scholarly journals 3D ultrasound reconstruction of sonographic callus

2021 ◽  
Vol 10 (12) ◽  
pp. 759-766
Author(s):  
Jamie A. Nicholson ◽  
William M. Oliver ◽  
Tom J. MacGillivray ◽  
C. Michael Robinson ◽  
A. Hamish R. W. Simpson
Keyword(s):  
3D Reconstruction ◽  
Imaging Modality ◽  
Intraclass Correlation ◽  
3D Ultrasound ◽  
Fracture Site ◽  
Ultrasound Images ◽  
Automated Mapping ◽  
Post Surgery ◽  
Infrared Tracking ◽  
Tracking Technology

Aims The aim of this study was to establish a reliable method for producing 3D reconstruction of sonographic callus. Methods A cohort of ten closed tibial shaft fractures managed with intramedullary nailing underwent ultrasound scanning at two, six, and 12 weeks post-surgery. Ultrasound capture was performed using infrared tracking technology to map each image to a 3D lattice. Using echo intensity, semi-automated mapping was performed to produce an anatomical 3D representation of the fracture site. Two reviewers independently performed 3D reconstructions and kappa coefficient was used to determine agreement. A further validation study was undertaken with ten reviewers to estimate the clinical application of this imaging technique using the intraclass correlation coefficient (ICC). Results Nine of the ten patients achieved union at six months. At six weeks, seven patients had bridging callus of ≥ one cortex on the 3D reconstruction and when present all achieved union. Compared to six-week radiographs, no bridging callus was present in any patient. Of the three patients lacking sonographic bridging callus, one went onto a nonunion (77.8% sensitive and 100% specific to predict union). At 12 weeks, nine patients had bridging callus at ≥ one cortex on 3D reconstruction (100%-sensitive and 100%-specific to predict union). Presence of sonographic bridging callus on 3D reconstruction demonstrated excellent reviewer agreement on ICC at 0.87 (95% confidence interval 0.74 to 0.96). Conclusion 3D fracture reconstruction can be created using multiple ultrasound images in order to evaluate the presence of bridging callus. This imaging modality has the potential to enhance the usability and accuracy of identification of early fracture healing. Cite this article: Bone Joint Res 2021;10(12):759–766.

scholarly journals A Standard Mammography Unit – Standard 3D Ultrasound Probe Fusion Prototype: First Results

2017 ◽  
Vol 77 (06) ◽  
pp. 679-685 ◽  
Author(s):  
Rüdiger Schulz-Wendtland ◽  
Sebastian Jud ◽  
Peter Fasching ◽  
Arndt Hartmann ◽  
Marcus Radicke ◽  
...  
Keyword(s):  
Imaging Modality ◽  
3D Ultrasound ◽  
Ultrasound Images ◽  
Digital Mammogram ◽  
Ultrasound Probe ◽  
Breast Compression ◽  
Compression Plate ◽  
First Results ◽  
Conventional Mammography ◽  
Breast Diagnostics

Abstract Aim The combination of different imaging modalities through the use of fusion devices promises significant diagnostic improvement for breast pathology. The aim of this study was to evaluate image quality and clinical feasibility of a prototype fusion device (fusion prototype) constructed from a standard tomosynthesis mammography unit and a standard 3D ultrasound probe using a new method of breast compression. Materials and Methods Imaging was performed on 5 mastectomy specimens from patients with confirmed DCIS or invasive carcinoma (BI-RADS™ 6). For the preclinical fusion prototype an ABVS system ultrasound probe from an Acuson S2000 was integrated into a MAMMOMAT Inspiration (both Siemens Healthcare Ltd) and, with the aid of a newly developed compression plate, digital mammogram and automated 3D ultrasound images were obtained. Results The quality of digital mammogram images produced by the fusion prototype was comparable to those produced using conventional compression. The newly developed compression plate did not influence the applied x-ray dose. The method was not more labour intensive or time-consuming than conventional mammography. From the technical perspective, fusion of the two modalities was achievable. Conclusion In this study, using only a few mastectomy specimens, the fusion of an automated 3D ultrasound machine with a standard mammography unit delivered images of comparable quality to conventional mammography. The device allows simultaneous ultrasound – the second important imaging modality in complementary breast diagnostics – without increasing examination time or requiring additional staff.

scholarly journals Direct comparison of multilayer left ventricular global longitudinal strain using CMR feature tracking and speckle tracking echocardiography

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saikrishna Ananthapadmanabhan ◽  
Giau Vo ◽  
Tuan Nguyen ◽  
Hany Dimitri ◽  
James Otton
Keyword(s):  
Feature Tracking ◽  
Speckle Tracking ◽  
Longitudinal Strain ◽  
Speckle Tracking Echocardiography ◽  
Imaging Modality ◽  
Global Longitudinal Strain ◽  
Intraclass Correlation ◽  
Strain Analysis ◽  
Left Ventricular ◽  
Multilayer Strain

