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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.
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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.
Deep reinforcement learning (DRL) augments the reinforcement learning framework, which learns a sequence of actions that maximizes the expected reward, with the representative power of deep neural networks. Recent works have demonstrated the great potential of DRL in medicine and healthcare. This paper presents a literature review of DRL in medical imaging. We start with a comprehensive tutorial of DRL, including the latest model-free and model-based algorithms. We then cover existing DRL applications for medical imaging, which are roughly divided into three main categories: (I) parametric medical image analysis tasks including landmark detection, object/lesion detection, registration, and view plane localization; (ii) solving optimization tasks including hyperparameter tuning, selecting augmentation strategies, and neural architecture search; and (iii) miscellaneous applications including surgical gesture segmentation, personalized mobile health intervention, and computational model personalization. The paper concludes with discussions of future perspectives.
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.
The outbreak of novel coronavirus disease (COVID- 19) has claimed millions of lives and has affected all aspects of human life. This paper focuses on the application of deep learning (DL) models to medical imaging and drug discovery for managing COVID-19 disease. In this article, we detail various medical imaging-based studies such as X-rays and computed tomography (CT) images along with DL methods for classifying COVID-19 affected versus pneumonia. The applications of DL techniques to medical images are further described in terms of image localization, segmentation, registration, and classification leading to COVID-19 detection. The reviews of recent papers indicate that the highest classification accuracy of 99.80% is obtained when InstaCovNet-19 DL method is applied to an X-ray dataset of 361 COVID-19 patients, 362 pneumonia patients and 365 normal people. Furthermore, it can be seen that the best classification accuracy of 99.054% can be achieved when EDL_COVID DL method is applied to a CT image dataset of 7500 samples where COVID-19 patients, lung tumor patients and normal people are equal in number. Moreover, we illustrate the potential DL techniques in drug or vaccine discovery in combating the coronavirus. Finally, we address a number of problems, concerns and future research directions relevant to DL applications for COVID-19.
mmWave radar has been shown as an effective sensing technique in low visibility, smoke, dusty, and dense fog environment. However tapping the potential of radar sensing to reconstruct 3D object shapes remains a great challenge, due to the characteristics of radar data such as sparsity, low resolution, specularity, high noise, and multi-path induced shadow reflections and artifacts. In this paper we propose 3D Reconstruction and Imaging via mmWave Radar (3DRIMR), a deep learning based architecture that reconstructs 3D shape of an object in dense detailed point cloud format, based on sparse raw mmWave radar intensity data. The architecture consists of two back-to-back conditional GAN deep neural networks: the first generator network generates 2D depth images based on raw radar intensity data, and the second generator network outputs 3D point clouds based on the results of the first generator. The architecture exploits both convolutional neural networks convolutional operation (that extracts local structure neighborhood information) and the efficiency and detailed geometry capture capability of point clouds (other than costly voxelization of 3D space or distance fields). Our experiments have demonstrated 3DRIMRs effectiveness in reconstructing 3D objects, and its performance improvement over standard techniques.
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