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Background: Ultrasound imaging is the most frequently performed for the patients with chronic hepatitis or liver cirrhosis. However, ultrasound imaging is highly operator dependent and interpretation of ultrasound images is subjective, thus well-trained radiologist is required for evaluation. Automated classification of liver fibrosis could alleviate the shortage of skilled radiologist especially in low-to-middle income countries. The purposed of this study is to evaluate deep convolutional neural networks (DCNNs) for classifying the degree of liver fibrosis according to the METAVIR score using US images. Methods: We used ultrasound (US) images from two tertiary university hospitals. A total of 7920 US images from 933 patients were used for training/validation of DCNNs. All patient were underwent liver biopsy or hepatectomy, and liver fibrosis was categorized based on pathology results using the METAVIR score. Five well-established DCNNs (VGGNet, ResNet, DenseNet, EfficientNet and ViT) was implemented to predict the METAVIR score. The performance of DCNNs for five-level (F0/F1/F2/F3/F4) classification was evaluated through area under the receiver operating characteristic curve (AUC) with 95% confidential interval, accuracy, sensitivity, specificity, positive and negative likelihood ratio. Results: Similar mean AUC values were achieved for five models; VGGNet (0.96), ResNet (0.96), DenseNet (0.95), EfficientNet (0.96), and ViT (0.95). The same mean accuracy (0.94) and specificity values (0.96) were yielded for all models. In terms of sensitivity, EffcientNet achieved highest mean value (0.85) while the other models produced slightly lower values range from 0.82 to 0.84. Conclusion: In this study, we demonstrated that DCNNs can classify the staging of liver fibrosis according to METAVIR score with high performance using conventional B-mode images. Among them, EfficientNET that have fewer parameters and computation cost produced highest performance. From the results, we believe that DCNNs based classification of liver fibrosis may allow fast and accurate diagnosis of liver fibrosis without needs of additional equipment for add-on test and may be powerful tool for supporting radiologists in clinical practice. [ABSTRACT FROM AUTHOR]

Low-complexity ultrasound systems are increasingly desired for both wearable, point-of-care ultrasound and high-end massive-channel ultrasound for 3-D matrix imaging. However, the imaging capabilities, including spatial resolution and contrast, could suffer as low complexity systems are pursued, which remains as an unresolved tradeoff. To mitigate this limitation, this study revisits the general structures of analog and digital beamformers and introduces a hybrid approach, referred to as analog-digital hybrid beamforming, to implement efficient ultrasound systems. The suggested hybrid beamforming takes two stages sequentially, where the first analog stage partially beamforms M-channel RF signals to N sum-out data (i.e., M-to-N beamforming), and the second digital stage beamforms N partial sums to single final beamformed data (i.e., N-to-1 beamforming). Our approach was systematically designed and implemented with only four major integrated circuits, which was capable of driving full 64-channel transmission and reception. The developed system was demonstrated with a customized 64-channel 1-D phased array using a commercial tissue mimicking phantom. From the phantom imaging results, signal-to-noise ratio, contrast-to-noise ratio, and full beam width at half maximum values were quantitatively evaluated. The demonstrated results indicate that the analog-digital hybrid beamforming can be applied to any type of array for sophisticated 3-D imaging and tiny wearable ultrasound applications. [ABSTRACT FROM AUTHOR]

Objective: Two-dimensional (2D) photoacoustic (PA) imaging based on array transducers provide high spatial resolution in the lateral direction by adopting receive dynamic focusing. However, the quality of PA image is often deteriorated by poor elevational resolution which is achieved by an acoustic lens. To overcome this limitation, we present a three-dimensional (3D) image reconstruction method using a commercial one-dimensional (1D) array transducer. Methods: In the method, the elevational resolution is improved by applying synthetic aperture focusing (SAF) technique along the elevational direction. For this, a commercially available 1D array transducer with an acoustic lens is modeled and appropriate synthetic focusing delay that can minimize the effect of the acoustic lens is derived by mathematical analysis. Results: From the simulation and experiment results, it was demonstrated that the proposed method can enhance the image quality of PA imaging, i.e., elevational resolution and signal-to-noise ratio (SNR). Conclusion: 3D PA images with improved elevational resolution were achieved using a clinical 1D array transducer. Significance: The presented method may be useful for clinical application such as detecting microcalcification, imaging of tumor vasculature and guidance of biopsy in real time. [ABSTRACT FROM AUTHOR]

