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During labor, transperineal ultrasound imaging can acquire real-time midsagittal images, through which the pubic symphysis and fetal head can be accurately identified, and the angle of progression (AoP) between them can be calculated, thereby quantitatively evaluating the descent and position of the fetal head in the birth canal in real time. However, current segmentation methods based on convolutional neural networks (CNNs) and Transformers generally depend heavily on large-scale manually annotated data, which limits their adoption in practical applications. In light of this limitation, this paper develops a new Transformer-based Semi-supervised Segmentation Network (TransSeg). This method employs a Vision Transformer as the backbone network and introduces a Channel-wise Cross Attention (CCA) mechanism to effectively reconstruct the features of unlabeled samples into the labeled feature space, promoting architectural innovation in semi-supervised segmentation and eliminating the need for complex training strategies. In addition, we design a Semantic Information Storage (S-InfoStore) module and a Channel Semantic Update (CSU) strategy to dynamically store and update feature representations of unlabeled samples, thereby continuously enhancing their expressiveness in the feature space and significantly improving the model's utilization of unlabeled data. We conduct a systematic evaluation of the proposed method on the FH-PS-AoP dataset. Experimental results demonstrate that TransSeg outperforms existing mainstream methods across all evaluation metrics, verifying its effectiveness and advancement in semi-supervised semantic segmentation tasks.
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http://dx.doi.org/10.1109/JBHI.2025.3602007 | DOI Listing |
Nat Aging
September 2025
Aging Biomarker Consortium (ABC), Beijing, China.
The global surge in the population of people 60 years and older, including that in China, challenges healthcare systems with rising age-related diseases. To address this demographic change, the Aging Biomarker Consortium (ABC) has launched the X-Age Project to develop a comprehensive aging evaluation system tailored to the Chinese population. Our goal is to identify robust biomarkers and construct composite aging clocks that capture biological age, defined as an individual's physiological and molecular state, across diverse Chinese cohorts.
View Article and Find Full Text PDFObjectives: To evaluate the outcomes with lung changes of fetoscopic endoluminal tracheal occlusion (FETO) for congenital diaphragmatic hernia (CDH).
Methods: Between 2014 and 2023, we performed FETO for severe or moderate left-sided CDH with the Kitano Grade 3 stomach position. We analyzed the pre- and post-operative ultrasound findings, pregnancy outcomes, and survival rates at six months.
Eur J Midwifery
September 2025
Midwifery School, Department of Clinical Sciences and Community Health, Dipartimento di Eccellenza 2023-2027, University of Milan, Milan, Italy.
Introduction: Optimal fetal positioning is essential for ensuring that labor progresses efficiently and reducing the need for interventions. The aim of this study was to evaluate the potential role of the Spinning Babies approach to facilitate fetal head rotation.
Methods: This retrospective study was based on data collected by midwifery students, supervised by experienced midwifery tutors, using digital partograms.
Resuscitation
September 2025
Department of Pediatrics, Division of Neonatology, The Children's Hospital of Philadelphia and The University of Pennsylvania Perelman School of Medicine, Division of Neonatology, 2(nd) Floor, Main Building, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Aim: Flow disruptions (FDs) are deviations in the progression of care that compromise safety and efficiency of a specific process. Neonatal intubation is a life-saving high-risk procedure required for delivery room (DR) management of neonates with moderate to severe congenital diaphragmatic hernia (CDH). This study evaluated FDs during DR intubation of neonates with CDH and their association with process and outcome measures.
View Article and Find Full Text PDFHum Genet
September 2025
Prenatal Diagnostic Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510620, Guangdong, China.
This study aims to assess the genetic burden of fetal congenital diaphragmatic hernia (CDH) and identify prenatal, perinatal, and postnatal predictors to improve early diagnosis, monitoring, and intervention. This study included 130 CDH fetuses who underwent invasive prenatal diagnosis, with fetal prognosis evaluated using imaging parameters such as observed-to-expected lung-to-head ratio (o/e LHR), observed-to-expected total lung volume (o/e TLV), and percent predicted lung volume (PPLV). Clinical outcomes included neonatal outcomes, extracorporeal membrane oxygenation (ECMO) requirement, and post-neonatal prognosis.
View Article and Find Full Text PDF