Joint learning on diverse ultrasonic source scenarios presents a challenge in preserving stable gen-eralization due to the combination of heterogeneity of different sources and the inconsistency of joint learning features. Previous joint learning studies, which are not source-resilient frameworks, may not preserve stable generalization when trained on diverse source scenarios. Furthermore, the limited variations insingle-source data and the interference from ultrasound imaging, which are common in ultrasonic source scenarios, further decrease generalization. To address these problems, we pro posed a source-resilient joint learning framework consisting of three stages: 1) Source transforming, where our 1-to-N transformation unifies diverse source scenarios for source-resiliency. 2) Our feature enhancement modules model the source-resilient joint learning network, including a manifold-constraint normalization module (MCNM) for addressing heterogeneity by minimizing manifold-based loss, a task-consistent attention module (TCAM) shares the multi-scale features with self-attention to address inconsistency, and an adaptive feature-shifting module (AFSM) for feature-level augmentation to overcome single-source data.3) Our ultrasound-hybrid linear mapping (USmapping) cascades speckle randomization and mask-guiding Monge-Kantorovitch linear mapping to achieve ultrasonic style randomization for addressing the interference of ultrasonic data. Our framework was evaluated on eight ultrasound datasets from various scanners at multiple center sand surpassed previous comparable studies in both segmentation (DSCWAvgof 75.7%) and classification (AUROCWAvgof 68.8%) tasks. Our framework has the potential to serve as a general framework for enhancing the performance of joint learning under diverse ultrasonic source scenarios.

The accurate diagnosis of significant liver fibrosis ( ≥ F2) in patients with chronic liver disease (CLD) is critical, as ≥ F2 is a crucial factor that should be considered in selecting an antiviral therapy for these patients. This article proposes a handcrafted-feature-assisted deep convolutional neural network (HFA-DCNN) that helps radiologists automatically and accurately diagnose significant liver fibrosis from ultrasound (US) brightness (B)-mode images. The HFA-DCNN model has three main branches: one for automatic region of interest (ROI) segmentation in the US images, another for attention deep feature learning from the segmented ROI, and the third for handcrafted feature extraction. The attention deep learning features and handcrafted features are fused in the back end of the model to enable more accurate diagnosis of significant liver fibrosis. The usefulness and effectiveness of the proposed model were validated on a dataset built upon 321 CLD patients with liver fibrosis stages confirmed by pathological evaluations. In a fivefold cross validation (FFCV), the proposed model achieves accuracy, sensitivity, specificity, and area under the receiver-operating-characteristic (ROC) curve (AUC) values of 0.863 (95% confidence interval (CI) 0.820-0.899), 0.879 (95% CI 0.823-0.920), 0.872 (95% CI 0.800-0.925), and 0.925 (95% CI 0.891-0.952), which are significantly better than those obtained by the comparative methods. Given its excellent performance, the proposed HFA-DCNN model can serve as a promising tool for the noninvasive and accurate diagnosis of significant liver fibrosis in CLD patients.

Quantitative ultrasound (QUS), which attempts to extract quantitative features from the US radiofrequency (RF) or envelope data for tissue characterization, is becoming a promising technique for noninvasive assessments of liver fibrosis. However, the number of feature variables examined and finally used in the existing QUS methods is typically small, limiting the diagnostic performance. Therefore, this paper devises a new multiparametric QUS (MP-QUS) method which enables the extraction of a large number of feature variables from US RF signals and allows for the use of feature-engineering and machine-learning based algorithms for liver fibrosis assessment. In the MP-QUS, eighty-four feature variables were extracted from multiple QUS parametric maps derived from the RF signals and the envelope data. Afterwards, feature reduction and selection were performed in turn to remove the feature redundancy and identify the best combination of features in the reduced feature set. Finally, a variety of machine-learning algorithms were tested for fibrosis classification with the selected features, based on the results of which the optimal classifier was established. The performance of the proposed MP-QUS method for staging liver fibrosis was evaluated on an animal model, with histologic examination as the reference standard. The mean accuracy, sensitivity, specificity and area under the receiver-operating-characteristic curve achieved by MP-QUS are respectively 83.38%, 86.04%, 80.82%, and 0.891 for recognizing significant liver fibrosis, and 85.50%, 88.92%, 85.24%, and 0.924 for diagnosing liver cirrhosis. The proposed MP-QUS method paves a way for its future extension to assess liver fibrosis in human subjects.

In this study, an automatic muscle fiber orientation tracking approach based on Bayesian Kalman Filter (BKF) is proposed. The BKF employs a Gaussian mixture (GM) representation of the state and noise densities and a novel direct density simplifying algorithm for avoiding the exponential complexity growth of conventional Kalman filters (KFs) using GM. In this paper, the ultrasound image is firstly enhanced by a bank of Gabor Filters (GFs) based on the GM of the state density in BKF. Then, a bank of localized radon transforms (LRTs) are used to extract muscle fiber orientations and the dominant orientation is obtained by minimizing an energy function. Finally, the dominant orientation is fed back to the BKF as an observation. The performance of the proposed approach is compared with existing methods on five subjects over 1000+ clinical ultrasound images. Experimental results show that the proposed method can achieve accurate and robust measurements of fascicle orientation and outperforms all the existing methods.