3D single vessel fractional moving blood volume (3D-svFMBV): fully automated tissue perfusion estimation using ultrasound

Power Doppler ultrasound (PD-US) is the ideal modality to assess tissue perfusion as it is cheap, patient-friendly and does not require ionizing radiation. However, meaningful inter-patient comparison only occurs if differences in tissue-attenuation are corrected for. This can be done by standardizi...

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Main Authors: Yin, Y, Clark, AR, Collins, SL
Format: Journal article
Language:English
Published: IEEE 2024
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author Yin, Y
Clark, AR
Collins, SL
author_facet Yin, Y
Clark, AR
Collins, SL
author_sort Yin, Y
collection OXFORD
description Power Doppler ultrasound (PD-US) is the ideal modality to assess tissue perfusion as it is cheap, patient-friendly and does not require ionizing radiation. However, meaningful inter-patient comparison only occurs if differences in tissue-attenuation are corrected for. This can be done by standardizing the PD-US signal to a blood vessel assumed to have 100% vascularity. The original method to do this is called fractional moving blood volume (FMBV). We describe a novel, fully-automated method combining image processing, numerical modelling, and deep learning to estimate three-dimensional single vessel fractional moving blood volume (3D-svFMBV). We map the PD signals to a characteristic intensity profile within a single large vessel to define the standardization value at the high shear vessel margins. This removes the need for mathematical correction for background signal which can introduce error. The 3D-svFMBV was first tested on synthetic images generated using the characteristics of uterine artery and physiological ultrasound noise levels, demonstrating prediction of standardization value close to the theoretical ideal. Clinical utility was explored using 143 first-trimester placental ultrasound volumes. More biologically plausible perfusion estimates were obtained, showing improved prediction of pre-eclampsia compared with those generated with the semi-automated original 3D-FMBV technique. The proposed 3D-svFMBV method overcomes the limitations of the original technique to provide accurate and robust placental perfusion estimation. This not only has the potential to provide an early pregnancy screening tool but may also be used to assess perfusion of different organs and tumors.
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spelling oxford-uuid:5faca0ee-58f7-4c33-9175-276f5076fc2c2024-05-01T09:48:55Z3D single vessel fractional moving blood volume (3D-svFMBV): fully automated tissue perfusion estimation using ultrasoundJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5faca0ee-58f7-4c33-9175-276f5076fc2cEnglishSymplectic ElementsIEEE2024Yin, YClark, ARCollins, SLPower Doppler ultrasound (PD-US) is the ideal modality to assess tissue perfusion as it is cheap, patient-friendly and does not require ionizing radiation. However, meaningful inter-patient comparison only occurs if differences in tissue-attenuation are corrected for. This can be done by standardizing the PD-US signal to a blood vessel assumed to have 100% vascularity. The original method to do this is called fractional moving blood volume (FMBV). We describe a novel, fully-automated method combining image processing, numerical modelling, and deep learning to estimate three-dimensional single vessel fractional moving blood volume (3D-svFMBV). We map the PD signals to a characteristic intensity profile within a single large vessel to define the standardization value at the high shear vessel margins. This removes the need for mathematical correction for background signal which can introduce error. The 3D-svFMBV was first tested on synthetic images generated using the characteristics of uterine artery and physiological ultrasound noise levels, demonstrating prediction of standardization value close to the theoretical ideal. Clinical utility was explored using 143 first-trimester placental ultrasound volumes. More biologically plausible perfusion estimates were obtained, showing improved prediction of pre-eclampsia compared with those generated with the semi-automated original 3D-FMBV technique. The proposed 3D-svFMBV method overcomes the limitations of the original technique to provide accurate and robust placental perfusion estimation. This not only has the potential to provide an early pregnancy screening tool but may also be used to assess perfusion of different organs and tumors.
spellingShingle Yin, Y
Clark, AR
Collins, SL
3D single vessel fractional moving blood volume (3D-svFMBV): fully automated tissue perfusion estimation using ultrasound
title 3D single vessel fractional moving blood volume (3D-svFMBV): fully automated tissue perfusion estimation using ultrasound
title_full 3D single vessel fractional moving blood volume (3D-svFMBV): fully automated tissue perfusion estimation using ultrasound
title_fullStr 3D single vessel fractional moving blood volume (3D-svFMBV): fully automated tissue perfusion estimation using ultrasound
title_full_unstemmed 3D single vessel fractional moving blood volume (3D-svFMBV): fully automated tissue perfusion estimation using ultrasound
title_short 3D single vessel fractional moving blood volume (3D-svFMBV): fully automated tissue perfusion estimation using ultrasound
title_sort 3d single vessel fractional moving blood volume 3d svfmbv fully automated tissue perfusion estimation using ultrasound
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AT clarkar 3dsinglevesselfractionalmovingbloodvolume3dsvfmbvfullyautomatedtissueperfusionestimationusingultrasound
AT collinssl 3dsinglevesselfractionalmovingbloodvolume3dsvfmbvfullyautomatedtissueperfusionestimationusingultrasound