Embedded system for real-time digital processing of medical Ultrasound Doppler signals

Ultrasound (US) Doppler systems are routinely used for the diagnosis of cardiovascular diseases. Depending on the application, either single tone bursts or more complex waveforms are periodically transmitted throughout a piezoelectric transducer towards the region of interest. Extraction of Doppler information from echoes backscattered from moving blood cells typically involves coherent demodulation and matched filtering of the received signal, followed by a suitable processing module. In this paper, we present an embedded Doppler US system which has been designed as open research platform, programmable according to a variety of strategies in both transmission and reception. By suitably sharing the processing tasks between a state-of-the-art FGPA and a DSP, the system can be used in several medical US applications. As reference examples, the detection of microemboli in cerebral circulation and the measurement of wall _distension_ in carotid arteries are finally presented

Robust estimation of fetal heart rate variability using Doppler ultrasound.

Journal ArticleThis paper presents a new measure of heart rate variability (HRV) that can be estimated using Doppler ultrasound techniques and is robust to variations in the angle of incidence of the ultrasound beam and the measurement noise. This measure employs the multiple signal characterization (MUSIC) algorithm which is a high-resolution method for estimating the frequencies of sinusoidal signals embedded in white noise from short-duration measurements. We show that the product of the square-root of the estimated signal-to-noise ratio (SNR) and the mean-square error of the frequency estimates is independent of the noise level in the signal. Since varying angles of incidence effectively changes the input SNR, this measure of HRV is robust to the input noise as well as the angle of incidence. This paper includes the results of analyzing synthetic and real Doppler ultrasound data that demonstrates the usefulness of the new measure in HRV analysis

Embedded GPU Implementation for High-Performance Ultrasound Imaging

Methods of increasing complexity are currently being proposed for ultrasound (US) echographic signal processing. Graphics Processing Unit (GPU) resources allowing massive exploitation of parallel computing are ideal candidates for these tasks. Many high-performance US instruments, including open scanners like ULA-OP 256, have an architecture based only on Field-Programmable Gate Arrays (FPGAs) and/or Digital Signal Processors (DSPs). This paper proposes the implementation of the embedded NVIDIA Jetson Xavier AGX module on board ULA-OP 256. The system architecture was revised to allow the introduction of a new Peripheral Component Interconnect Express (PCIe) communication channel, while maintaining backward compatibility with all other embedded computing resources already on board. Moreover, the Input/Output (I/O) peripherals of the module make the ultrasound system independent, freeing the user from the need to use an external controlling PC

Robust estimation of fetal heart rate variability using doppler ultrasound

Journal ArticleAbstract-This paper presents a new measure of heart rate variability (HRV) that can be estimated using Doppler ultrasound techniques and is robust to variations in the angle of incidence of the ultrasound beam and the measurement noise. This measure employs the multiple signal characterization (MUSIC) algorithm which is a high-resolution method for estimating the frequencies of sinusoidal signals embedded in white noise from short-duration measurements. We show that the product of the square-root of the estimated signal-to-noise ratio (SNR) and the mean-square error of the frequency estimates is independent of the noise level in the signal. Since varying angles of incidence effectively changes the input SNR, this measure of HRV is robust to the input noise as well as the angle of incidence. This paper includes the results of analyzing synthetic and real Doppler ultrasound data that demonstrates the usefulness of the new measure in HRV analysis

Development of a Novel Dataset and Tools for Non-Invasive Fetal Electrocardiography Research

This PhD thesis presents the development of a novel open multi-modal dataset for advanced studies on fetal cardiological assessment, along with a set of signal processing tools for its exploitation. The Non-Invasive Fetal Electrocardiography (ECG) Analysis (NInFEA) dataset features multi-channel electrophysiological recordings characterized by high sampling frequency and digital resolution, maternal respiration signal, synchronized fetal trans-abdominal pulsed-wave Doppler (PWD) recordings and clinical annotations provided by expert clinicians at the time of the signal collection. To the best of our knowledge, there are no similar dataset available. The signal processing tools targeted both the PWD and the non-invasive fetal ECG, exploiting the recorded dataset. About the former, the study focuses on the processing aimed at the preparation of the signal for the automatic measurement of relevant morphological features, already adopted in the clinical practice for cardiac assessment. To this aim, a relevant step is the automatic identification of the complete and measurable cardiac cycles in the PWD videos: a rigorous methodology was deployed for the analysis of the different processing steps involved in the automatic delineation of the PWD envelope, then implementing different approaches for the supervised classification of the cardiac cycles, discriminating between complete and measurable vs. malformed or incomplete ones. Finally, preliminary measurement algorithms were also developed in order to extract clinically relevant parameters from the PWD. About the fetal ECG, this thesis concentrated on the systematic analysis of the adaptive filters performance for non-invasive fetal ECG extraction processing, identified as the reference tool throughout the thesis. Then, two studies are reported: one on the wavelet-based denoising of the extracted fetal ECG and another one on the fetal ECG quality assessment from the analysis of the raw abdominal recordings. Overall, the thesis represents an important milestone in the field, by promoting the open-data approach and introducing automated analysis tools that could be easily integrated in future medical devices

Development, Optimization and Clinical Evaluation Of Algorithms For Ultrasound Data Analysis Used In Selected Medical Applications.

The assessment of soft and hard tissues is critical when selecting appropriate protocols for restorative and regenerative therapy in the field of dental surgery. The chosen treatment methodology will have significant ramifications on healing time, success rate and overall long-time oral health. Currently used diagnostic methods are limited to visual and invasive assessments; they are often user-dependent, inaccurate and result in misinterpretation. As such, the clinical need has been identified for objective tissue characterization, and the proposed novel ultrasound-based approach was designed to address the identified need. The device prototype consists of a miniaturized probe with a specifically designed ultrasonic transducer, electronics responsible for signal generation and acquisition, as well as an optimized signal processing algorithm required for data analysis. An algorithm where signals are being processed and features extracted in real-time has been implemented and studied. An in-depth algorithm performance study has been presented on synthetic signals. Further, in-vitro laboratory experiments were performed using the developed device with the algorithm implemented in software on animal-based samples. Results validated the capabilities of the new system to reproduce gingival assessment rapidly and effectively. The developed device has met clinical usability requirements for effectiveness and performance

Design of a Wearable Ultrasound System

Ultrasound imaging is a safe and powerful tool for providing detailed still and moving images of the human body. Most of today’s ultrasound systems are housed on a movable cart and designed for use within a clinical setting, such as in a hospital or doctor’s office. This configuration hinders its use in locations lacking controlled environments and stable power sources. Example locations include ambulances, disaster sights, war zones and rural medicine. A wearable ultrasound system, in the form of a vest worn by a sonographer, has been developed as a complete solution for performing untethered ultrasound examinations. The heart of the system is an enclosure containing an embedded computer running the Windows XP operating system, and a custom power supply. The power supply integrates a battery charger, a switching regulator, two linear regulators, a variable speed fan controller and a microcontroller providing an interface for monitoring and control to the embedded computer. Operation of the system is generally accomplished through the use of voice commands, but it may also be operated using a hand-held mouse. It is capable of operating for a full day, using two batteries contained in the vest. In addition, the system has the capability to wirelessly share live images with remote viewers in real-time, while also permitting full duplex voice communication. An integrated web-server also provides for the wireless retrieval of stored images, image loops and other information using a web-browser