Application of Machine Learning Using Ultrasound Images

A special issue of Journal of Imaging (ISSN 2313-433X).

Deadline for manuscript submissions: closed (30 June 2022) | Viewed by 10038

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Guest Editor
Imaging Research Laboratories, Robarts Research Institute, Western University, 1151 Richmond St. N. London, ON N6A 5B7, Canada
Interests: ultrasound imaging; image-guided intervention
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Dear Colleagues

Ultrasound imaging is an indispensable imaging tool that is found in almost all global hospitals as it provides real-time images, uses ionizing radiation, can be conducted with portable systems, and is inexpensive—with systems ranging in price from about USD 10,000 for phone-based systems to over USD 300,000 for high-end systems providing a wide range of capabilities. However, ultrasound images suffer from low tissue contrast, image speckle, shadowing, and various artifacts, making image interpretation difficult. Furthermore, the use of ultrasound and interpretation of the images also suffer from user variability. Nevertheless, ultrasound imaging is used in disease diagnosis, assessing response to therapy, guiding biopsies, and guiding surgical interventions. Applications of ultrasound imaging are very wide and include obstetrics, gynecology, cancer, cardiac, vascular, urology, musculoskeletal, and many other diseases and conditions.

Although machine learning tools such as deep learning have primarily been used in applications with CT and MR images, due to some of the limitations of ultrasound imaging, applications of machine learning to ultrasound images have lagged. However, over the past few years, applications of deep learning methods have increased exponentially, including applications using ultrasound images. Deep learning tools promise to make ultrasound imaging less variable and user-dependent, make procedure time shorter, and improve guidance of biopsy and therapy applicators in image-guided interventions. Opportunities include pathology detection, classification of pathology as benign or malignant, segmentation of lesion size needed for monitoring response to therapy, quantification of changes in pathology in response to therapy, guidance and tracking of tools in the body, and other applications.

We are seeking contributions presenting machine learning algorithms, techniques, and applications that will contribute to making ultrasound imaging a more robust detection, diagnostic, pathology quantification, and image-guidance method.

Prof. Dr. Aaron Fenster
Guest Editor

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Published Papers (3 papers)

