Computer-Assisted Algorithms for Ultrasound Imaging Systems

Ultrasound imaging works on the principle of transmitting ultrasound waves into the body and reconstructs the images of internal organs based on the strength of the echoes. Ultrasound imaging is considered to be safer, economical and can image the organs in real-time, which makes it widely used diagnostic imaging modality in health-care. Ultrasound imaging covers the broad spectrum of medical diagnostics; these include diagnosis of kidney, liver, pancreas, fetal monitoring, etc. Currently, the diagnosis through ultrasound scanning is clinic-centered, and the patients who are in need of ultrasound scanning has to visit the hospitals for getting the diagnosis. The services of an ultrasound system are constrained to hospitals and did not translate to its potential in remote health-care and point-of-care diagnostics due to its high form factor, shortage of sonographers, low signal to noise ratio, high diagnostic subjectivity, etc. In this thesis, we address these issues with an objective of making ultrasound imaging more reliable to use in point-of-care and remote health-care applications. To achieve the goal, we propose (i) computer-assisted algorithms to improve diagnostic accuracy and assist semi-skilled persons in scanning, (ii) speckle suppression algorithms to improve the diagnostic quality of ultrasound image, (iii) a reliable telesonography framework to address the shortage of sonographers, and (iv) a programmable portable ultrasound scanner to operate in point-of-care and remote health-care applications

Shape/image registration for medical imaging : novel algorithms and applications.

This dissertation looks at two different categories of the registration approaches: Shape registration, and Image registration. It also considers the applications of these approaches into the medical imaging field. Shape registration is an important problem in computer vision, computer graphics and medical imaging. It has been handled in different manners in many applications like shapebased segmentation, shape recognition, and tracking. Image registration is the process of overlaying two or more images of the same scene taken at different times, from different viewpoints, and/or by different sensors. Many image processing applications like remote sensing, fusion of medical images, and computer-aided surgery need image registration. This study deals with two different applications in the field of medical image analysis. The first one is related to shape-based segmentation of the human vertebral bodies (VBs). The vertebra consists of the VB, spinous, and other anatomical regions. Spinous pedicles, and ribs should not be included in the bone mineral density (BMD) measurements. The VB segmentation is not an easy task since the ribs have similar gray level information. This dissertation investigates two different segmentation approaches. Both of them are obeying the variational shape-based segmentation frameworks. The first approach deals with two dimensional (2D) case. This segmentation approach starts with obtaining the initial segmentation using the intensity/spatial interaction models. Then, shape model is registered to the image domain. Finally, the optimal segmentation is obtained using the optimization of an energy functional which integrating the shape model with the intensity information. The second one is a 3D simultaneous segmentation and registration approach. The information of the intensity is handled by embedding a Willmore flow into the level set segmentation framework. Then the shape variations are estimated using a new distance probabilistic model. The experimental results show that the segmentation accuracy of the framework are much higher than other alternatives. Applications on BMD measurements of vertebral body are given to illustrate the accuracy of the proposed segmentation approach. The second application is related to the field of computer-aided surgery, specifically on ankle fusion surgery. The long-term goal of this work is to apply this technique to ankle fusion surgery to determine the proper size and orientation of the screws that are used for fusing the bones together. In addition, we try to localize the best bone region to fix these screws. To achieve these goals, the 2D-3D registration is introduced. The role of 2D-3D registration is to enhance the quality of the surgical procedure in terms of time and accuracy, and would greatly reduce the need for repeated surgeries; thus, saving the patients time, expense, and trauma

Biomedical Signal and Image Processing

Written for senior-level and first year graduate students in biomedical signal and image processing, this book describes fundamental signal and image processing techniques that are used to process biomedical information. The book also discusses application of these techniques in the processing of some of the main biomedical signals and images, such as EEG, ECG, MRI, and CT. New features of this edition include the technical updating of each chapter along with the addition of many more examples, the majority of which are MATLAB based

Reproducibility Study of Tumor Biomarkers Extracted from Positron Emission To-mography Images with 18F-Fluorodeoxyglucose

