Meng‐Xing Tang

Kai Riemer, Marcelo Lerendegui, Matthieu Toulemonde et al.

Filtering based on Singular Value Decomposition (SVD) provides substantial separation of clutter, flow and noise in high frame rate ultrasound flow imaging. The use of SVD as a clutter filter has greatly improved techniques such as vector flow imaging, functional ultrasound and super-resolution ultrasound localization microscopy. The removal of clutter and noise relies on the assumption that tissue, flow and noise are each represented by different subsets of singular values, so that their signals are uncorrelated and lay on orthogonal sub-spaces. This assumption fails in the presence of tissue motion, for near-wall or microvascular flow, and can be influenced by an incorrect choice of singular value thresholds. Consequently, separation of flow, clutter and noise is imperfect, which can lead to image artefacts not present in the original data. Temporal and spatial fluctuation in intensity are the commonest artefacts, which vary in appearance and strengths. Ghosting and splitting artefacts are observed in the microvasculature where the flow signal is sparsely distributed. Singular value threshold selection, tissue motion, frame rate, flow signal amplitude and acquisition length affect the prevalence of these artefacts. Understanding what causes artefacts due to SVD clutter and noise removal is necessary for their interpretation.

Thomas Robins, Antonio Stanziola, Kai Reimer et al.

Synthetic Aperture Vector Flow Imaging (SA-VFI) can visualize complex cardiac and vascular blood flow patterns at high temporal resolution with a large field of view. Convolutional neural networks (CNNs) are commonly used in image and video recognition and classification. However, most recently presented CNNs also allow for making per-pixel predictions as needed in optical flow velocimetry. To our knowledge we demonstrate here for the first time a CNN architecture to produce 2D full flow field predictions from high frame rate SA ultrasound images using supervised learning. The CNN was initially trained using CFD-generated and augmented noiseless SA ultrasound data of a realistic vessel geometry. Subsequently, a mix of noisy simulated and real \textit{in vivo} acquisitions were added to increase the network's robustness. The resulting flow field of the CNN resembled the ground truth accurately with an endpoint-error percentage between 6.5\% to 14.5\%. Furthermore, when confronted with an unknown geometry of an arterial bifurcation, the CNN was able to predict an accurate flow field indicating its ability for generalization. Remarkably, the CNN also performed well for rotational flows, which usually requires advanced, computationally intensive VFI methods. We have demonstrated that convolutional neural networks can be used to estimate complex multidirectional flow.

Yuanwei Li, Chin Pang Ho, Navtej Chahal et al.

Myocardial Contrast Echocardiography (MCE) with micro-bubble contrast agent enables myocardial perfusion quantification which is invaluable for the early detection of coronary artery diseases. In this paper, we proposed a new segmentation method called Shape Model guided Random Forests (SMRF) for the analysis of MCE data. The proposed method utilizes a statistical shape model of the myocardium to guide the Random Forest (RF) segmentation in two ways. First, we introduce a novel Shape Model (SM) feature which captures the global structure and shape of the myocardium to produce a more accurate RF probability map. Second, the shape model is fitted to the RF probability map to further refine and constrain the final segmentation to plausible myocardial shapes. Evaluated on clinical MCE images from 15 patients, our method obtained promising results (Dice=0.81, Jaccard=0.70, MAD=1.68 mm, HD=6.53 mm) and showed a notable improvement in segmentation accuracy over the classic RF and its variants.