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International Journal of Bioprinting                         Deep learning-based 3D digital model of fetal heart






































            Figure 5. Examples of the 3D digital model and 3D-printed physical model of the blood pool in the fetal heart reconstructed by different methods based
            on the whole heart structure, OTV, and FCV: (A) manually reconstructed by a senior sonographer, (B) manually reconstructed by a junior sonographer,
            (C) reconstructed using FRT, and (D) reconstructed using U-Net. Abbreviations: FRT: Fetal heart reconstruction technique; OTV: Outflow tract view;
            FCV: Four-chamber view.



            of clinical evaluation values, digital models were measured   With just a single GPU, FRT enables the completion of
            using  Measure  3D  Distance  in  Mimics  software,  while   ultrasonic image segmentation tasks for each patient
            physical models were measured with a vernier caliper. At   within a mere minute following parameter specification.
            present, the same metrics were measured using a Voluson   This  is  a  remarkable  improvement  over  the  efficiency
            E10 US system with conventional 2D echocardiography to   of human experts, which can take significantly longer.
            analyze the consistency among US volume data, the digital   Consequently, FRT overcomes two major limitations in
            model, and the physical model. We found that there was   fetal heart remodeling: the time-consuming and labor-
            no significant difference, in proportion, in the clinical   intensive nature of the process. Furthermore, FRT holds the
            evaluation values (LDLV, LDRV, LDLA, TDLA, LDRA,   potential to greatly benefit clinicians and patients through
            and TDRA) of US volume data measured by physicians   its applications in medical 3D printing technology.
            and those measured using 3D models (Figure 6).
                                                                  At present, US is widely used for prenatal examinations
            4. Discussion                                      across the world due to its relative safety, cost-effectiveness,
                                                               non-invasive nature, real-time display, operator comfort,
            The FRT is an advanced deep learning algorithm     and experience.  However, US images have their unique
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            developed in the USA, designed to achieve cutting-edge   limitations, including lower imaging quality, high
            reconstruction of fetal heart blood pool models. This   dependence on operator or diagnostician experience, and
            groundbreaking technology combines deep learning   significant variations between observers and systems used
            detectors with traditional computer vision techniques to   by the same observer.  In this context, there is a pressing
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            accurately segment ultrasonic images, ensuring the utmost   need for a more objective, accurate, visual, intelligent, and
            structural precision in the resulting digital model. FRT   integrated method for US analysis in prenatal healthcare.
            represents a pioneering method for reconstructing fetal   Deep learning has demonstrated remarkable success in
            heart models through deep learning technology, surpassing   medical image analysis, providing automatic tools and
            the efficiency of human sonographers in model rebuilding.   state-of-the-art performance. 15,17,18,24–27  Furthermore, the


            Volume 11 Issue 4 (2025)                       251                            doi: 10.36922/IJB025200192
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