Ultrasound Imaging with Flexible Array Transducer for Pancreatic Cancer Radiation Therapy.

Simple Summary: Ultrasound (US) imaging has been widely used for tumor tracking in image-guided radiotherapy. The quality of US images using conventional probes highly depends on user proficiency and anatomical changes, which has severely hindered the use of US-based organ motion monitoring for panc...

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Bibliographic Details
Published in:Cancers Vol. 15; no. 13; pp. 3294 - 3314
Main Authors: Huang, Xinyue, Hooshangnejad, Hamed, China, Debarghya, Feng, Ziwei, Lee, Junghoon, Bell, Muyinatu A. Lediju, Ding, Kai
Format: diagnostic images equations & formulas pictorial research tables/charts Journal Article
Published: MDPI Jul2023
Online Access:View this record in EBSCOhost
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      jtl: Cancers
      issn: 20726694
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    pubinfo:
      dt: Jul2023
      vid: 15
      iid: 13
      pid: 97109
      pub: MDPI
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      ui:
        164924244
        164924244
        164924244
        10.3390/cancers15133294
        164924244
      ppf: 3294
      ppct: 20
      formats:
      tig:
        atl: Ultrasound Imaging with Flexible Array Transducer for Pancreatic Cancer Radiation Therapy.
      aug:
        au:
          Huang, Xinyue
          Hooshangnejad, Hamed
          China, Debarghya
          Feng, Ziwei
          Lee, Junghoon
          Bell, Muyinatu A. Lediju
          Ding, Kai
        affil: Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD 21287, USA
      sug:
        subj:
          Pancreatic Neoplasms Radiotherapy
          Radiation Dosage
          Transducers Evaluation
          Algorithms Utilization
          Gastrointestinal Neoplasms Radiotherapy
          Human
          In Vivo Studies
          Experimental Studies
          Pancreatic Neoplasms Ultrasonography
          Phantoms, Imaging
          Abdomen
          Motion Evaluation
          Monitoring, Physiologic
          Funding Source
      ab: Simple Summary: Ultrasound (US) imaging has been widely used for tumor tracking in image-guided radiotherapy. The quality of US images using conventional probes highly depends on user proficiency and anatomical changes, which has severely hindered the use of US-based organ motion monitoring for pancreatic cancer. The flexible array transducer is a novel and promising solution to address the limitation of conventional US probes. At the same time, its strength and flexible geometry also makes the image reconstruction and delay-and-sum (DAS) beamforming very challenging. Inaccuracy in delay calculation results in defocused and distorted US images. In this study, we proposed a novel shape estimation for flexible array transducer to enhance abdomen motion monitoring. Pancreatic cancer with less than 10% 3-year survival rate is one of deadliest cancer types and greatly benefits from enhanced radiotherapy. Organ motion monitoring helps spare the normal tissue from high radiation and, in turn, enables the dose escalation to the target that has been shown to improve the effectiveness of RT by doubling and tripling post-RT survival rate. The flexible array transducer is a novel and promising solution to address the limitation of conventional US probes. We proposed a novel shape estimation for flexible array transducer using two sequential algorithms: (i) an optical tracking-based system that uses the optical markers coordinates attached to the probe at specific positions to estimate the array shape in real-time and (ii) a fully automatic shape optimization algorithm that automatically searches for the optimal array shape that results in the highest quality reconstructed image. We conducted phantom and in vivo experiments to evaluate the estimated array shapes and the accuracy of reconstructed US images. The proposed method reconstructed US images with low full-width-at-half-maximum (FWHM) of the point scatters, correct aspect ratio of the cyst, and high-matching score with the ground truth. Our results demonstrated that the proposed methods reconstruct high-quality ultrasound images with significantly less defocusing and distortion compared with those without any correction. Specifically, the automatic optimization method reduced the array shape estimation error to less than half-wavelength of transmitted wave, resulting in a high-quality reconstructed image.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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