Ultrasound (US) imaging is increasingly used in spinal procedures due to its real-time, radiation-free capabilities; however, its effectiveness is hindered by shadowing artifacts that obscure deeper tissue structures. Traditional approaches, such as CT-to-US registration, incorporate anatomical information from preoperative CT scans to guide interventions, but they are limited by complex registration requirements, differences in spine curvature, and the need for recent CT imaging. Recent shape completion methods can offer an alternative by reconstructing spinal structures in US data, while being pretrained on large set of publicly available CT scans. However, these approaches are typically offline and have limited reproducibility. In this work, we introduce a novel integrated system that combines robotic ultrasound with real-time shape completion to enhance spinal visualization. Our robotic platform autonomously acquires US sweeps of the lumbar spine, extracts vertebral surfaces from ultrasound, and reconstructs the complete anatomy using a deep learning-based shape completion network. This framework provides interactive, real-time visualization with the capability to autonomously repeat scans and can enable navigation to target locations. This can contribute to better consistency, reproducibility, and understanding of the underlying anatomy. We validate our approach through quantitative experiments assessing shape completion accuracy and evaluations of multiple spine acquisition protocols on a phantom setup. Additionally, we present qualitative results of the visualization on a volunteer scan.

This work proposes a state-of-the-art transformer architecture to detect and segment catheters in axial interventional Ultrasound image sequences. The network architecture was inspired by the Attention in Attention mechanism, temporal tracking networks, and introduced a novel 3D segmentation head that performs 3D deconvolution across time. To train the network, we introduce a new data synthesis pipeline that uses physics-based catheter insertion simulations, along with a convolutional ray-casting ultrasound simulator to produce synthetic ultrasound images of endovascular interventions. The proposed method is validated on a hold-out validation dataset, thus demonstrated robustness to ultrasound noise and a wide range of scanning angles. It was also tested on data collected from silicon aorta phantoms, thus demonstrated its potential for translation from sim-to-real. This work represents a significant step towards safer and more efficient endovascular surgery using interventional ultrasound.

Ultrasound (US) imaging is widely used in diagnosing and staging abdominal diseases due to its lack of non-ionizing radiation and prevalent availability. However, significant inter-operator variability and inconsistent image acquisition hinder the widespread adoption of extensive screening programs. Robotic ultrasound systems have emerged as a promising solution, offering standardized acquisition protocols and the possibility of automated acquisition. Additionally, these systems enable access to 3D data via robotic tracking, enhancing volumetric reconstruction for improved ultrasound interpretation and precise disease diagnosis.However, the interpretability of 3D US reconstruction of abdominal images can be affected by the patient’s breathing motion. This study introduces a method to compensate for breathing motion in 3D US compounding by leveraging implicit neural representations. Our approach employs a robotic ultrasound system for automated screenings. To demonstrate the method’s effectiveness, we evaluate our proposed method for the diagnosis and monitoring of abdominal aorta aneurysms as a representative use case.Our experiments demonstrate that our proposed pipeline facilitates robust automated robotic acquisition, mitigating artifacts from breathing motion, and yields smoother 3D reconstructions for enhanced screening and medical diagnosis.

In minimally invasive endovascular procedures, contrast-enhanced angiography remains the most robust imaging technique, but exposes patients and surgeons to prolonged radiation. Alternatives such as ultrasound are difficult to interpret, are highly prone to artifacts and noise, and vary in quality, depending on the experience of the interventional radiologist and machine settings. In this work, we seek to address both problems by introducing a self-supervised deep learning architecture to segment catheters in longitudinal ultrasound images, without demanding any labeled data. The network architecture builds upon AiAReSeg, a segmentation transformer built with the Attention in Attention mechanism, and is capable of learning feature changes across time and space. To facilitate training, we used synthetic ultrasound data based on physics-driven catheter insertion simulations, and translated the data into a unique CT-Ultrasound common domain, CACTUSS, to improve the segmentation performance. We generated ground truth segmentation masks by computing the optical flow between adjacent frames using FlowNet2, and performed thresholding to obtain a binary mask estimate. Finally, we validated our model on a test dataset, consisting of unseen synthetic data and images collected from silicon aorta phantoms, thus demonstrating its potential for applications to clinical data in the future.