TIER-LOC: visual query-based video clip localization in fetal ultrasound videos with a multi-tier transformer

Journal article

In this paper, we introduce the Visual Query-based task of Video Clip Localization (VQ-VCL) for medical video understanding. Specifically, we aim to retrieve a video clip containing frames similar to a given exemplar frame from a given input video. To solve the task, we propose a novel visual query-based video clip localization model called TIER-LOC. TIER-LOC is designed to improve video clip retrieval, especially in fine-grained videos by extracting features from different levels, i.e., coarse to fine-grained, referred to as TIERS. The aim is to utilize multi-Tier features for detecting subtle differences, and adapting to scale or resolution variations, leading to improved video-clip retrieval. TIER-LOC has three main components: (1) a Multi-Tier Spatio-Temporal Transformer to fuse spatio-temporal features extracted from multiple Tiers of video frames with features from multiple Tiers of the visual query enabling better video understanding. (2) a Multi-Tier, Dual Anchor Contrastive Loss to deal with real-world annotation noise which can be notable at event boundaries and in videos featuring highly similar objects. (3) a Temporal Uncertainty-Aware Localization Loss designed to reduce the model sensitivity to imprecise event boundary. This is achieved by relaxing hard boundary constraints thus allowing the model to learn underlying class patterns and not be influenced by individual noisy samples. To demonstrate the efficacy of TIER-LOC, we evaluate it on two ultrasound video datasets and an open-source egocentric video dataset. First, we develop a sonographer workflow assistive task model to detect standard-frame clips in fetal ultrasound heart sweeps. Second, we assess our model's performance in retrieving standard-frame clips for detecting fetal anomalies in routine ultrasound scans, using the large-scale PULSE dataset. Lastly, we test our model's performance on an open-source computer vision video dataset by creating a VQ-VCL fine-grained video dataset based on the Ego4D dataset. Our model outperforms the best-performing state-of-the-art model by 7%, 4%, and 4% on the three video datasets, respectively.

Authors: Mishra, D; Saha, P; Zhao, H; Hernandez-Cruz, N; Patey, O

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: Elsevier
• Journal: Medical Image Analysis
• Volume: 103
• Article number: 103611
• Publication date: 2025-05-02
• Acceptance date: 2025-04-15
• DOI: 10.1016/j.media.2025.103611
• EISSN: 1361-8423
• ISSN: 1361-8415
• Pmid: 40344944
• Language: English
• Keywords: video understanding; video transformers; multi-modal video understanding visual-query; fetal ultrasound