Deformation Estimation and Assessment of Its Accuracy in Ultrasound Images

This thesis aims to address two problems; one in ultrasound elastography and one in image registration. The first problem entails estimation of tissue displacement in Ultrasound Elastography (UE). UE is an emerging technique used to estimate mechanical properties of tissue. It involves calculating the displacement field between two ultrasound Radio Frequency (RF) frames taken before and after a tissue deformation. A common way to calculate the displacement is to use correlation based approaches. However, these approaches fail in the presence of signal decorrelation. To address this issue, Dynamic Programming was used to find the optimum displacement using all the information on the RF-line. Although taking this approach improved the results, some failures persisted. In this thesis, we have formulated the DP method on a tree. Doing so allows for more information to be used for estimating the displacement and therefore reducing the error. We evaluated our method on simulation, phantom and real patient data. Our results shows that the proposed method outperforms the previous method in terms of accuracy with small added computational cost. In this work, we also address a problem in image registration. Although there is a vast literature in image registration, quality evaluation of registration is a field that has not received as much attention. This evaluation becomes even more crucial in medical imaging due to the sensitive nature of the field. We have addressed the said problem in the context of ultrasound guided radiotherapy. Image guidance has become an important part of radiotherapy wherein image registration is a critical step. Therefore, an evaluation of this registration can play an important role in the outcome of the therapy. In this work, we propose using both bootstrapping and supervised learning methods to evaluate the registration. We test our methods on 2D and 3D data acquired from phantom and patients. According to our results, both methods perform well while having advantages and disadvantages over one another. Supervised learning methods offer more accuracy and less computation time. On the other hand, for bootstrapping, no training data is required and also offers more sensitivity

Assessment of Rigid Registration Quality Measures in Ultrasound-Guided Radiotherapy

Image guidance has become the standard of care for patient positioning in radiotherapy, where image registration is often a critical step to help manage patient motion. However, in practice, verification of registration quality is often adversely affected by difficulty in manual inspection of 3-D images and time constraint, thus affecting the therapeutic outcome. Therefore, we proposed to employ both bootstrapping and the supervised learning methods of linear discriminant analysis and random forest to help robustly assess registration quality in ultrasound-guided radiotherapy. We validated both approaches using phantom and real clinical ultrasound images, and showed that both performed well for the task. While learning-based techniques offer better accuracy and shorter evaluation time, bootstrapping requires no prior training and has a higher sensitivity

Image-guided Raman spectroscopy navigation system to improve transperineal prostate cancer detection. Part 1: Raman spectroscopy fiber-optics system and in situ tissue characterization

SIGNIFICANCE: The diagnosis of prostate cancer (PCa) and focal treatment by brachytherapy are limited by the lack of precise intraoperative information to target tumors during biopsy collection and radiation seed placement. Image-guidance techniques could improve the safety and diagnostic yield of biopsy collection as well as increase the efficacy of radiotherapy. AIM: To estimate the accuracy of PCa detection using in situ Raman spectroscopy (RS) in a pilot in-human clinical study and assess biochemical differences between in vivo and ex vivo measurements. APPROACH: A new miniature RS fiber-optics system equipped with an electromagnetic (EM) tracker was guided by trans-rectal ultrasound-guided imaging, fused with preoperative magnetic resonance imaging to acquire 49 spectra in situ (in vivo) from 18 PCa patients. In addition, 179 spectra were acquired ex vivo in fresh prostate samples from 14 patients who underwent radical prostatectomy. Two machine-learning models were trained to discriminate cancer from normal prostate tissue from both in situ and ex vivo datasets. RESULTS: A support vector machine (SVM) model was trained on the in situ dataset and its performance was evaluated using leave-one-patient-out cross validation from 28 normal prostate measurements and 21 in-tumor measurements. The model performed at 86% sensitivity and 72% specificity. Similarly, an SVM model was trained with the ex vivo dataset from 152 normal prostate measurements and 27 tumor measurements showing reduced cancer detection performance mostly attributable to spatial registration inaccuracies between probe measurements and histology assessment. A qualitative comparison between in situ and ex vivo measurements demonstrated a one-to-one correspondence and similar ratios between the main Raman bands (e.g., amide I-II bands, phenylalanine). CONCLUSIONS: PCa detection can be achieved using RS and machine learning models for image-guidance applications using in situ measurements during prostate biopsy procedures

Image-guided Raman spectroscopy navigation system to improve transperineal prostate cancer detection. Part 2: in-vivo tumor-targeting using a classification model combining spectral and MRI-radiomics features

SIGNIFICANCE: The diagnosis and treatment of prostate cancer (PCa) are limited by a lack of intraoperative information to accurately target tumors with needles for biopsy and brachytherapy. An innovative image-guidance technique using optical devices could improve the diagnostic yield of biopsy and efficacy of radiotherapy. AIM: To evaluate the performance of multimodal PCa detection using biomolecular features from in-situ Raman spectroscopy (RS) combined with image-based (radiomics) features from multiparametric magnetic resonance images (mpMRI). APPROACH: In a prospective pilot clinical study, 18 patients were recruited and underwent high-dose-rate brachytherapy. Multimodality image fusion (preoperative mpMRI with intraoperative transrectal ultrasound) combined with electromagnetic tracking was used to navigate an RS needle in the prostate prior to brachytherapy. This resulting dataset consisted of Raman spectra and co-located radiomics features from mpMRI. Feature selection was performed with the constraint that no more than 10 features were retained overall from a combination of inelastic scattering spectra and radiomics. These features were used to train support vector machine classifiers for PCa detection based on leave-one-patient-out cross-validation. RESULTS: RS along with biopsy samples were acquired from 47 sites along the insertion trajectory of the fiber-optics needle: 26 were confirmed as benign or grade [Formula: see text] , and 21 as grade group [Formula: see text] , according to histopathological reports. The combination of the fingerprint region of the RS and radiomics showed an accuracy of 83% ([Formula: see text] and a [Formula: see text]), outperforming by more than 9% models trained with either spectroscopic or mpMRI data alone. An optimal number of features was identified between 6 and 8 features, which have good potential for discriminating grade group [Formula: see text] [Formula: see text] ([Formula: see text]) or grade group [Formula: see text] [Formula: see text] ([Formula: see text]). CONCLUSIONS: In-situ Raman spectroscopy combined with mpMRI radiomics features can lead to highly accurate PCa detection for improved in-vivo targeting of biopsy sample collection and radiotherapy seed placement

Evaluation of MRI to Ultrasound Registration Methods for Brain Shift Correction: The CuRIOUS2018 Challenge

International audienceIn brain tumor surgery, the quality and safety of the procedure can be impacted by intra-operative tissue deformation, called brain shift. Brain shift can move the surgical targets and other vital structures such as blood vessels, thus invalidating the presurgical plan. Intra-operative ultrasound (iUS) is a convenient and cost-effective imaging tool to track brain shift and tumor resection. Accurate image registration techniques that update pre-surgical MRI based on iUS are crucial but challenging. The MICCAI Challenge 2018 for Correction of Brain shift with Intra-Operative UltraSound (CuRIOUS2018) provided a public platform to benchmark MRI-iUS registration algorithms on newly released clinical datasets. In this work, we present the data, setup, evaluation, and results of CuRIOUS 2018, which received 6 fully automated algorithms from leading academic and industrial research groups. All algorithms were first trained with the public RESECT database, and then ranked based on test dataset of 10 additional cases with identical data curation and annotation protocols as the RESECT database. The article compares the results of all participating teams and discusses the insights gained from the challenge, as well as future work