# Advancing Fetal Ultrasound Image Quality Assessment in Low-Resource Settings

arXiv: https://arxiv.org/abs/2507.22802 · HTML: https://mlsanity.com/paper/2507.22802/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 16 of its 29 references that are in the map.
- First posted on arXiv 30 Jul 2025.

## Builds on (most cited first, 16 of 16)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [Reproducible scaling laws for contrastive language-image learning](https://mlsanity.com/paper/2212.07143/) (2022)
- [UNETR: Transformers for 3D Medical Image Segmentation](https://mlsanity.com/paper/2103.10504/) (2021)
- [MANIQA: Multi-dimension Attention Network for No-Reference Image Quality Assessment](https://mlsanity.com/paper/2204.08958/) (2022)
- [DeiT III: Revenge of the ViT](https://mlsanity.com/paper/2204.07118/) (2022)
- [FetalCLIP: A Visual-Language Foundation Model for Fetal Ultrasound Image Analysis](https://mlsanity.com/paper/2502.14807/) (2025)
- [Generalisability of fetal ultrasound deep learning models to low-resource imaging settings in five African countries](https://mlsanity.com/paper/2209.09610/) (2022)
- [A Survey on Image Quality Assessment: Insights, Analysis, and Future Outlook](https://mlsanity.com/paper/2502.08540/) (2025)
- [FUSQA: Fetal Ultrasound Segmentation Quality Assessment](https://mlsanity.com/paper/2303.04418/) (2023)

## Built on by (most cited first, 2 of 2)

- [Towards Reliable Fetal Ultrasound Interpretation with Multi-Agent Collaboration](https://mlsanity.com/paper/2605.25357/) (2026)
- [FetSelect: Task-Specific Architectures and Self-Supervised Learning for Automated Fetal Ultrasound Frame Selection](https://mlsanity.com/paper/2606.22487/) (2026)

## Abstract (arXiv)

Accurate fetal biometric measurements, such as abdominal circumference, play a vital role in prenatal care. However, obtaining high-quality ultrasound images for these measurements heavily depends on the expertise of sonographers, posing a significant challenge in low-income countries due to the scarcity of trained personnel. To address this issue, we leverage FetalCLIP, a vision-language model pretrained on a curated dataset of over 210,000 fetal ultrasound image-caption pairs, to perform automated fetal ultrasound image quality assessment (IQA) on blind-sweep ultrasound data. We introduce FetalCLIPCLS, an IQA model adapted from FetalCLIP using Low-Rank Adaptation (LoRA), and evaluate it on the ACOUSLIC-AI dataset against six CNN and Transformer baselines. FetalCLIPCLS achieves the highest F1 score of 0.757. Moreover, we show that an adapted segmentation model, when repurposed for classification, further improves performance, achieving an F1 score of 0.771. Our work demonstrates how parameter-efficient fine-tuning of fetal ultrasound foundation models can enable task-specific adaptations, advancing prenatal care in resource-limited settings. The experimental code is available at: https://github.com/donglihe-hub/FetalCLIP-IQA.