CN112807024A - Ultrasonic image quantitative evaluation method - Google Patents

Ultrasonic image quantitative evaluation method Download PDF

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CN112807024A
CN112807024A CN202110117792.0A CN202110117792A CN112807024A CN 112807024 A CN112807024 A CN 112807024A CN 202110117792 A CN202110117792 A CN 202110117792A CN 112807024 A CN112807024 A CN 112807024A
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cartilage
ultrasonic
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echo intensity
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CN112807024B (en
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罗建文
王媛媛
何琼
高孟泽
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Tsinghua University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0875Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5215Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T7/00Image analysis
    • G06T7/10Segmentation; Edge detection
    • G06T7/11Region-based segmentation
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/10Image acquisition modality
    • G06T2207/10132Ultrasound image
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/30Subject of image; Context of image processing
    • G06T2207/30004Biomedical image processing
    • G06T2207/30008Bone

Abstract

The invention relates to an ultrasonic image quantitative evaluation method, which comprises the following steps: firstly, preprocessing the acquired joint ultrasonic image; secondly, carrying out image segmentation on the joint ultrasonic image; thirdly, carrying out quantitative analysis index extraction on the joint ultrasonic image; and fourthly, carrying out multi-parameter joint analysis on the joint ultrasonic image. The invention automatically segments the front and back walls and the internal area of the cartilage on an ultrasonic image, quantitatively analyzes the segmented interested area, extracts quantitative analysis indexes related to ultrasonic echo intensity, sound attenuation, cartilage thickness, scatterometry distribution and the like, and comprehensively analyzes various indexes by using a multivariate analysis method, thereby realizing the noninvasive and quantitative evaluation of the articular cartilage lesion degree.

Description

Ultrasonic image quantitative evaluation method
Technical Field
The invention relates to an ultrasonic image quantitative evaluation method, in particular to an ultrasonic image quantitative evaluation method which can be used for evaluating articular cartilage lesions.
Background
Osteoarthritis of various etiologies is the most common chronic degenerative disease of the joints in the elderly. Early identification of osteoarthritis and accurate staging of joint degeneration facilitates timely and appropriate intervention in the condition, thereby controlling disease progression and significantly improving prognosis. Clinically, Conventional Radiography (CR) is often used to assess bone joint structural changes, but it does not reveal soft tissue lesions. Magnetic Resonance Imaging (MRI) can be used to detect articular cartilage, synovium, meniscus and soft tissue lesions, but it is expensive, long scanning time and insensitive to cartilage early lesions. The ultrasonic diagnosis has the advantages of real time, portability, easy use, low price and the like, and can display structural changes of bones and cartilages and inflammatory changes in joints, so the ultrasonic diagnosis is suitable for screening osteoarthritis in a large group of people. However, the existing clinical ultrasonic diagnosis has the problems of strong subjectivity, incapability of giving quantitative results and the like.
Based on gold standard arthroscopy, the degree of joint pathology can be divided into three degrees: at the temperature of I, the probe can touch the articular cartilage to soften, and a small amount of surface fibrosis, closed cartilage separation and vacuolar change can be observed; at II degree, a small amount of articular cartilage fiber bundle-like change can be observed, and the articular cartilage fiber bundle-like change is crab meat-like appearance; at III, it was observed that cartilage necrosis was lost, subchondral bone was exposed and "ivory" appeared. Arthroscopy is an invasive examination technique, however, and is not suitable for routine screening of osteoarthritis.
Currently, studies on the evaluation of cartilage degradation using a quantitative ultrasound method are mainly applied to ex vivo experiments or in vivo arthroscopy. In these studies, the axial resolution is improved by using a high-frequency probe, and quantitative indicators related to the cartilage surface acoustic reflection characteristics, roughness and the like are extracted from the ultrasonic radio-frequency signals to characterize the change of the cartilage surface microstructure caused by a lesion, or the indicators related to the cartilage backscattering characteristics, acoustic attenuation and the like are extracted by performing power spectrum analysis on the ultrasonic radio-frequency signals. However, in clinical ultrasound examination, due to the tradeoff between probe frequency and imaging depth, the high-frequency probe used in the ex vivo experiment or arthroscopy cannot detect the depth of the articular cartilage, and thus is not suitable for clinical examination of the articular cartilage. Also, most of the currently used ultrasound machines in clinical use are not capable of providing ultrasound radio frequency data. Therefore, the index reflecting the change of the cartilage surface microstructure commonly used in the in vitro experiment and arthroscopy and the index extracted by the ultrasonic radio frequency data spectrum analysis cannot be applied to clinical ultrasonic examination.
