Recent Advances in Machine Learning Applied to Ultrasound Imaging

Machine learning (ML) methods are pervading an increasing number of fields of application because of their capacity to effectively solve a wide variety of challenging problems. The employment of ML techniques in ultrasound imaging applications started several years ago but the scientific interest in this issue has increased exponentially in the last few years. The present work reviews the most recent (2019 onwards) implementations of machine learning techniques for two of the most popular ultrasound imaging fields, medical diagnostics and non-destructive evaluation. The former, which covers the major part of the review, was analyzed by classifying studies according to the human organ investigated and the methodology (e.g., detection, segmentation, and/or classification) adopted, while for the latter, some solutions to the detection/classification of material defects or particular patterns are reported. Finally, the main merits of machine learning that emerged from the study analysis are summarized and discussed. © 2022 by the authors. Licensee MDPI, Basel, Switzerland

Machine Learning in Fetal Cardiology: What to Expect

In fetal cardiology, imaging (especially echocardiography) has demonstrated to help in the diagnosis and monitoring of fetuses with a compromised cardiovascular system potentially associated with several fetal conditions. Different ultrasound approaches are currently used to evaluate fetal cardiac structure and function, including conventional 2-D imaging and M-mode and tissue Doppler imaging among others. However, assessment of the fetal heart is still challenging mainly due to involuntary movements of the fetus, the small size of the heart, and the lack of expertise in fetal echocardiography of some sonographers. Therefore, the use of new technologies to improve the primary acquired images, to help extract measurements, or to aid in the diagnosis of cardiac abnormalities is of great importance for optimal assessment of the fetal heart. Machine leaning (ML) is a computer science discipline focused on teaching a computer to perform tasks with specific goals without explicitly programming the rules on how to perform this task. In this review we provide a brief overview on the potential of ML techniques to improve the evaluation of fetal cardiac function by optimizing image acquisition and quantification/segmentation, as well as aid in improving the prenatal diagnoses of fetal cardiac remodeling and abnormalities

Non-invasive classification of gas–liquid two-phase horizontal flow regimes using an ultrasonic Doppler sensor and a neural network

The identification of flow pattern is a key issue in multiphase flow which is encountered in the petrochemical industry. It is difficult to identify the gas–liquid flow regimes objectively with the gas–liquid two-phase flow. This paper presents the feasibility of a clamp-on instrument for an objective flow regime classification of two-phase flow using an ultrasonic Doppler sensor and an artificial neural network, which records and processes the ultrasonic signals reflected from the two-phase flow. Experimental data is obtained on a horizontal test rig with a total pipe length of 21 m and 5.08 cm internal diameter carrying air-water two-phase flow under slug, elongated bubble, stratified-wavy and, stratified flow regimes. Multilayer perceptron neural networks (MLPNNs) are used to develop the classification model. The classifier requires features as an input which is representative of the signals. Ultrasound signal features are extracted by applying both power spectral density (PSD) and discrete wavelet transform (DWT) methods to the flow signals. A classification scheme of '1-of-C coding method for classification' was adopted to classify features extracted into one of four flow regime categories. To improve the performance of the flow regime classifier network, a second level neural network was incorporated by using the output of a first level networks feature as an input feature. The addition of the two network models provided a combined neural network model which has achieved a higher accuracy than single neural network models. Classification accuracies are evaluated in the form of both the PSD and DWT features. The success rates of the two models are: (1) using PSD features, the classifier missed 3 datasets out of 24 test datasets of the classification and scored 87.5% accuracy; (2) with the DWT features, the network misclassified only one data point and it was able to classify the flow patterns up to 95.8% accuracy. This approach has demonstrated the success of a clamp-on ultrasound sensor for flow regime classification that would be possible in industry practice. It is considerably more promising than other techniques as it uses a non-invasive and non-radioactive sensor

