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Multimodal PA/US imaging in Rheumatoid Arthritis: Enhanced correlation with clinical scores 类风湿关节炎的多模态 PA/US 成像:增强与临床评分的相关性
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-05-13 DOI: 10.1016/j.pacs.2024.100615
Zhibin Huang , Dongzhou Liu , Sijie Mo , Xiaoping Hong , Jingyi Xie , Yulan Chen , Lixiong Liu , Di Song , Shuzhen Tang , Huaiyu Wu , Jinfeng Xu , Fajin Dong
<div><h3>Background</h3><p>Accurate assessment of Rheumatoid Arthritis (RA) activity remains a challenge. Multimodal photoacoustic/ultrasound (PA/US) joint imaging emerges as a novel imaging modality capable of depicting microvascularization and oxygenation levels in inflamed joints associated with RA. However, the scarcity of large-scale studies limits the exploration of correlating joint oxygenation status with disease activity.</p></div><div><h3>Objective</h3><p>This study aimed to explore the correlation between multimodal PA/US imaging scores and RA disease activity, assessing its clinical applicability in managing RA.</p></div><div><h3>Methods</h3><p>In this study, we recruited 111 patients diagnosed with RA and conducted examinations of seven small joints on their clinically dominant side using a PA/US imaging system. The PA and power Doppler ultrasound (PDUS) signals were semi-quantitatively assessed using a 0–3 grading system. The cumulative scores for PA and PDUS across these seven joints (PA-sum and PDUS-sum) were calculated. Relative oxygen saturation (So<sub>2</sub>) values of inflamed joints on the clinically dominant side were measured, and categorized into four distinct PA+So<sub>2</sub> patterns. The correlation between PA/US imaging scores and disease activity indices was systematically evaluated.</p></div><div><h3>Results</h3><p>Analysis of 777 small joints in 111 patients revealed that the PA-sum scores exhibited a strong positive correlation with standard clinical scores for RA, including DAS28 [ESR] (ρ = 0.682), DAS28 [CRP] (ρ = 0.683), CDAI (ρ = 0.738), and SDAI (ρ = 0.739), all with p < 0.001. These correlations were superior to those of the PDUS-sum scores (DAS28 [ESR] ρ = 0.559, DAS28 [CRP] ρ = 0.555, CDAI ρ = 0.575, SDAI ρ = 0.581, p < 0.001). Significantly, in patients with higher PA-sum scores, notable differences were observed in the erythrocyte sedimentation rate (ESR) (p < 0.01) and swollen joint count 28 (SJC28) (p < 0.01) between hypoxia and intermediate groups. Notably, RA patients in the hypoxia group exhibited higher clinical scores in certain clinical indices.</p></div><div><h3>Conclusion</h3><p>Multi-modal PA/US imaging introduces potential advancements in RA assessment, especially regarding So<sub>2</sub> evaluations in synovial tissues and associated PA scores. However, further studies are warranted, particularly with more substantial sample sizes and in multi-center settings.</p></div><div><h3>Summary</h3><p>This study utilized multi-modal PA/US imaging to analyze Rheumatoid Arthritis (RA) patients' synovial tissues and affected joints. When juxtaposed with traditional PDUS imaging, the PA approach demonstrated enhanced sensitivity, especially concerning detecting small vessels in thickened synovium and inflamed tendon sheaths. Furthermore, correlations between the derived PA scores, PA+So<sub>2</sub> patterns, and standard clinical RA scores were observed. These findings suggest that multi-mo
背景类风湿性关节炎(RA)活动的准确评估仍然是一项挑战。多模态光声/超声(PA/US)关节成像是一种新的成像模式,能够描述与类风湿关节炎相关的发炎关节中的微血管和氧合水平。本研究旨在探讨多模态 PA/US 成像评分与 RA 疾病活动性之间的相关性,评估其在 RA 管理中的临床适用性。方法在本研究中,我们招募了 111 名确诊为 RA 的患者,并使用 PA/US 成像系统对其临床优势侧的 7 个小关节进行了检查。采用 0-3 分级系统对 PA 和功率多普勒超声(PDUS)信号进行半定量评估。计算这七个关节的 PA 和 PDUS 累计得分(PA-sum 和 PDUS-sum)。测量临床优势侧发炎关节的相对氧饱和度(So2)值,并将其分为四种不同的 PA+So2 模式。结果对 111 例患者的 777 个小关节进行分析后发现,PA-sum 评分与 RA 的标准临床评分(包括 DAS28 [ESR](ρ = 0.682)、DAS28 [CRP](ρ = 0.683)、CDAI(ρ = 0.738)和 SDAI(ρ = 0.739))呈很强的正相关性,p 均为 0.001。这些相关性优于 PDUS 总分(DAS28 [ESR] ρ = 0.559、DAS28 [CRP] ρ = 0.555、CDAI ρ = 0.575、SDAI ρ = 0.581,p <0.001)。值得注意的是,在 PA-sum 评分较高的患者中,红细胞沉降率(ESR)(p <0.01)和关节肿胀计数 28(SJC28)(p <0.01)在缺氧组和中间组之间存在显著差异。结论多模态 PA/US 成像为 RA 评估带来了潜在的进步,尤其是在滑膜组织的 So2 评估和相关 PA 评分方面。本研究利用多模态 PA/US 成像分析类风湿关节炎(RA)患者的滑膜组织和受累关节。与传统的 PDUS 成像相比,PA 方法显示出更高的灵敏度,尤其是在检测增厚滑膜和发炎腱鞘中的小血管方面。此外,还观察到得出的 PA 评分、PA+So2 模式和标准临床 RA 评分之间存在相关性。这些研究结果表明,多模态 PA/US 成像可作为全面评估 RA 的重要工具,不仅能深入了解疾病的活动性,还能了解滑膜组织的氧合状态。要点⸸ RA 中的多模态 PA/US 成像:这项新技术用于评估滑膜组织中的 So2 值,并确定受影响 RA 关节的 PA 评分:PA 评分、PA+So2 模式与标准的临床 RA 指标之间存在明显的相关性,表明该技术具有潜在的临床适用性。
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引用次数: 0
Understanding photoacoustic signal formation in the presence of transparent thin films 了解透明薄膜存在时的光声信号形成过程
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-05-13 DOI: 10.1016/j.pacs.2024.100617
Maksym Illienko , Matthias C. Velsink , Stefan Witte

