Our developed approach has the potential to enhance disease diagnosis and therapeutic outcomes.
Keywords: Adaptive selection principal curve
Explicable mathematical formula
Medical image segmentation
Quantum evolution neural network
Ultrasound image
Publisher: Frontiers Research Foundation
Journal: Frontiers in physiology 
EISSN: 1664-042X
DOI: 10.3389/fphys.2023.1177351
Rights: © 2023 Peng, Wu, Gu, Xu, Wang, Li and Cai. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (http://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
The following publication Peng T, Wu Y, Gu Y, Xu D, Wang C, Li Q and Cai J (2023) Intelligent contour extraction approach for accurate segmentation of medical ultrasound images. Front. Physiol. 14:1177351 is available at https://doi.org/10.3389/fphys.2023.1177351.
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