cs.CVMay 26, 2026

Cesarean Scar Defect Segmentation in Transvaginal Ultrasound Images: a Dataset and Benchmark

Authors: Yuan Tian, Yue Li, Wei Xia, Tianyu Xu, Jian Zhang, Liye Shi, Jing Liu, Yang Wang, +5 more

Organizations: Department of Obstetrics and Gynecology, International Peace Maternity and Child Health Hospital affiliated to Shanghai Jiao Tong University School of Medicine, 910 Hengshan Road, Xuhui District, 200030, Shanghai, China. · School of Computer Science, University of Nottingham Ningbo China, 199 Taikang East Road, Ningbo, 315100, Zhejiang, China. · School of Computer Science, University of Nottingham, University Park, Nottingham, NG7 2RD, UK. · Department of Computer Science and Engineering, University of California, San Diego, 9500 Gilman Drive, La Jolla, 92093, CA, USA. · Department of Ultrasound, International Peace Maternity and Child Health Hospital affiliated to Shanghai Jiao Tong University School of Medicine, 910 Hengshan Road, Xuhui District, 200030, Shanghai, China. · School of Electronic Information and Electrical Engineering, Shanghai Jiao Tong University, 800 Dongchuan Road, Minhang District, 200240, Shanghai, China. · Department of Cardiology, Gold Coast University Hospital, 1 Hospital Boulevard Southport, Gold Coast, 4215, QLD, Australia.

Abstract

Cesarean Scar Defect (CSD) is one of the most prevalent complications following cesarean delivery. Transvaginal ultrasonography is widely used for primary CSD screening. Accurate determination of CSD outline and dimensions is crucial for treatment. However, CSDs are frequently overlooked by sonographers due to small size and irregular morphology, suboptimal image quality, and limited clinical awareness in resource-constrained settings. Despite artificial intelligence advances in medical imaging, no public dataset exists for transvaginal ultrasound CSD segmentation. To address this gap, we present a comprehensive CSD dataset comprising 1,111 images and 16 videos, yielding 501 positive samples with confirmed CSD and precise pixel-level manual annotations. Annotations are performed following standardized clinical guidelines through collaboration between experienced sonographers and trained PhD students. This work provides high-quality benchmark resources for advancing medical image segmentation algorithms and promoting clinical innovation. Ultimately, improved CSD diagnosis and subsequent treatment strategies can enhance the quality of life in women of reproductive age, representing significant value for both medical research and clinical practice.

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