Introduction of Sample Based Prior into the D-Bar Method Through a Schur Complement Property

Advances of deep learning in electrical impedance tomography image reconstruction

Electrical impedance tomography (EIT) has been widely used in biomedical research because of its advantages of real-time imaging and nature of being non-invasive and radiation-free. Additionally, it can reconstruct the distribution or changes in electrical properties in the sensing area. Recently, with the significant advancements in the use of deep learning in intelligent medical imaging, EIT image reconstruction based on deep learning has received considerable attention. This study introduces the basic principles of EIT and summarizes the application progress of deep learning in EIT image reconstruction with regards to three aspects: a single network reconstruction, deep learning combined with traditional algorithm reconstruction, and multiple network hybrid reconstruction. In future, optimizing the datasets may be the main challenge in applying deep learning for EIT image reconstruction. Adopting a better network structure, focusing on the joint reconstruction of EIT and traditional algorithms, and using multimodal deep learning-based EIT may be the solution to existing problems. In general, deep learning offers a fresh approach for improving the performance of EIT image reconstruction and could be the foundation for building an intelligent integrated EIT diagnostic system in the future.

Improved resolution of D-bar images of ventilation using a Schur complement property and an anatomical atlas

BACKGROUND

Electrical impedance tomography (EIT) is a nonionizing imaging technique for real-time imaging of ventilation of patients with respiratory distress. Cross-sectional dynamic images are formed by reconstructing the conductivity distribution from measured voltage data arising from applied alternating currents on electrodes placed circumferentially around the chest. Since the conductivity of lung tissue depends on air content, blood flow, and the presence of pathology, the dynamic images provide regional information about ventilation, pulsatile perfusion, and abnormalities. However, due to the ill-posedness of the inverse conductivity problem, EIT images have a coarse spatial resolution. One method of improving the resolution is to include prior information in the reconstruction.

PURPOSE

In this work, we propose a technique in which a statistical prior built from an anatomical atlas is used to postprocess EIT reconstructions of human chest data. The effectiveness of the method is demonstrated on data from two patients with cystic fibrosis.

METHODS

A direct reconstruction algorithm known as the D-bar method was used to compute a two-dimensional reconstruction of the conductivity distribution in the plane of the electrodes. Reconstructions using one step in an iterative (regularized) Newton's method were also computed for comparison. An anatomical atlas consisting of 1589 synthetic EIT images computed from X-ray computed tomography (CT) scans of 74 adult male subjects was computed for use as a statistical prior. The resolution of the D-bar images was then improved by maximizing the conditional probability density function of an image that is consistent with the a priori information and the statistical model. A new method to evaluate the accuracy of the EIT images using CT scans of the imaged patient as ground truth is presented. The novel approach is tested on data from two patients with cystic fibrosis.

RESULTS AND CONCLUSIONS

The D-bar images resulted in better structural similarity index measures (SSIM) and multiscale (MS) SSIM measures for both subjects using the mask or amplitude evaluation approach than the one-step (regularized) Newton's method. Further improvement was achieved using the Schur complement (SC) approach, with MS-SSIM values of 0.718 and 0.682 using SC evaluated with the mask and amplitude approach, respectively, for Patient 1, and MS-SSIM values of 0.726 and 0.692 using SC evaluated with the mask and amplitude approach, respectively, for Patient 2. The results from applying an anatomical atlas and statistical prior to EIT data from two patients with cystic fibrosis suggest that the spatial resolution of the EIT image can be improved to reveal pathology that may be difficult to discern in the original EIT image. The novel metric of evaluation is consistent with the appearance of improved spatial resolution and provides a new way to evaluate the accuracy of EIT reconstructions when a CT scan is available.

Calderón's Method with a Spatial Prior for 2-D EIT Imaging of Ventilation and Perfusion

Bedside imaging of ventilation and perfusion is a leading application of 2-D medical electrical impedance tomography (EIT), in which dynamic cross-sectional images of the torso are created by numerically solving the inverse problem of computing the conductivity from voltage measurements arising on electrodes due to currents applied on electrodes on the surface. Methods of reconstruction may be direct or iterative. Calderón’s method is a direct reconstruction method based on complex geometrical optics solutions to Laplace’s equation capable of providing real-time reconstructions in a region of interest. In this paper, the importance of accurate modeling of the electrode location on the body is demonstrated on simulated and experimental data, and a method of including a priori spatial information in dynamic human subject data is presented. The results of accurate electrode modeling and a spatial prior are shown to improve detection of inhomogeneities not included in the prior and to improve the resolution of ventilation and perfusion images in a human subject.