Noise and Speckle Reduction in Doppler Blood Flow Spectrograms Using an Adaptive Pulse-Coupled Neural Network

A novel method, called adaptive pulse coupled neural network (AD-PCNN) using a two-stage denoising strategy, is proposed to reduce noise and speckle in the spectrograms of Doppler blood flow signals. AD-PCNN contains an adaptive thresholding PCNN and a threshold decaying PCNN. Firstly, PCNN pulses based on the adaptive threshold filter a part of background noise in the spectrogram while isolating the remained noise and speckles. Subsequently, the speckles and noise of the denoised spectrogram are detected by the pulses generated through the threshold decaying PCNN and then are iteratively removed by the intensity variation to speckle or noise neurons. The relative root mean square (RRMS) error of the maximum frequency extracted from the AD-PCNN spectrogram of the simulated Doppler blood flow signals is decreased 25.2% on average compared to that extracted from the MPWD (matching pursuit with Wigner Distribution) spectrogram, and the RRMS error of the AD-PCNN spectrogram is decreased 10.8% on average compared to MPWD spectrogram. Experimental results of synthetic and clinical signals show that the proposed method is better than the MPWD in improving the accuracy of the spectrograms and their maximum frequency curves

Ultrasound Imaging Innovations for Visualization and Quantification of Vascular Biomarkers

The existence of plaque in the carotid arteries, which provide circulation to the brain, is a known risk for stroke and dementia. Alas, this risk factor is present in 25% of the adult population. Proper assessment of carotid plaque may play a significant role in preventing and managing stroke and dementia. However, current plaque assessment routines have known limitations in assessing individual risk for future cardiovascular events. There is a practical need to derive new vascular biomarkers that are indicative of cardiovascular risk based on hemodynamic information. Nonetheless, the derivation of these biomarkers is not a trivial technical task because none of the existing clinical imaging modalities have adequate time resolution to track the spatiotemporal dynamics of arterial blood flow that is pulsatile in nature. The goal of this dissertation is to devise a new ultrasound imaging framework to measure vascular biomarkers related to turbulent flow, intra-plaque microvasculature, and blood flow rate. Central to the proposed framework is the use of high frame rate ultrasound (HiFRUS) imaging principles to track hemodynamic events at fine temporal resolution (through using frame rates of greater than 1000 frames per second). The existence of turbulent flow and intra-plaque microvessels, as well as anomalous blood flow rate, are all closely related to the formation and progression of carotid plaque. Therefore, quantifying these biomarkers can improve the identification of individuals with carotid plaque who are at risk for future cardiovascular events. To facilitate the testing and the implementation of the proposed imaging algorithms, this dissertation has included the development of new experimental models (in the form of flow phantoms) and a new HiFRUS imaging platform with live scanning and on-demand playback functionalities. Pilot studies were also carried out on rats and human volunteers. Results generally demonstrated the real-time performance and the practical efficacy of the proposed algorithms. The proposed ultrasound imaging framework is expected to improve carotid plaque risk classification and, in turn, facilitate timely identification of at-risk individuals. It may also be used to derive new insights on carotid plaque formation and progression to aid disease management and the development of personalized treatment strategies

Reconstruction par acquisition compressée en imagerie ultrasonore médicale 3D et Doppler

This thesis is dedicated to the application of the novel compressed sensing theory to the acquisition and reconstruction of 3D US images and Doppler signals. In 3D US imaging, one of the major difficulties concerns the number of RF lines that has to be acquired to cover the complete volume. The acquisition of each line takes an incompressible time due to the finite velocity of the ultrasound wave. One possible solution for increasing the frame rate consists in reducing the acquisition time by skipping some RF lines. The reconstruction of the missing information in post processing is then a typical application of compressed sensing. Another excellent candidate for this theory is the Doppler duplex imaging that implies alternating two modes of emission, one for B-mode imaging and the other for flow estimation. Regarding 3D imaging, we propose a compressed sensing framework using learned overcomplete dictionaries. Such dictionaries allow for much sparser representations of the signals since they are optimized for a particular class of images such as US images.We also focus on the measurement sensing setup and propose a line-wise sampling of entire RF lines which allows to decrease the amount of data and is feasible in a relatively simple setting of the 3D US equipment. The algorithm was validated on 3D simulated and experimental data. For the Doppler application, we proposed a CS based framework for randomly interleaving Doppler and US emissions. The proposed method reconstructs the Doppler signal using a block sparse Bayesian learning algorithm that exploits the correlation structure within a signal and has the ability of recovering partially sparse signals as long as they are correlated. This method is validated on simulated and experimental Doppler data.DL’objectif de cette thèse est le développement de techniques adaptées à l’application de la théorie de l’acquisition compressée en imagerie ultrasonore 3D et Doppler. En imagerie ultrasonore 3D une des principales difficultés concerne le temps d’acquisition très long lié au nombre de lignes RF à acquérir pour couvrir l’ensemble du volume. Afin d’augmenter la cadence d’imagerie une solution possible consiste à choisir aléatoirement des lignes RF qui ne seront pas acquises. La reconstruction des données manquantes est une application typique de l’acquisition compressée. Une autre application d’intérêt correspond aux acquisitions Doppler duplex où des stratégies d’entrelacement des acquisitions sont nécessaires et conduisent donc à une réduction de la quantité de données disponibles. Dans ce contexte, nous avons réalisé de nouveaux développements permettant l’application de l’acquisition compressée à ces deux modalités d’acquisition ultrasonore. Dans un premier temps, nous avons proposé d’utiliser des dictionnaires redondants construits à partir des signaux d’intérêt pour la reconstruction d’images 3D ultrasonores. Une attention particulière a aussi été apportée à la configuration du système d’acquisition et nous avons choisi de nous concentrer sur un échantillonnage des lignes RF entières, réalisable en pratique de façon relativement simple. Cette méthode est validée sur données 3D simulées et expérimentales. Dans un deuxième temps, nous proposons une méthode qui permet d’alterner de manière aléatoire les émissions Doppler et les émissions destinées à l’imagerie mode-B. La technique est basée sur une approche bayésienne qui exploite la corrélation et la parcimonie des blocs du signal. L’algorithme est validé sur des données Doppler simulées et expérimentales

