Searcharxiv⌕ Search

arXiv subjects

Ahmed El Kaffas

Publications and source records attributed to Ahmed El Kaffas.

5 recordsLinked to original sources

A 2D autocorrelation-based frequency estimator reflecting spatial tissue distribution to improve Ultrasound H-scan tissue characterization

H-scan is a promising quantitative ultrasound technique that estimates the frequency content of backscattered signals and maps the estimated frequencies onto a red/blue color scale to reflect underlying tissue properties. Although it relies on matched filters tuned to different frequencies, the broad spectral bandwidth of ultrasound produces noisy, granular displays. Here, we introduce an adaptive frequency estimator designed to suppress the noise within homogeneous regions while preserving sharpness across tissue boundaries. The method combines 2D autocorrelation with a matched filter. In the first stage, a matched-filter-based estimation yields an a priori map of the spatial distribution of frequencies. The local heterogeneity of these estimates then defines a 2D weighting function that guides a second estimation stage. Drawing on the concept of Loupas's blood velocity estimator, we apply autocorrelation over a 2D spatial kernel to recover the axial frequency components, employing a weighted summation that accounts for the spatial frequency distribution within the kernel. We benchmarked the proposed estimator against conventional approaches, including the short-time Fourier transform, the H-scan matched filter, and standard autocorrelation, using both Field II simulations and in vivo data from human subjects with hepatic steatosis. In simulation, our adaptive estimator reduced the noisy texture in homogeneous regions while retaining clear boundary delineation, whereas the other estimators could achieve only one of these objectives. Applied to the in vivo human liver, the estimator improved H-scan image quality by lowering noise and enhancing the discrimination of steatotic liver from adjacent gallbladder and skin layers.

physics.med-ph↗

Adjoint-based Perfusion Estimation from Dynamic Contrast-Enhanced Ultrasound: Advection-Diffusion and Two-Compartment Models

Tumor perfusion and vascular properties are important determinants of a cancer's response to therapy. In this paper, we discuss the estimation of spatially varying blood flow velocities and perfusion parameters from time-resolved contrast agent concentration data. We compare a standard parabolic advection-diffusion model against a two-compartment model governed by a coupled system of hyperbolic advection-reaction equations, which is physiologically more sound. To address the inherent ill-posedness of this parameter identification problem, we employ Tikhonov regularization and derive continuous adjoint equations necessary for efficient, gradient-based minimization. We discuss the numerical discretization of the state and adjoint systems using state-of-the-art schemes, and demonstrate the efficacy of the proposed reconstruction algorithms through numerical experiments on synthetic data and in vivo dynamic contrast-enhanced ultrasound measurements.

math.NA↗

Multiparametric quantification and visualization of liver fat using ultrasound

Objectives- Several ultrasound measures have shown promise for assessment of steatosis compared to traditional B-scan, however clinicians may be required to integrate information across the parameters. Here, we propose an integrated multiparametric approach, enabling simple clinical assessment of key information from combined ultrasound parameters. Methods- We have measured 13 parameters related to ultrasound and shear wave elastography. These were measured in 30 human subjects under a study of liver fat. The 13 individual measures are assessed for their predictive value using independent magnetic resonance imaging-derived proton density fat fraction (MRI-PDFF) measurements as a reference standard. In addition, a comprehensive and fine-grain analysis is made of all possible combinations of sub-sets of these parameters to determine if any subset can be efficiently combined to predict fat fraction. Results- We found that as few as four key parameters related to ultrasound propagation are sufficient to generate a linear multiparametric parameter with a correlation against MRI-PDFF values of greater than 0.93. This optimal combination was found to have a classification area under the curve (AUC) approaching 1.0 when applying a threshold for separating steatosis grade zero from higher classes. Furthermore, a strategy is developed for applying local estimates of fat content as a color overlay to produce a visual impression of the extent and distribution of fat within the liver. Conclusion- In principle, this approach can be applied to most clinical ultrasound systems to provide the clinician and patient with a rapid and inexpensive estimate of liver fat content.

physics.med-ph↗

Clinical Evaluation of Real-Time Optical-Tracking Navigation and Live Time-Intensity Curves to Provide Feedback During Blinded 4D Contrast-Enhanced Ultrasound Imaging

Current commercial matrix transducers for 3D DCE-US do not display side-by-side B-mode and contrast-mode images when capturing volumetric data, thus leaving the operator with no position feedback during lengthy acquisitions. The purpose of this study was to investigate the use of transducer tracking to provide positioning feedback and to re-align images to improve quantification. An interventional tracking system was developed in house using an infrared camera and a 3D-printed tracking target attached to a X6-1 matrix transducer. The system displays a virtual probe on a separate screen and allows to capture a reference position to provide operator feedback when no B-mode image is available. To test this set-up, five experienced operators were asked to locate an image landmark within a volunteer liver in B-mode images using the X6-1 connected to an EPIQ7 system. Operators were then asked to maintain the transducer position for 4 minutes under three feedback methods: i) B-mode, ii) display of real-time virtual transducer, iii) blind. The magnitude of displacement over the cine was computed as an estimate of the imaging position error. We also investigated whether transducer coordinates can be used to re-align images due to motion and improve contrast ultrasound perfusion repeatability. A total of 8 patient data were obtained under an IRB for this. Results suggest that tracking can assist operators maintain a steady position during a lengthy acquisition. With blinded acquisition, an average displacement of 4.58 mm (S.D. 2.65 mm) was noted. In contrast, the average displacement for tracking-feedback was comparable to B-mode at 3.48 mm (S.D. 0.8 mm). We also observed that perfusion parameters had better repeatability after re-alignment.

eess.IV↗

Computational Enhancement of Molecularly Targeted Contrast-Enhanced Ultrasound: Application to Human Breast Tumor Imaging

Molecularly targeted contrast enhanced ultrasound (mCEUS) is a clinically promising approach for early cancer detection through targeted imaging of VEGFR2 (KDR) receptors. We have developed computational enhancement techniques for mCEUS tailored to address the unique challenges of imaging contrast accumulation in humans. These techniques utilize dynamic analysis to distinguish molecularly bound contrast agent from other contrast-mode signal sources, enabling analysis of contrast agent accumulation to be performed during contrast bolus arrival when the signal due to molecular binding is strongest. Applied to the 18 human patient examinations of the first-in-human molecular ultrasound breast lesion study, computational enhancement improved the ability to differentiate between pathology-proven lesion and pathology-proven normal tissue in real-world human examination conditions that involved both patient and probe motion, with improvements in contrast ratio between lesion and normal tissue that in most cases exceed an order of magnitude (10x). Notably, computational enhancement eliminated a false positive result in which tissue leakage signal was misinterpreted by radiologists to be contrast agent accumulation.

eess.IV↗