Strain-induced variation of the refractive index is the main mechanism of strain detection in photoacoustic experiments. However, weak strain-optic coupling in many materials limits the application of photoacoustics as an imaging tool. A straightforward deposition of a transparent thin film as a top layer has previously been shown to provide signal enhancement due to elastic boundary effects. In this paper, we study photoacoustic signal formation in metal covered by thin transparent films of different thicknesses and demonstrate that in addition to boundary effects, the photoacoustic response is affected by optical effects caused by the presence of the top layer. The interplay of optical effects leads to a complex temporal signal shape that strongly depends on the thickness of the thin film.

应变引起的折射率变化是光声实验中应变检测的主要机制。然而,许多材料中的微弱应变-光学耦合限制了光声学作为成像工具的应用。以前的研究表明,直接沉积一层透明薄膜作为顶层,可以通过弹性边界效应增强信号。在本文中,我们研究了由不同厚度的透明薄膜覆盖的金属中光声信号的形成,并证明除了边界效应外,光声响应还受到顶层存在所导致的光学效应的影响。光学效应的相互作用导致了复杂的时间信号形状,这种形状在很大程度上取决于薄膜的厚度。
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引用次数: 0
Wavelength-modulated photoacoustic spectroscopic instrumentation system for multiple greenhouse gas detection and in-field application in the Qinling mountainous region of China 用于多种温室气体检测的波长调制光声光谱仪器系统及在中国秦岭山区的实地应用
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-05-13 DOI: 10.1016/j.pacs.2024.100620
Lixian Liu , Huiting Huan , Xueshi Zhang , Le Zhang , Jinsong Zhan , Shaowei Jiang , Xukun Yin , Baisong Chen , Xiaopeng Shao , Xuesen Xu , Andreas Mandelis

