Mobashsher A T, Bialkowski K S, Abbosh A M, Crozier S
School of ITEE, The University of Queensland, St Lucia, 4072, Brisbane, Australia.
PLoS One. 2016 Apr 13;11(4):e0152351. doi: 10.1371/journal.pone.0152351. eCollection 2016.
An intracranial haemorrhage is a life threatening medical emergency, yet only a fraction of the patients receive treatment in time, primarily due to the transport delay in accessing diagnostic equipment in hospitals such as Magnetic Resonance Imaging or Computed Tomography. A mono-static microwave head imaging system that can be carried in an ambulance for the detection and localization of intracranial haemorrhage is presented. The system employs a single ultra-wideband antenna as sensing element to transmit signals in low microwave frequencies towards the head and capture backscattered signals. The compact and low-profile antenna provides stable directional radiation patterns over the operating bandwidth in both near and far-fields. Numerical analysis of the head imaging system with a realistic head model in various situations is performed to realize the scattering mechanism of haemorrhage. A modified delay-and-summation back-projection algorithm, which includes effects of surface waves and a distance-dependent effective permittivity model, is proposed for signal and image post-processing. The efficacy of the automated head imaging system is evaluated using a 3D-printed human head phantom with frequency dispersive dielectric properties including emulated haemorrhages with different sizes located at different depths. Scattered signals are acquired with a compact transceiver in a mono-static circular scanning profile. The reconstructed images demonstrate that the system is capable of detecting haemorrhages as small as 1 cm3. While quantitative analyses reveal that the quality of images gradually degrades with the increase of the haemorrhage's depth due to the reduction of signal penetration inside the head; rigorous statistical analysis suggests that substantial improvement in image quality can be obtained by increasing the data samples collected around the head. The proposed head imaging prototype along with the processing algorithm demonstrates its feasibility for potential use in ambulances as an effective and low cost diagnostic tool to assure timely triaging of intracranial hemorrhage patients.
颅内出血是一种危及生命的医疗急症,但只有一小部分患者能及时得到治疗,主要原因是在获取医院诊断设备(如磁共振成像或计算机断层扫描)时存在转运延迟。本文提出了一种可搭载在救护车上用于检测和定位颅内出血的单静态微波头部成像系统。该系统采用单个超宽带天线作为传感元件,在低微波频率下向头部发射信号并捕获后向散射信号。这种紧凑且低剖面的天线在近场和远场的工作带宽内都能提供稳定的方向辐射方向图。利用逼真的头部模型对头部成像系统在各种情况下进行数值分析,以了解出血的散射机制。针对信号和图像后处理,提出了一种改进的延迟求和反投影算法,该算法考虑了表面波的影响和距离相关的有效介电常数模型。使用具有频率色散介电特性的3D打印人体头部模型评估自动头部成像系统的效能,该模型包含位于不同深度、不同大小的模拟出血。通过紧凑收发器以单静态圆形扫描剖面采集散射信号。重建图像表明该系统能够检测到小至1立方厘米的出血。定量分析显示,由于头部内部信号穿透减少,图像质量会随着出血深度的增加而逐渐下降;但严格的统计分析表明,通过增加在头部周围采集的数据样本,可以显著提高图像质量。所提出的头部成像原型及其处理算法证明了其作为一种有效且低成本的诊断工具在救护车上潜在应用的可行性,以确保颅内出血患者得到及时分诊。