Study on the practicality of the semi‐automatic measurement for the urogenital hiatus
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.issn.1004‐4477.2019.03.013
   		
        
        	
        		- VernacularTitle:盆底超声智能识别及半自动测量泌尿生殖裂孔的实用性研究
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Tingting YE
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Huifang WANG
			        		
			        		;
		        		
		        		
		        		
			        		Hua CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Dong NI
			        		
			        		;
		        		
		        		
		        		
			        		Qiuxiang CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Xiaoshuang DENG
			        		
			        		;
		        		
		        		
		        		
			        		Min WU
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 深圳市第二人民医院超声科518035
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Ultrasonography,transperineal;
			        		
			        		
			        		
				        		U rogenital hiatus;
			        		
			        		
			        		
				        		Intelligent identification;
			        		
			        		
			        		
				        		Semi‐automatic measurement;
			        		
			        		
			        		
				        		artificial intelligence
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Ultrasonography
	            		
	            		 2019;28(3):256-260
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To determine the consistency of urogenital hiatus ( U H ) data between the semi‐automatic measurement and manual measurement using transperineal pelvic floor ultrasonography . Methods Total of 286 three‐dimensional images of minimal U H dimension were obtained . And they were divided into study group ( 100 images) and test group ( 186 images) randomly . T hree experts traced and created the w hole profile of the U H of those images in the study group by M AT LAB . T hen the semi‐automatic software was obtained through machine learning algorithms . In the test group , 6 parameters of U H ( including anterioposterior diameter , transverse diameter ,circumference , area ,left and right levator urethral gap distance) were measured by two experts ( D 1 and D2 ) both manually and semi‐automatically . T he time experts spent on measuring was also recorded and compared . Results T he time used for semi‐automatic measurement was significantly shorter than that for manual measurement [ ( 7 .49 ± 1 .51 ) s vs ( 42 .42 ± 11 .08) s ,( 7 .52 ± 1 .37) s vs ( 43 .45 ± 9 .09) s for D1 and D2 , t = -12 .09 ,-13 .64 ,all P=0 .00] . T he Pearson correlation coefficients between semi‐automatic and manual measurements of 6 parameters were 0 .857 -0 .985 ( P < 0 .01) ,0 .853 -0 .979 ( P < 0 .01 ) in D1 and D2 ,respectively . T he interclass correlation coefficients ( ICC) of six parameters were ranged from 0 .846 -0 .985 for D1 and 0 .843~0 .979 for D2 ( all P < 0 .01 ) . T he Bland Altman plot also showed good agreement between two methods . Conclusions Intellectual recognition and semi‐automatic measurement has simplified the process for U H measurement ,and it is proved to be a reliable and timesaving method that is practical for clinical use .