Objective: Although plane wave imaging (PWI) with multiple plane waves (PWs) steered at different angles enables ultrafast three-dimensional (3-D) ultrasonic imaging, there is still a challenging tradeoff between image quality and frame rate. To address this challenge, we recently proposed the aperiodic PWI (APWI) with mathematical analysis and simulation study. In this paper, we demonstrate the feasibility of APWI and evaluate the performance with phantom and in vivo experiments. Methods: APWI with a concentric ring angle pattern (APWI-C) and APWI with a sunflower pattern (APWI-S) are evaluated. For experimental verification of the methods, the experimental results are compared with simulation results in terms of the spatial resolution and the mainlobe-to-sidelobe ratio. In addition, the performance of APWI is compared with that of conventional PWI by using a commercial phantom. To examine the potential for clinical use of APWI, a gallstone phantom study and an in vivo carotid artery experiment are also conducted. Results: In the phantom study, the APWI methods provide a contrast ratio approximately 2–3 dB higher than that of PWI. In a gallstone experiment, the proposed methods yield 3-D rendered stone images more similar to the real stones than PWI. In the in vivo carotid artery images, APWI reduces the clutter artifacts inside the artery. Conclusion: Phantom and in vivo studies show that the APWI enhances the contrast without compromising the spatial resolution and frame rate. Significance: This study experimentally demonstrates the feasibility and advantage of APWI for ultrafast 3-D ultrasonic imaging. [ABSTRACT FROM AUTHOR]

Objective: The ultrasound baseband in-phase/quadrature beamformer (IQBF) has been widely employed in medical ultrasound imaging to reduce the amount of channel data or to decrease the data rate of the beamforming process. The aim of this study is to assess the effect of the time and phase delay compensation accuracies on the IQBF and thereby to suggest the criteria for selecting the delay resolutions of the IQBF. Methods: Mathematical models of the gain loss (GL) and sidelobe level (SL) in closed form are suggested, and the relationships between the parameters (time and phase delay resolutions of the IQBF and the signal bandwidth) and the errors (GL and SL) are investigated. The performance of the IQBF is compared with that of the traditional radio-frequency beamformer (RFBF). Simulation and phantom and in vivo experimental results are shown to corroborate the theoretical analysis. Results and Conclusion: Theoretical analysis and simulation and experimental results show that a phase delay resolution with a quantization step of 2π/64 is sufficient for phase compensation and that a time delay resolution with a sampling rate of 4f0 and 2f0 in the IQBF is sufficient for data with a –6 dB bandwidth of 50% and 25%, respectively, for similar performance as the RFBF with a sampling rate of 16f0, where f0 is the center frequency of the ultrasound signal. Significance: The suggested criteria have the potential to be used for designing an efficient IQBF satisfying the desired specifications and beamforming accuracy. [ABSTRACT FROM AUTHOR]

Sparse arrays have been studied mainly to reduce the large numbers of elements in 2-D arrays. However, they can also provide an effective means of miniaturizing ultrasound 1-D array systems for point-of-care applications. Although a variety of sparse array design strategies have been proposed, designing an optimum sparse array to simultaneously satisfy the system specification requirements and performance criteria remains a challenge. This article presents an analytical approach for the design of an optimum pair of periodic sparse arrays (PSAs), one for transmission and the other for reception. The approach is based on three newly derived theorems that describe the most important properties of the two PSAs forming the sparse array pair and their relationship pertaining to the overall beam pattern. The proposed approach can be used to design 1-D sparse array pairs with arbitrary sparseness factors while meeting given performance criteria. The computer simulation verified that the spatial resolution of a 64-element phased array can be obtained with a PSA pair consisting of transmit and receive sparse arrays, of which the number of elements is reduced to 32 and 22, respectively. [ABSTRACT FROM AUTHOR]

