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Register a new userAutomatic Frame Selection using CNN in Ultrasound Elastography
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Ultrasound elastography is used to estimate the mechanical properties of the tissue by monitoring its response to an internal or external force. Different levels of deformation are obtained from different tissue types depending on their mechanical properties, where stiffer tissues deform less. Given two radio frequency (RF) frames collected before and after some deformation, we estimate displacement and strain images by comparing the RF frames. The quality of the strain image is dependent on the type of motion that occurs during deformation. In-plane axial motion results in high-quality strain images, whereas out-of-plane motion results in low-quality strain images. In this paper, we introduce a new method using a convolutional neural network (CNN) to determine the suitability of a pair of RF frames for elastography in only 5.4 ms. Our method could also be used to automatically choose the best pair of RF frames, yielding a high-quality strain image. The CNN was trained on 3,818 pairs of RF frames, while testing was done on 986 new unseen pairs, achieving an accuracy of more than 91%. The RF frames were collected from both phantom and in vivo data.
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It is known that changes in the mechanical properties of tissues are associated with the onset and progression of certain diseases. Ultrasound elastography is a technique to characterize tissue stiffness using ultrasound imaging either by measuring tissue strain using quasi-static elastography or natural organ pulsation elastography, or by tracing a propagated shear wave induced by a source or a natural vibration using dynamic elastography. In recent years, deep learning has begun to emerge in ultrasound elastography research. In this review, several common deep learning frameworks in the computer vision community, such as multilayer perceptron, convolutional neural network, and recurrent neural network are described. Then, recent advances in ultrasound elastography using such deep learning techniques are revisited in terms of algorithm development and clinical diagnosis. Finally, the current challenges and future developments of deep learning in ultrasound elastography are prospected.
In this paper, we propose Plane Wave Elastography (PWE), a novel ultrasound shear wave elastography (SWE) approach. Currently, commercial methods for SWE rely on directional filtering based on the prior knowledge of the wave propagation direction, to remove complicated wave patterns formed due to reflection and refraction. The result is a set of decomposed directional waves that are separately analyzed to construct shear modulus fields that are then combined through compounding. Instead, PWE relies on a rigorous representation of the wave propagation using the frequency-domain scalar wave equation to automatically select appropriate propagation directions and simultaneously reconstruct shear modulus fields. Specifically, assuming a homogeneous, isotropic, incompressible, linear-elastic medium, we represent the solution of the wave equation using a linear combination of plane waves propagating in arbitrary directions. Given this closed-form solution, we formulate the SWE problem as a nonlinear least-squares optimization problem which can be solved very efficiently. Through numerous phantom studies, we show that PWE can handle complicated waveforms without prior filtering and is competitive with state-of-the-art that requires prior filtering based on the knowledge of propagation directions.
Ultrasound elasticity images which enable the visualization of quantitative maps of tissue stiffness can be reconstructed by solving an inverse problem. Classical model-based approaches for ultrasound elastography use deterministic finite element methods (FEMs) to incorporate the governing physical laws resulting in poor performance in noisy conditions. Moreover, these approaches utilize fixed regularizers for various tissue patterns while appropriate data-adaptive priors might be required for capturing the complex spatial elasticity distribution. In this regard, we propose a joint model-based and learning-based framework for estimating the elasticity distribution by solving a regularized optimization problem. We present an integrated objective function composed of a statistical physics-based forward model and a data-driven regularizer to leverage deep neural networks for learning the underlying elasticity prior. This constrained optimization problem is solved using the gradient descent (GD) method and the gradient of regularizer is simply replaced by the residual of the trained denoiser network for having an explicit objective function with reduced computation time.
Ultrasound elastography is an emerging noninvasive imaging technique wherein pathological alterations can be visualized by revealing the mechanical properties of the tissue. Estimating tissue displacement in all directions is required to accurately estimate the mechanical properties. Despite capabilities of elastography techniques in estimating displacement in both axial and lateral directions, estimation of axial displacement is more accurate than lateral direction due to higher sampling frequency, higher resolution and having a carrier signal propagating in the axial direction. Among different ultrasound imaging techniques, Synthetic Aperture (SA) has better lateral resolution than others, but it is not commonly used for ultrasound elastography due to its limitation in imaging depth of field. Virtual source synthetic aperture (VSSA) imaging is a technique to implement synthetic aperture beamforming on the focused transmitted data to overcome limitation of SA in depth of field while maintaining the same lateral resolution as SA. Besides lateral resolution, VSSA has the capability of increasing sampling frequency in the lateral direction without interpolation. In this paper, we utilize VSSA to perform beamforming to enable higher resolution and sampling frequency in the lateral direction. The beamformed data is then processed using our recently published elastography technique, OVERWIND [1]. Simulation and experimental results show substantial improvement in estimation of lateral displacements.
Convolutional Neural Networks (CNN) have been found to have great potential in optical flow problems thanks to an abundance of data available for training a deep network. The displacement estimation step in UltraSound Elastography (USE) can be viewed as an optical flow problem. Despite the high performance of CNNs in optical flow, they have been rarely used for USE due to unique challenges that both input and output of USE networks impose. Ultrasound data has much higher high-frequency content compared to natural images. The outputs are also drastically different, where displacement values in USE are often smooth without sharp motions or discontinuities. The general trend is currently to use pre-trained networks and fine-tune them on a small simulation ultrasound database. However, realistic ultrasound simulation is computationally expensive. Also, the simulation techniques do not model complex motions, nonlinear and frequency-dependent acoustics, and many sources of artifact in ultrasound imaging. Herein, we propose an unsupervised fine-tuning technique which enables us to employ a large unlabeled dataset for fine-tuning of a CNN optical flow network. We show that the proposed unsupervised fine-tuning method substantially improves the performance of the network and reduces the artifacts generated by networks trained on computer vision databases.
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