A Frame-Level View and Image-Quality Annotation Tool for Fetal Echocardiography: Comparison with Spreadsheet Annotation

Abstract

Objective: To develop the Cardiologist Annotation Tool (CAT) for frame-level cardiac view and image-quality annotation in fetal echocardiography and compare it with spreadsheet-based annotation. Methods: CAT provides cine playback, frame navigation, and keyboard-based labeling without manual frame-range entry. Experts annotated 25 studies using both methods, and spreadsheet annotations were audited for predefined data-entry errors. In a randomized crossover study, six medical students annotated two normal studies, one with each method, against an expert reference. Results: Among 1,746 spreadsheet-annotated files, 6.2% contained major or critical data-entry errors, more frequently in congenital heart disease than normal studies (10.9% vs 3.4%). CAT yielded more annotated view segments per clip (3.6 vs 1.5). Rates of labeled and correctly labeled frames per minute were 1.77 and 1.68 times those with spreadsheets, respectively (both P = 0.031), with gains in all six students. No detectable difference in view-label accuracy was observed. Conclusion: CAT eliminates manual frame-range entry and enables finer-grained, structured annotation of fetal echocardiography, providing a practical approach to preparing datasets for AI research.