Nerve Detection in Ultrasound Images Using Median Gabor Binary Pattern

Ultrasound in regional anesthesia (RA) has increased in popularity over the last years. The nerve localization presents a key step for RA practice, it is therefore valuable to develop a tool able to facilitate this practice. The nerve detection in the ultrasound images is a challenging task, since the noise and other artifacts corrupt the visual properties of such kind of tissue. In this paper we propose a new method to address this problem. The proposed technique operates in two steps. As the median nerve belongs to a hyperechoic region, the first step consists in the segmentation of this type of region using the k-means algorithm. The second step is more critical; it deals with nerve structure detection in noisy data. For that purpose, a new descriptor is developed. It combines tow methods median binary pattern (MBP) and Gabor filter to obtain the median Gabor binary pattern (MGBP). The method was tested on 173 ultrasound images of the median nerve obtained from three patients. The results showed that the proposed approach achieves better accuracy than the original MBP, Gabor descriptor and other popular descriptors.