Haichong K. Zhang

Active Echo: A New Paradigm for Ultrasound Calibration

In ultrasound-guided medical procedures, accurate tracking of interventional tools with respect to the US probe is crucial to patient safety and clinical outcome. US probe tracking requires an unavoidable calibration procedure to recover the rigid body transformation between the US image and the tracking coordinate system. In literature, almost all calibration methods have been performed on passive phantoms. There are several challenges to these calibration methods including dependency on ultrasound image quality and parameters such as frequency, depth, and beam-thickness. In this work, for the first time we introduce an active echo (AE) phantom for US calibration. The phantom actively detects and responds to the US beams from the imaging probe. This active approach allows reliable and accurate identification of the ultrasound image mid-plane independent of the image quality. It also enables automatic point segmentations. Both the target localization and segmentation can be done automatically, so the user dependency is minimized. The AE phantom is compared with a gold standard crosswire (CW) phantom in a robotic US experimental setup. The result indicates that AE calibration phantom provides a localization precision of 223 μm, and an overall reconstruction error of 850 μm. Autosegmentation is also tested and proved to have the similar performance as the manual segmentation.

Synthetic tracked aperture ultrasound imaging: Design, simulation, and experimental evaluation

Abstract. Ultrasonography is a widely used imaging modality to visualize anatomical structures due to its low cost and ease of use; however, it is challenging to acquire acceptable image quality in deep tissue. Synthetic aperture (SA) is a technique used to increase image resolution by synthesizing information from multiple subapertures, but the resolution improvement is limited by the physical size of the array transducer. With a large F-number, it is difficult to achieve high resolution in deep regions without extending the effective aperture size. We propose a method to extend the available aperture size for SA—called synthetic tracked aperture ultrasound (STRATUS) imaging—by sweeping an ultrasound transducer while tracking its orientation and location. Tracking information of the ultrasound probe is used to synthesize the signals received at different positions. Considering the practical implementation, we estimated the effect of tracking and ultrasound calibration error to the quality of the final beamformed image through simulation. In addition, to experimentally validate this approach, a 6 degree-of-freedom robot arm was used as a mechanical tracker to hold an ultrasound transducer and to apply in-plane lateral translational motion. Results indicate that STRATUS imaging with robotic tracking has the potential to improve ultrasound image quality.

Feasibility of Swept Synthetic Aperture Ultrasound Imaging

Ultrasound image quality is often inherently limited by the physical dimensions of the imaging transducer. We hypothesize that, by collecting synthetic aperture data sets over a range of aperture positions while precisely tracking the position and orientation of the transducer, we can synthesize large effective apertures to produce images with improved resolution and target detectability. We analyze the two largest limiting factors for coherent signal summation: aberration and mechanical uncertainty. Using an excised canine abdominal wall as a model phase screen, we experimentally observed an effective arrival time error ranging from 18.3 ns to 58 ns (root-mean-square error) across the swept positions. Through this clutter-generating tissue, we observed a 72.9% improvement in resolution with only a 3.75 dB increase in side lobe amplitude compared to the control case. We present a simulation model to study the effect of calibration and mechanical jitter errors on the synthesized point spread function. The relative effects of these errors in each imaging dimension are explored, showing the importance of orientation relative to the point spread function. We present a prototype device for performing swept synthetic aperture imaging using a conventional 1-D array transducer and ultrasound research scanner. Point target reconstruction error for a 44.2 degree sweep shows a reconstruction precision of 82.8 and 17.8 in the lateral and axial dimensions respectively, within the acceptable performance bounds of the simulation model. Improvements in resolution, contrast and contrast-to-noise ratio are demonstrated in vivo and in a fetal phantom.

