This study introduces a motion-based learning network with a global-local self-attention module (MoGLo-Net) to enhance 3D reconstruction in handheld photoacoustic and ultrasound (PAUS) imaging. Standard PAUS imaging is often limited by a narrow field of view and the inability to effectively visualize complex 3D structures. The 3D freehand technique, which aligns sequential 2D images for 3D reconstruction, faces significant challenges in accurate motion estimation without relying on external positional sensors. MoGLo-Net addresses these limitations through an innovative adaptation of the self-attention mechanism, which effectively exploits the critical regions, such as fully-developed speckle area or high-echogenic tissue area within successive ultrasound images to accurately estimate motion parameters. This facilitates the extraction of intricate features from individual frames. Additionally, we designed a patch-wise correlation operation to generate a correlation volume that is highly correlated with the scanning motion. A custom loss function was also developed to ensure robust learning with minimized bias, leveraging the characteristics of the motion parameters. Experimental evaluations demonstrated that MoGLo-Net surpasses current state-of-the-art methods in both quantitative and qualitative performance metrics. Furthermore, we expanded the application of 3D reconstruction technology beyond simple B-mode ultrasound volumes to incorporate Doppler ultrasound and photoacoustic imaging, enabling 3D visualization of vasculature. The source code for this study is publicly available at: https://github.com/guhong3648/US3D

Lung ultrasound is a growing modality in clinics for diagnosing and monitoring acute and chronic lung diseases due to its low cost and accessibility. Lung ultrasound works by emitting diagnostic pulses, receiving pressure waves and converting them into radio frequency (RF) data, which are then processed into B-mode images with beamformers for radiologists to interpret. However, unlike conventional ultrasound for soft tissue anatomical imaging, lung ultrasound interpretation is complicated by complex reverberations from the pleural interface caused by the inability of ultrasound to penetrate air. The indirect B-mode images make interpretation highly dependent on reader expertise, requiring years of training, which limits its widespread use despite its potential for high accuracy in skilled hands. To address these challenges and democratize ultrasound lung imaging as a reliable diagnostic tool, we propose LUNA, an AI model that directly reconstructs lung aeration maps from RF data, bypassing the need for traditional beamformers and indirect interpretation of B-mode images. LUNA uses a Fourier neural operator, which processes RF data efficiently in Fourier space, enabling accurate reconstruction of lung aeration maps. LUNA offers a quantitative, reader-independent alternative to traditional semi-quantitative lung ultrasound scoring methods. The development of LUNA involves synthetic and real data: We simulate synthetic data with an experimentally validated approach and scan ex vivo swine lungs as real data. Trained on abundant simulated data and fine-tuned with a small amount of real-world data, LUNA achieves robust performance, demonstrated by an aeration estimation error of 9% in ex-vivo lung scans. We demonstrate the potential of reconstructing lung aeration maps from RF data, providing a foundation for improving lung ultrasound reproducibility and diagnostic utility.

Image reconstruction from radio-frequency data is pivotal in ultrafast plane wave ultrasound imaging. Unlike the conventional delay-and-sum (DAS) technique, which relies on somewhat imprecise assumptions, deep learning-based methods perform image reconstruction by training on paired data, leading to a notable enhancement in image quality. Nevertheless, these strategies often exhibit limited generalization capabilities. Recently, denoising diffusion models have become the preferred paradigm for image reconstruction tasks. However, their reliance on an iterative sampling procedure results in prolonged generation time. In this paper, we propose a novel sampling framework that concurrently enforces data consistency of ultrasound signals and data-driven priors. By leveraging the advanced diffusion model, the generation of high-quality images is substantially expedited. Experimental evaluations on an in-vivo dataset indicate that our approach with a single plane wave surpasses DAS with spatial coherent compounding of 75 plane waves.

Medical ultrasound (US) is widely used to evaluate and stage vascular diseases, in particular for the preliminary screening program, due to the advantage of being radiation-free. However, automatic segmentation of small tubular structures (e.g., the ulnar artery) from cross-sectional US images is still challenging. To address this challenge, this paper proposes the DopUS-Net and a vessel re-identification module that leverage the Doppler effect to enhance the final segmentation result. Firstly, the DopUS-Net combines the Doppler images with B-mode images to increase the segmentation accuracy and robustness of small blood vessels. It incorporates two encoders to exploit the maximum potential of the Doppler signal and recurrent neural network modules to preserve sequential information. Input to the first encoder is a two-channel duplex image representing the combination of the grey-scale Doppler and B-mode images to ensure anatomical spatial correctness. The second encoder operates on the pure Doppler images to provide a region proposal. Secondly, benefiting from the Doppler signal, this work first introduces an online artery re-identification module to qualitatively evaluate the real-time segmentation results and automatically optimize the probe pose for enhanced Doppler images. This quality-aware module enables the closed-loop control of robotic screening to further improve the confidence and robustness of image segmentation. The experimental results demonstrate that the proposed approach with the re-identification process can significantly improve the accuracy and robustness of the segmentation results (dice score: from 0:54 to 0:86; intersection over union: from 0:47 to 0:78).

