ArticlePhotoacoustics2026
An intelligent point-of-care photoacoustic and ultrasound dual-modality imaging system for Rheumatoid arthritis in fingers: Technical development and initial clinical test.
Article in Photoacoustics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aiming at an intelligent point-of-care imaging technology for rheumatology clinics, a fully automatic 3D photoacoustic (PA) and ultrasound (US) dual-modality system driven by a robot and powered by deep learning (DL)-based image processing was developed. Automated scanning of volumetric images from patient joints, plus DL-based tissue segmentation and quantification of imaging biomarkers, ensures that the measurements from this system are objective and reproducible. Clinical validation was conducted via a longitudinal study on 43 finger joints from patients affected by inflammatory arthritis. Using manual segmentations as the gold standard, our DL algorithm utilizing the 3D Deep Attentive Feature (DAF3D) model showed satisfactory performance in automatic segmentation of joint space and synovial region and achieved a Dice score of 0.77±0.03 and an IoU of 0.64±0.03. Based on the tissue segmentations facilitated by the DAF3D model, six volumetric imaging biomarkers reflecting the activity of arthritis and its change in response to the treatment were quantified, including hyperemia, blood oxygenation, US power Doppler, joint space echogenicity, joint space volume, and synovial volume. The imaging biomarkers quantified from DL-based segmentation and manual segmentation showed moderate to strong correlations (
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