Needle Segmentation For Real-time Guidance of Minimally Invasive Procedures Using Handheld 2D Ultrasound Systems

Paul Okwija Mugume1, Joanitta Nabacwa1, Sylvia Imanirakiza1, Alvin Bagetuuma Kimbowa1, Cosmas Mwikirize1, Andrew Katumba1 Ilker Hacihaliloglu2,
1Makerere University, 2University of British Columbia

Abstract

Background

Accurate needle placement is crucial during minimally invasive procedures such as biopsies, regional anaesthesia and fluid aspiration. 2D Ultrasound is widely used for needle guidance during such procedures, however, it has a limited field-of-view and poor needle visibility for steep insertion angles.

Method

In this work, we propose a novel machine learning (ML)-based method for real-time needle segmentation in handheld 2D ultrasound systems. The proposed method involves a fast and simple annotation technique allowing for the labelling of large datasets. It then utilizes the U-Net architecture which is modified to allow for easy integration into a handheld ultrasound system. Two datasets were used in this work, one consisting of B-mode ultrasound videos obtained from human tissue and the other consisting of videos and frames from chicken, porcine and bovine tissue. The model is trained on 1262 frames and evaluated on 209 frames.

Main workflow
Main work flow after integration with Clarius API.Using the API, we stream images from the probe, make and overlay the predictions on them before they are displayed on the GUI.

Results

This approach achieves an Intersection Over Union (IoU) of 0.75 and a dice coefficient of 0.851 on frames obtained from human tissue. The model is integrated into the processing pipeline of a portable ultrasound system and achieves an overall processing speed of about 8 frames per second. The proposed approach outperforms state-of-the-art methods for needle segmentation while achieving real-time integration. This work is a step forward towards real-time needle guidance using machine learning-based algorithms in handheld ultrasound systems.

Sample predictions
Citation
@article{mugume2022nseg,
title={Needle Segmentation For Real-time Guidance of Minimally Invasive 
Procedures Using Handheld 2D Ultrasound Systems.}, 
authors={Paul O Mugume, Alvin B Kimbowa, Sylvia Imanirakiza,
Cosmas Mwikirize, Ilker Hacihaliloglu, and Andrew Katumba},
journal = {TechRxiv}, year={October 05, 2022}
        }