Improving Catheter Segmentation & Localization in 3D Cardiac Ultrasound Using Direction-Fused FCN

Fast and accurate catheter detection in cardiac catheterization using harmless 3D ultrasound (US) can improve the efficiency and outcome of the intervention. However, the low image quality of US requires extra training for sonographers to localize the catheter. In this paper, we propose a catheter detection method based on a pre-trained VGG network, which exploits 3D information through re-organized cross-sections to segment the catheter by a shared fully convolutional network (FCN), which is called a Direction-Fused FCN (DF-FCN). Based on the segmented image of DF-FCN, the catheter can be localized by model fitting. Our experiments show that the proposed method can successfully detect an ablation catheter in a challenging ex-vivo 3D US dataset, which was collected on the porcine heart. Extensive analysis shows that the proposed method achieves a Dice score of 57.7%, which offers at least an 11.8 % improvement when compared to state-of-the-art instrument detection methods. Due to the improved segmentation performance by the DF-FCN, the catheter can be localized with an error of only 1.4 mm.Comment: ISBI 2019 accepte

Deep Learning for Instrumented Ultrasonic Tracking: From synthetic training data to in vivo application

Instrumented ultrasonic tracking is used to improve needle localisation during ultrasound guidance of minimally-invasive percutaneous procedures. Here, it is implemented with transmitted ultrasound pulses from a clinical ultrasound imaging probe that are detected by a fibre-optic hydrophone integrated into a needle. The detected transmissions are then reconstructed to form the tracking image. Two challenges are considered with the current implementation of ultrasonic tracking. First, tracking transmissions are interleaved with the acquisition of B-mode images and thus, the effective B-mode frame rate is reduced. Second, it is challenging to achieve an accurate localisation of the needle tip when the signal-to-noise ratio is low. To address these challenges, we present a framework based on a convolutional neural network (CNN) to maintain spatial resolution with fewer tracking transmissions and to enhance signal quality. A major component of the framework included the generation of realistic synthetic training data. The trained network was applied to unseen synthetic data and experimental in vivo tracking data. The performance of needle localisation was investigated when reconstruction was performed with fewer (up to eight-fold) tracking transmissions. CNN-based processing of conventional reconstructions showed that the axial and lateral spatial resolution could be improved even with an eight-fold reduction in tracking transmissions. The framework presented in this study will significantly improve the performance of ultrasonic tracking, leading to faster image acquisition rates and increased localisation accuracy

Improving needle visibility in LED-based photoacoustic imaging using deep learning with semi-synthetic datasets

Photoacoustic imaging has shown great potential for guiding minimally invasive procedures by accurate identification of critical tissue targets and invasive medical devices (such as metallic needles). The use of light emitting diodes (LEDs) as the excitation light sources accelerates its clinical translation owing to its high affordability and portability. However, needle visibility in LED-based photoacoustic imaging is compromised primarily due to its low optical fluence. In this work, we propose a deep learning framework based on U-Net to improve the visibility of clinical metallic needles with a LED-based photoacoustic and ultrasound imaging system. To address the complexity of capturing ground truth for real data and the poor realism of purely simulated data, this framework included the generation of semi-synthetic training datasets combining both simulated data to represent features from the needles and in vivo measurements for tissue background. Evaluation of the trained neural network was performed with needle insertions into blood-vessel-mimicking phantoms, pork joint tissue ex vivo and measurements on human volunteers. This deep learning-based framework substantially improved the needle visibility in photoacoustic imaging in vivo compared to conventional reconstruction by suppressing background noise and image artefacts, achieving 5.8 and 4.5 times improvements in terms of signal-to-noise ratio and the modified Hausdorff distance, respectively. Thus, the proposed framework could be helpful for reducing complications during percutaneous needle insertions by accurate identification of clinical needles in photoacoustic imaging

Deep learning for image-based liver analysis — A comprehensive review focusing on malignant lesions

Deep learning-based methods, in particular, convolutional neural networks and fully convolutional networks are now widely used in the medical image analysis domain. The scope of this review focuses on the analysis using deep learning of focal liver lesions, with a special interest in hepatocellular carcinoma and metastatic cancer; and structures like the parenchyma or the vascular system. Here, we address several neural network architectures used for analyzing the anatomical structures and lesions in the liver from various imaging modalities such as computed tomography, magnetic resonance imaging and ultrasound. Image analysis tasks like segmentation, object detection and classification for the liver, liver vessels and liver lesions are discussed. Based on the qualitative search, 91 papers were filtered out for the survey, including journal publications and conference proceedings. The papers reviewed in this work are grouped into eight categories based on the methodologies used. By comparing the evaluation metrics, hybrid models performed better for both the liver and the lesion segmentation tasks, ensemble classifiers performed better for the vessel segmentation tasks and combined approach performed better for both the lesion classification and detection tasks. The performance was measured based on the Dice score for the segmentation, and accuracy for the classification and detection tasks, which are the most commonly used metrics.publishedVersio