Patient-Adaptive Focused Transmit Beamforming using Cognitive Ultrasound

Focused transmit beamforming is the most commonly used acquisition scheme for echocardiograms, but suffers from relatively low frame rates, and in 3D, even lower volume rates. Fast imaging based on unfocused transmits has disadvantages such as motion decorrelation and limited harmonic imaging capabilities. This work introduces a patient-adaptive focused transmit scheme that has the ability to drastically reduce the number of transmits needed to produce a high-quality ultrasound image. The method relies on posterior sampling with a temporal diffusion model to perceive and reconstruct the anatomy based on partial observations, while subsequently taking an action to acquire the most informative transmits. This active perception modality outperforms random and equispaced subsampling on the 2D EchoNet-Dynamic dataset and a 3D Philips dataset, where we actively select focused elevation planes. Furthermore, we show it achieves better performance in terms of generalized contrast-to-noise ratio when compared to the same number of diverging waves transmits on three in-house echocardiograms. Additionally, we can estimate ejection fraction using only 2% of the total transmits and show that the method is robust to outlier patients. Finally, our method can be run in real-time on GPU accelerators from 2023. The code is publicly available at https://tue-bmd.github.io/ulsa/

High Volume Rate 3D Ultrasound Reconstruction with Diffusion Models

Three-dimensional ultrasound enables real-time volumetric visualization of anatomical structures. Unlike traditional 2D ultrasound, 3D imaging reduces the reliance on precise probe orientation, potentially making ultrasound more accessible to clinicians with varying levels of experience and improving automated measurements and post-exam analysis. However, achieving both high volume rates and high image quality remains a significant challenge. While 3D diverging waves can provide high volume rates, they suffer from limited tissue harmonic generation and increased multipath effects, which degrade image quality. One compromise is to retain the focusing in elevation while leveraging unfocused diverging waves in the lateral direction to reduce the number of transmissions per elevation plane. Reaching the volume rates achieved by full 3D diverging waves, however, requires dramatically undersampling the number of elevation planes. Subsequently, to render the full volume, simple interpolation techniques are applied. This paper introduces a novel approach to 3D ultrasound reconstruction from a reduced set of elevation planes by employing diffusion models (DMs) to achieve increased spatial and temporal resolution. We compare both traditional and supervised deep learning-based interpolation methods on a 3D cardiac ultrasound dataset. Our results show that DM-based reconstruction consistently outperforms the baselines in image quality and downstream task performance. Additionally, we accelerate inference by leveraging the temporal consistency inherent to ultrasound sequences. Finally, we explore the robustness of the proposed method by exploiting the probabilistic nature of diffusion posterior sampling to quantify reconstruction uncertainty and demonstrate improved recall on out-of-distribution data with synthetic anomalies under strong subsampling.

EOTNet: Deep Memory Aided Bayesian Filter for Extended Object Tracking

Extended object tracking methods based on random matrices, founded on Bayesian filters, have been able to achieve efficient recursive processes while jointly estimating the kinematic states and extension of the targets. Existing random matrix approaches typically assume that the evolution of state and extension follows a first-order Markov process, where the current estimate of the target depends solely on the previous moment. However, in real-world scenarios, this assumption fails because the evolution of states and extension is usually non-Markovian. In this paper, we introduce a novel extended object tracking method: a Bayesian recursive neural network assisted by deep memory. Initially, we propose an equivalent model under a non-Markovian assumption and derive the implementation of its Bayesian filtering framework. Thereafter, Gaussian approximation and moment matching are employed to derive the analytical solution for the proposed Bayesian filtering framework. Finally, based on the closed-form solution, we design an end-to-end trainable Bayesian recursive neural network for extended object tracking. Experiment results on simulated and real-world datasets show that the proposed methods outperforms traditional extended object tracking methods and state-of-the-art deep learning approaches.

Physics-Informed Sylvester Normalizing Flows for Bayesian Inference in Magnetic Resonance Spectroscopy

Magnetic resonance spectroscopy (MRS) is a non-invasive technique to measure the metabolic composition of tissues, offering valuable insights into neurological disorders, tumor detection, and other metabolic dysfunctions. However, accurate metabolite quantification is hindered by challenges such as spectral overlap, low signal-to-noise ratio, and various artifacts. Traditional methods like linear-combination modeling are susceptible to ambiguities and commonly only provide a theoretical lower bound on estimation accuracy in the form of the Cram\'er-Rao bound. This work introduces a Bayesian inference framework using Sylvester normalizing flows (SNFs) to approximate posterior distributions over metabolite concentrations, enhancing quantification reliability. A physics-based decoder incorporates prior knowledge of MRS signal formation, ensuring realistic distribution representations. We validate the method on simulated 7T proton MRS data, demonstrating accurate metabolite quantification, well-calibrated uncertainties, and insights into parameter correlations and multi-modal distributions.

Deep Generative Models for Bayesian Inference on High-Rate Sensor Data: Applications in Automotive Radar and Medical Imaging

Deep generative models have been studied and developed primarily in the context of natural images and computer vision. This has spurred the development of (Bayesian) methods that use these generative models for inverse problems in image restoration, such as denoising, inpainting, and super-resolution. In recent years, generative modeling for Bayesian inference on sensory data has also gained traction. Nevertheless, the direct application of generative modeling techniques initially designed for natural images on raw sensory data is not straightforward, requiring solutions that deal with high dynamic range signals acquired from multiple sensors or arrays of sensors that interfere with each other, and that typically acquire data at a very high rate. Moreover, the exact physical data-generating process is often complex or unknown. As a consequence, approximate models are used, resulting in discrepancies between model predictions and the observations that are non-Gaussian, in turn complicating the Bayesian inverse problem. Finally, sensor data is often used in real-time processing or decision-making systems, imposing stringent requirements on, e.g., latency and throughput. In this paper, we will discuss some of these challenges and offer approaches to address them, all in the context of high-rate real-time sensing applications in automotive radar and medical imaging.

