Semi-Automatic GUI Platform to Characterize Brain Development in Preterm Children Using Ultrasound Images

J Imaging. 2023 Jul 18;9(7):145. doi: 10.3390/jimaging9070145.

Abstract

The third trimester of pregnancy is the most critical period for human brain development, during which significant changes occur in the morphology of the brain. The development of sulci and gyri allows for a considerable increase in the brain surface. In preterm newborns, these changes occur in an extrauterine environment that may cause a disruption of the normal brain maturation process. We hypothesize that a normalized atlas of brain maturation with cerebral ultrasound images from birth to term equivalent age will help clinicians assess these changes. This work proposes a semi-automatic Graphical User Interface (GUI) platform for segmenting the main cerebral sulci in the clinical setting from ultrasound images. This platform has been obtained from images of a cerebral ultrasound neonatal database images provided by two clinical researchers from the Hospital Sant Joan de Déu in Barcelona, Spain. The primary objective is to provide a user-friendly design platform for clinicians for running and visualizing an atlas of images validated by medical experts. This GUI offers different segmentation approaches and pre-processing tools and is user-friendly and designed for running, visualizing images, and segmenting the principal sulci. The presented results are discussed in detail in this paper, providing an exhaustive analysis of the proposed approach's effectiveness.

Keywords: GUI semi-automatic platform; brain segmentation; cerebral ultrasound; docker; preterm; sulci.

Grants and funding

This work was supported by the Spanish Ministry of Economy and Competitiveness [Project PI 18/00110, Proyectos de Investigación en Salud (FIS), diseñado por el Instituto de Salud Carlos III (ISCIII)]. We would like to express our special thanks of gratitude to Thais Agut and Nuria Carreras (Hospital Sant Joan de Déu, Barcelona, Spain) to use a medical database for testing and validation.