Robin Dapp

3D ultrasound computer tomography of the breast: A new era?

A promising candidate for imaging of breast cancer is ultrasound computer tomography (USCT). The main advantages of a USCT system are simultaneous recording of reproducible reflection, attenuation and speed of sound volumes, high image quality, and fast data acquisition. The here presented 3D USCT prototype realizes for the first time the full potential of such a device. It is ready for a clinical study. Full volumes of a breast can be acquired in four minutes. In this paper images acquired with a clinical breast phantom are presented. The resolution and imaged details of the reflectivity reconstruction are comparable to a 3 tesla MRI volume of the phantom. Image quality and resolution is isotropic in all three dimensions, confirming the successful implementation experimentally.

Comparing different ultrasound imaging methods for breast cancer detection

Ultrasound is frequently used to evaluate suspicious masses in breasts. These evaluations could be improved by taking advantage of advanced imaging algorithms, which become feasible for low frequencies if accurate knowledge about the phase and amplitude of the wave field illuminating the volume of interest is available. In this study, we compare five imaging and inversion methods: time-of-flight tomography, synthetic aperture focusing technique, backpropagation, Born inversion, and contrast source inversion. All methods are tested on the same full-wave synthetic data representing a 2-D scan using a circular array enclosing a cancerous breast submerged in water. Of the tested methods, only contrast source inversion yielded an accurate reconstruction of the speed-ofsound profile of the tumor and its surroundings, because only this method takes effects such as multiple scattering, refraction, and diffraction into account.

GPU-based iterative transmission reconstruction in 3D ultrasound computer tomography

As todays standard screening methods frequently fail to detect breast cancer before metastases have developed, early diagnosis is still a major challenge. With the promise of high-quality volume images, three-dimensional ultrasound computer tomography is likely to improve this situation, but has high computational needs. In this work, we investigate the acceleration of the ray-based transmission reconstruction by a GPU-based implementation of the iterative numerical optimization algorithm TVAL3. We identified the regular and transposed sparse-matrix-vector multiply as the performance limiting operations. For accelerated reconstruction we propose two different concepts and devise a hybrid scheme as optimal configuration. In addition we investigate multi-GPU scalability and derive the optimal number of devices for our two primary use-cases: a fast preview mode and a high-resolution mode. In order to achieve a fair estimation of the speedup, we compare our implementation to an optimized CPU version of the algorithm. Using our accelerated implementation we reconstructed a preview 3D volume with 24,576 unknowns, a voxel size of (8?mm)3 and approximately 200,000 equations in 0.5?s. A high-resolution volume with 1,572,864 unknowns, a voxel size of (2mm)3 and approximately 1.6 million equations was reconstructed in 23?s. This constitutes an acceleration of over one order of magnitude in comparison to the optimized CPU version. We accelerate a ray-based 3D ultrasound CT reconstruction by GPU processing.By use-case optimized SpMV variants a speedup of one order of magnitude is obtained.We derive the optimal number of GPUs for reconstructions that do not fit on one GPU.A 3D-preview is reconstructed in 0.5 s, a high-resolution volume in 23 s.

Sound-speed image reconstruction in sparse-aperture 3-D ultrasound transmission tomography

The paper is focused on sound-speed image reconstruction in 3-D ultrasound transmission tomography. Along with ultrasound reflectivity and the attenuation coefficient, sound speed is an important parameter which is related to the type and pathological state of the imaged tissue. This is important in the intended application, breast cancer diagnosis. In contrast to 2-D ultrasound transmission tomography systems, a 3-D system can provide an isotropic spatial resolution in the x-, y-, and z-directions in reconstructed 3-D images of ultrasound parameters. Several challenges must, however, be addressed for 3-D systems-namely, a sparse transducer distribution, low signal-to-noise ratio, and higher computational complexity. These issues are addressed in terms of sound-speed image reconstruction, using edge-preserving regularized algebraic reconstruction in combination with synthetic aperture focusing. The critical points of the implementation are also discussed, because they are crucial to enable a complete 3-D image reconstruction. The methods were tested on a synthetic data set and on data sets measured with the Karlsruhe 3-D ultrasound computer tomography (USCT) I prototype using phantoms. The sound-speed estimates in the reconstructed volumes agreed with the reference values. The breast-phantom outlines and the lesion-mimicking objects were also detectable in the resulting sound-speed volumes.

First results of a clinical study with 3D ultrasound computer tomography

The KIT 3D USCT was tested in a pilot study on ten patients. The primary goals of the pilot study were to test the USCT device, the data acquisition protocols, the image reconstruction methods and the image fusion techniques in a clinical environment. The study was conducted successfully; the data acquisition could be carried out for all patients with an average imaging time of six minutes per breast. First reconstructions provide promising images. Overlaid volumes of the modalities show qualitative and quantitative information at a glance. The results led to further optimization of the system and the data acquisition protocol.

