This paper introduces a 2-D strain imaging technique based on minimizing a cost function using dynamic programming (DP). The cost function incorporates similarity of echo amplitudes and displacement continuity. Since tissue deformations are smooth, the incorporation of the smoothness into the cost function results in reduced decorrelation noise. As a result, the method generates high-quality strain images of freehand palpation elastography with up to 10% compression, showing that the method is more robust to signal decorrelation (caused by scatterer motion in high axial compression and nonaxial motions of the probe) in comparison to the standard correlation techniques. The method operates in less than 1 s and is thus also potentially suitable for real time elastography.
Abstract. In Total Hip Replacement (THR) procedures, misalignment of the acetabular component can lead to dislocation and impingement. For the successful alignment of acetabular component, precise estimation of pelvic anatomical coordinate system is necessary. Conventional navigation systems use CT scan or fluoroscopy, or involve implanted bone fiducials or invasive probing of bony landmarks to locate the anatomical coordinate. In this paper, an ultrasound-based approach is proposed that exploits prior knowledge about the anatomy of the pelvis in the form of a 3D surface atlas. Tracked ultrasound images are utilized to extract sample points from the surface of the pelvis. A generic coordinate system in the specific patient is localized by registering these points to a statistical atlas of the pelvis in which a canonical anatomical coordinate system had been defined. This technique has been evaluated using simulation, dry bone, and cadaver experiments and was able to localize the anatomical coordinate system with the accuracy of about 1 degree.
Ultrasound transducers are commonly tracked in modern ultrasound navigation/guidance systems. In this paper, we demonstrate the advantages of incorporating tracking information into ultrasound elastography for clinical applications. First, we address a common limitation of freehand palpation: speckle decorrelation due to out-of-plane probe motion. We show that by automatically selecting pairs of radio frequency (RF) frames with minimal lateral and out-of-plane motions combined with a fast and robust displacement estimation technique greatly improves in-vivo elastography results. We also use tracking information and image quality measure to fuse multiple images with similar strain that are taken roughly from the same location to obtain a high quality elastography image. Finally, we show that tracking information can be used to give the user partial control over the rate of compression. Our methods are tested on tissue mimicking phantom and experiments have been conducted on intra-operative data acquired during animal and human experiments involving liver ablation. Our results suggest that in challenging clinical conditions, our proposed method produces reliable strain images and eliminates the need for a manual search through the ultrasound data in order to find RF pairs suitable for elastography.
With real-time instrument tracking and in-situ guidance projection directly integrated in a handheld ultrasound imaging probe, needle-based interventions such as biopsies become much simpler to perform than with conventionally-navigated systems. Stereo imaging with needle detection can be made sufficiently robust and accurate to serve as primary navigation input. We describe the low-cost, easy-to-use approach used in the Clear Guide ONE generic navigation accessory for ultrasound machines, outline different available guidance methods, and provide accuracy results from phantom trials.
3D registration of ultrasound images is an important and fast-growing research area with various medical applications, such as image-guided radiotherapy and surgery. However, this registration process is extremely challenging due to the deformation of soft tissue and the existence of speckles in these images. This paper presents a novel intra-modality elastic registration technique for 3D ultrasound images. It uses the general concept of attribute vectors to find the corresponding voxels in the fixed and moving images. The method does not require any pre-segmentation and does not employ any numerical optimization procedure. Therefore, the computational requirements are very low and it has the potential to be used for real-time applications. The technique is implemented and tested for 3D ultrasound images of liver, captured by a 3D ultrasound transducer. The results show that the method is sufficiently accurate and robust and does not easily get trapped with local minima.
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