Therefore, it is urgently needed to provide a noninvasive/quantitative joint ultrasound image quantitative evaluation method for clinical application in lesion screening and grading diagnosis of a large-scale population.
Disclosure of Invention
In view of the above problems, the present invention provides a method for quantitatively evaluating an ultrasound image, which extracts an index sensitive to cartilage lesions by quantitatively analyzing an ultrasound image, and comprehensively analyzes various indexes by multi-parameter joint analysis, and the method can be used for non-invasive and quantitative evaluation of the cartilage lesion degree of a joint.
In order to achieve the purpose, the invention adopts the following technical scheme: a method of quantitative assessment of ultrasound images, comprising:
firstly, preprocessing the acquired joint ultrasonic image; secondly, carrying out image segmentation on the joint ultrasonic image; thirdly, carrying out quantitative analysis index extraction on the joint ultrasonic image; and fourthly, carrying out multi-parameter joint analysis on the joint ultrasonic image.
The method for quantitatively evaluating an ultrasound image preferably includes the step of preprocessing the acquired ultrasound image of the joint, including: and carrying out preprocessing of interpolation, normalization and attenuation compensation on the acquired joint ultrasonic image.
The method for quantitatively evaluating an ultrasound image preferably includes the step of performing image segmentation on the joint ultrasound image, including: regions of interest contained within the anterior cartilage wall, the posterior cartilage wall, and the interior of the cartilage are segmented from the ultrasound images.
Preferably, the step of performing quantitative analysis index extraction on the joint ultrasound image includes: according to the B-ultrasonic representation of the articular cartilage lesion, quantitative analysis indexes related to ultrasonic echo intensity, sound attenuation, cartilage thickness and scatterer statistical distribution are extracted from an interested region obtained after preprocessing and image segmentation.
The method for quantitatively evaluating an ultrasound image preferably includes the step of performing multi-parameter joint analysis on an ultrasound image of a joint, including: and (4) carrying out comprehensive analysis on all quantitative analysis indexes extracted in the third step by using a joint analysis or machine learning method, realizing noninvasive quantitative grading of the cartilage lesions, and finally obtaining a grading result of the cartilage lesions.
The method for quantitatively evaluating the ultrasonic image preferably performs preprocessing of interpolation, normalization and attenuation compensation on the acquired joint ultrasonic image, and comprises the following steps of: 1) performing depth direction interpolation on the joint ultrasonic images to enable the joint ultrasonic images acquired at different depths to have the same pixel size; 2) normalizing each frame of joint ultrasonic image by using the maximum intensity value of each frame, and eliminating the influence of gain on the ultrasonic echo intensity; meanwhile, the same ultrasonic system is used, under the same imaging configuration, a joint ultrasonic image of a uniform simulated body is acquired, and a signal of the cartilage with the corresponding depth is normalized by a simulated body signal to correct the influence of the depth on the ultrasonic echo intensity; 3) the attenuation compensation method is used for compensating the sound attenuation caused by soft tissue covered by the upper layer of the cartilage in the joint ultrasonic image.
The ultrasonic image quantitative evaluation method preferably uses manual or image segmentation algorithm based on region, boundary, mathematical morphology, wavelet theory or neural network to segment out the region of interest contained in the cartilage anterior wall, cartilage posterior wall and cartilage interior from the joint ultrasonic image.
Preferably, the method for quantitatively evaluating an ultrasound image extracts quantitative analysis indexes related to ultrasound echo intensity, acoustic attenuation, cartilage thickness and scatterometer statistical distribution from an area of interest obtained after preprocessing and image segmentation, and includes the following steps: 1) calculating the ultrasonic echo intensity; 2) calculating the roughness of the surface of the cartilage; 3) calculating the sound attenuation deceleration; 4) calculating the thickness of the cartilage; 5) and calculating the statistic distribution of scatterers in the cartilage.