We present a sensitive and compact quantum cascade laser-based photoacoustic greenhouse gas sensor for the detection of CO2, CH4 and CO and discuss its applicability toward on-line real-time trace greenhouse gas analysis. Differential photoacoustic resonators with different dimensions were used and optimized to balance sensitivity with signal saturation. The effects of ambient parameters, gas flow rate, pressure and humidity on the photoacoustic signal and the spectral cross-interference were investigated. Thanks to the combined operation of in-house designed laser control and lock-in amplifier, the gas detection sensitivities achieved were 5.6 ppb for CH4, 0.8 ppb for CO and 17.2 ppb for CO2, signal averaging time 1 s and an excellent dynamic range beyond 6 orders of magnitude. A continuous outdoor five-day test was performed in an observation station in China’s Qinling National Botanical Garden (E longitude 108°29’, N latitude 33°43’) which demonstrated the stability and reliability of the greenhouse gas sensor.

我们介绍了一种灵敏、紧凑的基于量子级联激光器的光声温室气体传感器,用于检测二氧化碳、甲烷和一氧化碳,并讨论了其在在线实时痕量温室气体分析中的适用性。我们使用了不同尺寸的差分光声谐振器,并对其进行了优化,以平衡灵敏度和信号饱和度。研究了环境参数、气体流速、压力和湿度对光声信号和光谱交叉干扰的影响。由于采用了内部设计的激光控制和锁相放大器,气体检测灵敏度分别为 CH4 5.6 ppb、CO 0.8 ppb 和 CO2 17.2 ppb,信号平均时间为 1 秒,动态范围超过 6 个数量级。在中国秦岭国家植物园(东经 108°29',北纬 33°43')的一个观测站进行了为期五天的室外连续测试,证明了温室气体传感器的稳定性和可靠性。
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引用次数: 0
Scanning optoacoustic angiography for assessing structural and functional alterations in superficial vasculature of patients with post-thrombotic syndrome: A pilot study 扫描光声血管造影术用于评估血栓后综合征患者浅表血管的结构和功能改变:试点研究
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-05-07 DOI: 10.1016/j.pacs.2024.100616
Svetlana Nemirova , Anna Orlova , Alexey Kurnikov , Yulia Litvinova , Viacheslav Kazakov , Irina Ayvazyan , Yu-Hang Liu , Daniel Razansky , Pavel Subochev

This study highlights the potential of scanning optoacoustic angiography (OA) in identifying alterations of superficial vasculature in patients with post-thrombotic syndrome (PTS) of the foot, a venous stress disorder associated with significant morbidity developing from long-term effects of deep venous thrombosis. The traditional angiography methods available in the clinics are not capable of reliably assessing the state of peripheral veins that provide blood outflow from the skin, a key hallmark of personalized risks of PTS formation after venous thrombosis. Our findings indicate that OA can detect an increase in blood volume, diameter, and tortuosity of superficial blood vessels. The inability to spatially separate vascular plexuses of the dermis and subcutaneous adipose tissue serves as a crucial criterion for distinguishing PTS from normal vasculature. Furthermore, our study demonstrates the ability of scanning optoacoustic angiography to detect blood filling decrease in an elevated limb position versus increase in a lowered position.

这项研究强调了扫描光声血管造影术(OA)在识别足部血栓后综合征(PTS)患者浅表血管变化方面的潜力,PTS 是一种静脉应激障碍,与深静脉血栓长期影响导致的严重发病率有关。临床上现有的传统血管造影方法无法可靠地评估从皮肤流出血液的外周静脉的状态,而这正是静脉血栓形成后 PTS 个性化风险的关键标志。我们的研究结果表明,OA 可以检测到浅表血管的血容量、直径和迂曲度的增加。无法在空间上分离真皮层和皮下脂肪组织的血管丛是区分 PTS 和正常血管的关键标准。此外,我们的研究还证明了扫描光声血管造影术能够检测肢体抬高时的血液充盈减少与降低时的血液充盈增加。
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引用次数: 0
In-line imaging and recognition of flip chip fabrication defects by real-time photoacoustic remote sensing system 利用实时光声遥感系统对倒装芯片制造缺陷进行在线成像和识别
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-05-06 DOI: 10.1016/j.pacs.2024.100614
Jijing Chen , Kaixuan Ding , Yihan Pi , Shoujun Zhang , Jiao Li , Zhen Tian