Three-dimensional plane wave imaging (PWI) with a 2-D array has been studied for ultrafast volumetric imaging in medical ultrasound. Compared to 2-D PWI, 3-D PWI requires the transmission of an increased number of plane waves (PWs) to scan a volume of interest and achieve transmit dynamic focusing in both the lateral and elevational directions. To reduce the number of PW angles for a given 2-D angular range by mitigating the grating lobe level, we propose two aperiodic patterns of PW angles: concentric rings with a uniform radial interval and the well-known sunflower pattern. Both patterns are validated to provide uniform angle distributions without regular periodicity, and thereby reduce the grating lobe level compared to a periodic angle distribution with the same number of PW angles. Simulation studies show that the aperiodic patterns enhance the contrast of B-mode images by approximately 3–6 dB over all depths. This enhancement implies that the aperiodic angle sets can increase the volume rate by approximately 2–6 times compared to the periodic angle set at the same contrast and spatial resolution. [ABSTRACT FROM AUTHOR]

The spatiotemporal accuracy of passive acoustic mapping (PAM) for monitoring in situ cavitation bubbles has not been assessed directly via optical means. Here, the cavitation bubbles are monitored from two image sequences obtained simultaneously with PAM and high-speed photography (HSP). The temporal accuracy of PAM for detecting cavitation nucleation and the spatial resolution for cavitation localization are compared with those measured from HSP. The results show that PAM has a temporal accuracy of 20 μ s. Mean differences in the spatial locations of PAM and HSP are as small as 10.0 and 30.5 μm along the lateral and axial directions, respectively. [ABSTRACT FROM AUTHOR]

In this study, we sought to describe a novel imaging apparatus that is lightweight, inexpensive, and highly effective for use in colorectal diagnostic and treatment settings. Typical probes for use in colorectal ultrasonic imaging applications are developed for surgeons to diagnose and stage rectal tumors and image the rectum and anus. Here we outline a new technique and use it for colorectal imaging in an animal. This technique involves use of an ultrasound array module positioned along the axis of rotation such that improved rotation is possible. This module is in the shape of a linear rod with a rotary linear component that allows for emission of focused ultrasonic echo signals from a linear section of the probe. The usability of the transducer and rectal image quality are satisfactory in a porcine model with the technique proposed here, axial/lateral resolution as 0.96/2.24 mm with 6 dB applied through the contour map using the point spread function. When compared to currently available methods, this technique provides superior diagnostic 3D volumetric image quality with reduced acquisition time. Given this, the ultrasound device proposed here may prove a viable and preferable method to those currently available for urology and colorectal imaging applications. [ABSTRACT FROM AUTHOR]

Synthetic transmit focusing (STF) methods using unfocused waves or plane waves (PWs) have recently been investigated extensively. However, STF using PWs with a convex array (PWSTF-CA) has not been rigorously studied for high-resolution sector imaging. In this paper, the authors suggest an analytical model for accurate characterization of the spatial beam patterns of PWSTF-CA using a large range of either uniformly or non-uniformly distributed PW angles. On the basis of the model, a frame-based PWSTF-CA approach with non-uniform PW angles is suggested to achieve superior image quality at a higher frame rate than conventional transmit focusing (CTF). The analytical model can also be used for optimal selection of a set of PW angles to scan the entire sectorial field of view and its subsets employed for STF at each imaging point. The authors also investigate how to select transmit subarrays for each of the PWs to obtain the best spatial resolution. A theoretical analysis and simulations are conducted for the verification of the analytical model and the optimal utilization strategy of PWSTF-CA. The results indicate that the PWSTF-CA improves not only the frame rate but also the contrast, signal-to-noise ratio, and resolution compared with the CTF, as in the case of PWSTF with linear arrays. [ABSTRACT FROM AUTHOR]

Plane wave imaging has been proven to provide transmit beams with a narrow and uniform beam width throughout the imaging depth. The transmit beam pattern, however, exhibits strong grating lobes that have to be suppressed by a tightly focused receive beam pattern. In this paper, we present the conditions of grating lobe occurrence by analyzing the synthetic transmit beam pattern. Based on the analysis, the threshold of the angle interval is presented to completely eliminate grating lobe problems when using uniformly distributed plane wave angles. However, this threshold requires a very small angle interval (or, equivalently, too many angles). We propose the use of non-uniform plane wave angles to disperse the grating lobes in the spatial domain. In this paper, we present an approach using two uniform angle sets with different intervals to generate a non-uniform angle set. The proposed methods were verified by continuous-wave transmit beam patterns and broad-band 2D point spread functions obtained by computer simulations. [ABSTRACT FROM AUTHOR]