The method for quantitatively evaluating an ultrasound image preferably includes, when performing step 1), the following steps:
calculating the average value and the standard deviation of the ultrasonic echo intensities of the cartilage anterior wall and the cartilage posterior wall to reflect the average echo intensity and the uniformity of the cartilage anterior wall and the cartilage posterior wall, wherein the calculation formula is as follows:
Figure BDA0002920970930000031
Figure BDA0002920970930000032
Figure BDA0002920970930000033
Figure BDA0002920970930000034
in the formula, RawAnd SVRawMean echo intensity and homogeneity of the cartilage anterior wall are respectively represented; rpwAnd SVRpwMean echo intensity and homogeneity of the cartilage posterior wall are respectively represented;
Figure BDA0002920970930000035
and
Figure BDA0002920970930000036
respectively representing the ultrasonic echo intensity at the ith position of the cartilage anterior wall and the cartilage posterior wall; m represents the length component of cartilage along the transverse direction;
secondly, calculating the average value and the standard deviation of the ultrasonic echo intensity inside the cartilage to reflect the ultrasonic echo intensity and the uniformity inside the cartilage, wherein the calculation formula is as follows:
Figure BDA0002920970930000037
Figure BDA0002920970930000038
in the formula, RcartilageAnd SVRcartilageRespectively representing the ultrasonic echo intensity and the uniformity of the cartilage interior;
Figure BDA0002920970930000039
representing the ultrasonic echo intensity at the ith position in the cartilage;
and thirdly, calculating the ratio of the ultrasonic echo intensity of the cartilage front wall and the cartilage back wall to the ultrasonic echo intensity inside the cartilage to reflect the echo contrast of the cartilage front wall and the cartilage back wall to the cartilage inside, wherein the calculation formula is as follows:
Figure BDA0002920970930000041
Figure BDA0002920970930000042
in the formula, contastawRepresenting the contrast of the echoes of the anterior cartilage wall and the interior of the cartilage; contastpwIndicating the echogenic contrast of the posterior wall of the cartilage to the interior of the cartilage.
The method for quantitatively evaluating an ultrasound image preferably includes the following steps in the step 2):
according to the joint ultrasonic image, position information of the upper boundary of the cartilage is obtained, high-pass filtering is carried out on the vertical distance between each position of the upper boundary of the cartilage and the surface of the ultrasonic probe to obtain a filtered distance signal, the standard deviation of the filtered distance signal is obtained to reflect the roughness of the surface of the cartilage, and the calculation formula of the roughness is as follows:
Figure BDA0002920970930000043
in the formula, URI represents the roughness of the cartilage surface; diRepresenting the filtered range signal at the ith position;
Figure BDA0002920970930000044
represents an average value of the filtered distance signal; m represents the length component of cartilage along the transverse direction.
The method for quantitatively evaluating an ultrasound image preferably includes, when performing step 3), the following steps:
selecting an interested region with the length of n from the lower parts of the front cartilage wall and the rear cartilage wall, equally dividing the interested region into a plurality of parts, linearly fitting the ultrasonic echo intensity and the corresponding depth of each position in the interested region, and representing the echo amplitude attenuation coefficient by using the slope of a fitting straight line, thereby obtaining the echo amplitude attenuation coefficient in each section range and the whole range of the interested region contained in the front cartilage wall and the rear cartilage wall and reflecting the change of the sound attenuation characteristic related to cartilage pathological changes;
and obtaining the echo amplitude attenuation coefficients in each section range and the whole range of the region of interest contained in the cartilage in the same way.
The method for quantitatively evaluating an ultrasound image preferably includes the following steps in the step 4):
and calculating the vertical distances of the cartilage anterior wall and the cartilage posterior wall at different positions, wherein the average value, the standard value and the minimum value of all the vertical distances can respectively reflect the average value, the thickness uniformity and the minimum thickness of the cartilage thickness.
