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![]() Title:Deep Learning Architectures for Automated Classification of Fetal Liver Echotexture in Gestational Diabetes Authors:Felipe Soares Muylaert Barroso, Luis Otavio Santos, Karine Souza da Correggio, Aldo von Wangenheim, Thiago Zimmermann Loureiro Chaves, Roberto Noya Galluzzo, Alexandre Sherlley Casimiro Onofre and Alex Sandro Roschildt Pinto Conference:IEEE CBMS 2026 Tags:Deep Learning, Echotexture Classification, Fetal Liver, Gestational Diabetes Mellitus and Ultrasound Imaging Abstract: Gestational diabetes mellitus (GDM) promotes fetal hyperinsulinemia, leading to fat accumulation in the fetal liver detectable via routine B-mode ultrasound. No published work has applied deep learning to classify fetal liver echotexture for automated GDM-related metabolic assessment. We present a comparative study of six convolutional neural network architectures — ResNet-18, ResNet-34, ResNet-50, EfficientNet-B0, EfficientNet-B4, and EfficientNet-B7 — for binary classification of fetal abdominal circumference above the 75th percentile (CA\,>\,p75) from liver-only ultrasound images. A patient-stratified cohort of 232 patients (110 GDM, 122 controls) provided 1,733 matched liver-only images (from a full dataset of 2,047), with class imbalance addressed via minority oversampling and weighted focal loss. Models were selected by fbeta on validation and evaluated on a held-out test set using AUC, sensitivity, specificity, and F$_1$ with bootstrap 95\% confidence intervals. EfficientNet-B0 achieved the highest AUC of 0.618 (95\% CI: 0.537--0.694). All models achieved very high true sensitivity for the elevated-CA class (0.93--1.00) but very low true specificity (0.00--0.13), indicating over-prediction of the positive class driven by the combined oversampling and weighted focal loss strategy. These results establish the first baseline for automated deep-learning screening of fetal hepatic echotexture in gestational diabetes and motivate larger multi-centre validation. Deep Learning Architectures for Automated Classification of Fetal Liver Echotexture in Gestational Diabetes ![]() Deep Learning Architectures for Automated Classification of Fetal Liver Echotexture in Gestational Diabetes | ||||
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