Phantom image results of an optimized full 3D USCT

A promising candidate for improved imaging of breast cancer is ultrasound computer tomography (USCT). Current experimental USCT systems are still focused in elevation dimension resulting in a large slice thickness, limited depth of field, loss of out-of-plane reflections, and a large number of movement steps to acquire a stack of images. 3DUSCT emitting and receiving spherical wave fronts overcomes these limitations. We built an optimized 3DUSCT with nearly isotropic 3DPSF, realizing for the first time the full benefits of a 3Dsystem. In this paper results of the 3D point spread function measured with a dedicated phantom and images acquired with a clinical breast phantom are presented. The point spread function could be shown to be nearly isotropic in 3D, to have very low spatial variability and fit the predicted values. The contrast of the phantom images is very satisfactory in spite of imaging with a sparse aperture. The resolution and imaged details of the reflectivity reconstruction are comparable to a 3TeslaMRI volume of the breast phantom. Image quality and resolution is isotropic in all three dimensions, confirming the successful optimization experimentally.

TV-based conjugate gradient method and discrete L-curve for few-view CT reconstruction of X-ray in vivo data

High-resolution, three-dimensional (3D) imaging of soft tissues requires the solution of two inverse problems: phase retrieval and the reconstruction of the 3D image from a tomographic stack of two-dimensional (2D) projections. The number of projections per stack should be small to accommodate fast tomography of rapid processes and to constrain X-ray radiation dose to optimal levels to either increase the duration of in vivo time-lapse series at a given goal for spatial resolution and/or the conservation of structure under X-ray irradiation. In pursuing the 3D reconstruction problem in the sense of compressive sampling theory, we propose to reduce the number of projections by applying an advanced algebraic technique subject to the minimisation of the total variation (TV) in the reconstructed slice. This problem is formulated in a Lagrangian multiplier fashion with the parameter value determined by appealing to a discrete L-curve in conjunction with a conjugate gradient method. The usefulness of this reconstruction modality is demonstrated for simulated and in vivo data, the latter acquired in parallel-beam imaging experiments using synchrotron radiation.

First in vivo results with 3D ultrasound computer tomography

We designed and built a 3D ultrasound computer tomography (USCT) device with a nearly isotropic and spatially invariant 3D point spread function, to be tested in a clinical study. The objective of this work was to image two healthy volunteers and to evaluate the USCT volumes in comparison to corresponding Magnetic Resonance Images (MRI). The here presented volumes are reflectivity images generated with 3D synthetic aperture focusing technique. The volunteers were imaged with different parameterizations of the data acquisition. The data acquisition time was between four and twelve minutes. For both volunteers we found that the breast surface and inner structures are clearly shown in the USCT volume and fit the structures given by the MRI.

Breast Imaging with 3D Ultrasound Computer Tomography: Results of a First In-vivo Study in Comparison to MRI Images

Ultrasound Computer Tomography (USCT) is a promising modality for breast imaging. We developed and tested the first full 3D USCT system aimed at in-vivo imaging. It is based on approx. 2000 ultrasound transducers surrounding the breast within a water bath. From the acquired signal data, reflectivity, attenuation and sound speed images are reconstructed. In a first in-vivo study we imaged ten patients and compared them to MRI images. To overcome the considerably different breast positioning in both imaging methods, an image registration and image fusion based on biomechanical modeling of the buoyancy effect and surface-based refinement was applied. The resulting images are promising: compared with the MRI ground truth, similar tissue structures can be identified. While reflection images seem to image even small structures, sound speed imaging seems to be the best modality for detecting cancer. The registration of both imaging methods allows browsing the volume images side by side and enables recognition of correlating tissue structures. The first in-vivo study was successfully completed and encourages for a second in-vivo study with a considerably larger number of patients, which is currently ongoing.

A new method for grating lobe reduction for 3D synthetic aperture imaging with ultrasound computer tomography

Our 3D Ultrasound Computer Tomograph for breast imaging uses unfocused transducers grouped on a large non-planar aperture and synthetic aperture focusing in 3D. Technical feasibility limits the number of transducer positions to a sparse aperture, causing artifacts due to grating lobe effects in the resulting images. To suppress the artifacts, a median filter is applied to special pressure distributions, which are derived for each image point. After filtering the distributions are summed up for reconstruction. This approach reduces the artifacts significantly. For a phantom of ten nylon threads (0.2 mm diameter) an increase of contrast (SDNR) from 7.6 to 35.9 could be achieved. Also more complex phantoms showed significant reduction. The presented approach is simple and very effective, and can be easily integrated into the applied synthetic aperture focusing technique.