UniFLM: United Segmentation and Measurement on Fetal Limb Ultrasonic Image

Abstract

Prenatal ultrasound examination is crucial for assessing fetal limb development and detecting congenital anomalies. However, existing artificial intelligence models often overlook fetal lethal skeletal dysplasias due to the lack of high-quality annotated data and a unified framework for multiple long bones. Moreover, generic segmentation models struggle with the inherent noise and semantic gaps in ultrasound images. To address these challenges, we construct the Fetal Limb Bones (FLB) dataset, comprising high-quality annotations for the humerus, femur, tibia-fibula, and radius-ulna. Furthermore, we propose UniFLM, a unified framework for automatic cross-plane segmentation and measurement. UniFLM incorporates a Semantic-Aware Skip Connection module to bridge the semantic gap between encoder and decoder features, and a Positive Sampling strategy to adaptively filter noise and extract essential semantic information. Finally, a Point Regression Mapping module is introduced to learn clinician annotation patterns for precise bone length measurement. Extensive experiments conducted on the FLB dataset demonstrate that the proposed UniFLM achieves superior accuracy and enhanced generalization capabilities in fetal long bone assessment compared to current state-of-the-art models.