Our Research

We publish our research openly: methods, results, and limitations. Our program explores how AI can support medical professionals in detecting congenital heart disease earlier and more reliably. Our current focus is real-time guidance that helps capture clear, diagnostic-quality images of the fetal heart, alongside foundational work in cardiac segmentation and anomaly detection. This page is the hub for our experiment write-ups.

All results below are research findings on open datasets under controlled conditions, not clinical performance claims. Our work is a proof of concept and has not undergone prospective clinical validation. See what we do and don't claim.

We register each experiment before running it, recording the question, how we will measure it, and what result would count as a failure. Experiment numbers are registration IDs rather than an order of work, so results appear out of sequence and any gaps stay visible. Browse completed reports or the questions we have committed to and not yet answered.

Published Reports

Negative result: accuracy figure withdrawn
We tested whether our image quality classifier assesses diagnostic quality or simply detects the synthetic degradations used to generate its training labels. It was the latter. A logistic regression on nine low-level image statistics outperformed it on the same task, and across 775 real ultrasound crops the model never returned a RED rating. The accuracy figure has been withdrawn.
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We tested whether pretraining our heart localizer on a public general fetal-ultrasound dataset would improve accuracy. It did not measurably help. Full method, results, and why we publish negative findings.
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A two-step AI pipeline (YOLO11n + EfficientNetV2-S) that draws a live GREEN / YELLOW / RED guidance overlay on ultrasound video to help sonographers capture diagnostic-quality images of the fetal heart. Includes a demo video and full results across three completed development phases.
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A detailed report tracking the systematic development of AI models from self-supervised learning and segmentation to hybrid architectures and strategic planning.
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This report details the hyperparameter optimization of the Attention U-Net and its evaluation on a cross-domain dataset, leading to a refined strategy for future experiments on the FOCUS dataset.
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A comparative study of deep learning approaches, including Autoencoders, U-Net, and Attention U-Net, for segmenting fetal heart ultrasound images. This report details a 178% improvement in segmentation performance and a ROC AUC of 0.93 on the FOCUS research dataset.
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Findings withdrawn
A report on systematically improving the baseline Autoencoder model by introducing advanced features like Attention U-Net, advanced data augmentation, and curriculum learning.
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Findings withdrawn
A baseline experiment report on reconstruction-based anomaly detection using Autoencoders and Variational Autoencoders.
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Registered Hypotheses

Before starting an experiment we write down what we expect to find, how we will measure it, and what result would count as a failure. Those commitments are dated and recorded in our public code repository at the moment they are made, so that we cannot quietly reinterpret a disappointing outcome later as though we had predicted it. Anyone can check that the commitment came first.

Six were registered on 28 July 2026. The five below have not been run yet. The sixth, Experiment 17, has finished and has moved up into Published Reports: it confirmed our own suspicion that our image quality score was measuring the wrong thing, and we retired the figure as we said we would. Their numbers are registration IDs rather than an order of work, so they will not necessarily be published in sequence.

Experiment 14Registered
Can our testing actually detect an improvement?

What we expect

We suspect our current way of comparing models cannot reliably detect improvements smaller than about 17 percent, because we score each round on only about 53 images. If so, several of our past comparisons could not have found an effect even if one was there.

What would count as failure

If reanalysing the same data does not meaningfully sharpen our measurements, we will report that no change in statistics rescues a dataset this small, and that our real limit is how much data we have.

Experiment 15Registered
Does training on real tissue first help find the heart?

What we expect

Our earlier attempt to pretrain on phantom images did not help. We think real fetal ultrasound images may work where the phantom images did not.

What would count as failure

No measurable improvement. Combined with our earlier negative result, that would be strong evidence this approach is not worth further investment, and we would stop pursuing it.

Experiment 16Registered
Can the model learn from images that have no labels?

What we expect

We hold roughly 47,500 ultrasound frames that nobody has labelled. We think a model can learn useful general patterns from them and carry that into both heart detection and quality scoring.

What would count as failure

No improvement. Together with Experiments 13 and 15, three failed approaches would tell us our limit is labelled data rather than model design, and we would redirect our effort accordingly.

Experiment 18Registered
How does the model perform on an unfamiliar ultrasound machine?

What we expect

Our heart detector has never been tested on equipment it was not trained on. We expect it to perform worse on an unfamiliar machine than our published figure suggests.

What would count as failure

There is no favourable outcome to protect here. We expect a drop and we will publish whatever it turns out to be, because performance on unfamiliar equipment is the question that matters most for use in under-resourced settings.

Experiment 19Waiting on a clinical rater
Do expert humans agree with our quality scores?

What we expect

We think our quality model's GREEN, YELLOW and RED ratings will substantially agree with how trained sonographers rate the same images. No clinician has ever rated an image for this project, so this is currently unknown.

What would count as failure

If agreement is poor, we will retire our accuracy claim and rebuild the model around expert ratings. We will also publish how much the experts agreed with each other, which sets the ceiling any model could reach.