Echocardiography is a non-invasive examination method based on sound waves to generate images of the heart. Segmentation of the left ventricle (LV) and right ventricle (RV) is crucial for evaluating cardiac function. However, due to the limitations in ultrasound imaging angles and the high prevalence of noise in ultrasound data, automatic and accurate segmentation of the left and right ventricles is a challenging task. In this paper, we present a decoupled semi-supervised 3D echocardiography segmentation network based on threshold adaptive uncertainty estimation. To minimize the impact of missing targets caused by blind zones on segmentation accuracy, pixel-wise segmentation maps and target skeleton maps are jointly predicted by decoupled semi-supervised 3D network (DTAUE) so that our network is more effective to perceive the morphological features of segmented targets. And quantifying the uncertainty inherent to a model’s prediction is a promising endeavor to address the lack of reliability and overconfidence in the model. Previous uncertainty estimation methods set a uniform threshold for all training samples. However, this leads to the loss of edge detail information. Different from the existing methods, in our work, we propose a method of adaptive threshold uncertainty estimation to set different confidence threshold for different targets. Experiments on our self-collected 3D echocardiographic dataset and two publicly available datasets show that our method outperforms state-of-the-art semi-supervised learning methods. DTAUE would potentially serve as a new tool for diagnosing and monitoring various heart conditions.
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