Ultrasound imaging now has widespread clinical use. It involves exposing a part of the body to highfrequency sound waves in order to generate images of the inside of the body. Because it is a real-time procedure, the ultrasound images show the movement of the body’s internal structure as well. It is usually a painless medical test and its procedures seem to be safe. Despite recent improvement in the quality of information from an ultrasound device, these images are still a challenging case for segmentation. Thus, there is much interest in understanding how to apply an image segmentation task to ultrasound data and any improvements in this regard are desirable. Many methods have been introduced in existing literature to facilitate more accurate automatic or semi-automatic segmentation of ultrasound images. This chapter is a basic review of the works on ultrasound image segmentation classified by application areas, including segmentation of prostate transrectal ultrasound (TRUS), breast ultrasound, and intravascular ultrasound (IVUS) images.
Among different image modalities, ultrasound imaging is one of the most widely used technologies for the diagnosis and treatment of diseases such as breast and prostate cancer. Ultrasound equipment is less expensive to purchase and maintain than many other imaging systems such as X-ray, computed tomography (CT), or magnetic resonance imaging (MRI). These images are the result of reflection, refraction, and deflection of ultrasound beams from different types of tissue with different acoustic impedances. The detection of the object boundaries in such images is crucial for diagnostic and classification purposes.
However, attenuation, speckle, shadows, and signal dropout can result in missing or diffused boundaries. Also the contrast between areas of interest is often low. These obstacles make segmentation of these images a challenge. Further complications arise when the quality of the image is influenced by the type and particular settings of the machine. Despite these factors, ultrasound imaging still remains an important tool for clinical applications and any effort to improve segmentation of these images is highly desirable. Thus, there is currently an interest in understanding how to apply image segmentation to ultrasound data. Figure 1 demonstrates the basic principle of an ultrasound imaging transducer. Using an ultrasound transducer, a pulse of energy is transmitted into the body along the path shown by line 1. After this beam encounters any surface, including tissue or structures within an organ, a part of the transmitted energy is backscattered along the original trajectory and received by the transducer which now acts as a receiver. These returning waves are converted to electrical signals, amplified, and finally shown. After that, the direction of the transmitted beam changes to attain the data from the next line close to the first one. The ultrasound transducer repeats the same procedure to cover 64-256 lines and makes the entire image (Webb, 2003).
The basic principle of an ultrasound imaging transducer (© 2003 IEEE, Reprinted, with permission from IEEE Press Series in Biomedical Engineering 2003. “Introduction to Biomedical Imaging”, by A. Webb).
This chapter contains an overview of the ideas representing the ultrasound segmentation problem in particular clinical applications.Top
Ultrasound Image Segmentation According To Clinical Applications
Based on clinical application, ultrasound image segmentation can be categorized in various groups. In this section, we mention some important methods in each group.
Key Terms in this Chapter
Image Segmentation: This is an important image processing task that partitions the image into meaningful regions.
Prostate Ultrasound: Generation of ultrasound images from the prostate for diagnostic and treatment purposes.
Ultrasound Imaging: This is an ultrasound-based diagnostic imaging technique used for visualizing internal organs and their structures and possible lesions.
Breast Ultrasound: Generation of ultrasound images from the breast for diagnostic and treatment purposes.
Intravascular Ultrasound: This is an ultrasound medical imaging methodology that uses a catheter with a miniaturized ultrasound probe to visualize the inside walls of blood vessels.