Anisotropic Diffusion Filter with Memory based on Speckle Statistics for Ultrasound Images

Ultrasound imaging exhibits considerable difficulties for medical visual inspection and for the development of automatic analysis methods due to speckle, which negatively affects the perception of tissue boundaries and the performance of automatic segmentation methods. With the aim of alleviating the effect of speckle, many filtering techniques are usually considered as a preprocessing step prior to automatic analysis methods or visual inspection. Most of the state-of-the-art filters try to reduce the speckle effect without considering its relevance for the characterization of tissue nature. However, the speckle phenomenon is the inherent response of echo signals in tissues and can provide important features for clinical purposes. This loss of information is even magnified due to the iterative process of some speckle filters, e.g., diffusion filters, which tend to produce over-filtering because of the progressive loss of relevant information for diagnostic purposes during the diffusion process. In this work, we propose an anisotropic diffusion filter with a probabilistic-driven memory mechanism to overcome the over-filtering problem by following a tissue selective philosophy. Specifically, we formulate the memory mechanism as a delay differential equation for the diffusion tensor whose behavior depends on the statistics of the tissues, by accelerating the diffusion process in meaningless regions and including the memory effect in regions where relevant details should be preserved. Results both in synthetic and real US images support the inclusion of the probabilistic memory mechanism for maintaining clinical relevant structures, which are removed by the state-of-the-art filters

Inicialización Robusta de Active Shape Models para Ecografías 3D

Los modelos activos de forma, ASM (Active Shape Models), se utilizan frecuentemente para la segmentación del ventrículo izquierdo en ecografías 3D. Aunque presentan ventajas frente a otros métodos, tienen un problema fundamental: la inicialización. Si la inicialización de la forma del ventrículo no es adecuada, la segmentación final del ventrículo presentará una apariencia poco realista y muy diferente de la estructura anatómica de éste. En este trabajo se propone un método de inicialización robusto basado en los mapas de probabilidad derivados de los modelos probabilísticos del speckle de la ecografía. Estos mapas se estiman directamente de la imagen o de ésta filtrada con dos versiones de filtros de preservación de tejidos. El método estima la transformación geométrica óptima que sitúa la forma inicial en la posición del ventrículo, lo que sirve de aplicación para asistir en el proceso del cálculo del tensor de esfuerzo de la dinámica funcional cardiaca.Teoría de la Señal y Comunicaciones e Ingenieria TelemáticaMáster en Investigación en Tecnologías de la Información y las Comunicacione

Echocardiography

The book "Echocardiography - New Techniques" brings worldwide contributions from highly acclaimed clinical and imaging science investigators, and representatives from academic medical centers. Each chapter is designed and written to be accessible to those with a basic knowledge of echocardiography. Additionally, the chapters are meant to be stimulating and educational to the experts and investigators in the field of echocardiography. This book is aimed primarily at cardiology fellows on their basic echocardiography rotation, fellows in general internal medicine, radiology and emergency medicine, and experts in the arena of echocardiography. Over the last few decades, the rate of technological advancements has developed dramatically, resulting in new techniques and improved echocardiographic imaging. The authors of this book focused on presenting the most advanced techniques useful in today's research and in daily clinical practice. These advanced techniques are utilized in the detection of different cardiac pathologies in patients, in contributing to their clinical decision, as well as follow-up and outcome predictions. In addition to the advanced techniques covered, this book expounds upon several special pathologies with respect to the functions of echocardiography

