Abstract-Continuing improvements in CPU and GPU performances as well as increasing multi-core processor and cluster-based parallelism demand for flexible and scalable parallel rendering solutions that can exploit multipipe hardware accelerated graphics. In fact, to achieve interactive visualization, scalable rendering systems are essential to cope with the rapid growth of data sets. However, parallel rendering systems are non-trivial to develop and often only application specific implementations have been proposed. The task of developing a scalable parallel rendering framework is even more difficult if it should be generic to support various types of data and visualization applications, and at the same time work efficiently on a cluster with distributed graphics cards. In this paper we introduce a novel system called Equalizer, a toolkit for scalable parallel rendering based on OpenGL which provides an application programming interface (API) to develop scalable graphics applications for a wide range of systems ranging from large distributed visualization clusters and multi-processor multipipe graphics systems to single-processor single-pipe desktop machines. We describe the system architecture, the basic API, discuss its advantadges over previous approaches, present example configurations and usage scenarios as well as scalability results.

Liver motion estimation and prediction during free-breathing from 2D ultrasound images can substantially reduce the in-plane motion uncertainty and hence treatment margins. Employing an accurate tracking method while avoiding non-linear temporal prediction would be favorable. This approach has the potential to shorten treatment time compared to breath-hold and gated approaches, and increase treatment efficiency and safety.

Great advancements in commodity graphics hardware have favoured graphics processing unit (GPU)-based volume rendering as the main adopted solution for interactive exploration of rectilinear scalar volumes on commodity platforms. Nevertheless, long data transfer times and GPU memory size limitations are often the main limiting factors, especially for massive, timevarying or multi-volume visualization, as well as for networked visualization on the emerging mobile devices. To address this issue, a variety of level-of-detail (LOD) data representations and compression techniques have been introduced. In order to improve capabilities and performance over the entire storage, distribution and rendering pipeline, the encoding/decoding process is typically highly asymmetric, and systems should ideally compress at data production time and decompress on demand at rendering time. Compression and LOD pre-computation does not have to adhere to real-time constraints and can be performed off-line for high-quality results. In contrast, adaptive real-time rendering from compressed representations requires fast, transient and spatially independent decompression. In this report, we review the existing compressed GPU volume rendering approaches, covering sampling grid layouts, compact representation models, compression techniques, GPU rendering architectures and fast decoding techniques.

Direct volume rendering has become a popular method for visualizing volumetric datasets. Even though computers are continually getting faster, it remains a challenge to incorporate sophisticated illumination models into direct volume rendering while maintaining interactive frame rates. In this paper, we present a novel approach for advanced illumination in direct volume rendering based on GPU ray-casting. Our approach features directional soft shadows taking scattering into account, ambient occlusion and color bleeding effects while achieving very competitive frame rates. In particular, multiple dynamic lights and interactive transfer function changes are fully supported. Commonly, direct volume rendering is based on a very simplified discrete version of the original volume rendering integral, including the development of the original exponential extinction into a-blending. In contrast to a-blending forming a product when sampling along a ray, the original exponential extinction coefficient is an integral and its discretization a Riemann sum. The fact that it is a sum can cleverly be exploited to implement volume lighting effects, i.e. soft directional shadows, ambient occlusion and color bleeding. We will show how this can be achieved and how it can be implemented on the GPU.

Ray‐based simulations have been shown to generate impressively realistic ultrasound images in interactive frame rates. Recent efforts used GPU‐based surface raytracing to simulate complex ultrasound interactions such as multiple reflections and refractions. These methods are restricted to perfectly specular reflections (i.e. following only a single reflective/refractive ray), whereas real tissue exhibits roughness of varying degree at tissue interfaces, causing partly diffuse reflections and refractions. Such surface interactions are significantly more complex and can in general not be handled by conventional deterministic raytracing approaches. However, these can be efficiently computed by Monte‐Carlo sampling techniques, where many ray paths are generated with respect to a probability distribution. In this paper, we introduce Monte‐Carlo raytracing for ultrasound simulation. This enables the realistic simulation of ultrasound‐tissue interactions such as soft shadows and fuzzy reflections. We discuss how to properly weight the contribution of each ray path in order to simulate the behaviour of a beamformed ultrasound signal. Tracing many individual rays per transducer element is easily parallelizable on modern GPUs, as opposed to previous approaches based on recursive binary raytracing. We further propose a significant performance optimization based on adaptive sampling.

Central venous pressure (CVP) information is crucial in clinical situations, such as cardiac failure, intravascular volume overload, and sepsis. The measurement of CVP, however, requires the catheterization of vena cava through the subclavian or internal jugular veins, which is an impractical and costly procedure with related risk of complications. Peripheral venous pressure (PVP), which correlates with CVP under certain patient positioning, can be measured noninvasively using ultrasound via controlled compressions of a superficial vein. This paper presents an automatic system for acquiring such noninvasive measurements. Robust signal and image processing techniques developed for this purpose are introduced in this paper. The proposed standalone mobile platform collects images in real time from the display output of any ultrasound machine, meanwhile measuring the pressure on the skin underneath the ultrasound transducer via a liquid-filled pouch. The image and pressure data are synchronized through an automated temporal calibration procedure. During forearm compressions, blood vessels are detected and tracked in the images using robust geometric (ellipse) models, the parameters of which are used further in the model-based estimation of PVP. The proposed system was tested in 56 image sequences on 14 healthy volunteers, and was shown to achieve measurements with errors comparable to or lower than the interoperator variability of expert manual assessments.

Purpose: Effectiveness of image-guided radiation therapy with precise dose delivery depends highly on accurate target localization, which may involve motion during treatment due to, e.g., breathing and drift. Therefore, it is important to track the motion and adjust the radiation delivery accordingly. Tracking generally requires reliable target appearance and image features, whereas in ultrasound imaging acoustic shadowing and other artifacts may degrade the visibility of a target, leading to substantial tracking errors. To minimize such errors, we propose a method based on so-called supporters, a computer vision tracking technique. This allows us to leverage information from surrounding motion for improving robustness of motion tracking on 2D ultrasound image sequences of the liver. Methods: Image features, potentially useful for predicting the target positions, are individually tracked and a supporter model capturing the coupling of motion between these features and the target is learned on-line. This model is then applied to predict the target position, when the target cannot be otherwise tracked reliably. Results: The proposed method was evaluated using the Challenge on Liver Ultrasound Tracking (CLUST)-2015 dataset. Leave-one-out cross validation was performed on the training set of 24 2D image sequences of each 1-5 minutes. The method was then applied on the test set (24 2D sequences), where the results were evaluated by the challenge organizers, yielding 1.04 mm mean and 2.26 mm 95%ile tracking error for all targets. We also devised a simulation framework to emulate acoustic shadowing artifacts from the ribs, which showed effective tracking despite the shadows. Conclusions: Results support the feasibility and demonstrate the advantages of using supporters. The proposed method improves its baseline tracker, which uses optic-flow and elliptic vessel models, and yields the state-of-the-art real-time tracking solution for the CLUST challenge.

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