Sensors for Vital Signs Monitoring

Sensor technology for monitoring vital signs is an important topic for various service applications, such as entertainment and personalization platforms and Internet of Things (IoT) systems, as well as traditional medical purposes, such as disease indication judgments and predictions. Vital signs for monitoring include respiration and heart rates, body temperature, blood pressure, oxygen saturation, electrocardiogram, blood glucose concentration, brain waves, etc. Gait and walking length can also be regarded as vital signs because they can indirectly indicate human activity and status. Sensing technologies include contact sensors such as electrocardiogram (ECG), electroencephalogram (EEG), photoplethysmogram (PPG), non-contact sensors such as ballistocardiography (BCG), and invasive/non-invasive sensors for diagnoses of variations in blood characteristics or body fluids. Radar, vision, and infrared sensors can also be useful technologies for detecting vital signs from the movement of humans or organs. Signal processing, extraction, and analysis techniques are important in industrial applications along with hardware implementation techniques. Battery management and wireless power transmission technologies, the design and optimization of low-power circuits, and systems for continuous monitoring and data collection/transmission should also be considered with sensor technologies. In addition, machine-learning-based diagnostic technology can be used for extracting meaningful information from continuous monitoring data

Computer-aided Detection of Breast Cancer in Digital Tomosynthesis Imaging Using Deep and Multiple Instance Learning

Breast cancer is the most common cancer among women in the world. Nevertheless, early detection of breast cancer improves the chance of successful treatment. Digital breast tomosynthesis (DBT) as a new tomographic technique was developed to minimize the limitations of conventional digital mammography screening. A DBT is a quasi-three-dimensional image that is reconstructed from a small number of two-dimensional (2D) low-dose X-ray images. The 2D X-ray images are acquired over a limited angular around the breast. Our research aims to introduce computer-aided detection (CAD) frameworks to detect early signs of breast cancer in DBTs. In this thesis, we propose three CAD frameworks for detection of breast cancer in DBTs. The first CAD framework is based on hand-crafted feature extraction. Concerning early signs of breast cancer: mass, micro-calcifications, and bilateral asymmetry between left and right breast, the system includes three separate channels to detect each sign. Next two CAD frameworks automatically learn complex patterns of 2D slices using the deep convolutional neural network and the deep cardinality-restricted Boltzmann machines. Finally, the CAD frameworks employ a multiple-instance learning approach with randomized trees algorithm to classify DBT images based on extracted information from 2D slices. The frameworks operate on 2D slices which are generated from DBT volumes. These frameworks are developed and evaluated using 5,040 2D image slices obtained from 87 DBT volumes. We demonstrate the validation and usefulness of the proposed CAD frameworks within empirical experiments for detecting breast cancer in DBTs

Correlated Polarity Noise Reduction: Development, Analysis, and Application of a Novel Noise Reduction Paradigm

<p>Image noise is a pervasive problem in medical imaging. It is a property endemic to all imaging modalities and one especially familiar in those modalities that employ ionizing radiation. Statistical uncertainty is a major limiting factor in the reduction of ionizing radiation dose; patient exposure must be minimized but high image quality must also be achieved to retain the clinical utility of medical images. One way to achieve the goal of radiation dose reduction is through the use of image post processing with noise reduction algorithms. By acquiring images at lower than normal exposure followed by algorithmic noise reduction, it is possible to restore image noise to near normal levels. However, many denoising algorithms degrade the integrity of other image quality components in the process. </p><p>In this dissertation, a new noise reduction algorithm is investigated: Correlated Polarity Noise Reduction (CPNR). CPNR is a novel noise reduction technique that uses a statistical approach to reduce noise variance while maintaining excellent resolution and a "normal" noise appearance. In this work, the algorithm is developed in detail with the introduction of several methods for improving polarity estimation accuracy and maintaining the normality of the residual noise intensity distribution. Several image quality characteristics are assessed in the production of this new algorithm including its effects on residual noise texture, residual noise magnitude distribution, resolution effects, and nonlinear distortion effects. An in-depth review of current linear methods for medical imaging system resolution analysis will be presented along with several newly discovered improvements to existing techniques. This is followed by the presentation of a new paradigm for quantifying the frequency response and distortion properties of nonlinear algorithms. Finally, the new CPNR algorithm is applied to computed tomography (CT) to assess its efficacy as a dose reduction tool in 3-D imaging.</p><p>It was found that the CPNR algorithm can be used to reduce x ray dose in projection radiography by a factor of at least two without objectionable degradation of image resolution. This is comparable to other nonlinear image denoising algorithms such as the bilateral filter and wavelet denoising. However, CPNR can accomplish this level of dose reduction with few edge effects and negligible nonlinear distortion of the anatomical signal as evidenced by the newly developed nonlinear assessment paradigm. In application to multi-detector CT, XCAT simulations showed that CPNR can be used to reduce noise variance by 40% with minimal blurring of anatomical structures under a filtered back-projection reconstruction paradigm. When an apodization filter was applied, only 33% noise variance reduction was achieved, but the edge-saving qualities were largely retained. In application to cone-beam CT for daily patient positioning in radiation therapy, up to 49% noise variance reduction was achieved with as little as 1% reduction in the task transfer function measured from reconstructed data at the cutoff frequency. </p><p>This work concludes that the CPNR paradigm shows promise as a viable noise reduction tool which can be used to maintain current standards of clinical image quality at almost half of normal radiation exposure This algorithm has favorable resolution and nonlinear distortion properties as measured using a newly developed set of metrics for nonlinear algorithm resolution and distortion assessment. Simulation studies and the initial application of CPNR to cone-beam CT data reveal that CPNR may be used to reduce CT dose by 40%-49% with minimal degradation of image resolution.</p>Dissertatio

