{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:29:47Z","timestamp":1773253787905,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Obstetric ultrasound is fundamental in prenatal care for gestational age (GA) estimation, fetal monitoring, and complication screening. However, access to quality ultrasound is limited in many low\u2010 and middle\u2010income countries (LMICs), where nearly half of pregnant women receive no scans during pregnancy. Even in high\u2010income countries, disparities in care persist. Recently, artificial intelligence (AI) applied to \u201cblind\u201d ultrasound sweeps\u2014standardized transabdominal sweeps performed by minimally trained personnel\u2014has emerged as a promising tool to improve access to diagnostic\u2010quality prenatal ultrasound.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>A systematic review following PRISMA guidelines was conducted. PubMed was searched through April 2025 using terms such as [blind sweep], [prenatal ultrasound], and [deep learning]. Studies were included if they assessed AI models applied to blind\u2010sweep ultrasound for prenatal diagnostics. Fourteen studies (12 original, 2 reviews\/meta\u2010analyses) met eligibility. Data were extracted on study design, population, acquisition protocol, AI models, and diagnostic performance. Risk of bias was assessed using QUADAS\u20102.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>AI models demonstrated comparable or superior performance to expert sonographers in mid\u2010trimester GA estimation, with mean absolute errors of 3\u20135\u2009days. In a large multicenter study, AI outperformed traditional biometry (3.9 vs. 4.7\u2009days error). Accuracy remained high even with minimally trained operators. AI also performed well in detecting breech presentation (AUC ~0.98), assessing amniotic fluid (Dice ~0.88; AFI accuracy ~91%), and segmenting fetal anatomy for biometry. Limitations included reduced accuracy in late pregnancy and limited validation in early gestation or anomaly detection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AI\u2010based blind sweep ultrasound holds transformative potential for global prenatal care, enabling scalable, low\u2010cost diagnostics in LMICs and underserved settings. While promising, clinical adoption requires broader validation, improved interpretability, and integration into healthcare systems. With further development, this technology could significantly contribute to equitable prenatal diagnostics and reduced maternal\u2010fetal morbidity worldwide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70147","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T07:22:16Z","timestamp":1769152936000},"page":"403-417","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The application of artificial intelligence in blind ultrasound sweep diagnostics for prenatal medicine: A systematic literature review"],"prefix":"10.1111","volume":"105","author":[{"given":"Johanna","family":"Schott","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Prenatal Medicine University Hospital Bonn  Bonn Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Wilmes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, University of Cologne, Faculty of Medicine and University Hospital Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adeline","family":"Walter","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Prenatal Medicine University Hospital Bonn  Bonn Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruben","family":"Pl\u00f6ger","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Prenatal Medicine University Hospital Bonn  Bonn Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingo","family":"Gottschalk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, University of Cologne, Faculty of Medicine and University Hospital Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanja","family":"Groten","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, University of Cologne, Faculty of Medicine and University Hospital Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9135-4338","authenticated-orcid":false,"given":"Florian","family":"Recker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Prenatal Medicine University Hospital Bonn  Bonn Germany"},{"name":"Department of Obstetrics, University of Cologne, Faculty of Medicine and University Hospital Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43856-022-00194-5"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/EVIDoa2100058"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.10770"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2025.1447579"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0261096"},{"key":"e_1_2_13_7_1","unstructured":"CDC.Women's health. Working together to reduce black maternal mortality.2025.https:\/\/www.cdc.gov\/womens\u2010health\/features\/maternal\u2010mortality.html"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-8-201110180-00009"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.media.2020.101951"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5266"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2022.08.006"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2024.03.006"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/s22124570"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp-2021-000919"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.15992"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2021.12.006"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.2196\/37374"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-023-42438-5"},{"key":"e_1_2_13_20_1","unstructured":"World Bank Country and Lending Groups \u2013 World Bank Data Help Desk.[Internet].2025.https:\/\/datahelpdesk.worldbank.org\/knowledgebase\/articles\/906519\u2010world\u2010bank\u2010country\u2010and\u2010lending\u2010groups"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.70147","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.70147","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.70147","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:24:03Z","timestamp":1773188643000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.70147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,22]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/aogs.70147"],"URL":"https:\/\/doi.org\/10.1111\/aogs.70147","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,22]]},"assertion":[{"value":"2025-10-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}