The method for quantitatively evaluating an ultrasound image preferably includes, when performing step 5), the following steps:
fitting scattering photon distribution parameters inside the cartilage by using an ultrasonic envelope signal according to a scattering photon statistical distribution model, wherein the Nakagami distribution model adopted by the scattering photon statistical distribution model is as follows:
Figure BDA0002920970930000051
in the formula, r is the local ultrasonic echo intensity inside the cartilage, and r is more than or equal to 0; n is a shape parameter, and n > 0; omega is a scale parameter, and omega is more than 0; Γ (n) represents a Gamma function with respect to the shape parameter n.
Due to the adoption of the technical scheme, the invention has the following advantages: the invention automatically segments the front and back walls and the internal area of the cartilage on an ultrasonic image, quantitatively analyzes the segmented interested area, extracts quantitative analysis indexes related to ultrasonic echo intensity, sound attenuation, cartilage thickness, scatterometry distribution and the like, and comprehensively analyzes various indexes by using a multivariate analysis method, thereby realizing the noninvasive and quantitative evaluation of the articular cartilage lesion degree. The method provided by the invention is also suitable for non-invasive quantitative evaluation of the lesion degree of other in-vivo tissues or organs (such as carotid plaque, thyroid, liver, kidney and the like).
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Fig. 1 is a schematic flow chart of a method according to an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the technical solutions of the present invention will be clearly and completely described below with reference to the accompanying drawings. It is to be understood that the embodiments described are only a few embodiments of the present invention, and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
As shown in fig. 1, the method for quantitatively evaluating an ultrasound image provided by this embodiment includes the following steps:
firstly, preprocessing an acquired ultrasonic image:
in this embodiment, the acquired ultrasound image is a joint ultrasound image acquired in a standard format (such as DICOM format) by an ultrasound system according to a unified standard operation procedure (for example, the outco systems in ultrasound, the OMERACT criterion), and then preprocessing such as interpolation, normalization, attenuation compensation and the like is performed on the ultrasound image, so as to reduce the influence on the echo signal intensity caused by factors such as imaging depth, gain, acoustic attenuation of cartilage superior tissues and the like among different examiners as much as possible, specifically:
1) carrying out depth direction interpolation on the ultrasonic images so that the ultrasonic images acquired at different depths have the same pixel size;
2) normalizing each frame of ultrasonic image by using the maximum intensity value of each frame, and eliminating the influence of gain on the ultrasonic echo intensity; meanwhile, the same ultrasonic system is used, under the same imaging configuration, ultrasonic images of uniform simulated bodies are collected, and simulated body signals are used for normalizing signals of corresponding depths of cartilage so as to correct the influence of the depths on the ultrasonic echo intensity;
3) the acoustic attenuation caused by soft tissue overlying the cartilage in the ultrasound image is compensated for using a suitable attenuation compensation method, such as an optimal power spectral shift estimation method.
Secondly, carrying out image segmentation on the ultrasonic image:
in this embodiment, regions of interest (ROIs) contained in the anterior wall, the posterior wall and the interior of the cartilage are segmented from the ultrasound image using manual or region, boundary, mathematical morphology, wavelet theory or neural network based image segmentation algorithms.
Thirdly, performing quantitative analysis index extraction on the ultrasonic image:
due to the limitations of the frequency of the clinical ultrasound probe and the acquisition system, quantitative analysis methods that rely on high frequency probes and radio frequency data analysis cannot be applied to image analysis obtained by clinical acquisition. Therefore, in this embodiment, according to the B-mode ultrasound representation of the articular cartilage disorder, quantitative analysis indexes related to the ultrasound echo intensity, the sound attenuation, the cartilage thickness, the scatterer statistical distribution, and the like are extracted from the ROI obtained after the preprocessing and the image segmentation, and specifically:
1) calculating the ultrasonic echo intensity:
calculating the average value and the standard deviation of the ultrasonic echo intensities of the cartilage anterior wall and the cartilage posterior wall to reflect the average echo intensity and the uniformity of the cartilage anterior wall and the cartilage posterior wall, wherein the calculation formula is as follows:
Figure BDA0002920970930000061
Figure BDA0002920970930000062
Figure BDA0002920970930000063
Figure BDA0002920970930000064
in the formula, RawAnd SVRawMean echo intensity and homogeneity of the cartilage anterior wall are respectively represented; rpwAnd SVRpwMean echo intensity and homogeneity of the cartilage posterior wall are respectively represented;
Figure BDA0002920970930000065
and
Figure BDA0002920970930000066
respectively representing the ultrasonic echo intensity at the ith position of the cartilage anterior wall and the cartilage posterior wall; m represents the length component of cartilage along the transverse direction.