Real-time Ultrasound Signals Processing: Denoising and Super-resolution

Ultrasound acquisition is widespread in the biomedical field, due to its properties of low cost, portability, and non-invasiveness for the patient. The processing and analysis of US signals, such as images, 2D videos, and volumetric images, allows the physician to monitor the evolution of the patient's disease, and support diagnosis, and treatments (e.g., surgery). US images are affected by speckle noise, generated by the overlap of US waves. Furthermore, low-resolution images are acquired when a high acquisition frequency is applied to accurately characterise the behaviour of anatomical features that quickly change over time. Denoising and super-resolution of US signals are relevant to improve the visual evaluation of the physician and the performance and accuracy of processing methods, such as segmentation and classification. The main requirements for the processing and analysis of US signals are real-time execution, preservation of anatomical features, and reduction of artefacts. In this context, we present a novel framework for the real-time denoising of US 2D images based on deep learning and high-performance computing, which reduces noise while preserving anatomical features in real-time execution. We extend our framework to the denoise of arbitrary US signals, such as 2D videos and 3D images, and we apply denoising algorithms that account for spatio-temporal signal properties into an image-to-image deep learning model. As a building block of this framework, we propose a novel denoising method belonging to the class of low-rank approximations, which learns and predicts the optimal thresholds of the Singular Value Decomposition. While previous denoise work compromises the computational cost and effectiveness of the method, the proposed framework achieves the results of the best denoising algorithms in terms of noise removal, anatomical feature preservation, and geometric and texture properties conservation, in a real-time execution that respects industrial constraints. The framework reduces the artefacts (e.g., blurring) and preserves the spatio-temporal consistency among frames/slices; also, it is general to the denoising algorithm, anatomical district, and noise intensity. Then, we introduce a novel framework for the real-time reconstruction of the non-acquired scan lines through an interpolating method; a deep learning model improves the results of the interpolation to match the target image (i.e., the high-resolution image). We improve the accuracy of the prediction of the reconstructed lines through the design of the network architecture and the loss function. %The design of the deep learning architecture and the loss function allow the network to improve the accuracy of the prediction of the reconstructed lines. In the context of signal approximation, we introduce our kernel-based sampling method for the reconstruction of 2D and 3D signals defined on regular and irregular grids, with an application to US 2D and 3D images. Our method improves previous work in terms of sampling quality, approximation accuracy, and geometry reconstruction with a slightly higher computational cost. For both denoising and super-resolution, we evaluate the compliance with the real-time requirement of US applications in the medical domain and provide a quantitative evaluation of denoising and super-resolution methods on US and synthetic images. Finally, we discuss the role of denoising and super-resolution as pre-processing steps for segmentation and predictive analysis of breast pathologies

Ultrasound image processing in the evaluation of labor induction failure risk

Labor induction is defined as the artificial stimulation of uterine contractions for the purpose of vaginal birth. Induction is prescribed for medical and elective reasons. Success in labor induction procedures is related to vaginal delivery. Cesarean section is one of the potential risks of labor induction as it occurs in about 20% of the inductions. A ripe cervix (soft and distensible) is needed for a successful labor. During the ripening cervical, tissues experience micro structural changes: collagen becomes disorganized and water content increases. These changes will affect the interaction between cervical tissues and sound waves during ultrasound transvaginal scanning and will be perceived as gray level intensity variations in the echographic image. Texture analysis can be used to analyze these variations and provide a means to evaluate cervical ripening in a non-invasive way

