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Updated: Jun 29, 2025

Troubleshooting FoCUS Image Acquisition: Patient Positioning, Transducer Manipulation, and Image Optimization
Published on: March 3, 2023
Automatic multi-view pose estimation in focused cardiac ultrasound.
João Freitas1, João Gomes-Fonseca2, Ana Claudia Tonelli3
1Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal; ICVS/3B's - PT Government Associate Laboratory, Braga/Guimarães, Portugal; Algoritmi Center, School of Engineering, University of Minho, Guimarães, Portugal.
This study introduces a new framework to automatically determine the 3D spatial relationships of Focused Cardiac Ultrasound (FoCUS) images. This innovation enables advanced 3D quantitative analysis for improved cardiac assessments.
Area of Science:
- Medical Imaging
- Cardiovascular Ultrasound
- Artificial Intelligence in Medicine
Background:
- Focused Cardiac Ultrasound (FoCUS) is a crucial point-of-care tool for cardiovascular assessment.
- Current FoCUS exams are predominantly qualitative 2D due to equipment and operator limitations.
- There is a need for quantitative 3D assessments in FoCUS.
Purpose of the Study:
- To develop a novel framework for automatically estimating the 3D spatial relationships between standard FoCUS views.
- To enable quantitative 3D analysis and improve the diagnostic capabilities of FoCUS.
Main Methods:
- A multi-view U-Net-like fully convolutional neural network was employed.
- The network regressed line-based heatmaps to identify image intersections.
- A system of nonlinear equations was solved to determine the relative 3D pose between FoCUS views.
Main Results:
- The proposed framework successfully estimated the relative 3D poses of FoCUS images.
- Validation on a realistic in silico FoCUS dataset demonstrated promising accuracy.
- Preliminary experiments confirmed the feasibility of 3D image analysis methods.
Conclusions:
- The developed framework enables automatic 3D spatial relationship estimation for FoCUS.
- This approach facilitates the transition from qualitative 2D to quantitative 3D FoCUS assessments.
- The method holds potential for enhancing diagnostic accuracy and clinical utility of FoCUS.