Coded excitation using periodic and unipolar M-sequences for photoacoustic imaging and flow measurement

Photoacoustic imaging is an emerging imaging technology combining optical imaging with ultrasound. Imaging of the optical absorption coefficient and flow measurement provides additional functional information compared to ultrasound. The issue with photoacoustic imaging is its low signal-to-noise ratio (SNR) due to scattering or attenuation; this is especially problematic when high pulse repetition frequency (PRF) lasers are used. In previous research, coded excitation utilizing several pseudorandom sequences has been considered as a solution for the problem. However, previously proposed temporal coding procedures using Golay codes or M-sequences are so complex that it was necessary to send a sequence twice to realize a bipolar sequence. Here, we propose a periodic and unipolar sequence (PUM), which is a periodic sequence derived from an m-sequence. The PUM can enhance signals without causing coding artifacts for single wavelength excitation. In addition, it is possible to increase the temporal resolution since the decoding start point can be set to any code in periodic irradiation, while only the first code of a sequence was available for conventional aperiodic irradiation. The SNR improvement and the increase in temporal resolution were experimentally validated through imaging evaluation and flow measurement.

Synthetic aperture ultrasound imaging with robotic aperture extension

Synthetic aperture (SA) is a technique that enhances the image resolution by synthesizing information from multiple subapertures. The application of this technique for medical ultrasound imaging has been an active research area, but the resolution improvement is limited by the physical size of the ultrasound array transducer. With a large F number (depth to aperture-size ratio), it is hard to achieve high resolution at deep regions without extending the effective aperture size. In this paper, we investigate experimentally an approach to extend the available aperture size for SA by sweeping the ultrasound transducer using a precise robotic arm. Pose information from the robot’s kinematic for the calibrated probe is used to synthesize the signals received at different positions; therefore the available aperture is wider than the size of transducer. To experimentally validate this approach, a robot arm (UR5, Universal Robot) was used to hold a 64 elements phased array transducer (0.32 mm pitch, 2MHz central frequency), and in-plane lateral translational motion was applied. A line phantom as a point source and an ultrasound phantom with wire targets and anechoic region were used for evaluation. The full width at half maximum of a reconstructed point source improved a factor of 2.76 by moving five poses with 10.24 mm step size. For the ultrasound phantom, the contrast-to-noise ratio of anechoic region enhanced 12% by moving three poses with the same step. Results indicate that the technique to robotically extend aperture has potential to improve the image quality for SA ultrasound imaging.

Synthetic-aperture based photoacoustic re-beamforming (SPARE) approach using beamformed ultrasound data.

Photoacoustic (PA) imaging has been developed for various clinical and pre-clinical applications, and acquiring pre-beamformed channel data is necessary to reconstruct these images. However, accessing these pre-beamformed channel data requires custom hardware to enable parallel beamforming, and is available for a limited number of research ultrasound platforms. To broaden the impact of clinical PA imaging, our goal is to devise a new PA reconstruction approach that uses ultrasound post-beamformed radio frequency (RF) data rather than raw channel data, because this type of data is readily available in both clinical and research ultrasound systems. In our proposed Synthetic-aperture based photoacoustic re-beamforming (SPARE) approach, post-beamformed RF data from a clinical ultrasound scanner are considered as input data for an adaptive synthetic aperture beamforming algorithm. When receive focusing is applied prior to obtaining these data, the focal point is considered as a virtual element, and synthetic aperture beamforming is implemented assuming that the photoacoustic signals are received at the virtual element. The resolution and SNR obtained with the proposed method were compared to that obtained with conventional delay-and-sum beamforming with 99.87% and 91.56% agreement, respectively. In addition, we experimentally demonstrated feasibility with a pulsed laser diode setup. Results indicate that the post-beamformed RF data from any commercially available ultrasound platform can potentially be used to create PA images.

Ultrasound to video registration using a bi-plane transrectal probe with photoacoustic markers

Modern surgical scenarios typically provide surgeons with additional information through fusion of video and other imaging modalities. To provide this information, the tools and devices used in surgery must be registered together with interventional guidance equipment and surgical navigation systems. In this work, we focus explicitly on registering ultrasound with a stereo camera system using photoacoustic markers. Previous work has shown that photoacoustic markers can be used in this registration task to achieve target registration errors lower than the current available systems. Photoacoustic markers are defined as a set of non-collinear laser spots projected onto some surface. They can be simultaneously visualized by a stereo camera system and an ultrasound transducer because of the photoacoustic effect. In more recent work, the three-dimensional ultrasound volume was replaced by images from a single ultrasound image pose from a convex array transducer. The feasibility of this approach was demonstrated, but the accuracy was lacking due to the physical limitations of the convex array transducer. In this work, we propose the use of a bi-plane transrectal ultrasound transducer. The main advantage of using this type of transducer is that the ultrasound elements are no longer restricted to a single plane. While this development would be limited to prostate applications, liver and kidney applications are also feasible if a suitable transducer is built. This work is demonstrated in two experiments, one without photoacoustic sources and one with. The resulting target registration error for these experiments were 1.07mm±0.35mm and 1.27mm±0.47mm respectively, both of which are better than current available navigation systems.

