Advertisement
Original Contribution| Volume 35, ISSUE 9, P1555-1563, September 2009

Novel Automated Motion Compensation Technique for Producing Cumulative Maximum Intensity Subharmonic Images

  • Jaydev K. Dave
    Affiliations
    Department of Radiology, Thomas Jefferson University, Philadelphia, PA

    School of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, PA
    Search for articles by this author
  • Flemming Forsberg
    Correspondence
    Address correspondence to: Flemming Forsberg, Ph.D., Department of Radiology, Division of Ultrasound, Suite 763J, Main Building, 132 South 10th Street, Philadelphia, PA 19107.
    Affiliations
    Department of Radiology, Thomas Jefferson University, Philadelphia, PA
    Search for articles by this author

      Abstract

      The aim of this study was to develop a novel automated motion compensation algorithm for producing cumulative maximum intensity (CMI) images from subharmonic imaging (SHI) of breast lesions. SHI is a nonlinear contrast-specific ultrasound imaging technique in which pulses are received at half the frequency of the transmitted pulses. A Logiq 9 scanner (GE Healthcare, Milwaukee, WI, USA) was modified to operate in grayscale SHI mode (transmitting/receiving at 4.4/2.2 MHz) and used to scan 14 women with 16 breast lesions. Manual CMI images were reconstructed by temporal maximum-intensity projection of pixels traced from the first frame to the last. In the new automated technique, the user selects a kernel in the first frame and the algorithm then uses the sum of absolute difference (SAD) technique to identify motion-induced displacements in the remaining frames. A reliability parameter was used to estimate the accuracy of the motion tracking based on the ratio of the minimum SAD to the average SAD. Two thresholds (the mean and 85% of the mean reliability parameter) were used to eliminate images plagued by excessive motion and/or noise. The automated algorithm was compared with the manual technique for computational time, correction of motion artifacts, removal of noisy frames and quality of the final image. The automated algorithm compensated for motion artifacts and noisy frames. The computational time was 2 min compared with 60–90 minutes for the manual method. The quality of the motion-compensated CMI-SHI images generated by the automated technique was comparable to the manual method and provided a snapshot of the microvasculature showing interconnections between vessels, which was less evident in the original data. In conclusion, an automated algorithm for producing CMI-SHI images has been developed. It eliminates the need for manual processing and yields reproducible images, thereby increasing the throughput and efficiency of reconstructing CMI-SHI images. The usefulness of this algorithm can be further extended to other imaging modalities. (E-mail: [email protected])