Secondly, calculating the average value and the standard deviation of the ultrasonic echo intensity inside the cartilage to reflect the ultrasonic echo intensity and the uniformity inside the cartilage, wherein the calculation formula is as follows:
Figure BDA0002920970930000067
Figure BDA0002920970930000071
in the formula, RcartilageAnd SVRcartilageRespectively representing the ultrasonic echo intensity and the uniformity of the cartilage interior;
Figure BDA0002920970930000072
representing the ultrasound echo intensity at the ith location inside the cartilage.
And thirdly, calculating the ratio of the ultrasonic echo intensity of the cartilage front wall and the cartilage back wall to the ultrasonic echo intensity inside the cartilage to reflect the echo contrast of the cartilage front wall and the cartilage back wall to the cartilage inside, wherein the calculation formula is as follows:
Figure BDA0002920970930000073
Figure BDA0002920970930000074
in the formula, contastawRepresenting the contrast of the echoes of the anterior cartilage wall and the interior of the cartilage; contastpwIndicating the echogenic contrast of the posterior wall of the cartilage to the interior of the cartilage.
2) Cartilage surface roughness calculation:
according to the ultrasonic image, position information of the boundary on the cartilage is obtained, high-pass filtering is carried out on the vertical distance between each position of the boundary on the cartilage and the surface of the ultrasonic probe to obtain a filtered distance signal, and the standard deviation of the filtered distance signal is obtained to reflect the roughness of the upper wall (namely the cartilage surface) of the cartilage, wherein the calculation formula of the roughness is as follows:
Figure BDA0002920970930000075
in the formula, URI represents the roughness of the cartilage surface; diRepresenting the filtered range signal at the ith position;
Figure BDA0002920970930000076
representing the average of the filtered distance signal.
3) Calculation of acoustic attenuation velocity:
selecting ROIs with the length of n (in the embodiment, n is 0.1mm to 5mm) from the lower parts of the front cartilage wall and the rear cartilage wall, equally dividing the ROIs into a plurality of parts (for example, four parts), performing linear fitting on the ultrasonic echo intensity and the corresponding depth at each position inside the ROIs, and representing the echo amplitude attenuation coefficient by using the slope of a fitting straight line, so as to obtain the echo amplitude attenuation coefficients in each section range and the whole range of the ROIs contained in the front cartilage wall and the rear cartilage wall, wherein the echo amplitude attenuation coefficients are used for reflecting the change of the sound attenuation characteristics related to cartilage lesions.
And obtaining the echo amplitude attenuation coefficient in each section range and the whole range of the ROI contained in the cartilage in the same way.
4) Cartilage thickness calculation:
the vertical distances of the cartilage anterior wall and the cartilage posterior wall at different positions are calculated by the existing method, and the average value, the standard value and the minimum value of all the vertical distances can respectively reflect the average value, the thickness uniformity and the minimum thickness of the cartilage thickness.
5) Calculating the statistic distribution of scatterers in the cartilage:
the scatterer distribution parameters inside the cartilage were fitted with the ultrasound envelope signal according to a scatterer statistical distribution model (in this example, a Nakagami distribution model is used), wherein the Nakagami distribution model is as follows:
Figure BDA0002920970930000081
in the formula, r is the local ultrasonic echo intensity inside the cartilage, and r is more than or equal to 0; n is a shape parameter, and n > 0; omega is a scale parameter, and omega is more than 0; Γ (n) represents a Gamma function with respect to the shape parameter n.
