Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. (From -To) 1 Jan 2010 -31 Dec 2010
REPORT DATE
1-JAN-2011
REPORT TYPE
Annual Summary
DATES COVERED
TITLE AND SUBTITLE
Ultrasound
PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)Johns Hopkins University
AND ADDRESS(ES)
PERFORMING ORGANIZATION REPORT NUMBERBaltimore MD 21218
SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'S ACRONYM(S) U.S. Army Medical Research and Materiel CommandFort Detrick, Maryland 21702-5012
SPONSOR/MONITOR'S REPORT NUMBER(S)
DISTRIBUTION / AVAILABILITY STATEMENTApproved for public release; distribution unlimited
SUPPLEMENTARY NOTES
ABSTRACTTracked ultrasound elastography can be used for guidance in partial breast radiotherapy by visualizing the hard scar tissue around the lumpectomy cavity. For clinical success, the elastography method needs to be robust to the sources of decorrelation between ultrasound images, specifically fluid motions inside the cavity, change of the appearance of speckles caused by compression or physiologic motions, and out-of-plane motion of the probe. In this report, we extend our previous work where we proposed 1D Analytic Minimization (1D AM) of a cost function to calculate robust elasticity images to 2D AM. We show that 2D AM is much faster than 1D AM, which is critically important in creating real-time elastography. In addition, 2D AM produces high quality strain images in 2D which can be used for elasticity reconstruction using an inverse problem framework. We also propose a novel strain calculation technique using Kalman filters, which generates smooth strain images without blurring the images and removing sharp boundaries. We show using simulation, phantom and clinical trials that the 2D AM generates high quality strain images in real-time. This work is in press for IEEE TMI. We have also introduced a novel elastography technique, which uses multiple images to calculate elasticity image. A manuscript has been submitted to IEEE TMI.
SUBJECT TERMS
INTRODUCTION:A tracked free-hand ultrasound system is ideal for guiding many radiotherapy procedures, as it can be performed in the treatment room. In partial breast irradiation, the lumpe...