In this paper, we present a novel system-on-chip (SOC) solution for a portable ultrasound imaging system (PUS) for point-of-care applications. The PUS-SOC includes all of the signal processing modules (i.e., the transmit and dynamic receive beamformer modules, mid- and back-end processors, and color Doppler processors) as well as an efficient architecture for hardware-based imaging methods (e.g., dynamic delay calculation, multi-beamforming, and coded excitation and compression). The PUS-SOC was fabricated using a UMC 130-nm NAND process and has 16.8 GFLOPS of computing power with a total equivalent gate count of 12.1 million, which is comparable to a Pentium-4 CPU. The size and power consumption of the PUS-SOC are 27\times 27~mm^2 and 1.2 W, respectively. Based on the PUS-SOC, a prototype hand-held US imaging system was implemented. Phantom experiments demonstrated that the PUS-SOC can provide appropriate image quality for point-of-care applications with a compact PDA size (200\times 120\times 45~mm^3) and 3 hours of battery life. [ABSTRACT FROM PUBLISHER]

Background: The aim of this study was to evaluate the diagnostic utility of PAI at detecting thyroid microcalcifications at 700 nm laser wavelengths. Methods: This study included 36 resected samples in 18 patients. To evaluate the PA manifestation of microcalcifications in PAI, gray level histogram and co-occurrence matrix (COM) texture parameters were extracted from the 3 fixed ROI US and PA images, respectively, per sample. We compared the textural parameters obtained from specimen PAIs between samples with punctate microcalcifications on specimen radiography and those without microcalcifications. Results: On specimen US, the mean value (2748.4±862.5) of samples with microcalcifications on specimen radiography was higher than that (1961.9±780.2) of those without microcalcifications (P = 0.007). However, there were no significant differences in textural parameters obtained from specimen PAIs between samples with punctate microcalcifications on specimen radiography and those without when applying both the mean value of the three slices of thyroid specimens and the value of the thyroid specimen slice which had the highest value of the mean values in specimen US. Conclusion: PAI did not show significant PA contrast on thyroid microcalcifications indicating that the experimental setup and protocols should be enhanced, e.g., method of complete blood rejection from ex vivo specimens, the multi-wavelength spectroscopic PA imaging method which can solely extract the PA signal from microcalcifications even with high spectral interferences, or PA imaging with narrower slice thickness using 2-dimensional array transducer, etc. [ABSTRACT FROM AUTHOR]

In medical ultrasound imaging, lateral resolution is limited when using a fixed transmit focusing. Various synthetic aperture (SA) techniques, in which two-way dynamic focusing is enabled by utilizing prebeamformed radio-frequency (RF) data have been proposed for improving the spatial resolution. However, SA methods were not extensively evaluated in terms of their clinical performance. In this paper, a phantom and an in vivo evaluation of the SA method with bidirectional pixel-based focusing (BiPBF) is presented in comparison with the conventional beamforming. The performance of the proposed SA-BiPBF was assessed with a blind study and the established breast imaging–reporting and data system (BI-RADS), in addition to measuring contrast-to-noise ratio (CNR) and signal-to-noise ratio (SNR). Prebeamformed RF data were acquired from a tissue mimicking phantom (Model 040, CIRS Inc., Norfolk, VA, USA) and from patients with breast lesions by using a commercial ultrasound scanning system with a linear array transducer equipped with a research package and parallel data acquisition system (SonixTouch, SonixDAQ, and L14-5/38, Ultrasonix Corp., Canada). In phantom and in vivo experiments, a default setting of a breast preset was applied (e.g., the center frequency of 10 MHz and acoustic output of MI = 0.66). In phantom experiment, the SA-BiPBF method showed higher CNR and SNR values compared to the conventional method (3.4 and 23.9 dB versus 3.1 and 15.8 dB, respectively). In addition, the lateral resolution and penetration depth were increased by 95.4% and 40.3%, respectively. Consistent with the phantom experiment, in the in vivo experiment with ten patients, the CNR value for the SA method was 3.3 \pm 0.5 compared to 2.8 \pm 0.8 for the conventional method. Similarly, the SNR values with the SA-BiPBF and conventional methods were 34.0 \pm 3.6 and 27.2 \pm 3.4 dB, respectively. From the experiments, it was shown in side-by-side comparisons that the image quality of the SA-BiPBF method was considerably improved in both phantom and in vivo breast images. However, the SA-BiPBF image showed different features compared to the conventional one in the in vivo experiments. These features are resulting from the increased image quality of the SA-BiPBF method but are not always perceived as improvements by the radiologists. [ABSTRACT FROM PUBLISHER]

