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Background: Previously, there has been some work in the field of optical imaging on phase compensation by employing Legendre polynomials as an expansion of the phase function, and this seems to be an appealing unstudied area in the field of ultrasound imaging. Purpose: The paper is devoted to solving one of the problems of enhancing the authenticity of diagnostics data obtained in ultrasound visualization systems and presents a novel approach to aberration correction, which ensures a reliable eliminating of phase distortions. The novelty of the proposed approach consists in the use of the decomposition of the wave front by Legendre polynomials to approximate aberrations of the phase front of ultrasonic waves propagating through distorting layers. Methods: The phase aberrations are corrected using a single sector probe that captures echoes in synthetic aperture mode. The proposed method approximates the changes in the wave front by means of the Legendre polynomials. The performance was investigated by placing a 13‐mm‐wide ultrasonic probe with 64 elements operating at 2 MHz on the surface of a commercial quality control phantom ATS Model 539 through a distorting layer. The following metrics were measured: peak value, root mean square (RMS), full width at half maximum (FWHM), contrast‐to‐noise ratio (CNR). During the experiments, three different aberrators were used interchangeably as distorting layers, two of which were made of photopolymer resin with RMS values of 39 and 97 ns and a speed of sound close to that of a human temporal bone tissue, and the third was an ex vivo human temporal bone with the RMS value of 44 ns. To test the correction, three regions inside the phantom were examined. Two‐sided nonparametric Wilcoxon rank‐sum test was used for assessing the statistical significance. The significance level for this study was set at α ≤ 0.05. To counteract the problem of multiple comparisons, the p‐values were adjusted by the Holm–Bonferroni correction method. Results: The statistically significant results have demonstrated the possibility of increasing peak intensity value up to 3.08 times, reducing the RMS width and FWHM of the intensity angular distribution down to 60% and 82%, respectively, and increasing CNR up to 2.12 times by using the proposed phase distortion correction method, compared with the case without correction. The results show that the method can be used as an effective aberration correction technique for all tested regions inside the phantom and distorting layers. Its usage allowed correcting up to 97% of the aberrations caused by the ex vivo temporal bone model. Conclusion: The results show that the usage of the proposed method for aberration correction can successfully increase the intensity and reduce the angular width of the ultrasound wave scattered by the point targets inside the phantoms. The method works with different distorting layers and is capable of correcting phase aberrations in multiple sections of the sonogram. The limitation of the proposed method consists in the fact that it requires the use of aperture synthesis and access to raw radiofrequency data, which restricts its application in common scanners. [ABSTRACT FROM AUTHOR]

In this review, we focused on the applicability of artificial intelligence (AI) for opportunistic abdominal aortic aneurysm (AAA) detection in computed tomography (CT). We used the academic search system PubMed as the primary source for the literature search and Google Scholar as a supplementary source of evidence. We searched through 2 February 2022. All studies on automated AAA detection or segmentation in noncontrast abdominal CT were included. For bias assessment, we developed and used an adapted version of the QUADAS-2 checklist. We included eight studies with 355 cases, of which 273 (77%) contained AAA. The highest risk of bias and level of applicability concerns were observed for the "patient selection" domain, due to the 100% pathology rate in the majority (75%) of the studies. The mean sensitivity value was 95% (95% CI 100–87%), the mean specificity value was 96.6% (95% CI 100–75.7%), and the mean accuracy value was 95.2% (95% CI 100–54.5%). Half of the included studies performed diagnostic accuracy estimation, with only one study having data on all diagnostic accuracy metrics. Therefore, we conducted a narrative synthesis. Our findings indicate high study heterogeneity, requiring further research with balanced noncontrast CT datasets and adherence to reporting standards in order to validate the high sensitivity value obtained. [ABSTRACT FROM AUTHOR]

Computed tomography (CT) has been an essential diagnostic tool during the COVID-19 pandemic. The study aimed to develop an optimal CT protocol in terms of safety and reliability. For this, we assessed the inter-observer agreement between CT and low-dose CT (LDCT) with soft and sharp kernels using a semi-quantitative severity scale in a prospective study (Moscow, Russia). Two consecutive scans with CT and LDCT were performed in a single visit. Reading was performed by ten radiologists with 3–25 years' experience. The study included 230 patients, and statistical analysis showed LDCT with a sharp kernel as the most reliable protocol (percentage agreement 74.35 ± 43.77%), but its advantage was marginal. There was no significant correlation between radiologists' experience and average percentage agreement for all four evaluated protocols. Regarding the radiation exposure, CTDIvol was 3.6 ± 0.64 times lower for LDCT. In conclusion, CT and LDCT with soft and sharp reconstructions are equally reliable for COVID-19 reporting using the "CT 0-4" scale. The LDCT protocol allows for a significant decrease in radiation exposure but may be restricted by body mass index. [ABSTRACT FROM AUTHOR]