Co-robotic ultrasound tomography: dual arm setup and error analysis

Ultrasound (US) tomography enables quantitative measurement of acoustic properties. Robot assisted ultrasound tomography system enables alignment of two US probes. The alignment is done automatically by the robotic arm so that tomographic reconstruction of more anatomies becomes possible. In this study, we propose a new system setup for robot assistance in US tomographic imaging. This setup includes two robotic arms holding two US probes. One of the robotic arms is operated by the sonographer to determine the desired location for the tomographic imaging; this probe can also provide the B-mode US image during the search. The other robotic arm can then move automatically to align the two probes. One of the probes will act as transmitter and the other one as receiver to enable tomographic imaging. We provide an overview of the system setup and components together with the calibration procedures. In an attempt to provide a complete framework for the tomography system, we also provide a sample tomographic reconstruction method that can reconstruct speed of sound image using two aligned linear US probes. The reconstruction algorithm is however very prone to alignment inaccuracies. We provide an error propagation analysis to provide an estimation of the overall alignment error and then show the effect of the in-plane translational error in the tomographic reconstruction.

Active point out-of-plane ultrasound calibration

Image-guided surgery systems are often used to provide surgeons with informational support. Due to several unique advantages such as ease of use, real-time image acquisition, and no ionizing radiation, ultrasound is a common intraoperative medical imaging modality used in image-guided surgery systems. To perform advanced forms of guidance with ultrasound, such as virtual image overlays or automated robotic actuation, an ultrasound calibration process must be performed. This process recovers the rigid body transformation between a tracked marker attached to the transducer and the ultrasound image. Point-based phantoms are considered to be accurate, but their calibration framework assumes that the point is in the image plane. In this work, we present the use of an active point phantom and a calibration framework that accounts for the elevational uncertainty of the point. Given the lateral and axial position of the point in the ultrasound image, we approximate a circle in the axial-elevational plane with a radius equal to the axial position. The standard approach transforms all of the imaged points to be a single physical point. In our approach, we minimize the distances between the circular subsets of each image, with them ideally intersecting at a single point. We simulated in noiseless and noisy cases, presenting results on out-of-plane estimation errors, calibration estimation errors, and point reconstruction precision. We also performed an experiment using a robot arm as the tracker, resulting in a point reconstruction precision of 0.64mm.

Toward dynamic lumbar puncture guidance using needle-based single-element ultrasound imaging

Abstract. Lumbar punctures (LPs) are interventional procedures that are used to collect cerebrospinal fluid. Since the target window is small, physicians have limited success conducting the procedure. The procedure is especially difficult for obese patients due to the increased distance between bone and skin surface. We propose a simple and direct needle insertion platform, enabling image formation by sweeping a needle with a single ultrasound element at the tip. The needle-shaped ultrasound transducer can not only sense the distance between the tip and a potential obstacle, such as bone, but also visually locate the structures by combining transducer location tracking and synthetic aperture focusing. The concept of the system was validated through a simulation that revealed robust image reconstruction under expected errors in tip localization. The initial prototype was built into a 14 G needle and was mounted on a holster equipped with a rotation shaft allowing one degree-of-freedom rotational sweeping and a rotation tracking encoder. We experimentally evaluated the system using a metal-wire phantom mimicking high reflection bone structures and human spinal bone phantom. Images of the phantoms were reconstructed, and the synthetic aperture reconstruction improved the image quality. These results demonstrate the potential of the system to be used as a real-time guidance tool for improving LPs.