Point-of-care ultrasound (POCUS), realized by recent developments in portable ultrasound imaging systems for prompt diagnosis and treatment, has become a major tool in accidents or emergencies. Concomitantly, the number of untrained/unskilled staff not familiar with the operation of the ultrasound system for diagnosis is increasing. By providing an imaging guide to assist clinical decisions and support diagnosis, the risk brought by inexperienced users can be managed. Recently, deep learning has been employed to guide users in ultrasound scanning and diagnosis. However, in a cloud-based ultrasonic artificial intelligence system, the use of POCUS is limited due to information security, network integrity, and significant energy consumption. To address this, we propose (1) a structure that simultaneously provides ultrasound imaging and a mobile device-based ultrasound image guide using deep learning, and (2) a reverse scan conversion (RSC) method for building an ultrasound training dataset to increase the accuracy of the deep learning model. Experimental results show that the proposed structure can achieve ultrasound imaging and deep learning simultaneously at a maximum rate of 42.9 frames per second, and that the RSC method improves the image classification accuracy by more than 3%. [ABSTRACT FROM AUTHOR]

Although plane wave imaging (PWI) has been extensively employed for ultrafast ultrasound imaging, its potential for sectorial B-mode imaging with a convex array transducer has not yet been widely recognized. Recently, we reported an optimized PWI approach for sector scanning that exploits the dynamic transmit focusing capability. In this paper, we first report the clinical applicability of the optimized PWI for abdominal ultrasonography by in vivo image and video evaluations and compare it with conventional focusing (CF) and diverging wave imaging (DWI), which is another dynamic transmit focusing technique generally used for sectorial imaging. In vivo images and videos of the liver, kidney, and gallbladder were obtained from 30 healthy volunteers using PWI, DWI, and CF. Three radiologists assessed the phantom images, 156 in vivo images, and 66 in vivo videos. PWI showed significantly enhanced (p < 0.05) spatial resolution, contrast, and noise and artifact reduction, and a 4-fold higher acquisition rate compared to CF and provided similar performances compared to DWI. Because the computations required for PWI are considerably lower than that for DWI, PWI may represent a promising technique for sectorial imaging in abdominal ultrasonography that provides better image quality and eliminates the need for focal depth adjustment. [ABSTRACT FROM AUTHOR]

This paper presents photoacoustic imaging (PAI) for real-time detection of micro-scale calcifications (e.g., <1 mm) in the breast, which are an indicator of the cancer occurrence. Optimal wavelength of incident laser for the microcalcification imaging was ascertained through ex vivo experiments with seven breast specimens of volunteers. In the ex vivo experiments, the maximum amplitude of photoacoustic signals from the microcalcifications occurred when the laser wavelength ranged from 690 to 700 nm. This result demonstrated that PAI can serve as a real-time imaging and guidance tool for diagnosis and biopsy of the breast microcalcifications. [ABSTRACT FROM AUTHOR]

In three-dimensional (3D) medical ultrasound imaging with two-dimensional (2D) arrays, sparse 2D arrays have been studied to reduce the number of active channels. Among them, sparse 2D arrays with regular or uniform arrangements of elements have advantages of low side lobe energy and uniform field responses over the entire field of view. This paper presents two uniform sparse array models: sparse rectangular arrays (SRAs) on a rectangular grid and sparse spiral arrays (SSAs) on a sunflower grid. Both arrays can be easily implemented on the commercially available or the custom-made arrays. To suppress the overall grating lobe levels, the transmit (Tx) and receive (Rx) array pairs of both the array models are designed not to have grating lobes at the same locations in the Tx/Rx beam patterns, for which the theoretical design rules are also proposed. Computer simulation results indicate that the proposed array pairs for both the SRAs and the SSAs achieve peak grating lobe levels below –40 dB using about a quarter of the number of elements in the dense rectangular array while maintaining similar beam widths to that of the dense array pair. [ABSTRACT FROM AUTHOR]