Deep Variational Sequential Monte Carlo for High-Dimensional Observations

Sequential Monte Carlo (SMC), or particle filtering, is widely used in nonlinear state-space systems, but its performance often suffers from poorly approximated proposal and state-transition distributions. This work introduces a differentiable particle filter that leverages the unsupervised variational SMC objective to parameterize the proposal and transition distributions with a neural network, designed to learn from high-dimensional observations. Experimental results demonstrate that our approach outperforms established baselines in tracking the challenging Lorenz attractor from high-dimensional and partial observations. Furthermore, an evidence lower bound based evaluation indicates that our method offers a more accurate representation of the posterior distribution.

Deep Sylvester Posterior Inference for Adaptive Compressed Sensing in Ultrasound Imaging

Ultrasound images are commonly formed by sequential acquisition of beam-steered scan-lines. Minimizing the number of required scan-lines can significantly enhance frame rate, field of view, energy efficiency, and data transfer speeds. Existing approaches typically use static subsampling schemes in combination with sparsity-based or, more recently, deep-learning-based recovery. In this work, we introduce an adaptive subsampling method that maximizes intrinsic information gain in-situ, employing a Sylvester Normalizing Flow encoder to infer an approximate Bayesian posterior under partial observation in real-time. Using the Bayesian posterior and a deep generative model for future observations, we determine the subsampling scheme that maximizes the mutual information between the subsampled observations, and the next frame of the video. We evaluate our approach using the EchoNet cardiac ultrasound video dataset and demonstrate that our active sampling method outperforms competitive baselines, including uniform and variable-density random sampling, as well as equidistantly spaced scan-lines, improving mean absolute reconstruction error by 15%. Moreover, posterior inference and the sampling scheme generation are performed in just 0.015 seconds (66Hz), making it fast enough for real-time 2D ultrasound imaging applications.

WAND: Wavelet Analysis-based Neural Decomposition of MRS Signals for Artifact Removal

Accurate quantification of metabolites in magnetic resonance spectroscopy (MRS) is challenged by low signal-to-noise ratio (SNR), overlapping metabolites, and various artifacts. Particularly, unknown and unparameterized baseline effects obscure the quantification of low-concentration metabolites, limiting MRS reliability. This paper introduces wavelet analysis-based neural decomposition (WAND), a novel data-driven method designed to decompose MRS signals into their constituent components: metabolite-specific signals, baseline, and artifacts. WAND takes advantage of the enhanced separability of these components within the wavelet domain. The method employs a neural network, specifically a U-Net architecture, trained to predict masks for wavelet coefficients obtained through the continuous wavelet transform. These masks effectively isolate desired signal components in the wavelet domain, which are then inverse-transformed to obtain separated signals. Notably, an artifact mask is created by inverting the sum of all known signal masks, enabling WAND to capture and remove even unpredictable artifacts. The effectiveness of WAND in achieving accurate decomposition is demonstrated through numerical evaluations using simulated spectra. Furthermore, WAND's artifact removal capabilities significantly enhance the quantification accuracy of linear combination model fitting. The method's robustness is further validated using data from the 2016 MRS Fitting Challenge and in-vivo experiments.

Sequential Posterior Sampling with Diffusion Models

Diffusion models have quickly risen in popularity for their ability to model complex distributions and perform effective posterior sampling. Unfortunately, the iterative nature of these generative models makes them computationally expensive and unsuitable for real-time sequential inverse problems such as ultrasound imaging. Considering the strong temporal structure across sequences of frames, we propose a novel approach that models the transition dynamics to improve the efficiency of sequential diffusion posterior sampling in conditional image synthesis. Through modeling sequence data using a video vision transformer (ViViT) transition model based on previous diffusion outputs, we can initialize the reverse diffusion trajectory at a lower noise scale, greatly reducing the number of iterations required for convergence. We demonstrate the effectiveness of our approach on a real-world dataset of high frame rate cardiac ultrasound images and show that it achieves the same performance as a full diffusion trajectory while accelerating inference 25$\times$, enabling real-time posterior sampling. Furthermore, we show that the addition of a transition model improves the PSNR up to 8\% in cases with severe motion. Our method opens up new possibilities for real-time applications of diffusion models in imaging and other domains requiring real-time inference.

Off-Grid Ultrasound Imaging by Stochastic Optimization

Ultrasound images formed by delay-and-sum beamforming are plagued by artifacts that only clear up after compounding many transmissions. Some prior works pose imaging as an inverse problem. This approach can yield high image quality with few transmits, but requires a very fine image grid and is not robust to changes in measurement model parameters. We present INverse grid-Free Estimation of Reflectivities (INFER), an off-grid and stochastic algorithm that solves the inverse scattering problem in ultrasound imaging. Our method jointly optimizes for the locations of the gridpoints, their reflectivities, and the measurement model parameters such as the speed of sound. This approach allows us to use significantly fewer gridpoints, while obtaining better contrast and resolution and being more robust to changes in the imaging target and the hardware. The use of stochastic optimization enables solving for multiple transmissions simultaneously without increasing the required memory or computational load per iteration. We show that our method works across different imaging targets and across different transmit schemes and compares favorably against other beamforming and inverse solvers. The source code and the dataset to reproduce the results in this paper are available at www.github.com/vincentvdschaft/off-grid-ultrasound.