Detection and Processing Techniques of FECG Signal for Fetal Monitoring

Fetal electrocardiogram (FECG) signal contains potentially precise information that could assist clinicians in making more appropriate and timely decisions during labor. The ultimate reason for the interest in FECG signal analysis is in clinical diagnosis and biomedical applications. The extraction and detection of the FECG signal from composite abdominal signals with powerful and advance methodologies are becoming very important requirements in fetal monitoring. The purpose of this review paper is to illustrate the various methodologies and developed algorithms on FECG signal detection and analysis to provide efficient and effective ways of understanding the FECG signal and its nature for fetal monitoring. A comparative study has been carried out to show the performance and accuracy of various methods of FECG signal analysis for fetal monitoring. Finally, this paper further focused some of the hardware implementations using electrical signals for monitoring the fetal heart rate. This paper opens up a passage for researchers, physicians, and end users to advocate an excellent understanding of FECG signal and its analysis procedures for fetal heart rate monitoring system

A Deep Learning Framework for the Detection of Abnormality in Cerebral Blood Flow Velocity Using Transcranial Doppler Ultrasound

Transcranial doppler (TCD) ultrasound is a non-invasive imaging technique that can be used for continuous monitoring of blood flow in the brain through the major cerebral arteries by calculating the cerebral blood flow velocity (CBFV). Since the brain requires a consistent supply of blood to function properly and meet its metabolic demand, a change in CBVF can be an indication of neurological diseases. Depending on the severity of the disease, the symptoms may appear immediately or may appear weeks later. For the early detection of neurological diseases, a classification model is proposed in this study, with the ability to distinguish healthy subjects from critically ill subjects. The TCD ultrasound database used in this study contains signals from the middle cerebral artery (MCA) of 6 healthy subjects and 12 subjects with known neurocritical diseases. The classification model works based on the maximal blood flow velocity waveforms extracted from the TCD ultrasound. Since the signal quality of the recorded TCD ultrasound is highly dependent on the operator's skillset, a noisy and corrupted signal can exist and can add biases to the classifier. Therefore, a deep learning classifier, trained on a curated and clean biomedical signal can reliably detect neurological diseases. For signal classification, this study proposes a Self-organized Operational Neural Network (Self-ONN)-based deep learning model Self-ResAttentioNet18, which achieves classification accuracy of 96.05% with precision, recall, f1 score, and specificity of 96.06%, 96.05%, 96.06%, and 96.09%, respectively. With an area under the ROC curve of 0.99, the model proves its feasibility to confidently classify middle cerebral artery (MCA) waveforms in near real-time.This work was made possible by the High Impact grant of Qatar University # QUHI-CENG-22_23-548 and student grant: QUST-1-CENG-2023-796. The statements made herein are solely the responsibility of the authors.Scopu

Identification of Gas-Liquid Flow Regimes Using a Non-intrusive Doppler Ultrasonic Sensor and Virtual Flow Regime Maps

The accurate prediction of flow regimes is vital for the analysis of behaviour and operation of gas/liquid two-phase systems in industrial processes. This paper investigates the feasibility of a non-radioactive and non-intrusive method for the objective identification of two-phase gas/liquid flow regimes using a Doppler ultrasonic sensor and machine learning approaches. The experimental data is acquired from a 16.2-m long S-shaped riser, connected to a 40-m horizontal pipe with an internal diameter of 50.4 mm. The tests cover the bubbly, slug, churn and annular flow regimes. The power spectral density (PSD) method is applied to the flow modulated ultrasound signals in order to extract frequency-domain features of the two-phase flow. Principal Component Analysis (PCA) is then used to reduce the dimensionality of the data so as to enable visualisation in the form of a virtual flow regime map. Finally, a support vector machine (SVM) is deployed to develop an objective classifier in the reduced space. The classifier attained 85.7% accuracy on training samples and 84.6% accuracy on test samples. Our approach has shown the success of the ultrasound sensor, PCA-SVM, and virtual flow regime maps for objective two-phase flow regime classification on pipeline-riser systems, which is beneficial to operators in industrial practice. The use of a non-radioactive and non-intrusive sensor also makes it more favorable than other existing techniques