Enhancement of the ultrasound images by modified anisotropic diffusion method

Speckle is a primary factor which degrades the contrast resolution and masks the meaningful texture information present in an ultrasound image. Its presence severely hampers the interpretation and analysis of ultrasound images. When speckle reduction technique is applied for visual enhancement of ultrasound images, it is to be kept in mind that blurring associated with speckle reduction should be less and fine details are properly enhanced. With these points in consideration, the modified speckle reduction anisotropic diffusion (MSRAD) method is proposed in the present study to improve the visual quality of the ultrasound images. In the proposed MSRAD method, the four neighboring pixel template in speckle reduction anisotropic diffusion (SRAD) method of Yu and Acton (IEEE Trans Image Process 11:1260–1270, 2002) have been replaced by a new template of larger number of neighboring pixels to calculate the diffusion term. To enhance visual quality of ultrasound images, nonquadratic regularization (Yu and Yadegar, Proceedings of the IEEE international conference on image processing, 2006) is incorporated with MSRAD method and accordingly changes in parameter settings have been made. The performance of MSRAD method was evaluated using clinical ultrasound images, interpretation by the medical experts and results of MSRAD method by subjective and objective criteria.     

基于卷积神经网络的超声图像散斑去噪算法

为了提高超声图像质量,解决传统去噪算法在抑制散斑噪声和保留超声图像纹理特征方面的难题,提出一种基于卷积神经网络的超声图像散斑去噪算法DSCNN(De-speckling CNN)。本文提出的算法利用卷积神经网络强大的拟合能力来学习从超声图像到其相应的高质量图像的复杂映射,同时,通过改进损失函数的方式来减少去噪过程中纹理信息的损失和细节的模糊。不同于以往简单地假设超声散斑噪声为乘性噪声,本文利用基于超声图像采集模型和散斑噪声形成模型的模拟超声成像技术为去噪模型生成更贴合真实超声图像的训练数据,解决深度学习方法训练数据匮乏以及在临床上无法获得与超声图像空间配准作为标签的无噪声图像的难题。通过与其他具有代表性的超声图像去噪算法比较,经DSCNN去噪后的超声图像无论在视觉效果还是图像质量评价指标上都取得了更好的结果,其中SSIM达到0.856 9,在文中所有方法中最高。     

一种新的超声图像斑点噪声抑制方法

斑点噪声是超声图像中固有的噪声。现有的用于斑点噪声抑制的自适应滤波方法,小波软阈值方法及小波域内细节抛弃法在去除噪声的同时,不同程度地丢失了一些图像细节。针对这一问题。本文提出了一种新的结合自适应中值滤波和小波软阈值处理的超声图像斑点噪声抑制方法。对计算机仿真图像及超声图像进行处理的结果表明,本文提出的新方法在有效去除斑点噪声的同时,很好地保留了图像的细节,优于上述的其他方法。     

An Effective Non-rigid Registration Approach for Ultrasound Image Based On “Demons” Algorithm

Medical image registration is an important component of computer-aided diagnosis system in diagnostics, therapy planning, and guidance of surgery. Because of its low signal/noise ratio (SNR), ultrasound (US) image registration is a difficult task. In this paper, a fully automatic non-rigid image registration algorithm based on demons algorithm is proposed for registration of ultrasound images. In the proposed method, an “inertia force” derived from the local motion trend of pixels in a Moore neighborhood system is produced and integrated into optical flow equation to estimate the demons force, which is helpful to handle the speckle noise and preserve the geometric continuity of US images. In the experiment, a series of US images and several similarity measure metrics are utilized for evaluating the performance. The experimental results demonstrate that the proposed method can register ultrasound images efficiently, robust to noise, quickly and automatically.     

Speckle reduction in optical coherence tomography imaging by affine-motion image registration

Signal-degrading speckle is one factor that can reduce the quality of optical coherence tomography images. We demonstrate the use of a hierarchical model-based motion estimation processing scheme based on an affine-motion model to reduce speckle in optical coherence tomography imaging, by image registration and the averaging of multiple B-scans. The proposed technique is evaluated against other methods available in the literature. The results from a set of retinal images show the benefit of the proposed technique, which provides an improvement in signal-to-noise ratio of the square root of the number of averaged images, leading to clearer visual information in the averaged image. The benefits of the proposed technique are also explored in the case of ocular anterior segment imaging.     

