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Peer-reviewedCC BYFrontiers in pediatrics

Multihipposenet: multi-task deep learning for automated DDH assessment in infant hip ultrasound

4 affiliations
  1. 1Department of Ultrasound, Haidian District Maternal and Child Health Hospital , ,
  2. 2Department of Prenatal Diagnosis, Haidian District Maternal and Child Health Hospital , ,
  3. 3Senior Department of Orthopaedics, Fourth Medical Center of PLA General Hospital , ,
  4. 4Director of the Department of Child Health and the Division of Comprehensive Early Childhood Development, Haidian District Maternal and Child Health Hospital , ,

Abstract

Introduction: Developmental dysplasia of the hip (DDH) is a common skeletal condition in infants and young children. For infants under six months, diagnosis relies on Graf ultrasonography to measure the α and β angles, which assess hip-joint development. However, this method requires experienced sonographers with expertise in complex anatomy.

Methods: In this study, we propose an end-to-end multi-task learning network that improves DDH assessment by jointly exploiting complementary anatomical information. First, we use ResNet-50 with a feature pyramid network (FPN) and a contextual semantic fusion module to extract multi-scale features from hip anatomy. Second, we employ a multi-expert gated channel transformation (ME-GCT) unit that explicitly models the relationships between tasks and channels to balance collaboration and conflict across tasks. Finally, a multi-task graph adaptive learning mechanism (MT-GALM) mines the hidden dynamic dependencies between adjacent channels across tasks. Two datasets comprising 1,355 annotated hip ultrasound images from 566 infants were constructed for this work.

Results: Across the patient-level cross-validation test folds, 97.97% and 96.81% of the estimated α and β angles fall within 5 degrees of the expert reference.

Discussion: Because validation was restricted to Graf type I and type II hips, these results should be interpreted as evidence of technical feasibility rather than of established clinical utility; evaluation on type III and type IV hips is required before clinical deployment.

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BibTeX
@article{chi2026multihipposenet,
  title = {{Multihipposenet: multi-task deep learning for automated DDH assessment in infant hip ultrasound}},
  author = {Wenjing Chi and Hong Qi and Huawei Zhao and Hui Cheng and Quanlian Yuan and Shuai Zheng},
  journal = {Frontiers in pediatrics},
  year = {2026},
  month = oct,
  doi = {10.3389/fped.2026.1939157},
  url = {https://europepmc.org/article/PMC/PMC13719586},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Multihipposenet: multi-task deep learning for automated DDH assessment in infant hip ultrasound
AU  - Wenjing Chi
AU  - Hong Qi
AU  - Huawei Zhao
AU  - Hui Cheng
AU  - Quanlian Yuan
AU  - Shuai Zheng
PY  - 2026
DA  - 2026/10/16
JO  - Frontiers in pediatrics
DO  - 10.3389/fped.2026.1939157
UR  - https://europepmc.org/article/PMC/PMC13719586
AB  - Introduction: Developmental dysplasia of the hip (DDH) is a common skeletal condition in infants and young children. For infants under six months, diagnosis relies on Graf ultrasonography to measure the α and β angles, which assess hip-joint development. However, this method requires experienced sonographers with expertise in complex anatomy.  Methods: In this study, we propose an end-to-end multi-task learning network that improves DDH assessment by jointly exploiting complementary anatomical information. First, we use ResNet-50 with a feature pyramid network (FPN) and a contextual semantic fusion module to extract multi-scale features from hip anatomy. Second, we employ a multi-expert gated channel transformation (ME-GCT) unit that explicitly models the relationships between tasks and channels to balance collaboration and conflict across tasks. Finally, a multi-task graph adaptive learning mechanism (MT-GALM) mines the hidden dynamic dependencies between adjacent channels across tasks. Two datasets comprising 1,355 annotated hip ultrasound images from 566 infants were constructed for this work.  Results: Across the patient-level cross-validation test folds, 97.97% and 96.81% of the estimated α and β angles fall within 5 degrees of the expert reference.  Discussion: Because validation was restricted to Graf type I and type II hips, these results should be interpreted as evidence of technical feasibility rather than of established clinical utility; evaluation on type III and type IV hips is required before clinical deployment.
SN  - 2296-2360
ER  -