Accuracy assessment of Tri-plane B-mode ultrasound for non-invasive 3D kinematic analysis of knee joints

BACKGROUND Currently the clinical standard for measuring the motion of the bones in knee joints with sufficient precision involves implanting tantalum beads into the bones. These beads appear as high intensity features in radiographs and can be used for precise kinematic measurements. This procedure imposes a strong coupling between accuracy and invasiveness. In this paper, a tri-plane B-mode ultrasound (US) based non-invasive approach is proposed for use in kinematic analysis of knee joints in 3D space. METHODS The 3D analysis is performed using image processing procedures on the 2D US slices. The novelty of the proposed procedure and its applicability to the unconstrained 3D kinematic analysis of knee joints is outlined. An error analysis for establishing the method's feasibility is included for different artificial compositions of a knee joint phantom. Some in-vivo and in-vitro scans are presented to demonstrate that US scans reveal enough anatomical details, which further supports the experimental setup used using knee bone phantoms. RESULTS The error between the displacements measured by the registration of the US image slices and the true displacements of the respective slices measured using the precision mechanical stages on the experimental apparatus is evaluated for translation and rotation in two simulated environments. The mean and standard deviation of errors are shown in tabular form. This method provides an average measurement precision of less than 0.1 mm and 0.1 degrees, respectively. CONCLUSION In this paper, we have presented a novel non-invasive approach to measuring the motion of the bones in a knee using tri-plane B-mode ultrasound and image registration. In our study, the image registration method determines the position of bony landmarks relative to a B-mode ultrasound sensor array with sub-pixel accuracy. The advantages of our proposed system over previous techniques are that it is non-invasive, does not require the use of ionizing radiation and can be used conveniently if miniaturized.This work has been supported by School of Engineering & IT, UNSW Canberra, under Research Publication Fellowship

Dynamic Denoising of Tracking Sequences

©2008 IEEE. Personal use of this material is permitted. However, permission to reprint/republish this material for advertising or promotional purposes or for creating new collective works for resale or distribution to servers or lists, or to reuse any copyrighted component of this work in other works must be obtained from the IEEE. This material is presented to ensure timely dissemination of scholarly and technical work. Copyright and all rights therein are retained by authors or by other copyright holders. All persons copying this information are expected to adhere to the terms and constraints invoked by each author's copyright. In most cases, these works may not be reposted without the explicit permission of the copyright holder.DOI: 10.1109/TIP.2008.920795In this paper, we describe an approach to the problem of simultaneously enhancing image sequences and tracking the objects of interest represented by the latter. The enhancement part of the algorithm is based on Bayesian wavelet denoising, which has been chosen due to its exceptional ability to incorporate diverse a priori information into the process of image recovery. In particular, we demonstrate that, in dynamic settings, useful statistical priors can come both from some reasonable assumptions on the properties of the image to be enhanced as well as from the images that have already been observed before the current scene. Using such priors forms the main contribution of the present paper which is the proposal of the dynamic denoising as a tool for simultaneously enhancing and tracking image sequences.Within the proposed framework, the previous observations of a dynamic scene are employed to enhance its present observation. The mechanism that allows the fusion of the information within successive image frames is Bayesian estimation, while transferring the useful information between the images is governed by a Kalman filter that is used for both prediction and estimation of the dynamics of tracked objects. Therefore, in this methodology, the processes of target tracking and image enhancement "collaborate" in an interlacing manner, rather than being applied separately. The dynamic denoising is demonstrated on several examples of SAR imagery. The results demonstrated in this paper indicate a number of advantages of the proposed dynamic denoising over "static" approaches, in which the tracking images are enhanced independently of each other

Independent component analysis (ICA) applied to ultrasound image processing and tissue characterization