Imaging photoplethysmography: towards effective physiological measurements

Since its conception decades ago, Photoplethysmography (PPG) the non-invasive opto-electronic technique that measures arterial pulsations in-vivo has proven its worth by achieving and maintaining its rank as a compulsory standard of patient monitoring. However successful, conventional contact monitoring mode is not suitable in certain clinical and biomedical situations, e.g., in the case of skin damage, or when unconstrained movement is required. With the advance of computer and photonics technologies, there has been a resurgence of interest in PPG and one potential route to overcome the abovementioned issues has been increasingly explored, i.e., imaging photoplethysmography (iPPG). The emerging field of iPPG offers some nascent opportunities in effective and comprehensive interpretation of the physiological phenomena, indicating a promising alternative to conventional PPG. Heart and respiration rate, perfusion mapping, and pulse rate variability have been accessed using iPPG. To effectively and remotely access physiological information through this emerging technique, a number of key issues are still to be addressed. The engineering issues of iPPG, particularly the influence of motion artefacts on signal quality, are addressed in this thesis, where an engineering model based on the revised Beer-Lambert law was developed and used to describe opto-physiological phenomena relevant to iPPG. An iPPG setup consisting of both hardware and software elements was developed to investigate its reliability and reproducibility in the context of effective remote physiological assessment. Specifically, a first study was conducted for the acquisition of vital physiological signs under various exercise conditions, i.e. resting, light and heavy cardiovascular exercise, in ten healthy subjects. The physiological parameters derived from the images captured by the iPPG system exhibited functional characteristics comparable to conventional contact PPG, i.e., maximum heart rate difference was <3 bpm and a significant (p < 0.05) correlation between both measurements were also revealed. Using a method for attenuation of motion artefacts, the heart rate and respiration rate information was successfully assessed from different anatomical locations even in high-intensity physical exercise situations. This study thereby leads to a new avenue for noncontact sensing of vital signs and remote physiological assessment, showing clear and promising applications in clinical triage and sports training. A second study was conducted to remotely assess pulse rate variability (PRV), which has been considered a valuable indicator of autonomic nervous system (ANS) status. The PRV information was obtained using the iPPG setup to appraise the ANS in ten normal subjects. The performance of the iPPG system in accessing PRV was evaluated via comparison with the readings from a contact PPG sensor. Strong correlation and good agreement between these two techniques verify the effectiveness of iPPG in the remote monitoring of PRV, thereby promoting iPPG as a potential alternative to the interpretation of physiological dynamics related to the ANS. The outcomes revealed in the thesis could present the trend of a robust non-contact technique for cardiovascular monitoring and evaluation

Photonic Biosensors: Detection, Analysis and Medical Diagnostics

The role of nanotechnologies in personalized medicine is rising remarkably in the last decade because of the ability of these new sensing systems to diagnose diseases from early stages and the availability of continuous screenings to characterize the efficiency of drugs and therapies for each single patient. Recent technological advancements are allowing the development of biosensors in low-cost and user-friendly platforms, thereby overcoming the last obstacle for these systems, represented by limiting costs and low yield, until now. In this context, photonic biosensors represent one of the main emerging sensing modalities because of their ability to combine high sensitivity and selectivity together with real-time operation, integrability, and compatibility with microfluidics and electric circuitry for the readout, which is fundamental for the realization of lab-on-chip systems. This book, “Photonic Biosensors: Detection, Analysis and Medical Diagnostics”, has been published thanks to the contributions of the authors and collects research articles, the content of which is expected to assume an important role in the outbreak of biosensors in the biomedical field, considering the variety of the topics that it covers, from the improvement of sensors’ performance to new, emerging applications and strategies for on-chip integrability, aiming at providing a general overview for readers on the current advancements in the biosensing field

