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Ultrasound-guided spine interventions, such as lumbar-puncture procedures, often suffer from the reduced visibility of key anatomical features such as the inter-spinous process space, due to the complex shape of the self-shadowing vertebra. Therefore, we propose to design a wearable 3D ultrasound device capable of imaging the vertebra from multiple insonification angles to improve the 3D bone surface visualization for interventional guidance. In this work, we aim to equip the imaging platform with a reconstruction algorithm taking advantage of the redundant ultrasound beam angles. Specifically, we try to weight each beam's contribution for the same reconstructed voxel during the reconstruction process based on its incidence angle to the estimated bone surface. To validate our approach, we acquired multi-angle ultrasound image data on a spine phantom with a tracked phased array transducer. The results show that with the proposed method the bone surface contrast can be significantly enhanced, providing clearer visual guidance for the clinician to perform spine intervention.

Clear identification of bone structures is crucial for ultrasound-guided lumbar interventions, but it can be challenging due to the complex shapes of the self-shadowing vertebra anatomy and the extensive background speckle noise from the surrounding soft tissue structures. Therefore, we propose to use a patch-like wearable ultrasound solution to capture the reflective bone surfaces from multiple imaging angles and create 3D bone representations for interventional guidance. In this work, we will present our method for estimating the vertebra bone surfaces by using a spatiotemporal U-Net architecture learning from the B-Mode image and aggregated feature maps of hand-crafted filters. The methods are evaluated on spine phantom image data collected by our proposed miniaturized wearable "patch" ultrasound device, and the results show that a significant improvement on baseline method can be achieved with promising accuracy. Equipped with this surface estimation framework, our wearable ultrasound system can potentially provide intuitive and accurate interventional guidance for clinicians in augmented reality setting.

Accurate, real-time segmentation of vessel structures in ultrasound image sequences can aid in the measurement of lumen diameters and assessment of vascular diseases. This, however, remains a challenging task, particularly for extremely small vessels that are difficult to visualize. We propose to leverage the rich spatiotemporal context available in ultrasound to improve segmentation of small-scale lower-extremity arterial vasculature. We describe efficient deep learning methods that incorporate temporal, spatial, and feature-aware contextual embeddings at multiple resolution scales while jointly utilizing information from B-mode and Color Doppler signals. Evaluating on femoral and tibial artery scans performed on healthy subjects by an expert ultrasonographer, and comparing to consensus expert ground-truth annotations of inner lumen boundaries, we demonstrate real-time segmentation using the context-aware models and show that they significantly outperform comparable baseline approaches.