Homomorphic wavelet thresholding technique for denoising medical ultrasound images

A novel homomorphic wavelet thresholding technique for reducing speckle noise in medical ultrasound images is presented. First, we show that the speckle wavelet coefficients in the logarithmically transformed ultrasound images are best described by the Nakagami family of distributions. By exploiting this speckle model and the Laplacian signal prior, a closed form, data-driven, and spatially adaptive threshold is derived in the Bayesian framework. The spatial adaptivity allows the additional information of the image (such as identification of homogeneous or heterogeneous regions) to be incorporated into the algorithm. Further, the threshold has been extended to the redundant wavelet representation, which yields better results than the decimated wavelet transform. Experimental results demonstrate the improved performance of the proposed method over other well-known speckle reduction filters. The application of the proposed method to a realistic US test image shows that the new technique, named HomoGenThresh, outperforms the best wavelet-based denoising method reported in [1] by more than 1.6 dB, Lee filter by 3.6 dB, Kaun filter by 3.1 dB and band-adaptive soft thresholding [2] by 2.1 dB at an input signal-to-noise ratio (SNR) of 13.6 dB.     

Ultrasound image matching using genetic algorithms

Image compounding reduces the artifacts inherent in ultrasound imaging, but accurate matching of images for compounding depends on their accurate placement in the compound image plane. A method is presented to reduce displacement errors during compounding of ultrasound B-scans of a normal human shank. A genetic algorithm was used to place matching B-scans in the compound image. The method was tested on a phantom and was shown to reduce, but not eliminate, mismatches due to the displacement of B-scans from their original position in the compound image plane. The results can be extended to applications in lower-limb prosthetics, where ultrasound imaging can be used to visualise the internal geometry of amputees' residual limbs.     

Real time spatial compound ultrasound in the evaluation of meniscal injuries: A comparison study with conventional ultrasound and MRI

The aim of this study was to compare real time spatial compound ultrasound (RTCS) and conventional ultrasound with MRI in the evaluation of meniscal injuries. Thirty five patients with clinical suspicion of meniscal injury underwent ultrasound of knee alternating between conventional and compound sonography followed by MRI of the knee on a 1.5 T MR system. The images were compared for their quality and ability to detect meniscal tear. Compound ultrasound significantly improved definition of soft tissue planes, reduced speckle and other noise, improved contrast resolution (p value < 0.05) with improved confidence in detection of tears in doubtful cases. Interobserver variability was seen only for conventional ultrasound and the sensitivity, specificity, accuracy were 83.3%, 87.5% and 85.7% for the first observer and 80%, 87.5% and 84.3% for second observer. For compound ultrasound it was same for both the observers with sensitivity, specificity and accuracy being 90% each. Although compound ultrasound improves image quality in the evaluation of meniscal injuries the benefit with respect to detection of tears is only marginal. It is a valuable tool for screening the patients before MRI and we recommend that instead of conventional ultrasound, compound ultrasound should be routinely used for sonographic evaluation of meniscal injuries.     

眼科高频超声成像中斑点噪声抑制算法的研究

目的 斑点噪声是超声图像中存在的固有问题,而在眼科高频超声这种更为精细的超声检查中,有效地抑制斑点噪声能提高图像的质量,有助于临床医生对病情的判别.方法 提出了一种新的基于拉普拉斯（Laplacian）金字塔的多尺度斑点去噪方法.采用Laplacian金字塔,从斑点噪声中分离出临床图像特征,根据每层子带图像不同尺度及特点,从小尺度到大尺度,首先采用改进后的八方向各向异性斑点去噪（SRAD）去除图像斑点,然后增强图像的边缘、细节及对比度等方面.该方法与传统的SRAD滤波及相干增强滤波（CEDIF）进行对比,采用等效视数及算法的时间耗费对实验结果进行量化评估.结果 与传统SRAD滤波及CEDIF滤波方法相比,基于Laplacian金字塔的多尺度各向异性斑点去噪方法均高于前两种方法（1.172 3 vs 1.122 3、0.929 3及0.864 0 vs 1.396 0、1.468 3）.结论 本研究提出的基于Laplacian金字塔的多尺度各向异性斑点去噪方法在更有效地去除图像斑点噪声的同时,能很好地保存图像边缘及图像细节等.     