Optical Methods in Sensing and Imaging for Medical and Biological Applications

The recent advances in optical sources and detectors have opened up new opportunities for sensing and imaging techniques which can be successfully used in biomedical and healthcare applications. This book, entitled ‘Optical Methods in Sensing and Imaging for Medical and Biological Applications’, focuses on various aspects of the research and development related to these areas. The book will be a valuable source of information presenting the recent advances in optical methods and novel techniques, as well as their applications in the fields of biomedicine and healthcare, to anyone interested in this subject

Analysis of speech and other sounds

This thesis comprises a study of various types of signal processing techniques, applied to the tasks of extracting information from speech, cough, and dolphin sounds. Established approaches to analysing speech sounds for the purposes of low data rate speech encoding, and more generally to determine the characteristics of the speech signal, are reviewed. Two new speech processing techniques, shift-and-add and CLEAN (which have previously been applied in the field of astronomical image processing), are developed and described in detail. Shift-and-add is shown to produce a representation of the long-term "average" characteristics of the speech signal. Under certain simplifying assumptions, this can be equated to the average glottal excitation. The iterative deconvolution technique called CLEAN is employed to deconvolve the shift-and-add signal from the speech signal. Because the resulting "CLEAN" signal has relatively few non-zero samples, it can be directly encoded at a low data rate. The performance of a low data rate speech encoding scheme that takes advantage of this attribute of CLEAN is examined in detail. Comparison with the multi-pulse LP C approach to speech coding shows that the new method provides similar levels of performance at medium data rates of about 16kbit/s. The changes that occur in the character of a person's cough sounds when that person is afflicted with asthma are outlined. The development and implementation of a micro-computer-based cough sound analysis system, designed to facilitate the ongoing study of these sounds, is described. The system performs spectrographic analysis on the cough sounds. A graphical user interface allows the sound waveforms and spectra to be displayed and examined in detail. Preliminary results are presented, which indicate that the spectral content of cough sounds are changed by asthma. An automated digital approach to studying the characteristics of Hector's dolphin vocalisations is described. This scheme characterises the sounds by extracting descriptive parameters from their time and frequency domain envelopes. The set of parameters so obtained from a sample of click sequences collected from free-ranging dolphins is analysed by principal component analysis. Results are presented which indicate that Hector's dolphins produce only a small number of different vocal sounds. In addition to the statistical analysis, several of the clicks, which are assumed to be used for echo-location, are analysed in terms of their range-velocity ambiguity functions. The results suggest that Hector's dolphins can distinguish targets separated in range by about 2cm, but are unable to separate targets that differ only in their velocity

Signal processing and machine learning techniques for Doppler ultrasound haemodynamic measurements

Haemodynamic monitoring is an invaluable tool for evaluating, diagnosing and treating the cardiovascular system, and is an integral component of intensive care units, obstetrics wards and other medical units. Doppler ultrasound provides a non-invasive, cost-effective and fast means of haemodynamic monitoring, which traditionally necessitates highly invasive methods such as Pulmonary artery catheter or transoesophageal echocardiography. However, Doppler ultrasound scan acquisition requires a highly experienced operator and can be very challenging. Machine learning solutions that quantify and guide the scanning process in an automatic and intelligent manner could overcome these limitations and lead to routine monitoring. Development of such methods is the primary goal of the presented work. In response to this goal, this thesis proposes a suite of signal processing and machine learning techniques. Among these is a new and real-time method of maximum frequency envelope estimation. This method, which is based on image-processing techniques and is highly adaptive to varying signal quality, was developed to facilitate automatic and consistent extraction of features from Doppler ultrasound measurements. Through a thorough evaluation, this method was demonstrated to be accurate and more stable than alternative state-of-art methods. Two novel real-time methods of beat segmentation, which operate using the maximum frequency envelope, were developed to enable systematic feature extraction from individual cardiac cycles. These methods do not require any additional hardware, such as an electrocardiogram machine, and are fully automatic, real-time and highly resilient to noise. These qualities are not available in existing methods. Extensive evaluation demonstrated the methods to be highly successful. A host of machine learning solutions were analysed, designed and evaluated. This led to a set of novel features being proposed for Doppler ultrasound analysis. In addition, a state of- the-art image recognition classification method, hitherto undocumented for Doppler ultrasound analysis, was shown to be superior to more traditional modelling approaches. These contributions facilitated the design of two innovative types of feedback. To reflect beneficial probe movements, which are otherwise difficult to distinguish, a regression model to quantitatively score ultrasound measurements was proposed. This feedback was shown to be highly correlated with an ideal response. The second type of feedback explicitly predicted beneficial probe movements. This was achieved using classification models with up to five categories, giving a more challenging scenario than those addressed in prior disease classification work. Evaluation of these, for the first time, demonstrated that Doppler scan information can be used to automatically indicate probe position. Overall, the presented work includes significant contributions for Doppler ultrasound analysis, it proposes valuable new machine learning techniques, and with continued work, could lead to solutions that unlock the full potential of Doppler ultrasound haemodynamic monitoring