Evaluating Hemodynamic Changes in Preterm Infants Using Recent YOLO Models

This research aims to offer a deep learning-based diagnostic approach for hemorrhagic complications linked to patent ductus arteriosus (PDA) in preterm infants. Utilizing the You Only Look Once (YOLO) algorithm, this research analyzed five key cardiac parameters derived from echocardiographic ultrasonic waves: the left ventricular ejection time (LVET), left ventricular internal dimension at diastole (LVIDd), left ventricular internal dimension at systole (LVIDs), posterior wall thickness at end-systole (HES), and RR interval between two successive R-waves. The proposed ensemble model achieved best-in-class detection accuracies for each parameter, with rates of 97.56% (LVET), 88.69% (LVIDd), 99.50% (LVIDs), 82.29% (HES), and 81.15% (RR interval). Furthermore, assessment of cardiac function using derived indices-end-systolic wall stress (ESWS) and rate-corrected mean velocity of circumferential fiber shortening (mVcfc)-achieved mean accuracy rates of 82.33% and 90.16%, respectively. This approach enables physicians to accurately evaluate cardiac function in preterm infants and facilitates the diagnosis of PDA-related hemorrhagic complications.