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Contrast and Gain-Aware Attention: A Plug-and-Play Feature Fusion Attention Module for Torso Region Fetal Plane
Shengjun Zhu1, Jiaxin Cai1, Runqing Xiong2
1School of Mathematics and Statistics, Xiamen University of Technology, Xiamen, China.
Ultrasound in Medicine & Biology
|September 7, 2025
Summary
This study introduces a novel contrast and gain-aware attention mechanism for improved fetal ultrasound image analysis. The method enhances the identification of critical fetal torso planes, aiding in early detection of malformations.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Fetal Medicine
Background:
- Accurate fetal torso ultrasound plane identification is crucial for detecting fetal malformations.
- Clinical expertise is vital but limited, necessitating advanced diagnostic support tools.
- Image artifacts and complex fetal anatomy present challenges in ultrasound interpretation.
Purpose of the Study:
- To develop an efficient diagnostic support tool for fetal torso ultrasound plane identification.
- To address challenges posed by image artifacts and varying gain/contrast settings.
- To improve the accuracy and efficiency of identifying key fetal planes.
Main Methods:
- Proposed a contrast and gain-aware attention mechanism integrated into ResNet18 and ResNet34 models.
- The mechanism generates images under varying gain/contrast conditions and uses attention to mimic clinical decision-making.
- A lightweight attention module performs feature fusion directly on images with different gain/contrast settings.
Main Results:
- The proposed method significantly enhanced performance in identifying key fetal torso planes (abdomen, spine, kidney).
- Performance improvement was observed compared to traditional models.
- The approach demonstrated efficiency with minimal addition to model parameters.
Conclusions:
- The contrast and gain-aware attention mechanism offers an effective solution for fetal torso ultrasound plane identification.
- This AI-driven approach can support clinicians in prenatal examinations.
- The method shows promise for improving early detection of fetal malformations.

