We present PRETUS -a Plugin-based Real Time UltraSound software platform for live ultrasound image analysis and operator support. The software is lightweight; functionality is brought in via independent plug-ins that can be arranged in sequence. The software allows to capture the real-time stream of ultrasound images from virtually any ultrasound machine, applies computational methods and visualises the results on-the-fly. Plug-ins can run concurrently without blocking each other. They can be implemented in C ++ and Python. A graphical user interface can be implemented for each plug-in, and presented to the user in a compact way. The software is free and open source, and allows for rapid prototyping and testing of real-time ultrasound imaging methods in a manufacturer-agnostic fashion. The software is provided with input, output and processing plug-ins, as well as with tutorials to illustrate how to develop new plug-ins for PRETUS.
This paper presents a Matlab toolbox to perform basic image processing and visualization tasks, particularly designed for medical image processing. The functionalities available are similar to basic functions found in other non-Matlab widely used libraries such as the Insight Toolkit (ITK). The toolbox is entirely written in native Matlab code, but is fast and flexible. Main use cases for the toolbox are illustrated here, including image input/output, pre-processing, filtering, image registration and visualisation. Both the code and sample data are made publicly available and open source.
Ultrasound (US) imaging is one of the most commonly used non-invasive imaging techniques. However, US image acquisition requires simultaneous guidance of the transducer and interpretation of images, which is a highly challenging task that requires years of training. Despite many recent developments in intra-examination US image analysis, the results are not easy to translate to a clinical setting. We propose a generic framework to extract the US images and superimpose the results of an analysis task, without any need for physical connection or alteration to the US system. The proposed method captures the US image by tracking the screen with a camera fixed at the sonographers view point and reformats the captured image to the right aspect ratio, in 87.66 +- 3.73ms on average. It is hypothesized that this would enable to input such retrieved image into an image processing pipeline to extract information that can help improve the examination. This information could eventually be projected back to the sonographers field of view in real time using, for example, an augmented reality (AR) headset.
Motion imaging phantoms are expensive, bulky and difficult to transport and set-up. The purpose of this paper is to demonstrate a simple approach to the design of multi-modality motion imaging phantoms that use mechanically stored energy to produce motion. We propose two phantom designs that use mainsprings and elastic bands to store energy. A rectangular piece was attached to an axle at the end of the transmission chain of each phantom, and underwent a rotary motion upon release of the mechanical motor. The phantoms were imaged with MRI and US, and the image sequences were embedded in a 1D non linear manifold (Laplacian Eigenmap) and the spectrogram of the embedding was used to derive the angular velocity over time. The derived velocities were consistent and reproducible within a small error. The proposed motion phantom concept showed great potential for the construction of simple and affordable motion phantoms
Ultrasound (US) is the most widely used fetal imaging technique. However, US images have limited capture range, and suffer from view dependent artefacts such as acoustic shadows. Compounding of overlapping 3D US acquisitions into a high-resolution volume can extend the field of view and remove image artefacts, which is useful for retrospective analysis including population based studies. However, such volume reconstructions require information about relative transformations between probe positions from which the individual volumes were acquired. In prenatal US scans, the fetus can move independently from the mother, making external trackers such as electromagnetic or optical tracking unable to track the motion between probe position and the moving fetus. We provide a novel methodology for image-based tracking and volume reconstruction by combining recent advances in deep learning and simultaneous localisation and mapping (SLAM). Tracking semantics are established through the use of a Residual 3D U-Net and the output is fed to the SLAM algorithm. As a proof of concept, experiments are conducted on US volumes taken from a whole body fetal phantom, and from the heads of real fetuses. For the fetal head segmentation, we also introduce a novel weak annotation approach to minimise the required manual effort for ground truth annotation. We evaluate our method qualitatively, and quantitatively with respect to tissue discrimination accuracy and tracking robustness.
We propose a novel iterative method to adapt a a graph to d-dimensional image data. The method drives the nodes of the graph towards image features. The adaptation process naturally lends itself to a measure of feature saliency which can then be used to retain meaningful nodes and edges in the graph. From the adapted graph, we also propose the computation of a dual graph, which inherits the saliency measure from the adapted graph, and whose edges run along image features, hence producing an oversegmenting graph. The proposed method is computationally efficient and fully parallelisable. We propose two distance measures to find image saliency along graph edges, and evaluate the performance on synthetic images and on natural images from publicly available databases. In both cases, the most salient nodes of the graph achieve average boundary recall over 90%. We also apply our method to image classification on the MNIST hand-written digit dataset, using a recently proposed Deep Geometric Learning architecture, and achieving state-of-the-art classification accuracy, for a graph-based method, of 97.86%.
Post-processing algorithms play a key role in pushing the detection limits of high-contrast imaging (HCI) instruments. State-of-the-art image processing approaches for HCI enable the production of science-ready images relying on unsupervised learning techniques, such as low-rank approximations, for generating a model PSF and subtracting the residual starlight and speckle noise. In order to maximize the detection rate of HCI instruments and survey campaigns, advanced algorithms with higher sensitivities to faint companions are needed, especially for the speckle-dominated innermost region of the images. We propose a reformulation of the exoplanet detection task (for ADI sequences) that builds on well-established machine learning techniques to take HCI post-processing from an unsupervised to a supervised learning context. In this new framework, we present algorithmic solutions using two different discriminative models: SODIRF (random forests) and SODINN (neural networks). We test these algorithms on real ADI datasets from VLT/NACO and VLT/SPHERE HCI instruments. We then assess their performances by injecting fake companions and using receiver operating characteristic analysis. This is done in comparison with state-of-the-art ADI algorithms, such as ADI-PCA. This study shows the improved sensitivity vs specificity trade-off of the proposed approach. At the diffraction limit, SODINN improves the true positive rate by a factor ranging from ~2 to ~10 (depending on the dataset and angular separation) with respect to ADI-PCA when working at the same false positive level. The proposed supervised detection framework outperforms state-of-the-art techniques in the task of discriminating planet signal from speckles. In addition, it offers the possibility of re-processing existing HCI databases to maximize their scientific return and potentially improve the demographics of directly imaged exoplanets.
