Texture analysis is an important topic in Ultrasound (US) image analysis for structure segmentation and tissue classification. In this work a novel approach for US image texture feature extraction is presented. It is mainly based on parametrical modelling of a signal version of the US image in order to process it as data resulting from a dynamical process. Because of the predictive characteristics of such a model representation, good estimations of texture features can be obtained with less data than generally used methods require, allowing higher robustness to low Signal-to-Noise ratio and a more localized US image analysis. The usability of the proposed approach was demonstrated by extracting texture features for segmenting the thyroid in US images. The obtained results showed that features corresponding to energy ratios between different modelled texture frequency bands allowed to clearly distinguish between thyroid and non-thyroid texture. A simple k-means clustering algorithm has been used for separating US image patches as belonging to thyroid or not. Segmentation of thyroid was performed in two different datasets obtaining Dice coefficients over 85%.

The thyroid is one of the largest endocrine glands in the human body, which is involved in several body mechanisms like controlling protein synthesis, use of energy sources, and controlling the body's sensitivity to other hormones. Thyroid segmentation and volume reconstruction are hence essential to diagnose thyroid related diseases as most of these diseases involve a change in the shape and size of the thyroid over time. Classification of thyroid texture is the first step toward the segmentation of the thyroid. The classification of texture in thyroid Ultrasound (US) images is not an easy task as it suffers from low image contrast, presence of speckle noise, and non-homogeneous texture distribution inside the thyroid region. Hence, a robust algorithmic approach is required to accurately classify thyroid texture. In this paper, we propose three machine learning based approaches: Support Vector Machine; Artificial Neural Network; and Random Forest Classifier to classify thyroid texture. The computation of features for training these classifiers is based on a novel approach recently proposed by our team, where autoregressive modeling was applied on a signal version of the 2D thyroid US images to compute 30 spectral energy-based features for classifying the thyroid and non-thyroid textures. Our approach differs from the methods proposed in the literature as they use image-based features to characterize thyroid tissues. We obtained an accuracy of around 90% with all the three methods. INDEX TERMSMedical imaging, support vector machine, artificial neural network, random forest classifier, texture classification, thyroid ultrasound. During the course of his B.Sc., he worked as a Research Assistant with Fraunhofer Mevis, Bremen, Germany, and recently he was a Visiting Researcher with General Electric Healthcare, Milwaukee, USA. His research interest includes medical image processing, computer vision, and machine learning.

At present transoral laryngeal interventions are mainly observed and controlled by an external two dimensional direct microscopic view. This modality provides an overall view on the surgery situs in a straight line of sight. For treatment planning and appropriate documentation, an endoscopic inspection is mandatory prior to surgery. Nowadays a detailed endoscopic work-up of laryngeal lesions can be performed by contact endoscopy in combination with structure enhancement like Narrow Band Imaging. High resolution and magnification of up to 150 times provide detailed visualization of vascular structures and pathological changes of the tissue surface. In these procedures it is difficult however to localize the evaluated areas on large scale scenes like the microscopic view used for surgery. To provide a fast and easy image matching an automated vessel pattern recognition and allocation is presented. Endoscopic images depicting representative vessel structures of the vocal folds are selected out of contact endoscopy video scenes. These images are pre-processed for background homogenization. A Frangi Vessel Segmentation filter and morphological operations are used to extract the vessel structure and match it to the microscopic image. Using this method 4 detailed contact endoscopy images could be allocated in different scenes of the microscope video. This method can be used to simplify treatment planning and to prepare image data for documentation.

There is no real need to discuss the potential advantages – mainly the excellent soft tissue contrast, nonionizing radiation, flow, and molecular information – of magnetic resonance imaging (MRI) as an intraoperative diagnosis and therapy system particularly for neurological applications and oncological therapies. Difficult patient access in conventional horizontal-field superconductive magnets, very high investment and operational expenses, and the need for special nonferromagnetic therapy tools have however prevented the widespread use of MRI as imaging and guidance tool for therapy purposes. The interventional use of MRI systems follows for the last 20+ years the strategy to use standard diagnostic systems and add more or less complicated and expensive components (eg, MRI-compatible robotic systems, specially shielded in-room monitors, dedicated tools and devices made from low-susceptibility materials, etc) to overcome the difficulties in the therapy process. We are proposing to rethink that approach using an in-room portable ultrasound (US) system that can be safely operated till 1 m away from the opening of a 3T imaging system. The live US images can be tracked using an optical inside–out approach adding a camera to the US probe in combination with optical reference markers to allow direct fusion with the MRI images inside the MRI suite. This leads to a comfortable US-guided intervention and excellent patient access directly on the MRI patient bed. This was combined with an entirely mechanical MRI-compatible 7 degrees of freedom holding arm concept, which shows that this test environment is a different way to create a cost-efficient and effective setup that combines the advantages of MRI and US by largely avoiding the drawbacks of current interventional MRI concepts.

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