Victoria Lessoway

Rohit Singla, Cailin Ringstrom, Grace Hu et al.

Ultrasound, because of its low cost, non-ionizing, and non-invasive characteristics, has established itself as a cornerstone radiological examination. Research on ultrasound applications has also expanded, especially with image analysis with machine learning. However, ultrasound data are frequently restricted to closed data sets, with only a few openly available. Despite being a frequently examined organ, the kidney lacks a publicly available ultrasonography data set. The proposed Open Kidney Ultrasound Data Set is the first publicly available set of kidney brightness mode (B-mode) ultrasound data that includes annotations for multi-class semantic segmentation. It is based on data retrospectively collected in a 5-year period from over 500 patients with a mean age of 53.2 +/- 14.7 years, body mass index of 27.0 +/- 5.4 kg/m2, and most common primary diseases being diabetes mellitus, immunoglobulin A (IgA) nephropathy, and hypertension. There are labels for the view and fine-grained manual annotations from two expert sonographers. Notably, this data includes native and transplanted kidneys. Initial bench-marking measurements are performed, demonstrating a state-of-the-art algorithm achieving a Dice Sorenson Coefficient of 0.85 for the kidney capsule. This data set is a high-quality data set, including two sets of expert annotations, with a larger breadth of images than previously available. In increasing access to kidney ultrasound data, future researchers may be able to create novel image analysis techniques for tissue characterization, disease detection, and prognostication.

Ryan Yeung, David Black, Patrick B. Chen et al.

To address the lack of access to ultrasound in remote communities, previous work introduced human teleoperation, a mixed reality and haptics-based tele-ultrasound system. In this approach, a novice takes the role of a cognitive robot controlled remotely by an expert through mixed reality. In this manuscript we summarize new developments to this system and describe a feasibility study assessing its use for long-distance remote abdominal ultrasound examinations. To provide simple but effective haptic feedback, we used an ellipsoid model of the patient with its parameters calibrated using our system's position and force sensors. We tested the system in Skidegate, Haida Gwaii, Canada, with the experts positioned 754 km away in Vancouver, Canada. We performed 11 total scans with 10 novices and 2 sonographers. The sonographers were tasked with acquiring 5 target images in the epigastric region. The image acquisition quality was assessed by 2 radiologists. We collected alignment data and the novices completed task load and usability questionnaires. Both the novices and sonographers provided written and verbal feedback to inform future design iterations. 92% of the acquired images had sufficient quality for interpretation by both radiologists. The mean task load reported by the novices was below reference values reported in literature and the usability was unanimously positive. No correlation was found between image quality and the follower's alignment error with the virtual transducer. Overall, we show that human teleoperation enables sonographers to perform remote abdominal ultrasound imaging with high performance, even across large distances and with novice followers. Future work will compare human teleoperation to conventional, robotic and tele-mentored ultrasound.

Rohit Singla, Ricky Hu, Cailin Ringstrom et al.

Modelling ultrasound speckle has generated considerable interest for its ability to characterize tissue properties. As speckle is dependent on the underlying tissue architecture, modelling it may aid in tasks like segmentation or disease detection. However, for the transplanted kidney where ultrasound is commonly used to investigate dysfunction, it is currently unknown which statistical distribution best characterises such speckle. This is especially true for the regions of the transplanted kidney: the cortex, the medulla and the central echogenic complex. Furthermore, it is unclear how these distributions vary by patient variables such as age, sex, body mass index, primary disease, or donor type. These traits may influence speckle modelling given their influence on kidney anatomy. We are the first to investigate these two aims. N=821 kidney transplant recipient B-mode images were automatically segmented into the cortex, medulla, and central echogenic complex using a neural network. Seven distinct probability distributions were fitted to each region. The Rayleigh and Nakagami distributions had model parameters that differed significantly between the three regions (p <= 0.05). While both had excellent goodness of fit, the Nakagami had higher Kullbeck-Leibler divergence. Recipient age correlated weakly with scale in the cortex (Omega: rho = 0.11, p = 0.004), while body mass index correlated weakly with shape in the medulla (m: rho = 0.08, p = 0.04). Neither sex, primary disease, nor donor type demonstrated any correlation. We propose the Nakagami distribution be used to characterize transplanted kidneys regionally independent of disease etiology and most patient characteristics based on our findings.