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REPORT DATE
PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBERJohns Hopkins University Baltimore, MD 21218
SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'S ACRONYM(S)
U.S. Army Medical Research and Materiel Command Fort 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 elasticity reconstruction using an inverse problem framework. We also propose a novel strain addition, 2D AM produces high quality strain images in 2D which can be used for calculation technique using Kalman filters, which generates smooth strain images without blurring theimages 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 published in 2 IEEE TMI articles (23 pages total), and in 5 conference proceeding papers (each paper 8 to 9 pages, 42 pages total). The papers are well received, resulting in more than 55 citations to date according to Google Scholar.
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 lumpectomy cavity should be localized during the treatment course. While many st...