The thickness of the nuchal fold is one of the main markers for the detection of Down syndrome during the second trimester of pregnancy. In this paper are reported our preliminary results of the automatic segmentation and measurement of the nuchal fold thickness in ultrasound images of the fetal brain. The method is based on a 2D active shape model used to segment the brain structures involved in the measurement of the nuchal fold: cerebellum; brain midline; the outer edge of the occipital plate; and the outer skin edge. The algorithm was trained and tested in 10 different ultrasound images, using leave one out cross validation. We have obtained an average difference of 0.23 mm from the expert measurement of the nuchal fold, with a standard deviation of 0.1 mm.
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