Fourthly, carrying out multi-parameter joint analysis on the ultrasonic image:
and (3) carrying out comprehensive analysis on all quantitative analysis indexes extracted in the third step by using a joint analysis or machine learning method to realize noninvasive quantitative grading of the cartilage lesions and finally obtaining grading results of the cartilage lesions (namely the cartilage lesions of I, II and III degrees).
Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.

Claims (13)

1. A method for quantitative evaluation of ultrasound images, comprising:
firstly, preprocessing the acquired joint ultrasonic image;
secondly, carrying out image segmentation on the joint ultrasonic image;
thirdly, carrying out quantitative analysis index extraction on the joint ultrasonic image;
and fourthly, carrying out multi-parameter joint analysis on the joint ultrasonic image.
2. The method for quantitatively evaluating an ultrasound image according to claim 1, wherein the step of preprocessing the acquired ultrasound image of the joint comprises: and carrying out preprocessing of interpolation, normalization and attenuation compensation on the acquired joint ultrasonic image.
3. The method for quantitatively evaluating an ultrasound image according to claim 2, wherein the step of image-segmenting the ultrasound image of the joint comprises: regions of interest contained within the anterior cartilage wall, the posterior cartilage wall, and the interior of the cartilage are segmented from the ultrasound images.
4. The method for quantitatively evaluating an ultrasound image according to claim 3, wherein the step of performing quantitative analysis index extraction on the joint ultrasound image includes: according to the B-ultrasonic representation of the articular cartilage lesion, quantitative analysis indexes related to ultrasonic echo intensity, sound attenuation, cartilage thickness and scatterer statistical distribution are extracted from an interested region obtained after preprocessing and image segmentation.
5. The method for quantitatively evaluating an ultrasonic image according to claim 4, wherein the step of performing a multi-parameter joint analysis on the joint ultrasonic image comprises: and (4) carrying out comprehensive analysis on all quantitative analysis indexes extracted in the third step by using a joint analysis or machine learning method to realize noninvasive quantitative grading of cartilage lesions.
6. The method for quantitatively evaluating an ultrasonic image according to claim 2, wherein the preprocessing of interpolation, normalization and attenuation compensation of the acquired ultrasonic image of the joint comprises the following steps:
1) performing depth direction interpolation on the joint ultrasonic images to enable the joint ultrasonic images acquired at different depths to have the same pixel size;
2) normalizing each frame of joint ultrasonic image by using the maximum intensity value of each frame, and eliminating the influence of gain on the ultrasonic echo intensity; meanwhile, the same ultrasonic system is used, under the same imaging configuration, a joint ultrasonic image of a uniform simulated body is acquired, and a signal of the cartilage with the corresponding depth is normalized by a simulated body signal to correct the influence of the depth on the ultrasonic echo intensity;
3) the attenuation compensation method is used for compensating the sound attenuation caused by soft tissue covered by the upper layer of the cartilage in the joint ultrasonic image.
7. The method for quantitative assessment of ultrasound images according to claim 3, wherein the regions of interest contained in the anterior cartilage wall, the posterior cartilage wall and the cartilage interior are segmented from the ultrasound images of the joint using manual or image segmentation algorithms based on regions, boundaries, mathematical morphology, wavelet theory or neural networks.
8. The method for quantitatively evaluating an ultrasonic image according to claim 4, wherein the extracting of quantitative analysis indexes related to ultrasonic echo intensity, acoustic attenuation, cartilage thickness and scatterometry distribution from the region of interest obtained after the preprocessing and the image segmentation comprises the following steps:
1) calculating the ultrasonic echo intensity;
2) calculating the roughness of the surface of the cartilage;
3) calculating the sound attenuation deceleration;
4) calculating the thickness of the cartilage;
5) and calculating the statistic distribution of scatterers in the cartilage.