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Ultrasound in Medicine and Biology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Atallah M.J.
        Faster image template matching in sum of absolute value of the differences measure.
        IEEE Trans Image Proc. 2001; 10: 659-663
        • Averkiou M.
        • Powers J.
        • Skyba D.
        • Bruce M.
        • Jensen S.
        Ultrasound contrast imaging research.
        Ultrasound Q. 2003; 19: 27-37
        • Correas J.
        • Bridal L.
        • Lesavre A.
        • Mejean A.
        • Claudon M.
        • Helenon O.
        Ultrasound contrast agents: Properties, principles of action, tolerance and artifacts.
        Eur Radiol. 2001; 11: 1316-1328
        • Dave J.
        • Forsberg F.
        • Fernandes S.
        • Piccoli C.W.
        • Fox T.B.
        • Merton D.A.
        • Leodore L.M.
        • Hall A.L.
        Comparing cumulative maximum intensity image processing techniques for subharmonic breast imaging (abstract).
        J Ultrasound Med. 2009; 28: S40-S41
        • Ferrara K.W.
        • Meritt C.R.
        • Burns P.N.
        • Foster F.S.
        • Mattrey R.F.
        • Wickline S.A.
        Evaluation of tumor angiogenesis with US: Imaging, doppler and contrast agents.
        Acad Radiol. 2000; 7: 824-839
        • Forsberg F.
        • Piccoli C.
        • Merton D.
        • Palazzo J.
        • Hall A.
        Breast lesions: Imaging with contrast-enhanced subharmonic US-initial experience.
        Radiology. 2007; 244: 718-726
        • Forsberg F.
        • Shi W.T.
        • Goldberg B.B.
        Subharmonic imaging of contrast agents.
        Ultrasonics. 2000; 38: 93-98
        • Forsberg F.
        • Soparawala R.
        • Merton D.
        • Piccoli C.
        • Palazzo J.
        • Hall A.
        Quantitative analysis of contrast enhanced subharmonic breast images.
        IEEE Ultras Symp. 2006; : 1584-1587
        • Frinking P.J.
        • Bouakaz A.
        • Kirkhorn J.
        • Cate F.J.
        • de Jong N.
        Ultrasound contrast imaging: Current and new potential methods.
        Ultrasound Med Biol. 2000; 26: 965-975
        • Gasparini G.
        • Harris A.L.
        Clinical importance of the determination of tumor angiogenesis in breast carcinoma: Much more than a prognostic tool.
        J Clin Oncol. 1995; 13: 765-782
        • Goldberg B.B.
        • Raichlen J.S.
        • Forsberg F.
        Ultrasound Contrast Agents: Basic Principles and Clinical Applications, ed 2.
        Martin Dunitz Ltd, London2001
        • Hyde D.
        • Habets D.F.
        • Fox A.J.
        • Gulka I.
        • Kalapos P.
        • Lee D.H.
        • Pelz D.M.
        • Holdsworth D.W.
        Comparison of maximum intensity projection and digitally reconstructed radiographic projection for carotid artery stenosis measurement.
        Med Phys. 2007; 34: 2968-2974
        • Kamiyama N.
        • Yoshida T.
        • Kawagishi T.
        Update of ultrasound contrast echo—Visualization and quantification [abstract].
        Proc 8th Int Symp Ultrasound Contrast Imag. 2006; : 33-34
        • Kopans D.B.
        Breast Imaging.
        ed 2. Lippincott William & Wilkins, Phildelphia, PA1998
        • Manke D.
        • Kay N.
        • Börner P.
        Novel prospective respiratory motion correction approach for free-breathing coronary MR angiography using a patient-adapted affine motion model.
        Magn Res Med. 2003; 50: 122-131
        • Ott L.R.
        • Longnecker M.
        An Introduction to Statistical Methods and Data Analysis.
        ed 5. Duxbury-Thompson Learning, Pacific Grove, CA2001
        • Relf M.
        • LeJeune S.
        • Scott P.A.
        • Fox S.
        • Smith K.
        • Leek R.
        • Moghaddam A.
        • Whitehouse R.
        • Bicknell R.
        • Harris A.L.
        Expression of the angiogenic factors vascular endothelial cell growth factor, acidic and basic fibroblast growth factor, tumor growth factor beta-1, platelet-derived endothelial cell growth factor, placenta growth factor, and pleiotrophin in human primary breast cancer and its relation to angiogenesis.
        Cancer Res. 1997; 57: 963-969
        • Rubin G.D.
        • Rofsky N.M.
        CT and MR Angiography: Comprehensive Vascular Assessment.
        Lippincott Williams & Wilkins, Philadelphia2008
        • Shankar P.M.
        • Krishna P.D.
        • NewHouse V.L.
        Advantages of subharmonic over second harmonic backscatter for contrast -to-tissue echo enhancement.
        Ultrasound Med Biol. 1998; 24: 395-399
        • Shi W.T.
        • Forsberg F.
        Hall A,Chiao RY, Liu JB, Miller S, Thomenius KE, Wheatley MA, Goldberg BB. Subharmonic imaging with microbubble contrast agent.
        Ultrason Imaging. 1999; 29: 79-94
        • Shi W.T.
        • Forsberg F.
        Subharmonic imaging with contrast microbubbles.
        in: Goldberg B.B. Forsberg F. Raichlen J.H. Ultrasound Contrast Agents: Basic Principles and Clinical Applications. ed 2. Martin Dunitzp, London2001: 47
        • Sugimoto K.
        • Moriyasu F.
        • Kamiyama N.
        • Metoki R.
        • Yamada M.
        • Imai Y.
        • Iijima H.
        Analysis of morphological vascular changes of hepatocellular carcinoma by microflow imaging using contrast-enhanced sonography.
        Hepatol Res. 2008; 38: 790-799
        • Tabar L.
        • Dean P.B.
        Mammography and breast cancer: The new era.
        Int J Gynecol Obstet. 2003; 82: 319-326
        • U.S. Cancer Statistics Working Group
        United States Cancer Statistics: 2004 Incidence and Mortality.
        GA, Atlanta2007
        • Weidner N.
        • Folkman J.
        • Pozza F.
        • Bevilacqua P.
        • Allred E.N.
        • Moore D.H.
        • Meli S.
        • Gasparini G.
        Tumor angiogenesis: A new significant and independent prognostic indicator in early-stage breast carcinoma.
        J Natl Cancer Inst. 1992; 84: 1875-1887
        • Wilson S.R.
        • Jang H.J.
        • Kim T.K.
        • Iijima H.
        • Kamiyama N.
        • Burns P.N.
        Real-time temporal maximum-intensity-projection imaging of hepatic lesions with contrast-enhanced sonography.
        Am J Roentgenol. 2008; 190: 691-695
        • Yang H.
        • Liu G.J.
        • Lu M.D.
        • Xu H.X.
        • Xie X.Y.
        Evaluation of the vascular architecture of hepatocellular carcinoma by MicroFlow imaging.
        J Ultrasound Med. 2007; 26: 461-467
        • Zonderland H.M.
        • Coerkamp E.G.
        • Hermans J.
        • van de Vijver M.J.
        • van Voorthuisen A.E.
        Diagnosis of breast cancer: Contribution of US as an adjunct to mammography.
        Radiology. 1999; 213: 413-422