Generally, ultrasound receive beamformers calculate the focusing time delays of fixed sound speeds in human tissue (e.g., 1540 m/s). However, phase distortions occur due to variations of sound speeds in soft tissues, resulting in degradation of image quality. Thus, an optimal estimation of sound speed is required in order to improve image quality. Implementation of real-time sound speed estimation is challenging due to high computational and hardware complexities. In this paper, an optimal sound speed estimation method with a low-cost hardware resource is presented. In the proposed method, the optimal mean sound speed is determined by measuring the amplitude variance of pre-beamformed radio-frequency (RF) data. The proposed method was evaluated with phantom and in vivo experiments, and implemented on Virtex-4 with Xilinx ISE 12.4 using VHDL. Experiment results indicate that the proposed method could estimate the mean optimal sound speed and enhance spatial resolution with a negligible increase in the hardware resource usage. [ABSTRACT FROM AUTHOR]

This paper reports the feasibility of Nakagami imaging in monitoring the regeneration process of zebrafish hearts in a noninvasive manner. In addition, spectral Doppler waveforms that are typically used to access the diastolic function were measured to validate the performance of Nakagami imaging. A 30-MHz high-frequency ultrasound array transducer was used to acquire backscattered echo signal for spectral Doppler and Nakagami imaging. The performances of both methods were validated with flow and tissue-mimicking phantom experiments. For in vivo experiments, both spectral Doppler and Nakagami imaging were simultaneously obtained from adult zebrafish with amputated hearts. Longitudinal measurements were performed for five zebrafish. From the experiments, the E/A ratio measured using spectral Doppler imaging increased at 3 days post-amputation (3 dpa) and then decreased to the value before amputation, which were consistent with previous studies. Similar results were obtained from the Nakagami imaging where the Nakagami parameter value increased at 3 dpa and decreased to its original value. These results suggested that the Nakagami and spectral Doppler imaging would be useful techniques in monitoring the regeneration of heart or tissues. [ABSTRACT FROM AUTHOR]

The implementation of dynamic delay calculations (DDCs) is challenging for ultra-compact ultrasound imaging due to the enormous computation and power consumption requirements. Here, we present an efficient pseudo-DDC method based on optimal zone segmentation (PDC-Optimal), which significantly decreases these requirements relative to an unconstrained DDC method: reductions in flip-flops of 84.35% and in look-up tables of 94.19%, respectively. The reductions lead to an up to 94.53% lower dynamic power consumption and provide image quality comparable to the unconstrained DDC method. The proposed PDC-Optimal method also provides adaptive flexibility between beamforming accuracy and battery life using the delay error allowance, a user-definable parameter. A conventional pseudo-DDC method using uniform zone segmentation (PDC-Conv) presented substantial image degradation in the near imaging field when the same number of zone segments was used. Therefore, the PDC-Optimal method provides an efficient yet flexible DDC solution to improve the experiences for ultra-compact ultrasound imaging system users. [ABSTRACT FROM AUTHOR]

Software-based ultrasound imaging systems provide high flexibility that allows easy and fast adoption of newly developed algorithms. However, the extremely high data rate required for data transfer from sensors (e.g., transducers) to the ultrasound imaging systems is a major bottleneck in the software-based architecture, especially in the context of real-time imaging. To overcome this limitation, in this paper, we present a Binary cLuster (BL) code, which yields an improved compression ratio compared to the exponential Golomb code. Owing to the real-time encoding/decoding features without overheads, the universal code is a good solution to reduce the data transfer rate for software-based ultrasound imaging. The performance of the proposed method was evaluated using in vitro and in vivo data sets. It was demonstrated that the BL-beta code has a good stable lossless compression performance of 20%~30% while requiring no auxiliary memory or storage. [ABSTRACT FROM AUTHOR]

A commonly used phase rotation beamforming (PRBF) technique in medical ultrasound scanners requires four multipliers to realise phase rotation (PR) in addition to two lowpass filters for quadrature demodulation for each channel. A new scheme is presented to reduce the computational complexity of PRBF without sacrificing image quality that uses only 16 PRs located behind inter‐channel adders, regardless of the number of channels, each of which is dedicated for one of 16 quantised PR values using a step size of 2π/16. [ABSTRACT FROM AUTHOR]

