A method for delineation of bone surfaces in photoacoustic computed tomography of the finger

Photoacoustic imaging of interphalangeal peripheral joints is of interest in the context of using the synovial membrane as a surrogate marker of rheumatoid arthritis. Previous work has shown that ultrasound produced by absorption of light at the epidermis reflects on the bone surfaces within the finger. When the reflected signals are backprojected in the region of interest, artifacts are produced, confounding interpretation of the images. In this work, we present an approach where the photoacoustic signals known to originate from the epidermis, are treated as virtual ultrasound transmitters, and a separate reconstruction is performed as in ultrasound reflection imaging. This allows us to identify the bone surfaces. Further, the identification of the joint space is important as this provides a landmark to localize a region-of-interest in seeking the inflamed synovial membrane. The ability to delineate bone surfaces allows us not only to identify the artifacts, but also to identify the interphalangeal joint space without recourse to new US hardware or a new measurement. We test the approach on phantoms and on a healthy human finger.