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Ultrasound B-Mode images are created from data obtained from each element in the transducer array in a process called beamforming. The beamforming goal is to enhance signals from specified spatial locations, while reducing signal from all other locations. On clinical systems, beamforming is accomplished with the delay-and-sum (DAS) algorithm. DAS is efficient but fails in patients with high noise levels, so various adaptive beamformers have been proposed. Recently, deep learning methods have been developed for this task. With deep learning methods, beamforming is typically framed as a regression problem, where clean, ground-truth data is known, and usually simulated. For in vivo data, however, it is extremely difficult to collect ground truth information, and deep networks trained on simulated data underperform when applied to in vivo data, due to domain shift between simulated and in vivo data. In this work, we show how to correct for domain shift by learning deep network beamformers that leverage both simulated data, and unlabeled in vivo data, via a novel domain adaption scheme. A challenge in our scenario is that domain shift exists both for noisy input, and clean output. We address this challenge by extending cycle-consistent generative adversarial networks, where we leverage maps between synthetic simulation and real in vivo domains to ensure that the learned beamformers capture the distribution of both noisy and clean in vivo data. We obtain consistent in vivo image quality improvements compared to existing beamforming techniques, when applying our approach to simulated anechoic cysts and in vivo liver data. 

(Early Access) Acoustic clutter is a primary source of image degradation in ultrasound imaging. In the context of flow imaging, tissue and acoustic clutter signals are often much larger in magnitude than the blood signal, which limits the sensitivity of conventional power Doppler in SNR-limited environments. This has motivated the development of coherence-based beamformers, including Coherent Flow Power Doppler (CFPD), which have demonstrated efficacy in mitigating sources of diffuse clutter. However, CFPD uses a measure of normalized coherence, which incurs a non-linear relationship between image intensity and the magnitude of the blood echo. As a result, CFPD is not a robust approach to study gradation of blood signal energy, which depicts the fractional moving blood volume. We propose the application of mutual intensity, rather than normalized coherence, to retain the clutter suppression capability inherent in coherence beamforming, while preserving the underlying signal energy. Feasibility of this approach was shown via Field II simulations, phantoms, and in vivo human liver data. In addition, we derive an adaptive statistical threshold for the suppression of residual noise signals. Overall, this beamformer design shows promise as an alternative technique to depict flow volume gradation in cluttered imaging environments. 

Trans-arterial chemoembolization (TACE) is an important yet variably effective treatment for management of hepatic malignancies. Lack of response can be in part due to inability to assess treatment adequacy in real-time. Gold-standard contrast enhanced computed tomography and magnetic resonance imaging, although effective, suffer from treatment-induced artifacts that prevent early treatment evaluation. Non-contrast ultrasound is a potential solution but has historically been ineffective at detecting treatment response. Here, we propose non-contrast ultrasound with recent perfusion-focused advancements as a tool for immediate evaluation of TACE. We demonstrate initial feasibility in an 11-subject pilot study. Treatment-induced changes in tumor perfusion are detected best when combining adaptive demodulation (AD) and singular value decomposition (SVD) techniques. Using a 0.5 s (300-sample) ensemble size, AD + SVD resulted in a 7.42 dB median decrease in tumor power after TACE compared to only a 0.06 dB median decrease with conventional methods.

 

Ultrasonic flow imaging remains susceptible to cluttered imaging environments, which often results in degraded image quality. Coherent Flow Power Doppler (CFPD) is a beamforming technique that has demonstrated efficacy in mitigating the presence of diffuse clutter in flow images. CFPD depicts the normalized aperture domain coherence of the backscattered echo, which is described by the van Cittert-Zernike theorem. However, the use of a normalized coherence metric uncouples the image intensity from the underlying blood signal energy. As a result, CFPD is not a robust approach to study gradation in blood signal energy, which depicts the fractional moving blood volume. We have developed a modified beamforming scheme, termed power-preserving Coherent Flow Power Doppler (ppCFPD), which depicts a measure of mutual intensity, rather than normalized coherence. This approach retains the clutter suppression capability of CFPD, while preserving sensitivity toward the underlying signal energy, similar to conventional power Doppler. Efficacy of this approach was shown via Field II simulations, and in vivo feasibility was demonstrated in a human liver. Overall, this adapted approach shows promise as an alternative technique to depict flow gradation in cluttered imaging environments.