Mark C. Eid

Jieyun Bai, Zihao Zhou, Yitong Tang et al.

A substantial proportion (45\%) of maternal deaths, neonatal deaths, and stillbirths occur during the intrapartum phase, with a particularly high burden in low- and middle-income countries. Intrapartum biometry plays a critical role in monitoring labor progression; however, the routine use of ultrasound in resource-limited settings is hindered by a shortage of trained sonographers. To address this challenge, the Intrapartum Ultrasound Grand Challenge (IUGC), co-hosted with MICCAI 2024, was launched. The IUGC introduces a clinically oriented multi-task automatic measurement framework that integrates standard plane classification, fetal head-pubic symphysis segmentation, and biometry, enabling algorithms to exploit complementary task information for more accurate estimation. Furthermore, the challenge releases the largest multi-center intrapartum ultrasound video dataset to date, comprising 774 videos (68,106 frames) collected from three hospitals, providing a robust foundation for model training and evaluation. In this study, we present a comprehensive overview of the challenge design, review the submissions from eight participating teams, and analyze their methods from five perspectives: preprocessing, data augmentation, learning strategy, model architecture, and post-processing. In addition, we perform a systematic analysis of the benchmark results to identify key bottlenecks, explore potential solutions, and highlight open challenges for future research. Although encouraging performance has been achieved, our findings indicate that the field remains at an early stage, and further in-depth investigation is required before large-scale clinical deployment. All benchmark solutions and the complete dataset have been publicly released to facilitate reproducible research and promote continued advances in automatic intrapartum ultrasound biometry.

Robin Y. Park, Mark C. Eid, Rhydian Windsor et al.

The objective of this paper is to improve radiological gradings measured on MRIs of spines, by resampling scans so that the new view planes are better aligned with the target anatomy than the original sparse images. To this end, we adapt 3D Gaussian Splatting to form a volumetric reconstruction starting from sparse anisotropic MRIs, and imaging planes aligned with the anatomy relevant for clinical evaluation are then sampled and rendered. The novel view plane is optimal for diagnostic radiological grading of the target anatomy, whereas the original MRI is not. The resampled scans are then used to predict ordinal severity grades of localised stenosis conditions in spinal MRIs. We compare our method against Voxel Interpolation resampling, which takes the average of inverse-distance weighted nearest neighbour intensities for each target coordinate. Experiments show that across all stenosis conditions, resampled scans using Gaussian Splatting produce more accurate stenosis gradings compared to the raw scans which do not include the complete anatomy in-plane, as well as images resampled using Voxel Interpolation.

Mark C. Eid, Pak-Hei Yeung, Madeleine K. Wyburd et al.

Two-dimensional (2D) freehand ultrasonography is one of the most commonly used medical imaging modalities, particularly in obstetrics and gynaecology. However, it only captures 2D cross-sectional views of inherently 3D anatomies, losing valuable contextual information. As an alternative to requiring costly and complex 3D ultrasound scanners, 3D volumes can be constructed from 2D scans using machine learning. However this usually requires long computational time. Here, we propose RapidVol: a neural representation framework to speed up slice-to-volume ultrasound reconstruction. We use tensor-rank decomposition, to decompose the typical 3D volume into sets of tri-planes, and store those instead, as well as a small neural network. A set of 2D ultrasound scans, with their ground truth (or estimated) 3D position and orientation (pose) is all that is required to form a complete 3D reconstruction. Reconstructions are formed from real fetal brain scans, and then evaluated by requesting novel cross-sectional views. When compared to prior approaches based on fully implicit representation (e.g. neural radiance fields), our method is over 3x quicker, 46% more accurate, and if given inaccurate poses is more robust. Further speed-up is also possible by reconstructing from a structural prior rather than from scratch.

Mark C. Eid, Ana I. L. Namburete, João F. Henriques

Ultrasound imaging is widely used due to its safety, affordability, and real-time capabilities, but its 2D interpretation is highly operator-dependent, leading to variability and increased cognitive demand. 2D-to-3D reconstruction mitigates these challenges by providing standardized volumetric views, yet existing methods are often computationally expensive, memory-intensive, or incompatible with ultrasound physics. We introduce UltraGauss: the first ultrasound-specific Gaussian Splatting framework, extending view synthesis techniques to ultrasound wave propagation. Unlike conventional perspective-based splatting, UltraGauss models probe-plane intersections in 3D, aligning with acoustic image formation. We derive an efficient rasterization boundary formulation for GPU parallelization and introduce a numerically stable covariance parametrization, improving computational efficiency and reconstruction accuracy. On real clinical ultrasound data, UltraGauss achieves state-of-the-art reconstructions in 5 minutes, and reaching 0.99 SSIM within 20 minutes on a single GPU. A survey of expert clinicians confirms UltraGauss' reconstructions are the most realistic among competing methods. Our CUDA implementation will be released upon publication.

Jayroop Ramesh, Valentin Bacher, Mark C. Eid et al.

The International Society of Ultrasound advocates Intrapartum Ultrasound (US) Imaging in Obstetrics and Gynecology (ISUOG) to monitor labour progression through changes in fetal head position. Two reliable ultrasound-derived parameters that are used to predict outcomes of instrumental vaginal delivery are the angle of progression (AoP) and head-symphysis distance (HSD). In this work, as part of the Intrapartum Ultrasounds Grand Challenge (IUGC) 2024, we propose an automated fetal biometry measurement pipeline to reduce intra- and inter-observer variability and improve measurement reliability. Our pipeline consists of three key tasks: (i) classification of standard planes (SP) from US videos, (ii) segmentation of fetal head and pubic symphysis from the detected SPs, and (iii) computation of the AoP and HSD from the segmented regions. We perform sparse sampling to mitigate class imbalances and reduce spurious correlations in task (i), and utilize ensemble-based deep learning methods for task (i) and (ii) to enhance generalizability under different US acquisition settings. Finally, to promote robustness in task iii) with respect to the structural fidelity of measurements, we retain the largest connected components and apply ellipse fitting to the segmentations. Our solution achieved ACC: 0.9452, F1: 0.9225, AUC: 0.983, MCC: 0.8361, DSC: 0.918, HD: 19.73, ASD: 5.71, $Δ_{AoP}$: 8.90 and $Δ_{HSD}$: 14.35 across an unseen hold-out set of 4 patients and 224 US frames. The results from the proposed automated pipeline can improve the understanding of labour arrest causes and guide the development of clinical risk stratification tools for efficient and effective prenatal care.