A Blurring Index for Medical Images

This study was undertaken to investigate a useful image blurring index. This work is based on our previously developed method, the Moran peak ratio. Medical images are often deteriorated by noise or blurring. Image processing techniques are used to eliminate these two factors. The denoising process may improve image visibility with a trade-off of edge blurring and may introduce undesirable effects in an image. These effects also exist in images reconstructed using the lossy image compression technique. Blurring and degradation in image quality increases with an increase in the lossy image compression ratio. Objective image quality metrics [e.g., normalized mean square error (NMSE)] currently do not provide spatial information about image blurring. In this article, the Moran peak ratio is proposed for quantitative measurement of blurring in medical images. We show that the quantity of image blurring is dependent upon the ratio between the processed peak of Moran's Z histogram and the original image. The peak ratio of Moran's Z histogram can be used to quantify the degree of image blurring. This method produces better results than the standard gray level distribution deviation. The proposed method can also be used to discern blurriness in an image using different image compression algorithms.     

Respiratory motion blur identification and reduction in ungated thoracic PET imaging

Respiratory motion results in significant motion blur in thoracic positron emission tomography (PET) imaging. Existing approaches to correct the blurring artifact involve acquiring the images in gated mode and using complicated reconstruction algorithms. In this paper, we propose a post-reconstruction framework to estimate respiratory motion and reduce the motion blur of PET images acquired in ungated mode. Our method includes two steps: one is to use minmax directional derivative analysis and local auto-correlation analysis to identify the two parameters blur direction and blur extent, respectively, and another is to employ WRL, à trous wavelet-denoising modified Richardson-Lucy (RL) deconvolution, to reduce the motion blur based on identified parameters. The mobile phantom data were first used to test the method before it was applied to 32 cases of clinical lung tumor PET data. Results showed that the blur extent of phantom images in different directions was accurately identified, and WRL can remove the majority of motion blur within ten iterations. The blur extent of clinical images was estimated to be 12.1 ± 3.7 mm in the direction of 74 ± 3° relative to the image horizontal axis. The quality of clinical images was significantly improved, both from visual inspection and quantitative evaluation after deconvolution. It was demonstrated that WRL outperforms RL and a Wiener filter in reducing the motion blur with one to two more iterations. The proposed method is easy to implement and thus could be a useful tool to reduce the effect of respiration in ungated thoracic PET imaging.     

Assessment of hybrid speckle reduction algorithms.

A consequence of employing coherent detection methods in medical ultrasound imaging systems is the occurrence of interference effects in the received echo field, which produce the speckle artefact. Speckle can severely degrade the information content of the image, and its efficient removal from ultrasound pulse-echo images is the focus of a number of research projects. Traditionally, the approach towards speckle reduction in pulse-echo images has been based on two classes of technique, either employing some form of spatial/frequency compounding or a data (image) filter. Both approaches have inherent shortcomings, and two alternative techniques are suggested here: 'local frequency diversity' and 'frequency differencing'. These algorithms deterministically identify where speckle occurs, and correct for speckle only within short, localized, corrupted segments of the A-line. This provides the potential for real-time implementation. Simulated and clinical in vivo images have been obtained, and the capabilities of the alternative speckle reduction algorithms are assessed against the more conventional approaches.     

Robust non-homomorphic approach for speckle reduction in medical ultrasound images

Most existing wavelet-based image denoising techniques are developed for additive white Gaussian noise. In applications to speckle reduction in medical ultrasound (US) images, the traditional approach is first to perform the logarithmic transform (homomorphic processing) to convert the multiplicative speckle noise model to an additive one, and then the wavelet filtering is performed on the log-transformed image, followed by an exponential operation. However, this non-linear operation leads to biased estimation of the signal and increases the computational complexity of the filtering method. To overcome these drawbacks, an efficient, non-homomorphic technique for speckle reduction in medical US images is proposed. The method relies on the true characterisation of the marginal statistics of the signal and speckle wavelet coefficients. The speckle component was modelled using the generalised Nakagami distribution, which is versatile enough to model the speckle statistics under various scattering conditions of interest in medical US images. By combining this speckle model with the generalised Gaussian signal first, the Bayesian shrinkage functions were derived using the maximum a posteriori (MAP) criterion. The resulting Bayesian processor used the local image statistics to achieve soft-adaptation from homogeneous to highly heterogeneous areas. Finally, the results showed that the proposed method, named GNDShrink, yielded a signal-to-noise ratio (SNR) gain of 0.42 dB over the best state-of-the-art despeckling method reported in the literature, 1.73 dB over the Lee filter and 1.31 dB over the Kaun filter at an input SNR of 12.0 dB, when tested on a US image. Further, the visual comparison of despeckled US images indicated that the new method suppressed the speckle noise well, while preserving the texture and organ surfaces.     