Microscopic defects in flip chips, originating from manufacturing, significantly affect performance and longevity. Post-fabrication sampling methods ensure product functionality but lack in-line defect monitoring to enhance chip yield and lifespan in real-time. This study introduces a photoacoustic remote sensing (PARS) system for in-line imaging and defect recognition during flip-chip fabrication. We first propose a real-time PARS imaging method based on continuous acquisition combined with parallel processing image reconstruction to achieve real-time imaging during the scanning of flip-chip samples, reducing reconstruction time from an average of approximately 1134 ms to 38 ms. Subsequently, we propose improved YOLOv7 with space-to-depth block (IYOLOv7-SPD), an enhanced deep learning defect recognition method, for accurate in-line recognition and localization of microscopic defects during the PARS real-time imaging process. The experimental results validate the viability of the proposed system for enhancing the lifespan and yield of flip-chip products in chip manufacturing facilities.

倒装芯片在制造过程中产生的微观缺陷会严重影响其性能和使用寿命。制造后取样方法可确保产品功能,但缺乏在线缺陷监测,无法实时提高芯片产量和寿命。本研究介绍了一种光声遥感(PARS)系统,用于倒装芯片制造过程中的在线成像和缺陷识别。我们首先提出了一种基于连续采集结合并行处理图像重建的实时 PARS 成像方法,以实现倒装芯片样品扫描过程中的实时成像,将重建时间从平均约 1134 毫秒缩短到 38 毫秒。随后,我们提出了增强型深度学习缺陷识别方法 YOLOv7 with space-to-depth block (IYOLOv7-SPD),用于在 PARS 实时成像过程中对微观缺陷进行精确的在线识别和定位。实验结果验证了所提系统在芯片制造设备中提高倒装芯片产品寿命和良率的可行性。
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引用次数: 0
Unsupervised disentanglement strategy for mitigating artifact in photoacoustic tomography under extremely sparse view 用于在极度稀疏视图下减轻光声层析成像中的伪影的无监督解缠策略
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-05-04 DOI: 10.1016/j.pacs.2024.100613
Wenhua Zhong , Tianle Li , Shangkun Hou , Hongyu Zhang , Zilong Li , Guijun Wang , Qiegen Liu , Xianlin Song

Traditional methods under sparse view for reconstruction of photoacoustic tomography (PAT) often result in significant artifacts. Here, a novel image to image transformation method based on unsupervised learning artifact disentanglement network (ADN), named PAT-ADN, was proposed to address the issue. This network is equipped with specialized encoders and decoders that are responsible for encoding and decoding the artifacts and content components of unpaired images, respectively. The performance of the proposed PAT-ADN was evaluated using circular phantom data and the animal in vivo experimental data. The results demonstrate that PAT-ADN exhibits excellent performance in effectively removing artifacts. In particular, under extremely sparse view (e.g., 16 projections), structural similarity index and peak signal-to-noise ratio are improved by ∼188 % and ∼85 % in in vivo experimental data using the proposed method compared to traditional reconstruction methods. PAT-ADN improves the imaging performance of PAT, opening up possibilities for its application in multiple domains.

在稀疏视图下重建光声层析成像(PAT)的传统方法往往会产生明显的伪影。为了解决这个问题,我们提出了一种基于无监督学习的伪影分解网络(ADN)的新型图像到图像转换方法,命名为 PAT-ADN。该网络配备了专门的编码器和解码器,分别负责对未配对图像中的人工痕迹和内容成分进行编码和解码。利用圆形幻影数据和动物体内实验数据对所提出的 PAT-ADN 的性能进行了评估。结果表明,PAT-ADN 在有效去除伪影方面表现出色。特别是在极度稀疏的视图下(如 16 个投影),与传统重建方法相比,使用所提出的方法,活体实验数据的结构相似性指数和峰值信噪比分别提高了 ∼188 % 和 ∼85 %。PAT-ADN 提高了 PAT 的成像性能,为其在多个领域的应用提供了可能。
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引用次数: 0
On-demand expansion fluorescence and photoacoustic microscopy (ExFLPAM) 按需扩展荧光和光声显微镜(ExFLPAM)
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-04-29 DOI: 10.1016/j.pacs.2024.100610
Xuan Mu , Chenshuo Ma , Xuan Mei , Junlong Liao , Rebecca Bojar , Sizhe Kuang , Qiangzhou Rong , Junjie Yao , Yu Shrike Zhang

