# Automated Classification of First-Trimester Fetal Heart Views Using Ultrasound-Specific Self-Supervised Learning

arXiv: https://arxiv.org/abs/2512.24492 · HTML: https://mlsanity.com/paper/2512.24492/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 9 of its 20 references that are in the map.
- First posted on arXiv 30 Dec 2025.

## Builds on (most cited first, 9 of 9)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Masked Autoencoders Are Scalable Vision Learners](https://mlsanity.com/paper/2111.06377/) (2021)
- [UltraSam: A Foundation Model for Ultrasound using Large Open-Access Segmentation Datasets](https://mlsanity.com/paper/2411.16222/) (2024)
- [USF-MAE: Ultrasound Self-Supervised Foundation Model with Masked Autoencoding](https://mlsanity.com/paper/2510.22990/) (2025)
- [Deep Learning Analysis of Prenatal Ultrasound for Identification of Ventriculomegaly](https://mlsanity.com/paper/2511.07827/) (2025)
- [Self-Supervised Ultrasound Representation Learning for Renal Anomaly Prediction in Prenatal Imaging](https://mlsanity.com/paper/2512.13434/) (2025)
- [Improved cystic hygroma detection from prenatal imaging using ultrasound-specific self-supervised representation learning](https://mlsanity.com/paper/2512.22730/) (2025)

## Built on by (most cited first, 1 of 1)

- [Benchmarking Self-Supervised Models for Cardiac Ultrasound View Classification](https://mlsanity.com/paper/2602.15339/) (2026)

## Abstract (arXiv)

Congenital heart disease remains the most common congenital anomaly and a leading cause of neonatal morbidity and mortality. Although first-trimester fetal echocardiography offers an opportunity for earlier detection, automated analysis at this stage is challenging due to small cardiac structures, low signal-to-noise ratio, and substantial inter-operator variability. In this work, we evaluate a self-supervised ultrasound foundation model, USF-MAE, for first-trimester fetal heart view classification. USF-MAE is pretrained using masked autoencoding modelling on more than 370,000 unlabelled ultrasound images spanning over 40 anatomical regions and is subsequently fine-tuned for downstream classification. As a proof of concept, the pretrained Vision Transformer encoder was fine-tuned on an open-source dataset of 6,720 first-trimester fetal echocardiography images to classify five categories: aorta, atrioventricular flows, V sign, X sign, and Other. Model performance was benchmarked against supervised convolutional neural network baselines (ResNet-18 and ResNet-50) and a Vision Transformer (ViT-B/16) model pretrained on natural images (ImageNet-1k). All models were trained and evaluated using identical preprocessing, data splits, and optimization protocols. On an independent test set, USF-MAE achieved the highest performance across all evaluation metrics, with 90.57% accuracy, 91.15% precision, 90.57% recall, and 90.71% F1-score. This represents an improvement of +2.03% in accuracy and +1.98% in F1-score compared with the strongest baseline, ResNet-18. The proposed approach demonstrated robust performance without reliance on aggressive image preprocessing or region-of-interest cropping and showed improved discrimination of non-diagnostic frames.