Introduction and aim Cancer is one of the main causes of death worldwide. Tumor diagnosis, staging, surveillance, prognosis and access to the response to therapy are critical when it comes to plan and analyze the optimal treatment strategies of cancer diseases. 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography (PET) imaging has provided some reliable prognostic factors in several cancer types, by extracting quantitative measures from the images obtained in clinics. The recent addition of digital equipment to the clinical armamentarium of PET leads to some concerns regarding inter-device data variability. Consequently, the reproducibility assess-ment of the tumor features, usually used in clinics and research, extracted from images acquired in an analog and new digital PET equipment is of paramount importance for use of multi-scanner studies in longitudinal patient’s studies. The aim of this study was to evaluate the inter-equipment reliability of a set of 25 lesional features commonly used in clinics and research. Material and methods In order to access the features agreement, a dual imaging protocol was designed. Whole-body 18F-FDG PET images from 53 oncological patients were acquired, after a single 18F-FDG injection, with two devices alternatively: Philips Vereos Digital PET/CT (VE-REOS with three different reconstruction protocols- digital) and Philips GEMINI TF-16 (GEM-INI with single standard reconstruction protocol- analog). A nuclear medicine physician identi-fied 283 18F-FDG avid lesions. Then, all lesions (both equipment) were automatically segmented based on a Bayesian classifier optimized to this study. In the total, 25 features (first order statistics and geometric features) were computed and compared. The intraclass correlation coefficient (ICC) was used as measure of agreement. Results A high agreement (ICC > 0.75) was obtained for most of the lesion features pulled out from both devices imaging data, for all (GEMINI vs VEREOS) reconstructions. The lesion fea-tures most frequently used, maximum standardized uptake value, metabolic tumor volume, and total lesion glycolysis reached maximum ICC of 0.90, 0.98 and 0.97, respectively. Conclusions Under controlled acquisition and reconstruction parameters, most of the features studied can be used for research and clinical work, whenever multiple scanner (e.g. VEREOS and GEMINI) studies, mainly during longitudinal patient evaluation, are used

Image processing for plastic surgery planning

This thesis presents some image processing tools for plastic surgery planning. In particular, it presents a novel method that combines local and global context in a probabilistic relaxation framework to identify cephalometric landmarks used in Maxillofacial plastic surgery. It also uses a method that utilises global and local symmetry to identify abnormalities in CT frontal images of the human body. The proposed methodologies are evaluated with the help of several clinical data supplied by collaborating plastic surgeons

Computational processing and analysis of ear images

Tese de mestrado. Engenharia Biomédica. Faculdade de Engenharia. Universidade do Porto. 201

Entropy in Image Analysis III

Image analysis can be applied to rich and assorted scenarios; therefore, the aim of this recent research field is not only to mimic the human vision system. Image analysis is the main methods that computers are using today, and there is body of knowledge that they will be able to manage in a totally unsupervised manner in future, thanks to their artificial intelligence. The articles published in the book clearly show such a future

Caries detection in panoramic dental x-ray images

The detection of dentalcaries,in a preliminar stage are of most importance. There is a long history of dental caries. Over a million years ago, hominids such as Australopithecus suffered from cavities. Archaeological evidence shows that tooth decay is an ancient disease dating far into prehistory. Skulls dating from a million years ago through the Neolithic period show signs of caries. The increase of caries during the Neolithic period may be attributed to the increase of plant foods containing carbohydrates. The beginning of rice cultivation in South Asia is also believed to have caused an increase in caries. DentalCaries,alsoknownasdentaldecayortoothdecay,isdefinedasadisease of the hard tissues of the teeth caused by the action of microorganisms, found in plaque,onfermentablecarbohydrates(principallysugars). Attheindividuallevel, dental caries is a preventable disease. Given its dynamic nature the dental caries disease, once established, can be treated or reversed prior to significant cavitation taking place. There three types of dental caries [59], the first type is the Enamel Caries, that is preceded by the formation of a microbial dental plaque. Secondly the Dentinal Caries which begins with the natural spread of the process along the natural spread of great numbers of the dentinal tubules. Thirdly the Pulpal Caries that corresponds to the root caries or root surface caries. Primary diagnosis involves inspection of all visible tooth surfaces using a good light source, dental mirror and explorer. Dental radiographs (X-rays) may show dental caries before it is otherwise visible, particularly caries between the teeth. Large dental caries are often apparent to the naked eye, but smaller lesions can be difficult to identify. Visual and tactile inspection along with radiographs are employed frequently among dentists. At times, caries may be difficult to detect. Bacteriacanpenetratetheenameltoreachdentin,butthentheoutersurfacemaybe at first site intact. These caries, sometimes referred to as "hidden caries", in the preliminary stage X-ray are the only way to detect them, despite of the visual examinationofthetoothshowntheenamelintactorminimallyperforated. Without X-rays wouldn’t be possible to detect these problems until they had become severe and caused serious damage. [...