Expansion microscopy (ExM) is a promising technology that enables nanoscale imaging on conventional optical microscopes by physically magnifying the specimens. Here, we report the development of a strategy that enables i) on-demand labeling of subcellular organelles in live cells for ExM through transfection of fluorescent proteins that are well-retained during the expansion procedure; and ii) non-fluorescent chromogenic color-development towards efficient bright-field and photoacoustic imaging in both planar and volumetric formats, which is applicable to both cultured cells and biological tissues. Compared to the conventional ExM methods, our strategy provides an expanded toolkit, which we term as expansion fluorescence and photoacoustic microscopy (ExFLPAM), by allowing on-demand fluorescent protein labeling of cultured cells, as well as non-fluorescent absorption contrast-imaging of biological samples.

膨胀显微镜(ExM)是一种前景广阔的技术,它通过物理放大标本,在传统光学显微镜上实现纳米级成像。在此,我们报告了一种策略的开发情况:i)通过转染荧光蛋白,在活细胞中按需标记亚细胞器,以用于 ExM;ii)非荧光色原显色,实现平面和体积格式的高效明视野和光声成像,该策略适用于培养细胞和生物组织。与传统的 ExM 方法相比,我们的策略提供了一个扩展工具包,我们称之为扩展荧光和光声显微镜(ExFLPAM),它允许按需对培养细胞进行荧光蛋白标记,以及对生物样本进行非荧光吸收对比成像。
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引用次数: 0
Photoacoustic trace gas detection of OCS using a 2.45 mL Helmholtz resonator and a 4823.3 nm ICL light source 使用 2.45 mL Helmholtz 谐振器和 4823.3 nm ICL 光源进行 OCS 的光声痕量气体检测
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-04-29 DOI: 10.1016/j.pacs.2024.100612
Zijian Gao , Lei Li , Minghui Liu, Shen Tian, Mingyang Feng, Yingying Qiao, Chongxin Shan

A miniaturized photoacoustic spectroscopy-based gas sensor is proposed for the purpose of detecting sub-ppm-level carbonyl sulfide (OCS) using a tunable mid-infrared interband cascade laser (ICL) and a Helmholtz photoacoustic cell. The tuning characteristics of the tunable ICL with a center wavelength of 4823.3 nm were investigated to achieve the optimal driving parameters. A Helmholtz photoacoustic cell with a volume of ∼2.45 mL was designed and optimized to miniaturize the measurement system. By optimizing the modulation parameters and signal processing, the system was verified to have a good linear response to OCS concentration. With a lock-in amplifier integration time of 10 s, the 1σ noise standard deviation in differential mode was 0.84 mV and a minimum detection limit (MDL) of 409.2 ppbV was achieved at atmospheric pressure and room temperature.

本文提出了一种基于微型光声光谱的气体传感器,利用可调谐中红外带间级联激光器(ICL)和亥姆霍兹光声电池检测亚ppm级硫化羰(OCS)。研究了中心波长为 4823.3 nm 的可调谐 ICL 的调谐特性,以获得最佳驱动参数。为了使测量系统小型化,设计并优化了一个体积为 2.45 mL 的亥姆霍兹光声电池。通过优化调制参数和信号处理,验证了该系统对 OCS 浓度具有良好的线性响应。锁定放大器的积分时间为 10 秒,在差分模式下,1σ 噪声标准偏差为 0.84 mV,在常压和室温条件下,最低检测限 (MDL) 为 409.2 ppbV。
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引用次数: 0
UPAMNet: A unified network with deep knowledge priors for photoacoustic microscopy UPAMNet:用于光声显微镜的具有深度知识先验的统一网络
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-04-25 DOI: 10.1016/j.pacs.2024.100608
Yuxuan Liu , Jiasheng Zhou , Yating Luo , Jinkai Li , Sung-Liang Chen , Yao Guo , Guang-Zhong Yang

