UNIVERSITY OF OSLO. ultrasound imaging. Sverre Holm DEPARTMENT OF INFORMATICS

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High-resolution beamforming in ultrasound imaging Sverre Holm DEPARTMENT OF INFORMATICS

MEDT8007 Simulation Methods in Ultrasound Imaging - NTNU Sverre Holm DEPARTMENT OF INFORMATICS

Journal Publications J.-F. Synnevåg, A. Austeng, and S. Holm, "Adaptive beamforming applied to medical ultrasound imaging," g, IEEE UFFC (Special issue on high resolution ultrasonic imaging), Aug. 2007 J.-F. Synnevåg, A. Austeng, and S. Holm, Benefits of High- Resolution Beamforming in Medical Ultrasound Imaging, IEEE UFFC, Sept. 2009. J.-F. Synnevåg, A. Austeng, and S. Holm, A Low Complexity Data- Dependent BeamformerIEEE UFFC, Feb. 2011. C. -I. C. Nilsen & I. Hafizovic, Beamspace Adaptive Beamforming for Ultrasound Imaging, IEEE UFFC, Oct. 2009. C.-I. C. Nilsen & S. Holm, Wiener Beamforming for Ultrasound Imaging, IEEE UFFC, June 2010 DEPARTMENT OF INFORMATICS 3

Conference Presentations J. Synnevåg, A. Austeng, and S. Holm, "Minimum Variance Adaptive Beamforming Applied To Medical Ultrasound Imaging," in Proc IEEE Ultrasonics Symposium, Rotterdam, Netherlands, 2005. J.-F. Synnevåg, A. Austeng, and S. Holm, "High frame-rate and high resolution medical imaging using adaptive beamforming," in Proc. IEEE Ultrasonics Symposium, Vancouver Canada, Oct 2006. J.-F. Synnevåg, C. I. Nielsen, and S. Holm, "Speckle Statistics in Adaptive Beamforming, IEEE Ultrasonics Symp., NY, Oct. 2007 A. Austeng, T. Bjastad, J.-F. Synnevaag, S.-E. Masoy, H. Torp and S. Holm "Sensitivity of Minimum Variance Beamforming to Tissue Aberrations", IEEE Ultrasonics Symposium, Nov. 2008. J.-F. Synnevåg, S. Holm and A. Austeng, "Low-Complexity Data-Dependent Beamforming", IEEE Ultrasonics Symposium, Nov. 2008. K. Holfort, A. Austeng. J.-F. Synnevåg, S. Holm, F. Gran, J. A. Jensen, Adaptive Receive and Transmit Apodization for Synthetic Aperture Ultrasound Imaging, in Proc. IEEE Ultrasonics Symposium, Rome, Italy, Sept. 2009. A. Austeng, A. F. C. Jensen, J.-F. Synnevåg, C.-I. C. Nilsen, S. Holm, Image Amplitude Estimation with the Minimum Variance Beamformer, in Proc. IEEE Ultrasonics Symposium, Rome, Italy, 2009. A. E. A. Blomberg, I. K. Holfort, A. Austeng, J.-F. Synnevåg, S. Holm, J. A. Jensen, APES Beamforming Applied to Medical Ultrasound Imaging in Proc. IEEE Ultrasonics Symposium, Rome, Italy, Sept. 2009. Sonar: A. E. A. Blomberg, A. Austeng, R.E. Hansen, S. Holm, "Minimum Variance Adaptive Beamforming Applied to a Circular Sonar Array," Underwater Acoustic Measurements: Technologies & Results, Greece, June 2009. S. Jetlund, A. Austeng, R.E. Hansen, S. Holm, "Minimum variance adaptive beamforming in active sonar imaging," i Underwater Acoustic Measurements: Technologies & Results, Greece, June 2009. DEPARTMENT OF INFORMATICS 4

Beamforming Transducer Delay-and-Sum, DAS: Pre-determined aperture shading, delay, and sum: M k 1 A ( t ) w ix i ( t T i w i : typ. rectangular or Hamming (real, symmetric) ) Reflectors Adaptive beamformers find w i from spatial correlations in the recorded data, i.e. they adapt to the data Data is used twice! DEPARTMENT OF INFORMATICS 5

Rectangular or Hamming? DEPARTMENT OF INFORMATICS 6

Examples of beampatterns (two wiretargets, t 80 mm) Unity gain in desired direction ~Zero Strong targets DEPARTMENT OF INFORMATICS 96 els: DAS vs MV with L=32 & K=0 7

Beampatterns (cyst) DEPARTMENT OF INFORMATICS 96 els: DAS vs MV with L=32 & K=0 8

