398 research outputs found
Feasibility of transabdominal electrohysterography for analysis of uterine activity in nonpregnant women
Purpose: Uterine activity plays a key role in reproduction, and altered patterns of uterine contractility have been associated with important physiopathological conditions, such as subfertility, dysmenorrhea, and endometriosis. However, there is currently no method to objectively quantify uterine contractility outside pregnancy without interfering with the spontaneous contraction pattern. Transabdominal electrohysterography has great potential as a clinical tool to characterize noninvasively uterine activity, but results of this technique in nonpregnant women are poorly documented. The purpose of this study is to investigate the feasibility of transabdominal electrohysterography in nonpregnant women.
Methods: Longitudinal measurements were performed on 22 healthy women in 4 representative phases of the menstrual cycle. Twelve electrohysterogram-based indicators previously validated in pregnancy have been estimated and compared in the 4 phases of the cycle. Using the Tukey honest significance test, significant differences were defined for P values below .05.
Results: Half of the selected electrohysterogram-based indicators showed significant differences between menses and at least 1 of the other 3 phases, that is the luteal phase.
Conclusion: Our results suggest transabdominal electrohysterography to be feasible for analysis of uterine activity in nonpregnant women. Due to the lack of a golden standard, this feasibility study is indirectly validated based on physiological observations. However, these promising results motivate further research aiming at evaluating electrohysterography as a method to improve understanding and management of dysfunctions (possibly) related to altered uterine contractility, such as infertility, endometriosis, and dysmenorrhea
Exploiting flow dynamics for super-resolution in contrast-enhanced ultrasound
Ultrasound localization microscopy offers new radiation-free diagnostic tools
for vascular imaging deep within the tissue. Sequential localization of echoes
returned from inert microbubbles with low-concentration within the bloodstream
reveal the vasculature with capillary resolution. Despite its high spatial
resolution, low microbubble concentrations dictate the acquisition of tens of
thousands of images, over the course of several seconds to tens of seconds, to
produce a single super-resolved image. %since each echo is required to be well
separated from adjacent microbubbles. Such long acquisition times and stringent
constraints on microbubble concentration are undesirable in many clinical
scenarios. To address these restrictions, sparsity-based approaches have
recently been developed. These methods reduce the total acquisition time
dramatically, while maintaining good spatial resolution in settings with
considerable microbubble overlap. %Yet, non of the reported methods exploit the
fact that microbubbles actually flow within the bloodstream. % to improve
recovery. Here, we further improve sparsity-based super-resolution ultrasound
imaging by exploiting the inherent flow of microbubbles and utilize their
motion kinematics. While doing so, we also provide quantitative measurements of
microbubble velocities. Our method relies on simultaneous tracking and
super-localization of individual microbubbles in a frame-by-frame manner, and
as such, may be suitable for real-time implementation. We demonstrate the
effectiveness of the proposed approach on both simulations and {\it in-vivo}
contrast enhanced human prostate scans, acquired with a clinically approved
scanner.Comment: 11 pages, 9 figure
Longitudinally Tracking Maternal Autonomic Modulation During Normal Pregnancy With Comprehensive Heart Rate Variability Analyses
Changes in the maternal autonomic nervous system are essential in facilitating the physiological changes that pregnancy necessitates. Insufficient autonomic adaptation is linked to complications such as hypertensive diseases of pregnancy. Consequently, tracking autonomic modulation during progressing pregnancy could allow for the early detection of emerging deteriorations in maternal health. Autonomic modulation can be longitudinally and unobtrusively monitored by assessing heart rate variability (HRV). Yet, changes in maternal HRV (mHRV) throughout pregnancy remain poorly understood. In previous studies, mHRV is typically assessed only once per trimester with standard HRV features. However, since gestational changes are complex and dynamic, assessing mHRV comprehensively and more frequently may better showcase the changing autonomic modulation over pregnancy. Subsequently, we longitudinally (median sessions = 8) assess mHRV in 29 healthy pregnancies with features that assess sympathetic and parasympathetic activity, as well as heart rate (HR) complexity, HR responsiveness and HR fragmentation. We find that vagal activity, HR complexity, HR responsiveness, and HR fragmentation significantly decrease. Their associated effect sizes are small, suggesting that the increasing demands of advancing gestation are well tolerated. Furthermore, we find a notable change in autonomic activity during the transition from the second to third trimester, highlighting the dynamic nature of changes in pregnancy. Lastly, while we saw the expected rise in mean HR with gestational age, we also observed increased autonomic deceleration activity, seemingly to counter this rising mean HR. These results are an important step towards gaining insights into gestational physiology as well as tracking maternal health via mHRV
Deep Proximal Learning for High-Resolution Plane Wave Compounding
Plane Wave imaging enables many applications that require high frame rates, including localisation microscopy, shear wave elastography, and ultra-sensitive Doppler. To alleviate the degradation of image quality with respect to conventional focused acquisition, typically, multiple acquisitions from distinctly steered plane waves are coherently (i.e. after time-of-flight correction) compounded into a single image. This poses a trade-off between image quality and achievable frame-rate. To that end, we propose a new deep learning approach, derived by formulating plane wave compounding as a linear inverse problem, that attains high resolution, high-contrast images from just 3 plane wave transmissions. Our solution unfolds the iterations of a proximal gradient descent algorithm as a deep network, thereby directly exploiting the physics-based generative acquisition model into the neural network design. We train our network in a greedy manner, i.e. layer-by-layer, using a combination of pixel, temporal, and distribution (adversarial) losses to achieve both perceptual fidelity and data consistency. Through the strong model-based inductive bias, the proposed architecture outperforms several standard benchmark architectures in terms of image quality, with a low computational and memory footprint
Ultrasound Signal Processing: From Models to Deep Learning
Medical ultrasound imaging relies heavily on high-quality signal processing
algorithms to provide reliable and interpretable image reconstructions.