Photoacoustic microscopy (PAM) has gained increasing popularity in biomedical imaging, providing new opportunities for tissue monitoring and characterization. With the development of deep learning techniques, convolutional neural networks have been used for PAM image resolution enhancement and denoising. However, there exist several inherent challenges for this approach. This work presents a Unified PhotoAcoustic Microscopy image reconstruction Network (UPAMNet) for both PAM image super-resolution and denoising. The proposed method takes advantage of deep image priors by incorporating three effective attention-based modules and a mixed training constraint at both pixel and perception levels. The generalization ability of the model is evaluated in details and experimental results on different PAM datasets demonstrate the superior performance of the method. Experimental results show improvements of 0.59 dB and 1.37 dB, respectively, for 1/4 and 1/16 sparse image reconstruction, and 3.9 dB for image denoising in peak signal-to-noise ratio.

光声显微镜(PAM)在生物医学成像领域越来越受欢迎,为组织监测和表征提供了新的机会。随着深度学习技术的发展,卷积神经网络已被用于 PAM 图像分辨率增强和去噪。然而,这种方法存在一些固有的挑战。本研究提出了一种用于 PAM 图像超分辨率和去噪的统一光声显微图像重建网络(UPAMNet)。所提出的方法利用了深度图像先验,在像素和感知水平上纳入了三个有效的基于注意力的模块和混合训练约束。对模型的泛化能力进行了详细评估,不同 PAM 数据集的实验结果证明了该方法的卓越性能。实验结果表明,1/4 和 1/16 稀疏图像重建的性能分别提高了 0.59 dB 和 1.37 dB,图像去噪的峰值信噪比提高了 3.9 dB。
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引用次数: 0
Extractor-attention-predictor network for quantitative photoacoustic tomography 用于定量光声断层扫描的提取器-注意力-预测器网络
IF 7.9 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-04-24 DOI: 10.1016/j.pacs.2024.100609
Zeqi Wang, Wei Tao, Hui Zhao

Quantitative photoacoustic tomography (qPAT) holds great potential in estimating chromophore concentrations, whereas the involved optical inverse problem, aiming to recover absorption coefficient distributions from photoacoustic images, remains challenging. To address this problem, we propose an extractor-attention-predictor network architecture (EAPNet), which employs a contracting–expanding structure to capture contextual information alongside a multilayer perceptron to enhance nonlinear modeling capability. A spatial attention module is introduced to facilitate the utilization of important information. We also use a balanced loss function to prevent network parameter updates from being biased towards specific regions. Our method obtains satisfactory quantitative metrics in simulated and real-world validations. Moreover, it demonstrates superior robustness to target properties and yields reliable results for targets with small size, deep location, or relatively low absorption intensity, indicating its broader applicability. The EAPNet, compared to the conventional UNet, exhibits improved efficiency, which significantly enhances performance while maintaining similar network size and computational complexity.

定量光声层析成像(qPAT)在估算发色团浓度方面具有巨大潜力,但从光声图像中恢复吸收系数分布所涉及的光学逆问题仍然具有挑战性。为了解决这个问题,我们提出了一种提取器-注意力-预测器网络架构(EAPNet),它采用收缩-扩展结构来捕捉上下文信息,同时采用多层感知器来增强非线性建模能力。我们还引入了空间注意力模块,以促进对重要信息的利用。我们还使用了平衡损失函数,以防止网络参数更新偏向特定区域。在模拟和实际验证中,我们的方法获得了令人满意的量化指标。此外,它对目标特性表现出了卓越的鲁棒性,对于体积小、位置深或吸收强度相对较低的目标也能获得可靠的结果,这表明它具有更广泛的适用性。与传统的 UNet 相比,EAPNet 表现出更高的效率,在保持相似的网络规模和计算复杂度的同时显著提高了性能。
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引用次数: 0
期刊
Photoacoustics
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