Segmentation of 3D Carotid Ultrasound Images Using Weak Geometric Priors

Vascular diseases are among the leading causes of death in Canada and around the globe. A major underlying cause of most such medical conditions is atherosclerosis, a gradual accumulation of plaque on the walls of blood vessels. Particularly vulnerable to atherosclerosis is the carotid artery, which carries blood to the brain. Dangerous narrowing of the carotid artery can lead to embolism, a dislodgement of plaque fragments which travel to the brain and are the cause of most strokes. If this pathology can be detected early, such a deadly scenario can be potentially prevented through treatment or surgery. This not only improves the patient's prognosis, but also dramatically lowers the overall cost of their treatment. Medical imaging is an indispensable tool for early detection of atherosclerosis, in particular since the exact location and shape of the plaque need to be known for accurate diagnosis. This can be achieved by locating the plaque inside the artery and measuring its volume or texture, a process which is greatly aided by image segmentation. In particular, the use of ultrasound imaging is desirable because it is a cost-effective and safe modality. However, ultrasonic images depict sound-reflecting properties of tissue, and thus suffer from a number of unique artifacts not present in other medical images, such as acoustic shadowing, speckle noise and discontinuous tissue boundaries. A robust ultrasound image segmentation technique must take these properties into account. Prior to segmentation, an important pre-processing step is the extraction of a series of features from the image via application of various transforms and non-linear filters. A number of such features are explored and evaluated, many of them resulting in piecewise smooth images. It is also proposed to decompose the ultrasound image into several statistically distinct components. These components can be then used as features directly, or other features can be obtained from them instead of the original image. The decomposition scheme is derived using Maximum-a-Posteriori estimation framework and is efficiently computable. Furthermore, this work presents and evaluates an algorithm for segmenting the carotid artery in 3D ultrasound images from other tissues. The algorithm incorporates information from different sources using an energy minimization framework. Using the ultrasound image itself, statistical differences between the region of interest and its background are exploited, and maximal overlap with strong image edges encouraged. In order to aid the convergence to anatomically accurate shapes, as well as to deal with the above-mentioned artifacts, prior knowledge is incorporated into the algorithm by using weak geometric priors. The performance of the algorithm is tested on a number of available 3D images, and encouraging results are obtained and discussed

Improved image speckle noise reduction and novel dispersion cancellation in Optical Coherence Tomography

Optical coherence tomography (OCT) is an innovative modern biomedical imaging technology that allows in-vivo, non-invasive imaging of biological tissues. At present, some of the major challenges in OCT include the need for fast data acquisition system for probing fast developing biochemical processes in biological tissue, for image processing algorithms to reduce speckle noise and to remove motion artefacts, and for dispersion compensation to improve axial resolution and image contrast. To address the need for fast data acquisition, a novel, high speed (47,000 A-scans/s), ultrahigh axial resolution (3.3μm) Fourier Domain Optical Coherence Tomography (FD-OCT) system in the 1060nm wavelength region has been built at the University of Waterloo. The system provides 3.3μm image resolution in biological tissue and maximum sensitivity of 110 dB. Retinal tomograms acquired in-vivo from a human volunteer and a rat animal model show clear visualization of all intra-retinal layers and increased penetration into the choroid. OCT is based on low-coherence light interferometry. Thus, image quality is dependent on the spatial and temporal coherence properties of the optical waves back-scattered from the imaged object. Due to the coherent nature of light, OCT images are contaminated with speckle noise. Two novel speckle noise reduction algorithms based on interval type II fuzzy sets has been developed to improve the quality of the OCT images. One algorithm is a combination of anisotropic diffusion and interval type II fuzzy system while the other algorithm is based on soft thresholding wavelet coefficients using interval type II fuzzy system. Application of these novel algorithms to Cameraman test image corrupted with speckle noise (variance=0.1) resulted in a root mean square error (RMSE) of 0.07 for both fuzzy anisotropic diffusion and fuzzy wavelet algorithms. This value is less compared to the results obtained for Wiener (RMSE=0.09), adaptive Lee (RMSE=0.09), and median (RMSE=0.12) filters. Applying the algorithms to optical coherence tomograms acquired in-vivo from a human finger-tip show reduction in the speckle noise and image SNR improvement of ~13dB for fuzzy anisotropic diffusion and ~11db for fuzzy wavelet. Comparison with the Wiener (SNR improvement of ~3dB), adaptive Lee (SNR improvement of ~5dB) and median (SNR improvement of ~5dB) filters, applied to the same images, demonstrates the better performance of the fuzzy type II algorithms in terms of image metrics improvement. Micrometer scale OCT image resolution is obtained via use of broad bandwidth light sources. However, the large spectral bandwidth of the imaging beam results in broadening of the OCT interferogram because of the dispersive properties of the imaged objects. This broadening causes deterioration of the axial resolution and as well as loss of contrast in OCT images. A novel even-order dispersion cancellation interferometry via a linear, classical interferometer has been developed which can be further expanded to dispersion canceled OCT

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