基于比率距离的自适应超声图像去噪方法

针对超声图像噪声的瑞利分布特性,使用一种新的自适应超声图像去噪方法,改进固定窗口包含边缘时无法做到沿边缘方向滤波的不足。采用可自由伸缩的自适应滤波窗口,首先针对瑞利分布的噪声引入比率距离,得到超声图像像素间的相似度距离,然后考虑像素的邻域图像块均值,解决相似度距离之间比较的问题,最后像素根据新的相似度距离进行八方向伸展,得到不规则形状的滤波窗口进行去噪。用仿真超声图像和临床超声图像进行实验,图像评价指标结果表明该算法优于经典算法,更适用于去除超声图像的斑点噪声,在去除噪声的同时能够较好地保留细节边缘。     

Novel Genetic-Neuro-Fuzzy Filter for Speckle Reduction from Sonography Images

Edge-preserving speckle noise reduction is essential to computer-aided ultrasound image processing and understanding. A new class of genetic-neuro-fuzzy filter is proposed to optimize the trade-off between speckle noise removal and edge preservation. The proposed approach combines the advantages of the fuzzy, neural, and genetic paradigms. Neuro-fuzzy approaches are very promising for nonlinear filtering of noisy images. Fuzzy reasoning embedded into the network structure aims at reducing errors while fine details are being processed. The learning method based on the real-time genetic algorithms (GAs) performs an effective training of the network from a collection of training data and yields satisfactory results after a few generations.The performance of the proposed filter has been compared with that of the commonly used median and Wiener filters in reducing speckle noises on ultrasound images. We evaluate this filter by passing the filters output to the edge detection algorithm and observing its ability to detect edge pixels.Experimental results show that the proposed genetic-neuro-fuzzy technique is very effective in speckle noise reduction as well as detail preserving even in the presence of highly noise corrupted data, and it works significantly better than other well-known conventional methods in the literature.     

基于小波变换的血管内超声图像血流斑点噪声抑制研究

血管内超声成像已经越来越广泛地应用到冠心病的诊断和介入治疗中.为了提高图像分辨率必须增加超声频率,使得血流斑点噪声也显著增强,降低了管腔和管壁的对比度,增加了识别管壁与周围组织的难度,给病情的诊断和治疗带来了不便.本研究结合小波变换域软阈值滤波法和半软阈值滤波法,并设计了一种局部阈值来实现血流斑点噪声抑制.实验结果表明该方法在抑制斑点噪声的同时保留了图像的边缘,增强了管腔和管壁的哪对比度,有助于识别管壁和周围组织.     

Bayesian Framework-Based Adaptive Hybrid Filtering for Speckle Noise Reduction in Ultrasound Images Via Lion Plus FireFly Algorithm

Journal of Digital Imaging - The existence of speckle noise in ultrasound (US) image processing distorts the image quality and also hinders the development of systematic approaches for US images....     

Enhancing obstetric and gynecology ultrasound images by adaptation of the speckle reducing anisotropic diffusion filter

OBJECTIVE: So far there is no ideal speckle reduction filtering technique that is capable of enhancing and reducing the level of noise in medical ultrasound (US) images, while efficiently responding to medical experts' validation criteria which quite often include a subjective component. This paper presents an interactive tool called evolutionary speckle reducing anisotropic diffusion filter (EVOSRAD) that performs adaptive speckle filtering on ultrasound B-mode still images. The medical expert runs the algorithm interactively, having a permanent control over the output, and guiding the filtering process towards obtaining enhanced images that agree to his/her subjective quality criteria. METHODS AND MATERIAL: We employ an interactive evolutionary algorithm (IGA) to adapt on-line the parameters of a speckle reducing anisotropic diffusion (SRAD) filter. For a given input US image, the algorithm evolves the parameters of the SRAD filter according to subjective criteria of the medical expert who runs the interactive algorithm. The method and its validation are applied to a test bed comprising both real and simulated obstetrics and gynecology (OB/GYN) ultrasound images. RESULTS: The potential of the method is analyzed in comparison to other speckle reduction filters: the original SRAD filter, the anisotropic diffusion, offset and median filters. Results obtained show the good potential of the method on several classes of OB/GYN ultrasound images, as well as on a synthetic image simulating a real fetal US image. Quality criteria for the evaluation and validation of the method include subjective scoring given by the medical expert who runs the interactive method, as well as objective global and local quality criteria. CONCLUSIONS: The method presented allows the medical expert to design its own filters according to the degree of medical expertise as well as to particular and often subjective assessment criteria. A filter is designed for a given class of ultrasound images and for a given medical expert who will later use the respective filter in clinical practice. The process of designing a filter is simple and employs an interactive visualization and scoring stage that does not require image processing knowledge. Results show that filters tailored using the presented method achieve better quality scores than other more generic speckle filtering techniques.     