Origins J. Capon, High-resolution frequency- wavenumber spectrum analysis, Proc. IEEE, pp. 1408 1418, 1969. Finn Bryn, Optimum Signal Processing of Three-Dimensional Arrays Operating on Gaussian Signals and Noise, Journ. Acoust. Soc. Am., pp. 289-297, 1962. DEPARTMENT OF INFORMATICS 9

Terminology High resolution beamforming Minimum variance beamforming Capon beamforming Adaptive beamforming But not phase aberration correction DEPARTMENT OF INFORMATICS 10

Beamforming: Matrix formulation Single-frequency output of beamformer: y = w x, where w has phase Power: P yy = yy = w x(w x) =w xx w=w R xx w Signal, x e, steering vector Broadband: sum over all frequencies delay-and-sum and beamformer: DEPARTMENT OF INFORMATICS 11

Steering vector Signal, x e, steering vector Plane wave: Uniform Linear Array: Plane wave on ULA: DEPARTMENT OF INFORMATICS 12

Minimum variance beamforming Minimize output power: min w H R subject to unity gain in w H a 1 desired direction: w H a 1 w Because of pre-steering and pre-focusing (straight ahead): a 1 DEPARTMENT OF INFORMATICS 13

Minimum variance Weight: Complex weights vary with covariance matrix, i.e. the data and direction (in e) Results in adaptive suppression in the direction of the largest interferers Result: P =w R w=1/(e MV xx H *R -1 *e) DEPARTMENT OF INFORMATICS 14

Minimum variance beamforming In practice R is replaced by the sample covariance matrix Only a few time-samples are available Averaging in space and time Subaperture averaging» J. E. Evans, J. R. Johnson, and D. F. Sun, High resolution angular spectrum estimation techniques for terrain scattering analysis and angle of arrival estimation, Proc. 1st ASSP Workshop Spectral Estimation, Hamilton, Ont., Canada, pp. 134 139, 1981. Diagonal loading: R is replaced by R + tr{r} I» J. Li, P. Stoica, and Z. Wang, On robust Capon beamforming and diagonal loading, IEEE Trans. Signal Processing, vol. 51, no. 7, pp. 1702 1715, July 2003. DEPARTMENT OF INFORMATICS 15

The Effect of Signal Coherence 2 sources in two different directions (Synnevaag 2009, PhD): DEPARTMENT OF INFORMATICS 16

The Effect of Signal Coherence Output is critically dependent on correlation between sources: DEPARTMENT OF INFORMATICS 17

Coherent signals and spatial smoothing Spatial smoothing is the cure against signal cancellation Averaging over linear aperture Forward-backward averaging Compromise between smoothing to avoid the effect of coherent signals and loss of resolution due to subaperture smaller than physical aperture 734 7.3.4 DEPARTMENT OF INFORMATICS 18

Robustness The more tuned an algorithm is, the more sensitive it is to deviations from assumptions Assumed form of the signal vector implies perfect knowledge of: Sensor positions Sensor gains Sensor phase» changes if speed of propagation in medium is incorrect Cross coupling DEPARTMENT OF INFORMATICS 19

Robust Constrained Optimization Minimum variance beamforming: 1. Minimize w Rw with respect to w 2. Subject to e w = 1 unity gain, desired direction Robustness criterion i 1: 2. Subject to (e+ ) w = 1 and 2» represents errors in signal vector Robustness criterion 2: 2. Subject to e w = 1 and w 2 represents a limit on the weight vector s norm» Not directly related to robustness, but 743 7.4.3 DEPARTMENT OF INFORMATICS 20

Robust Constrained Optimization Both cases add a scaled identity matrix to covariance estimate: t R R + I Regularization in linear algebra Diagonal loading in array processing Value of depends on criterion and is signal dependent Du, Yardibi, Li, Stoica, Review of user parameterfree robust adaptive beamforming algorithms, Digital Signal Processing, 2009 Simple solution used by us: = {avg { g pwr} = tr{r}/l, { }, where L= sub. ap length DEPARTMENT OF INFORMATICS 21

Adaptation to Medical Ultrasound Focused System Pre-beamforming of receiver: steering and focusing Adaptive beamformer only applies complex weights to model deviations Transmitter beam Unfocused or focused beam like in medical scanners Single beam, ~omnidirectional: Plane wave as in acoustic streaming imaging g From Passive to Active System Coherence Target cancellation Illustrated in next plots DEPARTMENT OF INFORMATICS 22

Smoothing and conditioning 1. Subaperture averaging Aperture 2. Diagonal loading ~ add uncorrelated noise R+ tr{r} I 3. Radial averaging 4. Sub-band processing, split in many narrowband estimates 6. Frame to frame averaging 5. Lateral averaging DEPARTMENT OF INFORMATICS 23

Spacing: 1.5 mm No subarray averaging, Heavy diagonal loading, else single points also suffer 65 subarrays averaged, Light diagonal loading DEPARTMENT OF INFORMATICS 24

