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Saachi Munot

Publications and source records attributed to Saachi Munot.

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A Wavefield Correlation Approach to Improve Sound Speed Estimation in Ultrasound Autofocusing

In pulse-echo ultrasound, aberration often degrades image quality when beamforming does not account for wavefront distortions. To address this issue, local sound speed estimators have been developed in the past decade for distributed aberration correction. Recently, methods based on iterative optimization have improved sound speed accuracy with respect to earlier approaches. However, the accuracy of these newer methods is limited by media with reverberation clutter and by the straight-ray model of wave propagation. To address these challenges, we propose using wavefield correlation (WFC) beamforming when performing sound speed optimization. WFC, an ultrasound adaptation of reverse time migration, correlates simulated forward-propagated transmit wavefields and backwards-propagated receive wavefields in order to reconstruct images. This process more accurately models wave propagation in heterogeneous media and can decrease diffuse clutter due to its spatiotemporal matched filtering effect. We implement herein a WFC beamformer using an auto-differentiation software and estimate the sound speed map by optimizing a regularized common-midpoint phase focusing criterion using gradient descent. This approach is compared to a previous method relying on delay and sum (DAS) with straight-ray time delay calculations on a variety of simulated, phantom, and in vivo data with large sound speed variations and clutter. Results show that using WFC decreases sound speed estimation error, leading to improvements in resolution and contrast in the corrected image. In particular, these promising results have potential to improve pulse-echo imaging for challenging clinical scenarios.

physics.med-ph

Personalized rTMS for Depression: A Review

Personalized treatments are gaining momentum across all fields of medicine. Precision medicine can be applied to neuromodulatory techniques, where focused brain stimulation treatments such as repetitive transcranial magnetic stimulation (rTMS) are used to modulate brain circuits and alleviate clinical symptoms. rTMS is well-tolerated and clinically effective for treatment-resistant depression (TRD) and other neuropsychiatric disorders. However, despite its wide stimulation parameter space (location, angle, pattern, frequency, and intensity can be adjusted), rTMS is currently applied in a one-size-fits-all manner, potentially contributing to its suboptimal clinical response (~50%). In this review, we examine components of rTMS that can be optimized to account for inter-individual variability in neural function and anatomy. We discuss current treatment options for TRD, the neural mechanisms thought to underlie treatment, differences in FDA-cleared devices, targeting strategies, stimulation parameter selection, and adaptive closed-loop rTMS to improve treatment outcomes. We suggest that better understanding of the wide and modifiable parameter space of rTMS will greatly improve clinical outcome.

q-bio.NC