A comprehensive scoping review on machine learning-based fetal echocardiography analysis

Comput Biol Med. 2025 Jan 15:186:109666. doi: 10.1016/j.compbiomed.2025.109666. Online ahead of print.

Abstract

Fetal echocardiography (ultrasound of the fetal heart) plays a vital role in identifying heart defects, allowing clinicians to establish prenatal and postnatal management plans. Machine learning-based methods are emerging to support the automation of fetal echocardiographic analysis; this review presents the findings from a literature review in this area. Searches were queried at leading indexing platforms ACM, IEEE Xplore, PubMed, Scopus, and Web of Science, including papers published until July 2023. In total, 343 papers were found, where 48 papers were selected to compose the detailed review. The reviewed literature presents research on neural network-based methods to identify fetal heart anatomy in classification and segmentation modelling. The reviewed literature uses five categorical technical analysis terms: attention and saliency, coarse to fine, dilated convolution, generative adversarial networks, and spatio-temporal. This review offers a technical overview for those already working in the field and an introduction to those new to the topic.

Keywords: Congenital heart defects; Fetal echocardiography; Image analysis; Machine learning; Technical scoping review; Video analysis.

Publication types

  • Review