Adaptive and Robust Vessel Quantification in Contrast-Free Ultrafast Ultrasound Microvessel Imaging.

Adaptive and Robust Vessel Quantification in Contrast-Free Ultrafast Ultrasound Microvessel Imaging.
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DOI:
10.1016/j.ultrasmedbio.2022.05.034
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发表时间:
2022-10
影响因子:
2.9
通讯作者:
Chen, Shigao
Chen, Shigao
中科院分区:
医学3区
文献类型:
--
作者:
Tang, Shanshan;Huang, Hengwu;Gong, Ping;Lok, U-wai;Zhou, Chenyun;Yang, Lulu;Knoll, Kate M.;Robinson, Kathryn A.;Sheedy, Shannon P.;Fletcher, Joel G.;Bruining, David H.;Knudsen, John M.;Chen, Shigao

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The morphological features of vasculature in diseased tissue differ significantly from those in normal tissue. Therefore, vasculature quantification is crucial for disease diagnosis and staging. Ultrasound microvessel imaging (UMI) with ultrafast ultrasound acquisitions has demonstrated its potential in clinical applications given its superior sensitivity in blood flow detection. However, the presence of spatial-dependent noise due to low imaging signal-to-noise ratio and incoherent clutter artifacts caused by moving hyperechoic scatters degrade the performance of UMI and reliability of vascular quantification. To tackle these issues, we proposed an improved UMI technique along with an adaptive vessel segmentation workflow for robust vessel identification and vascular feature quantification. A previously proposed sub-aperture cross-correlation technique and a normalized cross-correlation technique were applied to equalize the spatially dependent noise level and suppress the incoherent clutter artifact. A square operator and non-local means filter were then used to better separate the blood flow signal from residual background noise. On the de-noised UMI image, an automatic and adaptive vessel segmentation method was developed, based on the different spatial patterns of blood flow signal and background noise. The proposed workflow was applied to a CIRS phantom, and a Doppler flow phantom, and in vivo applications including an inflammatory bowel, a kidney and a liver, to validate its feasibility. Results demonstrated that automatic, adaptive, and robust vessel identification performance can be achieved using the proposed method without the subjectivity caused by radiologists/operators.
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