Tissue characterization based on the analysis on i3DUS data for diagnosis support in neurosurgery

Brain shift makes the pre-operative MRI navigation highly inaccurate hence the intraoperative modalities are adopted in surgical theatre. Due to the excellent economic and portability merits, the Ultrasound imaging is used at our collaborating hospital, Charing Cross Hospital, Imperial College London, UK. However, it is found that intraoperative diagnosis on Ultrasound images is not straightforward and consistent, even for very experienced clinical experts. Hence, there is a demand to design a Computer-aided-diagnosis system to provide a robust second opinion to help the surgeons. The proposed CAD system based on "Mixed-Attention Res-U-net with asymmetric loss function" achieves the state-of-the-art results comparing to the ground truth by classification at pixel-level directly, it also outperforms all the current main stream pixel-level classification methods (e.g. U-net, FCN) in all the evaluation metrices.