We present a physics-enhanced implicit neural representation (INR) for ultrasound (US) imaging that learns tissue properties from overlapping US sweeps. Our proposed method leverages a ray-tracing-based neural rendering for novel view US synthesis. Recent publications demonstrated that INR models could encode a representation of a three-dimensional scene from a set of two-dimensional US frames. However, these models fail to consider the view-dependent changes in appearance and geometry intrinsic to US imaging. In our work, we discuss direction-dependent changes in the scene and show that a physics-inspired rendering improves the fidelity of US image synthesis. In particular, we demonstrate experimentally that our proposed method generates geometrically accurate B-mode images for regions with ambiguous representation owing to view-dependent differences of the US images. We conduct our experiments using simulated B-mode US sweeps of the liver and acquired US sweeps of a spine phantom tracked with a robotic arm. The experiments corroborate that our method generates US frames that enable consistent volume compounding from previously unseen views. To the best of our knowledge, the presented work is the first to address view-dependent US image synthesis using INR.

Ultrasound is an adjunct tool to mammography that can quickly and safely aid physicians with diagnosing breast abnormalities. Clinical ultrasound often assumes a constant sound speed to form B-mode images for diagnosis. However, the various types of breast tissue, such as glandular, fat, and lesions, differ in sound speed. These differences can degrade the image reconstruction process. Alternatively, sound speed can be a powerful tool for identifying disease. To this end, we propose a deep-learning approach for sound speed estimation from in-phase and quadrature ultrasound signals. First, we develop a large-scale simulated ultrasound dataset that generates quasi-realistic breast tissue by modeling breast gland, skin, and lesions with varying echogenicity and sound speed. We developed a fully convolutional neural network architecture trained on a simulated dataset to produce an estimated sound speed map from inputting three complex-value in-phase and quadrature ultrasound images formed from plane-wave transmissions at separate angles. Furthermore, thermal noise augmentation is used during model optimization to enhance generalizability to real ultrasound data. We evaluate the model on simulated, phantom, and in-vivo breast ultrasound data, demonstrating its ability to accurately estimate sound speeds consistent with previously reported values in the literature. Our simulated dataset and model will be publicly available to provide a step towards accurate and generalizable sound speed estimation for pulse-echo ultrasound imaging.

Ultrasound (US) imaging is based on the time-reversal principle, in which individual channel RF measurements are back-propagated and accumulated to form an image after applying specific delays. While this time reversal is usually implemented as a delay-and-sum (DAS) beamformer, the image quality quickly degrades as the number of measurement channels decreases. To address this problem, various types of adaptive beamforming techniques have been proposed using predefined models of the signals. However, the performance of these adaptive beamforming approaches degrade when the underlying model is not sufficiently accurate. Here, we demonstrate for the first time that a single universal deep beamformer trained using a purely data-driven way can generate significantly improved images over widely varying aperture and channel subsampling patterns. In particular, we design an end-to-end deep learning framework that can directly process sub-sampled RF data acquired at different subsampling rate and detector configuration to generate high quality ultrasound images using a single beamformer. Experimental results using B-mode focused ultrasound confirm the efficacy of the proposed methods.

Abstract--In portable, three dimensional, and ultra-fast ultrasound (US) imaging systems, there is an increasing need to reconstruct high quality images from a limited number of RF data from receiver (Rx) or scan-line (SC) sub-sampling. However, due to the severe side lobe artifacts from RF sub-sampling, the standard beamformer often produces blurry images with less contrast that are not suitable for diagnostic purpose. T o address this problem, some researchers have studied compressed sensing (CS) to exploit the sparsity of the image or RF data in some domains. However, the existing CS approaches require either hardware changes or computationally expensive algorithms. T o overcome these limitations, here we propose a novel deep learning approach that directly interpolates the missing RF data by utilizing redundancy in the Rx-SC plane. In particular, the network design principle derives from a novel interpretation of the deep neural network as a cascaded convolution framelets that learns the data-driven bases for Hankel matrix decomposition. Our extensive experimental results from sub-sampled RF data from a real US system confirmed that the proposed method can effectively reduce the data rate without sacrificing the image quality.