Clinical Feasibility of Quantitative Ultrasound Texture Analysis: A Robustness Study Using Fetal Lung Ultrasound Images

J Ultrasound Med. 2019 Jun;38(6):1459-1476. doi: 10.1002/jum.14824. Epub 2018 Sep 30.

Abstract

Objectives: To compare the robustness of several methods based on quantitative ultrasound (US) texture analysis to evaluate its feasibility for extracting features from US images to use as a clinical diagnostic tool.

Methods: We compared, ranked, and validated the robustness of 5 texture-based methods for extracting textural features from US images acquired under different conditions. For comparison and ranking purposes, we used 13,171 non-US images from widely known available databases (OUTEX [University of Oulu, Oulu, Finland] and PHOTEX [Texture Lab, Heriot-Watt University, Edinburgh, Scotland]), which were specifically acquired under different controlled parameters (illumination, resolution, and rotation) from 103 textures. The robustness of those methods with better results from the non-US images was validated by using 666 fetal lung US images acquired from singleton pregnancies. In this study, 2 similarity measurements (correlation and Chebyshev distances) were used to evaluate the repeatability of the features extracted from the same tissue images.

Results: Three of the 5 methods (gray-level co-occurrence matrix, local binary patterns, and rotation-invariant local phase quantization) had favorably robust performance when using the non-US database. In fact, these methods showed similarity values close to 0 for the acquisition variations and delineations. Results from the US database confirmed robustness for all of the evaluated methods (gray-level co-occurrence matrix, local binary patterns, and rotation-invariant local phase quantization) when comparing the same texture obtained from different regions of the image (proximal/distal lungs and US machine brand stratification).

Conclusions: Our results confirmed that texture analysis can be robust (high similarity for different condition acquisitions) with potential to be included as a clinical tool.

Keywords: image processing; quantitative ultrasound; robustness; texture analysis; ultrasound.

Publication types

  • Evaluation Study

MeSH terms

  • Evaluation Studies as Topic
  • Feasibility Studies
  • Female
  • Humans
  • Lung / diagnostic imaging*
  • Lung / embryology
  • Lung / physiopathology*
  • Lung Diseases / diagnostic imaging*
  • Lung Diseases / embryology
  • Lung Diseases / physiopathology*
  • Pregnancy
  • Reproducibility of Results
  • Ultrasonography, Prenatal / methods*