Mucinous cystic neoplasms (MCN) and serous cystic neoplasms (SCN) account for a large portion of solitary pancreatic cystic neoplasms (PCN). In this study we implemented a convolutional neural network (CNN) model using ResNet50 to differentiate between MCN and SCN. The training data were collected retrospectively from 59 MCN and 49 SCN patients from two different hospitals. Data augmentation was used to enhance the size and quality of training datasets. Fine-tuning training approaches were utilized by adopting the pre-trained model from transfer learning while training selected layers. Testing of the network was conducted by varying the endoscopic ultrasonography (EUS) image sizes and positions to evaluate the network performance for differentiation. The proposed network model achieved up to 82.75% accuracy and a 0.88 (95% CI: 0.817–0.930) area under curve (AUC) score. The performance of the implemented deep learning networks in decision-making using only EUS images is comparable to that of traditional manual decision-making using EUS images along with supporting clinical information. Gradient-weighted class activation mapping (Grad-CAM) confirmed that the network model learned the features from the cyst region accurately. This study proves the feasibility of diagnosing MCN and SCN using a deep learning network model. Further improvement using more datasets is needed.

Endoscopic ultrasonography (EUS) plays an important role in diagnosing pancreatic cancer. Surgical therapy is critical to pancreatic cancer survival and can be planned properly, with the characteristics of the target cancer determined. The physical characteristics of the pancreatic cancer, such as size, location, and shape, can be determined by semantic segmentation of EUS images. This study proposes a deep learning approach for the segmentation of pancreatic cancer in EUS images. EUS images were acquired from 150 patients diagnosed with pancreatic cancer. A network with deep attention features (DAF-Net) is proposed for pancreatic cancer segmentation using EUS images. The performance of the deep learning models (U-Net, Attention U-Net, and DAF-Net) was evaluated by 5-fold cross-validation. For the evaluation metrics, the Dice similarity coefficient (DSC), intersection over union (IoU), receiver operating characteristic (ROC) curve, and area under the curve (AUC) were chosen. Statistical analysis was performed for different stages and locations of the cancer. DAF-Net demonstrated superior segmentation performance for the DSC, IoU, AUC, sensitivity, specificity, and precision with scores of 82.8%, 72.3%, 92.7%, 89.0%, 98.1%, and 85.1%, respectively. The proposed deep learning approach can provide accurate segmentation of pancreatic cancer in EUS images and can effectively assist in the planning of surgical therapies.

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Objective. Vascular wall motion can be used to diagnose cardiovascular diseases. In this study, long short-term memory (LSTM) neural networks were used to track vascular wall motion in plane-wave-based ultrasound imaging. Approach. The proposed LSTM and convolutional LSTM (ConvLSTM) models were trained using ultrasound data from simulations and tested experimentally using a tissue-mimicking vascular phantom and an in vivo study using a carotid artery. The performance of the models in the simulation was evaluated using the mean square error from axial and lateral motions and compared with the cross-correlation (XCorr) method. Statistical analysis was performed using the Bland–Altman plot, Pearson correlation coefficient, and linear regression in comparison with the manually annotated ground truth. Main Results. For the in vivo data, the median error and 95% limit of agreement from the Bland–Altman analysis were (0.01, 0.13), (0.02, 0.19), and (0.03, 0.18), the Pearson correlation coefficients were 0.97, 0.94, and 0.94, respectively, and the linear equations were 0.89x + 0.02, 0.84x + 0.03, and 0.88x + 0.03 from linear regression for the ConvLSTM model, LSTM model, and XCorr method, respectively. In the longitudinal and transverse views of the carotid artery, the LSTM-based models outperformed the XCorr method. Overall, the ConvLSTM model was superior to the LSTM model and XCorr method. Significance. This study demonstrated that vascular wall motion can be tracked accurately and precisely using plane-wave-based ultrasound imaging and the proposed LSTM-based models.