Segmentation of ultrasound images of fetal anatomic structures using random forest for low-cost settings

In ultrasound imaging, manual extraction of contours of fetal anatomic structures from echographic images have been found to be very challenging due to speckles and low contrast characteristic features. Contours extracted are therefore associated with variability of human observers. In this case, the contours that are extracted are not reproducible and hence not reliable. This challenge has called for the need to develop a method that can accurately segment the fetal anatomic structures. This will help to estimate and measure the contours of the structures of fetal bodies such as the head circumference, femur length, etc. Most recent methods are able to integrate global shape and appearance. The drawback to most of these methods is that, they are not able to handle localized appearance variations. They only rely on an assumption of Gaussian gray value distribution and also require initialization near the optimal solution. In this manuscript random forest is used to segment head contour in fetal ultrasound scans acquired in low-cost settings, such as acquisition performed in rural areas of low-income countries using low-cost portable machines.