Two targets, unresolvable by DAS Partial cancellation without subarray averaging; ~15 db loss DEPARTMENT OF INFORMATICS 25

Single target Subarray averaging makes little difference DEPARTMENT OF INFORMATICS 26

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L=32 subaperture, no time averaging, =1/(10 L) DEPARTMENT OF INFORMATICS 28

L=32 subaperture, 2K+1=1717 time averages, =1/(10 L) DEPARTMENT OF INFORMATICS 29

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Distribution of pixel amplitudes DEPARTMENT OF INFORMATICS 31

Preferred approach Subarray averaging: Ensures a good covariance matrix estimate Is essential to avoid cancellation due to coherence. Diagonal loading: For robustness Radial averaging Improved speckle Only for covariance estimate, not for beamforming DEPARTMENT OF INFORMATICS 32

Related work Mann and Walker, Ultrasonics 2002 Beamwidth reduction and sidelobe suppression» No subaperture averaging, only single wire target, less coherency problems Improved contrast on cyst phantom Frost beamformer Capon with FIR Sasso and Cohen-Bacrie (Philips), ICASSP 2005 Improved contrast on simulated data Subaperture e averaging ag g and time averaging ag g over neighbor beams Wang, Li, Wu, IEEE Trans. Med., Oct. 2005 & Synnevåg et al, Ultrasonics 2005: Robustness with diagonal loading, tested on array with random element position errors Only tested on single wire target and cysts, not tested handling of coherent targets Synnevåg et al, IEEE TUFFC, 2007 two very close targets, closer than the limit which can be resolved by DAS. Using this scenario, we have demonstrated that better resolution than DAS was possible even with coherent targets Improved resolution and contrast on wire pairs and heart phantom Holfort et al. (IEEE Ultrason. Symp 2007) implicit time averaging since they split the transducers bandwidth into independent bands by FFT, performed independent high resolution beamforming per band, and combined them. Single transmission: very high frame rate Synnevåg et al, Ultrasonics 2007: Time averaging over small range gate: better speckle statistics Vignon and Burcher (Philips), T. UFFC March 2008 First clinical images: in-vivo heart and abdominal images DEPARTMENT OF INFORMATICS 33

Comments Fall-back to delay-and-sum: Subaperture averaging as the subaperture size -> 1:» = delay-and-sum beamforming Diagonal loading as the diagonal term becomes dominant:» = delay-and-sum beamforming Variation of a single parameter allows one to adjust the method so that it falls back to conventional delay-andsum beamforming. Challenge: How to do subaperture averaging on a curved transducer? (curved array or sonar array) DEPARTMENT OF INFORMATICS 34

Results: simulated data Field II 96 element, 4 MHz transducer All transmitter / receiver combinations Applied full dynamic focus White gaussian noise added DEPARTMENT OF INFORMATICS 35

Simulated data-set Transducer Spacing 2 mm Depth 30, 40, 50, 60, 70, 80 mm DEPARTMENT OF INFORMATICS 36

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Parameters Aperture: M=96 Subapertures that overlap with L-1 elements L=48, 96-48+1 = 49 averages L=32, 96-32+1 = 65 averages L=18, 96-18+1 = 79 averages Small amount of diagonal loading Ri is replaced dby R + t{r} tr{r} I Ensures good conditioning of R Default: =1/(100 L) where diagonal term is = tr{r} [Have also used up to =1/L i.e. same variance for R and the added white noise] DEPARTMENT OF INFORMATICS 38

80 mm depth DEPARTMENT OF INFORMATICS 39

Examples of beampatterns (two wire targets, t 80 mm) Unity gain in desired direction ~Zero Strong targets DEPARTMENT OF INFORMATICS 96 els: DAS vs MV with L=32 & K=0 40

Robust adaptive beamforming Processed the data with 5% error in acoustic velocity Applied regularization: Replaced R with R + εii Large => delay-and-sum DEPARTMENT OF INFORMATICS 41

5 % error in c: Sensitivity to subarray size DEPARTMENT OF INFORMATICS 42

5 % error in c (L=48) Sensitivity to diagonal term DEPARTMENT OF INFORMATICS 43

Phase aberrations Point target at 70 mm, 2.5 MHz 64 element phased array 1D aberrations: time-delays as if the aberrator was on the transducer surface. Unweighted delay-and-sum (DAS) beamformer and a MV beamformer. A. Austeng, T. Bjåstad, J.-F. Synnevaag, S.-E. Masøy, H. Torp and S. Holm "Sensitivity of Minimum Variance Beamforming to Tissue Aberrations", IEEE Ultrasonics Symposium, Nov. 2008. DEPARTMENT OF INFORMATICS 44