Hand-crafted reconstruction methods, often based on approximations of the
underlying measurement model, are useful in practice, but notoriously fall
behind in terms of image quality. More sophisticated solutions, based on
statistical modelling, careful parameter tuning, or through increased model
complexity, can be sensitive to different environments. Recently, deep learning
based methods have gained popularity, which are optimized in a data-driven
fashion. These model-agnostic methods often rely on generic model structures,
and require vast training data to converge to a robust solution. A relatively
new paradigm combines the power of the two: leveraging data-driven deep
learning, as well as exploiting domain knowledge. These model-based solutions
yield high robustness, and require less trainable parameters and training data
than conventional neural networks. In this work we provide an overview of these
methods from the recent literature, and discuss a wide variety of ultrasound
applications. We aim to inspire the reader to further research in this area,
and to address the opportunities within the field of ultrasound signal
processing. We conclude with a future perspective on these model-based deep
learning techniques for medical ultrasound applications
Learning Sub-Sampling and Signal Recovery with Applications in Ultrasound Imaging
Limitations on bandwidth and power consumption impose strict bounds on data
rates of diagnostic imaging systems. Consequently, the design of suitable (i.e.
task- and data-aware) compression and reconstruction techniques has attracted
considerable attention in recent years. Compressed sensing emerged as a popular
framework for sparse signal reconstruction from a small set of compressed
measurements. However, typical compressed sensing designs measure a
(non)linearly weighted combination of all input signal elements, which poses
practical challenges. These designs are also not necessarily task-optimal. In
addition, real-time recovery is hampered by the iterative and time-consuming
nature of sparse recovery algorithms. Recently, deep learning methods have
shown promise for fast recovery from compressed measurements, but the design of
adequate and practical sensing strategies remains a challenge. Here, we propose
a deep learning solution termed Deep Probabilistic Sub-sampling (DPS), that
learns a task-driven sub-sampling pattern, while jointly training a subsequent
task model. Once learned, the task-based sub-sampling patterns are fixed and
straightforwardly implementable, e.g. by non-uniform analog-to-digital
conversion, sparse array design, or slow-time ultrasound pulsing schemes. The
effectiveness of our framework is demonstrated in-silico for sparse signal
recovery from partial Fourier measurements, and in-vivo for both anatomical
image and tissue-motion (Doppler) reconstruction from sub-sampled medical
ultrasound imaging data
.Blood flow patterns estimation in the left ventricle with low-rate 2D and 3D dynamic contrast-enhanced ultrasound
a b s t r a c t Background and Objective : Left ventricle (LV) dysfunction always occurs at early heart-failure stages, pro- ducing variations in the LV flow patterns. Cardiac diagnostics may therefore benefit from flow-pattern analysis. Several visualization tools have been proposed that require ultrafast ultrasound acquisitions. However, ultrafast ultrasound is not standard in clinical scanners. Meanwhile techniques that can handle low frame rates are still lacking. As a result, the clinical translation of these techniques remains limited, especially for 3D acquisitions where the volume rates are intrinsically low. Methods : To overcome these limitations, we propose a novel technique for the estimation of LV blood velocity and relative-pressure fields from dynamic contrast-enhanced ultrasound (DCE-US) at low frame rates. Different from other methods, our method is based on the time-delays between time-intensity curves measured at neighbor pixels in the DCE-US loops. Using Navier-Stokes equation, we regularize the obtained velocity fields and derive relative-pressure estimates. Blood flow patterns were characterized with regard to their vorticity, relative-pressure changes (dp/dt) in the LV outflow tract, and viscous energy loss, as these reflect the ejection efficiency. Results : We evaluated the proposed method on 18 patients (9 responders and 9 non-responders) who un- derwent cardiac resynchronization therapy (CRT). After CRT, the responder group evidenced a significant (p < 0.05) increase in vorticity and peak dp/dt, and a non-significant decrease in viscous energy loss. No significant difference was found in the non-responder group. Relative feature variation before and after CRT evidenced a significant difference (p < 0.05) between responders and non-responders for vorticity and peak dp/dt. Finally, the method feasibility is also shown with 3D DCE-US. Conclusions : Using the proposed method, adequate visualization and quantification of blood flow patterns are successfully enabled based on low-rate DCE-US of the LV, facilitating the clinical adoption of the method using standard ultrasound scanners. The clinical value of the method in the context of CRT is also shown
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