Image reconstruction and processing for stationary digital tomosynthesis systems

Digital tomosynthesis (DTS) is an emerging x-ray imaging technique for disease and cancer screening. DTS takes a small number of x-ray projections to generate pseudo-3D images, it has a lower radiation and a lower cost compared to the Computed Tomography (CT) and an improved diagnostic accuracy compared to the 2D radiography. Our research group has developed a carbon nanotube (CNT) based x-ray source. This technology enables packing multiple x-ray sources into one single x-ray source array. Based on this technology, our group built several stationary digital tomosynthesis (s-DTS) systems, which have a faster scanning time and no source motion blur. One critical step in both tomosynthesis and CT is image reconstruction, which generates a 3D image from the 2D measurement. For tomosynthesis, the conventional reconstruction method runs fast but fails in image quality. A better iterative method exists, however, it is too time-consuming to be used in clinics. The goal of this work is to develop fast iterative image reconstruction algorithm and other image processing techniques for the stationary digital tomosynthesis system, improving the image quality affected by the hardware limitation. Fast iterative reconstruction algorithm, named adapted fan volume reconstruction (AFVR), was developed for the s-DTS. AFVR is shown to be an order of magnitude faster than the current iterative reconstruction algorithms and produces better images over the classical filtered back projection (FBP) method. AFVR was implemented for the stationary digital breast tomosynthesis system (s-DBT), the stationary digital chest tomosynthesis system (s-DCT) and the stationary intraoral dental tomosynthesis system (s-IOT). Next, scatter correction technique for stationary digital tomosynthesis was investigated. A new algorithm for estimating scatter profile was developed, which has been shown to improve the image quality substantially. Finally, the quantitative imaging was investigated, where the s-DCT system was used to assess the coronary artery calcium score.Doctor of Philosoph

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

Numerical Approaches for Solving the Combined Reconstruction and Registration of Digital Breast Tomosynthesis

Heavy demands on the development of medical imaging modalities for breast cancer detection have been witnessed in the last three decades in an attempt to reduce the mortality associated with the disease. Recently, Digital Breast Tomosynthesis (DBT) shows its promising in the early diagnosis when lesions are small. In particular, it offers potential benefits over X-ray mammography - the current modality of choice for breast screening - of increased sensitivity and specificity for comparable X-ray dose, speed, and cost. An important feature of DBT is that it provides a pseudo-3D image of the breast. This is of particular relevance for heterogeneous dense breasts of young women, which can inhibit detection of cancer using conventional mammography. In the same way that it is difficult to see a bird from the edge of the forest, detecting cancer in a conventional 2D mammogram is a challenging task. Three-dimensional DBT, however, enables us to step through the forest, i.e., the breast, reducing the confounding effect of superimposed tissue and so (potentially) increasing the sensitivity and specificity of cancer detection. The workflow in which DBT would be used clinically, involves two key tasks: reconstruction, to generate a 3D image of the breast, and registration, to enable images from different visits to be compared as is routinely performed by radiologists working with conventional mammograms. Conventional approaches proposed in the literature separate these steps, solving each task independently. This can be effective if reconstructing using a complete set of data. However, for ill-posed limited-angle problems such as DBT, estimating the deformation is difficult because of the significant artefacts associated with DBT reconstructions, leading to severe inaccuracies in the registration. The aim of my work is to find and evaluate methods capable of allying these two tasks, which will enhance the performance of each process as a result. Consequently, I prove that the processes of reconstruction and registration of DBT are not independent but reciprocal. This thesis proposes innovative numerical approaches combining reconstruction of a pair of temporal DBT acquisitions with their registration iteratively and simultaneously. To evaluate the performance of my methods I use synthetic images, breast MRI, and DBT simulations with in-vivo breast compressions. I show that, compared to the conventional sequential method, jointly estimating image intensities and transformation parameters gives superior results with respect to both reconstruction fidelity and registration accuracy

Applications of Medical Physics

Applications of Medical Physics” is a Special Issue of Applied Sciences that has collected original research manuscripts describing cutting-edge physics developments in medicine and their translational applications. Reviews providing updates on the latest progresses in this field are also included. The collection includes a total of 20 contributions by authors from 9 different countries, which cover several areas of medical physics, spanning from radiation therapy, nuclear medicine, radiology, dosimetry, radiation protection, and radiobiology