As a complicated ubiquitous phenomenon encountered in ultrasound imaging, speckle can be treated as either annoying noise that needs to be reduced or the source from which diagnostic information can be extracted to reveal the underlying properties of tissue. In this study, the application of Independent Component Analysis (ICA), a relatively new statistical signal processing tool appeared in recent years, to both the speckle texture analysis and despeckling problems of B-mode ultrasound images was investigated. It is believed that higher order statistics may provide extra information about the speckle texture beyond the information provided by first and second order statistics only. However, the higher order statistics of speckle texture is still not clearly understood and very difficult to model analytically. Any direct dealing with high order statistics is computationally forbidding. On the one hand, many conventional ultrasound speckle texture analysis algorithms use only first or second order statistics. On the other hand, many multichannel filtering approaches use pre-defined analytical filters which are not adaptive to the data. In this study, an ICA-based multichannel filtering texture analysis algorithm, which considers both higher order statistics and data adaptation, was proposed and tested on the numerically simulated homogeneous speckle textures. The ICA filters were learned directly from the training images. Histogram regularization was conducted to make the speckle images quasi-stationary in the wide sense so as to be adaptive to an ICA algorithm. Both Principal Component Analysis (PCA) and a greedy algorithm were used to reduce the dimension of feature space. Finally, Support Vector Machines (SVM) with Radial Basis Function (RBF) kernel were chosen as the classifier for achieving best classification accuracy. Several representative conventional methods, including both low and high order statistics based methods, and both filtering and non-filtering methods, have been chosen for comparison study. The numerical experiments have shown that the proposed ICA-based algorithm in many cases outperforms other algorithms for comparison. Two-component texture segmentation experiments were conducted and the proposed algorithm showed strong capability of segmenting two visually very similar yet different texture regions with rather fuzzy boundaries and almost the same mean and variance. Through simulating speckle with first order statistics approaching gradually to the Rayleigh model from different non-Rayleigh models, the experiments to some extent reveal how the behavior of higher order statistics changes with the underlying property of tissues. It has been demonstrated that when the speckle approaches the Rayleigh model, both the second and higher order statistics lose the texture differentiation capability. However, when the speckles tend to some non-Rayleigh models, methods based on higher order statistics show strong advantage over those solely based on first or second order statistics. The proposed algorithm may potentially find clinical application in the early detection of soft tissue disease, and also be helpful for better understanding ultrasound speckle phenomenon in the perspective of higher order statistics. For the despeckling problem, an algorithm was proposed which adapted the ICA Sparse Code Shrinkage (ICA-SCS) method for the ultrasound B-mode image despeckling problem by applying an appropriate preprocessing step proposed by other researchers. The preprocessing step makes the speckle noise much closer to the real white Gaussian noise (WGN) hence more amenable to a denoising algorithm such as ICS-SCS that has been strictly designed for additive WGN. A discussion is given on how to obtain the noise-free training image samples in various ways. The experimental results have shown that the proposed method outperforms several classical methods chosen for comparison, including first or second order statistics based methods (such as Wiener filter) and multichannel filtering methods (such as wavelet shrinkage), in the capability of both speckle reduction and edge preservation

Echocardiography

The book "Echocardiography - New Techniques" brings worldwide contributions from highly acclaimed clinical and imaging science investigators, and representatives from academic medical centers. Each chapter is designed and written to be accessible to those with a basic knowledge of echocardiography. Additionally, the chapters are meant to be stimulating and educational to the experts and investigators in the field of echocardiography. This book is aimed primarily at cardiology fellows on their basic echocardiography rotation, fellows in general internal medicine, radiology and emergency medicine, and experts in the arena of echocardiography. Over the last few decades, the rate of technological advancements has developed dramatically, resulting in new techniques and improved echocardiographic imaging. The authors of this book focused on presenting the most advanced techniques useful in today's research and in daily clinical practice. These advanced techniques are utilized in the detection of different cardiac pathologies in patients, in contributing to their clinical decision, as well as follow-up and outcome predictions. In addition to the advanced techniques covered, this book expounds upon several special pathologies with respect to the functions of echocardiography

Speckle Reduction and Contrast Enhancement of Echocardiograms via Multiscale Nonlinear Processing

This paper presents an algorithm for speckle reduction and contrast enhancement of echocardiographic images. Within a framework of multiscale wavelet analysis, the authors apply wavelet shrinkage techniques to eliminate noise while preserving the sharpness of salient features. In addition, nonlinear processing of feature energy is carried out to enhance contrast within local structures and along object boundaries. The authors show that the algorithm is capable of not only reducing speckle, but also enhancing features of diagnostic importance, such as myocardial walls in two-dimensional echocardiograms obtained from the parasternal short-axis view. Shrinkage of wavelet coefficients via soft thresholding within finer levels of scale is carried out on coefficients of logarithmically transformed echocardiograms. Enhancement of echocardiographic features is accomplished via nonlinear stretching followed by hard thresholding of wavelet coefficients within selected (midrange) spatial-frequency levels of analysis. The authors formulate the denoising and enhancement problem, introduce a class of dyadic wavelets, and describe their implementation of a dyadic wavelet transform. Their approach for speckle reduction and contrast enhancement was shown to be less affected by pseudo-Gibbs phenomena. The authors show experimentally that this technique produced superior results both qualitatively and quantitatively when compared to results obtained from existing denoising methods alone. A study using a database of clinical echocardiographic images suggests that such denoising and enhancement may improve the overall consistency of expert observers to manually defined borders