In medical ultrasound imaging, the focused echo signal is decimated with a finite impulse response filter by a rational factor M/L, the frequency response of which dynamically changes over time. Presented is, an efficient structure for dynamic decimation by a programmable rational factor that use a fixed number of polyphase multiplier‐accumulators (MACs) regardless of the values of M and L. The proposed structure uses the minimum number of MAC units operating at the input data rate to minimise both power consumption and hardware complexity. [ABSTRACT FROM AUTHOR]

Precise sentinel lymph node (SLN) identification is crucial not only for accurate diagnosis of micro-metastases at an early stage of cancer progression but also for reducing the number of SLN biopsies (SLNB) to minimize their severe side effects. Furthermore, it is desirable that an SLNB guidance should be as safe as possible in routine clinical use. Although there are currently various SLNB guidance methods for pre-operative or intra-operative assessment, none are ideal. We propose a real-time SLNB guidance method using contrast-enhanced tri-modal images (i.e., ultrasound, photoacoustic, and fluorescence) acquired by a recently developed hand-held tri-modal probe. The major advantage of tri-modal imaging is demonstrated here through an in vivo study of the technically-difficult case of nodal obstruction that frequently leads to false-negative results in patients. The results in a tumor model in rabbits and normal controls showed that tri-modal imaging is capable of clearly identifying obstructed SLNs and of indicating their metastatic involvement. Based on these findings, we propose an SLNB protocol to help surgeons take full advantage of the complementary information obtained from tri-modal imaging, including for pre-operative localization, intra-operative biopsy guidance and post-operative analysis. [ABSTRACT FROM AUTHOR]

Coded excitation can improve the SNR in medical ultrasound imaging. In coded excitation, pulse compression is applied to compress the elongated coded signals into a short pulse, which typically requires high computational complexity, i.e., a compression filter with a few hundred coefficients. In this paper, we propose an efficient pulse compression method of chirp-coded excitation, in which the pulse compression is conducted with complex baseband data after downsampling, to lower the computational complexity. In the proposed method, although compression is conducted with the complex data, the L-fold downsampling is applied for reducing both data rates and the number of compression filter coefficients; thus, total computational complexity is reduced to the order of 1/L2. The proposed method was evaluated with simulation and phantom experiments. From the simulation and experiment results, the proposed pulse compression method produced similar axial resolution compared with the conventional pulse compression method with negligible errors, i.e., ≫36 dB in signal-to-error ratio (SER). These results indicate that the proposed method can maintain the performance of pulse compression of chirpcoded excitation while substantially reducing computational complexity. [ABSTRACT FROM AUTHOR]

In ultrasound exams of obese patients and the breast, the spatial and contrast resolutions of ultrasound images are severely deteriorated when a constant sound speed corresponding to soft tissue is used in receive dynamic beamformation. This degradation is due to the defocusing of the ultrasound beam because of the disparity in sound speed between soft tissue and fatty layers. To minimize the degradation, this paper proposes a new method of estimating an optimal sound speed that can be used to achieve the best beamforming performance in a region of interest (ROI). The proposed method employs a new focusing quality factor (FQF) as an indicator of how well the focusing is conducted with a given sound speed. The FQF is closely associated with the degree of edge conspicuity, which can be obtained using the proposed modified nonlinear anisotropic diffusion (MNAD) technique. To calculate FQF, ultrasound images are formed with different sound speeds ranging from 1400 to 1600 m/s and, subsequently, the ROI is chosen. In the ROI, the degrees of edge conspicuity (i.e., FQF) are calculated. The sound speed can be considered an optimal one for the ROI if it is used to construct the image that provides the maximum FQF. The performances of the proposed method were evaluated through simulation and in vitro experiments with a tissue-mimicking phantom. The performance was also compared with that of the conventional image-based method employed in a commercial ultrasound imaging system. The experimental results demonstrated that the proposed method is capable of estimating an optimal sound speed with an error of 10 m/s regardless of whether strong targets are included in the ROI or not. On the other hand, the conventional image-based method generated an estimation error of 60 m/s maximally in the case in which there were no strong targets in ROI. This indicates that the proposed method is a useful tool to improve ultrasound image quality for clinical applications, especially for ultrasound exams of obese patients and the breast. [ABSTRACT FROM PUBLISHER]