An Adaptive Algorithm to Identify Ambiguous Prostate Capsule Boundary Lines for Three-Dimensional Reconstruction and Quantitation

Currently there are few parameters that are used to compare the efficiency of different methods of cancerous prostate surgical removal. An accurate assessment of the percentage and depth of extra-capsular soft tissue removed with the prostate by the various surgical techniques can help surgeons determine the appropriateness of surgical approaches. Additionally, an objective assessment can allow a particular surgeon to compare individual performance against a standard. In order to facilitate 3D reconstruction and objective analysis and thus provide more accurate quantitation results when analyzing specimens, it is essential to automatically identify the capsule line that separates the prostate gland tissue from its extra-capsular tissue. However the prostate capsule is sometimes unrecognizable due to the naturally occurring intrusion of muscle and connective tissue into the prostate gland. At these regions where the capsule disappears, its contour can be arbitrarily reconstructed by drawing a continuing contour line based on the natural shape of the prostate gland. Presented here is a mathematical model that can be used in deciding the missing part of the capsule. This model approximates the missing parts of the capsule where it disappears to a standard shape by using a Generalized Hough Transform (GHT) approach to detect the prostate capsule. We also present an algorithm based on a least squares curve fitting technique that uses a prostate shape equation to merge previously detected capsule parts with the curve equation to produce an approximated curve that represents the prostate capsule. We have tested our algorithms using three shapes on 13 prostate slices that are cut at different locations from the apex and the results are promisin

Multimodal breast imaging: Registration, visualization, and image synthesis

The benefit of registration and fusion of functional images with anatomical images is well appreciated in the advent of combined positron emission tomography and x-ray computed tomography scanners (PET/CT). This is especially true in breast cancer imaging, where modalities such as high-resolution and dynamic contrast-enhanced magnetic resonance imaging (MRI) and F-18-FDG positron emission tomography (PET) have steadily gained acceptance in addition to x-ray mammography, the primary detection tool. The increased interest in combined PET/MRI images has facilitated the demand for appropriate registration and fusion algorithms. A new approach to MRI-to-PET non-rigid breast image registration was developed and evaluated based on the location of a small number of fiducial skin markers (FSMs) visible in both modalities. The observed FSM displacement vectors between MRI and PET, distributed piecewise linearly over the breast volume, produce a deformed Finite-Element mesh that reasonably approximates non-rigid deformation of the breast tissue between the MRI and PET scans. The method does not require a biomechanical breast tissue model, and is robust and fast. The method was evaluated both qualitatively and quantitatively on patients and a deformable breast phantom. The procedure yields quality images with average target registration error (TRE) below 4 mm. The importance of appropriately jointly displaying (i.e. fusing) the registered images has often been neglected and underestimated. A combined MRI/PET image has the benefits of directly showing the spatial relationships between the two modalities, increasing the sensitivity, specificity, and accuracy of diagnosis. Additional information on morphology and on dynamic behavior of the suspicious lesion can be provided, allowing more accurate lesion localization including mapping of hyper- and hypo-metabolic regions as well as better lesion-boundary definition, improving accuracy when grading the breast cancer and assessing the need for biopsy. Eight promising fusion-for-visualization techniques were evaluated by radiologists from University Hospital, in Syracuse, NY. Preliminary results indicate that the radiologists were better able to perform a series of tasks when reading the fused PET/MRI data sets using color tables generated by a newly developed genetic algorithm, as compared to other commonly used schemes. The lack of a known ground truth hinders the development and evaluation of new algorithms for tasks such as registration and classification. A preliminary mesh-based breast phantom containing 12 distinct tissue classes along with tissue properties necessary for the simulation of dynamic positron emission tomography scans was created. The phantom contains multiple components which can be separately manipulated, utilizing geometric transformations, to represent populations or a single individual being imaged in multiple positions. This phantom will support future multimodal breast imaging work