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Research

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14 pages, 6345 KiB  
Article
Evaluation of an Object Detection Algorithm for Shrapnel and Development of a Triage Tool to Determine Injury Severity
by Eric J. Snider, Sofia I. Hernandez-Torres, Guy Avital and Emily N. Boice
J. Imaging 2022, 8(9), 252; https://doi.org/10.3390/jimaging8090252 - 19 Sep 2022
Cited by 5 | Viewed by 1618
Abstract
Emergency medicine in austere environments rely on ultrasound imaging as an essential diagnostic tool. Without extensive training, identifying abnormalities such as shrapnel embedded in tissue, is challenging. Medical professionals with appropriate expertise are limited in resource-constrained environments. Incorporating artificial intelligence models to aid [...] Read more.
Emergency medicine in austere environments rely on ultrasound imaging as an essential diagnostic tool. Without extensive training, identifying abnormalities such as shrapnel embedded in tissue, is challenging. Medical professionals with appropriate expertise are limited in resource-constrained environments. Incorporating artificial intelligence models to aid the interpretation can reduce the skill gap, enabling identification of shrapnel, and its proximity to important anatomical features for improved medical treatment. Here, we apply a deep learning object detection framework, YOLOv3, for shrapnel detection in various sizes and locations with respect to a neurovascular bundle. Ultrasound images were collected in a tissue phantom containing shrapnel, vein, artery, and nerve features. The YOLOv3 framework, classifies the object types and identifies the location. In the testing dataset, the model was successful at identifying each object class, with a mean Intersection over Union and average precision of 0.73 and 0.94, respectively. Furthermore, a triage tool was developed to quantify shrapnel distance from neurovascular features that could notify the end user when a proximity threshold is surpassed, and, thus, may warrant evacuation or surgical intervention. Overall, object detection models such as this will be vital to compensate for lack of expertise in ultrasound interpretation, increasing its availability for emergency and military medicine. Full article
(This article belongs to the Special Issue Application of Machine Learning Using Ultrasound Images)
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13 pages, 2179 KiB  
Article
Training Ultrasound Image Classification Deep-Learning Algorithms for Pneumothorax Detection Using a Synthetic Tissue Phantom Apparatus
by Emily N. Boice, Sofia I. Hernandez Torres, Zechariah J. Knowlton, David Berard, Jose M. Gonzalez, Guy Avital and Eric J. Snider
J. Imaging 2022, 8(9), 249; https://doi.org/10.3390/jimaging8090249 - 11 Sep 2022
Cited by 10 | Viewed by 2764
Abstract
Ultrasound (US) imaging is a critical tool in emergency and military medicine because of its portability and immediate nature. However, proper image interpretation requires skill, limiting its utility in remote applications for conditions such as pneumothorax (PTX) which requires rapid intervention. Artificial intelligence [...] Read more.
Ultrasound (US) imaging is a critical tool in emergency and military medicine because of its portability and immediate nature. However, proper image interpretation requires skill, limiting its utility in remote applications for conditions such as pneumothorax (PTX) which requires rapid intervention. Artificial intelligence has the potential to automate ultrasound image analysis for various pathophysiological conditions. Training models require large data sets and a means of troubleshooting in real-time for ultrasound integration deployment, and they also require large animal models or clinical testing. Here, we detail the development of a dynamic synthetic tissue phantom model for PTX and its use in training image classification algorithms. The model comprises a synthetic gelatin phantom cast in a custom 3D-printed rib mold and a lung mimicking phantom. When compared to PTX images acquired in swine, images from the phantom were similar in both PTX negative and positive mimicking scenarios. We then used a deep learning image classification algorithm, which we previously developed for shrapnel detection, to accurately predict the presence of PTX in swine images by only training on phantom image sets, highlighting the utility for a tissue phantom for AI applications. Full article
(This article belongs to the Special Issue Application of Machine Learning Using Ultrasound Images)
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Review

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18 pages, 1445 KiB  
Review
Review of Machine Learning in Lung Ultrasound in COVID-19 Pandemic
by Jing Wang, Xiaofeng Yang, Boran Zhou, James J. Sohn, Jun Zhou, Jesse T. Jacob, Kristin A. Higgins, Jeffrey D. Bradley and Tian Liu
J. Imaging 2022, 8(3), 65; https://doi.org/10.3390/jimaging8030065 - 05 Mar 2022
Cited by 27 | Viewed by 5056
Abstract
Ultrasound imaging of the lung has played an important role in managing patients with COVID-19–associated pneumonia and acute respiratory distress syndrome (ARDS). During the COVID-19 pandemic, lung ultrasound (LUS) or point-of-care ultrasound (POCUS) has been a popular diagnostic tool due to its unique [...] Read more.
Ultrasound imaging of the lung has played an important role in managing patients with COVID-19–associated pneumonia and acute respiratory distress syndrome (ARDS). During the COVID-19 pandemic, lung ultrasound (LUS) or point-of-care ultrasound (POCUS) has been a popular diagnostic tool due to its unique imaging capability and logistical advantages over chest X-ray and CT. Pneumonia/ARDS is associated with the sonographic appearances of pleural line irregularities and B-line artefacts, which are caused by interstitial thickening and inflammation, and increase in number with severity. Artificial intelligence (AI), particularly machine learning, is increasingly used as a critical tool that assists clinicians in LUS image reading and COVID-19 decision making. We conducted a systematic review from academic databases (PubMed and Google Scholar) and preprints on arXiv or TechRxiv of the state-of-the-art machine learning technologies for LUS images in COVID-19 diagnosis. Openly accessible LUS datasets are listed. Various machine learning architectures have been employed to evaluate LUS and showed high performance. This paper will summarize the current development of AI for COVID-19 management and the outlook for emerging trends of combining AI-based LUS with robotics, telehealth, and other techniques. Full article
(This article belongs to the Special Issue Application of Machine Learning Using Ultrasound Images)
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