Ultrasound (US) imaging is used in the diagnosis and monitoring of COVID-19 and breast cancer. The presence of Speckle Noise (SN) is a downside to its usage since it decreases lesion conspicuity. Filters can be used to remove SN, but they involve time-consuming computation and parameter tuning. Several researchers have been developing complex Deep Learning (DL) models (150,000-500,000 parameters) for the removal of simulated added SN, without focusing on the real-world application of removing naturally occurring SN from original US images. Here, a simpler (<30,000 parameters) Convolutional Neural Network Autoencoder (CNN-AE) to remove SN from US images of the breast and lung is proposed. In order to do so, simulated SN was added to such US images, considering four different noise levels (σ = 0.05, 0.1, 0.2, 0.5). The original US images (N = 1227, breast + lung) were given as targets, while the noised US images served as the input. The Structural Similarity Index Measure (SSIM) and Peak Signal-to-Noise Ratio (PSNR) were used to compare the output of the CNN-AE and of the Median and Lee filters with the original US images. The CNN-AE outperformed the use of these classic filters for every noise level. To see how well the model removed naturally occurring SN from the original US images and to test its real-world applicability, a CNN model that differentiates malignant from benign breast lesions was developed. Several inputs were used to train the model (original, CNN-AE denoised, filter denoised, and noised US images). The use of the original US images resulted in the highest Matthews Correlation Coefficient (MCC) and accuracy values, while for sensitivity and negative predicted values, the CNN-AE-denoised US images (for higher σ values) achieved the best results. Our results demonstrate that the application of a simpler DL model for SN removal results in fewer misclassifications of malignant breast lesions in comparison to the use of original US images and the application of the Median filter. This shows that the use of a less-complex model and the focus on clinical practice applicability are relevant and should be considered in future studies.
Keywords: Speckle noise; deep learning; ultrasound.