Advancements and Breakthroughs in Ultrasound Imaging

Ultrasonic imaging is a powerful diagnostic tool available to medical practitioners, engineers and researchers today. Due to the relative safety, and the non-invasive nature, ultrasonic imaging has become one of the most rapidly advancing technologies. These rapid advances are directly related to the parallel advancements in electronics, computing, and transducer technology together with sophisticated signal processing techniques. This book focuses on state of the art developments in ultrasonic imaging applications and underlying technologies presented by leading practitioners and researchers from many parts of the world

Deep learning assisted MRI guided attenuation correction in PET

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University LondonPositron emission tomography (PET) is a unique imaging modality that provides physiological and functional details of the tissue at the molecular level. However, the acquired PET images have some limitations such as the attenuation. PET attenuation correction is an essential step to obtain the full potential of PET quantification. With the wide use of hybrid PET/MR scanners, magnetic resonance (MR) images are used to address the problem of PET attenuation correction. The MR images segmentation is one simple and robust approach to create pseudo computed tomography (CT) images, which are used to generate attenuation coefficient maps to correct the PET attenuation. Recently, deep learning has been proposed and used as a promising technique to efficiently perform MR and various medical images segmentation. In this research work, deep learning guided segmentation approaches have been proposed to enhance the bone class segmentation of MR brain images in order to generate accurate pseudo-CT images. The first approach has introduced the combination of handcrafted features with deep learning features to enrich the set of features. Multiresolution analysis techniques, which generate multiscale and multidirectional coefficients of an image such as contourlet and shearlet transforms, are applied and combined with deep convolutional neural network (CNN) features. Different experiments have been conducted to investigate the number of selected coefficients and the insertion location of the handcrafted features. The second approach aims at reducing the segmentation algorithm’s complexity while maintaining the segmentation performance. An attention based convolutional encode-decoder network has been proposed to adaptively recalibrate the deep network features. This attention based network consists of two different squeeze and excitation blocks that excite the features spatially and channel wise. The two blocks are combined sequentially to decrease the number of network’s parameters and reduces the model complexity. The third approach has been focuses on the application of transfer learning from different MR sequences such as T1 weighted (T1-w) and T2 weighted (T2-w) images. A pretrained model with T1-w MR sequences is fine tuned to perform the segmentation of T2-w images. Multiple fine tuning approaches and experiments have been conducted to study the best fine tuning mechanism that is able to build an efficient segmentation model for both T1-w and T2-w segmentation. Clinical datasets of fifty patients with different conditions and diagnosis have been used to carry an objective evaluation to measure the segmentation performance of the results obtained by the three proposed methods. The first and second approaches have been validated with other studies in the literature that applied deep network based segmentation technique to perform MR based attenuation correction for PET images. The proposed methods have shown an enhancement in the bone segmentation with an increase of dice similarity coefficient (DSC) from 0.6179 to 0.6567 using an ensemble of CNNs with an improvement percentage of 6.3%. The proposed excitation-based CNN has decreased the model complexity by decreasing the number of trainable parameters by more than 46% where less computing resources are required to train the model. The proposed hybrid transfer learning method has shown its superiority to build a multi-sequences (T1-w and T2-w) segmentation approach compared to other applied transfer learning methods especially with the bone class where the DSC is increased from 0.3841 to 0.5393. Moreover, the hybrid transfer learning approach requires less computing time than transfer learning using open and conservative fine tuning

Fusion of magnetic resonance and ultrasound images for endometriosis detection

Endometriosis is a gynecologic disorder that typically affects women in their reproductive age and is associated with chronic pelvic pain and infertility. In the context of pre-operative diagnosis and guided surgery, endometriosis is a typical example of pathology that requires the use of both magnetic resonance (MR) and ultrasound (US) modalities. These modalities are used side by sidebecause they contain complementary information. However, MRI and US images have different spatial resolutions, fields of view and contrasts and are corrupted by different kinds of noise, which results in important challenges related to their analysis by radiologists. The fusion of MR and US images is a way of facilitating the task of medical experts and improve the pre-operative diagnosis and the surgery mapping. The object of this PhD thesis is to propose a new automatic fusion method for MRI and US images. First, we assume that the MR and US images to be fused are aligned, i.e., there is no geometric distortion between these images. We propose a fusion method for MR and US images, which aims at combining the advantages of each modality, i.e., good contrast and signal to noise ratio for the MR image and good spatial resolution for the US image. The proposed algorithm is based on an inverse problem, performing a super-resolution of the MR image and a denoising of the US image. A polynomial function is introduced to modelthe relationships between the gray levels of the MR and US images. However, the proposed fusion method is very sensitive to registration errors. Thus, in a second step, we introduce a joint fusion and registration method for MR and US images. Registration is a complicated task in practical applications. The proposed MR/US image fusion performs jointly super-resolution of the MR image and despeckling of the US image, and is able to automatically account for registration errors. A polynomial function is used to link ultrasound and MR images in the fusion process while an appropriate similarity measure is introduced to handle the registration problem. The proposed registration is based on a non-rigid transformation containing a local elastic B-spline model and a global affine transformation. The fusion and registration operations are performed alternatively simplifying the underlying optimization problem. The interest of the joint fusion and registration is analyzed using synthetic and experimental phantom images

Deep Learning in Medical Image Analysis

The accelerating power of deep learning in diagnosing diseases will empower physicians and speed up decision making in clinical environments. Applications of modern medical instruments and digitalization of medical care have generated enormous amounts of medical images in recent years. In this big data arena, new deep learning methods and computational models for efficient data processing, analysis, and modeling of the generated data are crucially important for clinical applications and understanding the underlying biological process. This book presents and highlights novel algorithms, architectures, techniques, and applications of deep learning for medical image analysis

Non‐subsampled contourlet transform based image Denoising in ultrasound thyroid images using adaptive binary morphological operations

Speckle noise reduction is an important preprocessing stage for ultrasound medical image processing. In this paper, a despeckling algorithm is proposed based on non‐subsampled contourlet transform. This transform has the property of high directionality, anisotropy and translation invariance, which can be controlled by non‐subsampled filter banks. This study aims to denoise the speckle noise in ultrasound images using adaptive binary morphological operations, in order to preserve edges, contours and textures. In morphological operations, structural element plays an important role for image enhancement. In this work, different shapes of structural element have been analysed and filtering parameters have been changed adaptively depending on the nature of the image and the amount of noise in the image. Experimental results of proposed method for natural images, Field II simulated images and real ultrasound images, show that the proposed method is able to preserve edges and image structural details compared with existing methods