Quality evaluation of ultrasound imaging in the carotid artery based on normalization and speckle reduction filtering

Image quality is important when evaluating ultrasound images of the carotid for the assessment of the degree of atherosclerotic disease, or when transferring images through a telemedicine channel, and/or in other image processing tasks. The objective of this study was to investigate the usefulness of image quality evaluation based on image quality metrics and visual perception, in ultrasound imaging of the carotid artery after normalization and speckle reduction filtering. Image quality was evaluated based on statistical and texture features, image quality evaluation metrics, and visual perception evaluation made by two experts. These were computed on 80 longitudinal ultrasound images of the carotid bifurcation recorded from two different ultrasound scanners, the HDI ATL-3000 and the HDI ATL-5000 scanner, before (NF) and after (DS) speckle reduction filtering, after normalization (N), and after normalization and speckle reduction filtering (NDS). The results of this study showed that: (1) the normalized speckle reduction, NDS, images were rated visually better on both scanners; (2) the NDS images showed better statistical and texture analysis results on both scanners; (3) better image quality evaluation results were obtained between the original (NF) and normalized (N) images, i.e. NF–N, for both scanners, followed by the NF–DS images for the ATL HDI-5000 scanner and the NF–DS on the HDI ATL-3000 scanner; (4) the ATL HDI-5000 scanner images have considerable higher entropy than the ATL HDI-3000 scanner and thus more information content. However, based on the visual evaluation by the two experts, both scanners were rated similarly. The above findings are also in agreement with the visual perception evaluation, carried out by the two vascular experts. The results of this study showed that ultrasound image normalization and speckle reduction filtering are important preprocessing steps favoring image quality, and should be further investigated.     

Deblurring of breathing motion artifacts in thoracic PET images by deconvolution methods

In FDG-PET imaging of thoracic tumors, blurring due to breathing motion often significantly degrades the quality of the observed image, which then obscures the tumor boundary. We demonstrate a deblurring technique that combines patient-specific motion estimates of tissue trajectories with image deconvolution techniques, thereby partially eliminating breathing-motion induced artifacts. Two data sets were used to evaluate the methodology including mobile phantoms and clinical images. The clinical images consist of PET/CT co-registered images of patients diagnosed with lung cancer. A breathing motion model was used to locally estimate the location-dependent tissue location probability function (TLP) due to breathing. The deconvolution process is carried by an expectation-maximization (EM) iterative algorithm using the motion-based TLP. Several methods were used to improve the robustness of the deblurring process by mitigating noise amplification and compensating for motion estimate uncertainties. The mobile phantom study with controlled settings demonstrated significant reduction in underestimation error of concentration in high activity case without significant superiority between the different applied methods. In case of medium activity concentration (moderate noise levels), less improvement was reported (10%-15% reduction in underestimation error relative to 15%-20% reduction in high concentration). Residual denoising using wavelets offered the best performance for this case. In the clinical data case, the image spatial resolution was significantly improved, especially in the direction of greatest motion (cranio-caudal). The EM algorithm converged within 15 and 5 iterations in the large and small tumor cases, respectively. A compromise between a figure-of-merit and entropy minimization was suggested as a stopping criterion. Regularization techniques such as wavelets and Bayesian methods provided further refinement by suppressing noise amplification. Our initial results show that the proposed method provides a feasible framework for improving PET thoracic images, without the need for gated/4-D PET imaging, when 4-D CT is available to estimate tumor motion.