  Identifying and interpreting fetal standard scan planes during 2D ultrasound
mid-pregnancy examinations are highly complex tasks which require years of
training. Apart from guiding the probe to the correct location, it can be
equally difficult for a non-expert to identify relevant structures within the
image. Automatic image processing can provide tools to help experienced as well
as inexperienced operators with these tasks. In this paper, we propose a novel
method based on convolutional neural networks which can automatically detect 13
fetal standard views in freehand 2D ultrasound data as well as provide a
localisation of the fetal structures via a bounding box. An important
contribution is that the network learns to localise the target anatomy using
weak supervision based on image-level labels only. The network architecture is
designed to operate in real-time while providing optimal output for the
localisation task. We present results for real-time annotation, retrospective
frame retrieval from saved videos, and localisation on a very large and
challenging dataset consisting of images and video recordings of full clinical
anomaly screenings. We found that the proposed method achieved an average
F1-score of 0.798 in a realistic classification experiment modelling real-time
detection, and obtained a 90.09% accuracy for retrospective frame retrieval.
Moreover, an accuracy of 77.8% was achieved on the localisation task.