Abstract Background Cardiac magnetic resonance feature tracking (CMR-FT) and speckle tracking echocardiography (STE) are well-established strain imaging modalities. Multilayer strain measurement permits independent assessment of endocardial and epicardial strain. This novel and layer specific approach to evaluating myocardial deformation parameters may provide greater insight into cardiac contractility when compared to whole-layer strain analysis. The aim of this study is to validate CMR-FT as a tool for multilayer strain analysis by providing a direct comparison between multilayer global longitudinal strain (GLS) values between CMR-FT and STE. Methods We studied 100 patients who had an acute myocardial infarction (AMI), who underwent CMR imaging and echocardiogram at baseline and follow-up (48 ± 13 days). Dedicated tissue tracking software was used to analyse single- and multi-layer GLS values for CMR-FT and STE. Results Correlation coefficients for CMR-FT and STE were 0.685, 0.687, and 0.660 for endocardial, epicardial, and whole-layer GLS respectively (all p < 0.001). Bland Altman analysis showed good inter-modality agreement with minimal bias. The absolute limits of agreement in our study were 6.4, 5.9, and 5.5 for endocardial, whole-layer, and epicardial GLS respectively. Absolute biases were 1.79, 0.80, and 0.98 respectively. Intraclass correlation coefficient (ICC) values showed moderate agreement with values of 0.626, 0.632, and 0.671 respectively (all p < 0.001). Conclusion There is good inter-modality agreement between CMR-FT and STE for whole-layer, endocardial, and epicardial GLS, and although values should not be used interchangeably our study demonstrates that CMR-FT is a viable imaging modality for multilayer strain

Prostate boundary segmentation from 3D ultrasound images

2003 ◽  
Vol 30 (7) ◽  
pp. 1648-1659 ◽  
Author(s):  
Ning Hu ◽  
Dónal B. Downey ◽  
Aaron Fenster ◽  
Hanif M. Ladak
Keyword(s):  
3D Ultrasound ◽  
Ultrasound Images

scholarly journals Comparison of short-wavelength blue-light autofluorescence and conventional blue-light autofluorescence in geographic atrophy

2018 ◽  
Vol 103 (5) ◽  
pp. 610-616 ◽  
Author(s):  
Enrico Borrelli ◽  
Muneeswar Gupta Nittala ◽  
Nizar Saleh Abdelfattah ◽  
Jianqin Lei ◽  
Amir H Hariri ◽  
...  
Keyword(s):  
Blue Light ◽  
Imaging Modality ◽  
Fundus Autofluorescence ◽  
Intraclass Correlation ◽  
Geographic Atrophy ◽  
Area Measurement ◽  
Excitation Wavelength ◽  
Lesion Area ◽  
Significant Difference ◽  
The Individual

Background/aimsTo systematically compare the intermodality and inter-reader agreement for two blue-light confocal fundus autofluorescence (FAF) systems.MethodsThirty eyes (21 patients) with a diagnosis of geographic atrophy (GA) were enrolled. Eyes were imaged using two confocal blue-light FAF devices: (1) Spectralis device with a 488 nm excitation wavelength (488-FAF); (2) EIDON device with 450 nm excitation wavelength and the capability for ‘colour’ FAF imaging including both the individual red and green components of the emission spectrum. Furthermore, a third imaging modality (450-RF image) isolating and highlighting the red emission fluorescence component (REFC) was obtained and graded. Each image was graded by two readers to assess inter-reader variability and a single image for each modality was used to assess the intermodality variability.ResultsThe 95% coefficient of repeatability (1.35 mm2 for the 488-FAF-based grading, 8.13 mm2 for the 450-FAF-based grading and 1.08 mm2 for the 450-RF-based grading), the coefficient of variation (1.11 for 488-FAF, 2.05 for 450-FAF, 0.92 for 450-RF) and the intraclass correlation coefficient (0.994 for 488-FAF, 0.711 for 450-FAF, 0.997 for 450-RF) indicated that 450-FAF-based and 450-RF-based grading have the lowest and highest inter-reader agreements, respectively. The GA area was larger for 488-FAF images (median (IQR) 2.1 mm2 (0.8–6.4 mm2)) than for 450-FAF images (median (IQR) 1.0 mm2 (0.3–4.3 mm2); p<0.0001). There was no significant difference in lesion area measurement between 488-FAF-based and 450-RF-based grading (median (IQR) 2.6 mm2 (0.8–6.8 mm2); p=1.0).ConclusionThe isolation of the REFC from the 450-FAF images allowed for a reproducible quantification of GA. This assessment had good comparability with that obtained with 488-FAF images.

The Physics of Ultrasound

2018 ◽  
Author(s):  
Gerry van Rensburg ◽  
Andrew Smith ◽  
Ben O’Brien
Keyword(s):  
Continuous Wave ◽  
Imaging Modality ◽  
Doppler Frequency ◽  
Daily Practice ◽  
The Body ◽  
Ultrasound Images ◽  
Plain Language ◽  
Color Flow ◽  
Continuous Wave Doppler ◽  
Physical Principles

Clinical ultrasound has attained significant importance for the practising anesthesiologist. Its applications reach far and wide in anatomic and physiologic diagnosis, and it is a powerful adjunct for guiding interventional procedures. This article describes the physical principles that allow for the generation of ultrasound, its transmission and reflection from within the body, and generation of the ultrasound images used in daily practice. We not only review definitions of important technical terms but also provide synonyms in plain language, as jargon often presents a barrier to grasping basic and fundamental principles. Furthermore, we review the mathematical and physical principles that facilitate the generation of Doppler modes, such as pulsed wave, continuous wave, color flow. Clinically safe practice requires that all data be interpreted in the light of the technology’s shortcomings; we additionally review the common pitfalls and artifacts encountered in the use of this imaging modality. This review contains 16 figures, 1 table, and 5 references. Keywords: attenuation, continuous wave Doppler, Doppler, frequency, imaging artefacts, physics, pulsed-wave Doppler, ultrasound

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