9. The method for quantitatively evaluating an ultrasound image according to claim 8, wherein the step 1) is performed by specifically including the steps of:
calculating the average value and the standard deviation of the ultrasonic echo intensities of the cartilage anterior wall and the cartilage posterior wall to reflect the average echo intensity and the uniformity of the cartilage anterior wall and the cartilage posterior wall, wherein the calculation formula is as follows:
Figure FDA0002920970920000021
Figure FDA0002920970920000022
Figure FDA0002920970920000023
Figure FDA0002920970920000024
in the formula,RawAnd SVRawMean echo intensity and homogeneity of the cartilage anterior wall are respectively represented; rpwAnd SVRpwMean echo intensity and homogeneity of the cartilage posterior wall are respectively represented;
Figure FDA0002920970920000025
and
Figure FDA0002920970920000026
respectively representing the ultrasonic echo intensity at the ith position of the cartilage anterior wall and the cartilage posterior wall; m represents the length component of cartilage along the transverse direction;
secondly, calculating the average value and the standard deviation of the ultrasonic echo intensity inside the cartilage to reflect the ultrasonic echo intensity and the uniformity inside the cartilage, wherein the calculation formula is as follows:
Figure FDA0002920970920000027
Figure FDA0002920970920000028
in the formula, RcartilageAnd SVRcartilageRespectively representing the ultrasonic echo intensity and the uniformity of the cartilage interior;
Figure FDA0002920970920000029
representing the ultrasonic echo intensity at the ith position in the cartilage;
and thirdly, calculating the ratio of the ultrasonic echo intensity of the cartilage front wall and the cartilage back wall to the ultrasonic echo intensity inside the cartilage to reflect the echo contrast of the cartilage front wall and the cartilage back wall to the cartilage inside, wherein the calculation formula is as follows:
Figure FDA0002920970920000031
Figure FDA0002920970920000032
in the formula, contastawRepresenting the contrast of the echoes of the anterior cartilage wall and the interior of the cartilage; contastpwIndicating the echogenic contrast of the posterior wall of the cartilage to the interior of the cartilage.
10. The method for quantitatively evaluating an ultrasound image according to claim 8, wherein the step 2) is performed by specifically including the following steps:
according to the joint ultrasonic image, position information of the upper boundary of the cartilage is obtained, high-pass filtering is carried out on the vertical distance between each position of the upper boundary of the cartilage and the surface of the ultrasonic probe to obtain a filtered distance signal, the standard deviation of the filtered distance signal is obtained to reflect the roughness of the surface of the cartilage, and the calculation formula of the roughness is as follows:
Figure FDA0002920970920000033
in the formula, URI represents the roughness of the cartilage surface; diRepresenting the filtered range signal at the ith position;
Figure FDA0002920970920000034
represents an average value of the filtered distance signal; m represents the length component of cartilage along the transverse direction.
11. The method for quantitatively evaluating an ultrasound image according to claim 8, wherein the step 3) is performed by specifically including the steps of:
selecting an interested region with the length of n from the lower parts of the front cartilage wall and the rear cartilage wall, equally dividing the interested region into a plurality of parts, linearly fitting the ultrasonic echo intensity and the corresponding depth of each position in the interested region, and representing the echo amplitude attenuation coefficient by using the slope of a fitting straight line, thereby obtaining the echo amplitude attenuation coefficient in each section range and the whole range of the interested region contained in the front cartilage wall and the rear cartilage wall and reflecting the change of the sound attenuation characteristic related to cartilage pathological changes;
and obtaining the echo amplitude attenuation coefficients in each section range and the whole range of the region of interest contained in the cartilage in the same way.
12. The method for quantitatively evaluating an ultrasound image according to claim 8, wherein the step 4) is performed by specifically including the following steps:
and calculating the vertical distances of the cartilage anterior wall and the cartilage posterior wall at different positions, wherein the average value, the standard value and the minimum value of all the vertical distances can respectively reflect the average value, the thickness uniformity and the minimum thickness of the cartilage thickness.
13. The method for quantitatively evaluating an ultrasound image according to claim 8, wherein the step 5) is performed by specifically including the following steps:
fitting scattering photon distribution parameters inside the cartilage by using an ultrasonic envelope signal according to a scattering photon statistical distribution model, wherein the Nakagami distribution model adopted by the scattering photon statistical distribution model is as follows:
Figure FDA0002920970920000041
in the formula, r is the local ultrasonic echo intensity inside the cartilage, and r is more than or equal to 0; n is a shape parameter, and n > 0; omega is a scale parameter, and omega is more than 0; Γ (n) represents a Gamma function with respect to the shape parameter n.
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