Aberrator Correlation length: 2.46 mm Delay» Weak (imaging through thorax): 21 ns rms/90 ns peak» Intermediate (abdominal imaging): 35 ns rms/150 ns peak» Strong (abdominal imaging): i 49 ns rms/210 ns peak» Very strong (breast imaging): 68 ns rms/290 ns peak DEPARTMENT OF INFORMATICS 45

Results, phase abberation Main lobe of the MV beamformer was narrower or approximately equal to that of DAS -6 db lateral beamwidth being 40%, 67%, 83%, and 106% of DAS for the four cases. The aberrations affected the sidelobe structure producing non-symmetric patterns, but with comparable values for the maximum sidelobe levels. For the weak aberrator, the MV beamformer performed better (1-5 db) than the DAS beamformer. A slight reduction in sensitivity. Very strong aberration: the main lobe value was decreased by 1.4 db compared to the DAS beamformer. For the other scenarios: the decrease was 0.9, 0.6, and 0.4 db. DEPARTMENT OF INFORMATICS 46

Phase aberrations and MV MV balancing of performance and robustness. Spatial smoothing, diagonal loading, time averaging over about a pulse length MV: substantial decrease in main lobe width without increase in sidelobe level in aberrating environments. It does not degrade the beam even with very strong aberrators. MV can handle realistic aberrations with a performance which is better than or equal to that of DAS. DEPARTMENT OF INFORMATICS 47

Experimental data Specially programmed GE Vingmed ultrasound scanner» 96 element, 3.5 MHz transducer @ 4 MHz» Specially made wire target, spacing 2 mm Biomedical Ultrasound Laboratory, University of Michigan» 64 element, 3.5 MHz transducer» heart-phantom DEPARTMENT OF INFORMATICS 48

Point targets: GEVU scanner 4 MHz, 96 el., 56 mm depth. Tx focus 56 mm, dynamic rx focus DEPARTMENT OF INFORMATICS 49

Heart phantom DEPARTMENT OF INFORMATICS 50

Beampatterns (cyst) DEPARTMENT OF INFORMATICS 96 els: DAS vs MV with L=32 & K=0 51

Other benefits than resolution Reduced transducer size 18.5 mm transducer (DAS) vs 9.25 mm transducer (MV) Parallel receive beamforming 32 Tx/rx lines (DAS) vs. 8 Tx lines (MV with 4 parallel l beams) Increased penetration depth 3.5 MHz transmission (DAS) vs. 2 MHz transmission (MV) Synnevåg et al Benefits of High-Resolution Beamforming in Medical Ultrasound Imaging, IEEE UFFC, Sept. 2009. DEPARTMENT OF INFORMATICS 52

Half the transducer size DEPARTMENT OF INFORMATICS 53

Half the transducer size (2) DEPARTMENT OF INFORMATICS 54

Half the transducer size (3) DEPARTMENT OF INFORMATICS 55

4 times wider transmit beam & parallel receive beams = 4 times the frame rate DEPARTMENT OF INFORMATICS 56

Parallel receive beams (2) DEPARTMENT OF INFORMATICS 57

Parallel receive beams (3) DEPARTMENT OF INFORMATICS 58

2 MHz vs. 3 MHz transmission DAS 2 MHz DAS 3.5 MHz MV 2 MHz DEPARTMENT OF INFORMATICS 59

Computational cost M elements, L-size subarrays Delay is the same as for delay-and-sum Matrix inversion 2L 3 /3 or O(L 3 ) + estimation of weights Saves computations by using smaller subarrays, L, instead of more diagonal loading Application of weights (= DAS): O(M) DEPARTMENT OF INFORMATICS 60

Simplified Capon Select the window with smallest output among P=4-12 pre-defined d windows rather than estimate window from data No matrix inversion 2L 3 /3, only P x DAS: 2P M» Ex: M=96, L=32 => 2L 3 /3 22000 vs P=10: 2P M 2000 More robust than Capon: no possibility for signal cancellation if windows have been chosen properly J.-F. Synnevåg, A. Austeng, and S. Holm, A Low Complexity Data- Dependent Beamformer, IEEE UFFC, Feb 2011. DEPARTMENT OF INFORMATICS 61

Conclusion Applied MV beamformer to medical ultrasound imaging Balancing of performance and robustness. Spatial smoothing which is important for dealing with multiple reflectors Diagonal loading which helps make the method robust Time averaging over about a pulse length in estimating the covariance matrix. The latter ensures that the speckle resembles that of DAS. Shown improvement in image quality of realistic images Demonstrated 3 examples where MV may be benefitial Smaller aperture, higher framerate, lower frequency Several methods for reducing computational cost Needs more testing on relevant image data DEPARTMENT OF INFORMATICS 62