Cortical signals analysis to recognize intralimb mobility using modified RNN and various EEG quantities.

Electroencephalogram (EEG) signals are critical in interpreting sensorimotor activities for predicting body movements. However, their efficacy in identifying intralimb movements, such as the dorsiflexion and plantar flexion of the foot, remains suboptimal. This study aims to explore whether various EEG signal quantities can effectively recognize intralimb movements to facilitate the development of Brain-Computer Interface (BCI) devices for foot rehabilitation. This research involved twenty-two healthy, right-handed participants. EEG data were collected using 21 electrodes positioned over the motor cortex, while two electromyography (EMG) electrodes recorded the onset of ankle joint movements. The study focused on analyzing slow cortical potential (SCP) and sensorimotor rhythms (SMR) in alpha and beta bands from the EEG. Five key features-fourth-order Autoregressive feature, variance, waveform length, standard deviation, and permutation entropy-were extracted. A modified Recurrent Neural Network (RNN) including Long Short-term Memory (LSTM) and Gated Recurrent Unit (GRU) algorithms was developed for movement recognition. These were compared against conventional machine learning algorithms, including nonlinear Support Vector Machine (SVM) and k Nearest Neighbourhood (kNN) classifiers. The performance of the proposed models was assessed using two data schemes: within-subject and across-subjects. The findings demonstrated that the GRU and LSTM models significantly outperformed traditional machine learning algorithms in recognizing different EEG signal quantities for intralimb movement. The study indicates that deep learning models, particularly GRU and LSTM, hold superior potential over standard machine learning techniques in identifying intralimb movements using EEG signals. Where the accuracies of LSTM for within and across subjects were 98.87 ± 1.80 % and 87.38 ± 0.86 % respectively. Whereas the accuracy of GRU within and across subjects were 99.18 ± 1.28 % and 86.44 ± 0.69 % respectively. This advancement could significantly benefit the development of BCI devices aimed at foot rehabilitation, suggesting a new avenue for enhancing physical therapy outcomes.

Postsurgical Analysis of Gait, Radiological, and Functional Outcomes in Children with Developmental Dysplasia of the Hip.

BACKGROUND: Children undergoing DDH correction surgery may experience gait abnormalities following soft tissue releases and bony procedures. The purpose of this study was to compare the residual gait changes, radiological outcomes, and functional outcomes in children who underwent DDH surgery with those in healthy controls. METHODS: Inertial motion sensors were used to record the gait of 14 children with DDH and 14 healthy children. Pelvic X-ray was performed to determine the Severin classification and the presence of femoral head osteonecrosis (Bucholz-Odgen classification). For functional evaluation, the Children's Hospital Oakland Hip Evaluation Scale (CHOHES) was used. RESULTS: There was no difference in spatial parameters between the two groups. In terms of temporal parameters, the DDH-affected limbs had a shorter stance phase (p < 0.001) and a longer swing phase (p < 0.001) than the control group. The kinematic study showed that the affected limb group had smaller hip adduction angle (p = 0.002) and increased internal rotation (p = 0.006) with reduced upward pelvic tilt (p = 0.020). Osteonecrosis was graded II, III, and IV in five, three, and one patients, respectively. Five patients had no AVN changes. The Severin classification was grade I, II, and III for six, three, and five patients, respectively. Most patients had good functional outcomes on the CHOHES, with a mean total score of 96.64 ± 5.719. Multivariate regression analysis revealed that weight, height, and femoral osteotomy were independent predictors for gait, radiological and functional outcome. CONCLUSION: Despite good functional scores overall, some children had poor radiological outcomes and gait abnormalities. Our results identified the risk factors for poor outcomes, and we recommend specified rehabilitative strategies for long-term management.

Band decomposition of asynchronous electroencephalogram signal for upper limb movement classification.

Decoding asynchronous electroencephalogram (A-EEG) signals is a crucial challenge in the emerging field of EEG based brain-computer interface. In the case of A-EEG signals, the time markers of motor activity are absent. The paper proposes a method to decompose the A-EEG signals using gabor elementary function designed with Gabor frames. The scale-space analysis extracts Gabor dominant frequencies from A-EEG signals. Statistical and temporal moment dependent features are used to create the feature vector for each estimated gabor band. The statistical significance of the features is tested with the Kruskal-Wallis test. The deep neural network is implemented with bi-directional long short-term memory block to classify the upper limb movement. The EEG data of healthy volunteers have been collected using the Enobio-20 electrode system and ArmeoSpring rehabilitation device. The proposed methodology has achieved an average classification accuracy of 96.83%, precision 0.96, recall 0.96, and F1-score of 0.93 on the acquired data set. The designed framework for decoding upper limb movement outperforms the existing state-of-the-art methods. In the future, the proposed framework could increase classification performance by incorporating multiple types of biological inputs for investigating various brain functions.

WPO-Net: Windowed Pose Optimization Network for Monocular Visual Odometry Estimation.

Visual odometry is the process of estimating incremental localization of the camera in 3-dimensional space for autonomous driving. There have been new learning-based methods which do not require camera calibration and are robust to external noise. In this work, a new method that do not require camera calibration called the "windowed pose optimization network" is proposed to estimate the 6 degrees of freedom pose of a monocular camera. The architecture of the proposed network is based on supervised learning-based methods with feature encoder and pose regressor that takes multiple consecutive two grayscale image stacks at each step for training and enforces the composite pose constraints. The KITTI dataset is used to evaluate the performance of the proposed method. The proposed method yielded rotational error of 3.12 deg/100 m, and the training time is 41.32 ms, while inference time is 7.87 ms. Experiments demonstrate the competitive performance of the proposed method to other state-of-the-art related works which shows the novelty of the proposed technique.

Bimodal Data Fusion of Simultaneous Measurements of EEG and fNIRS during Lower Limb Movements.

Electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) have temporal and spatial characteristics that may complement each other and, therefore, pose an intriguing approach for brain-computer interaction (BCI). In this work, the relationship between the hemodynamic response and brain oscillation activity was investigated using the concurrent recording of fNIRS and EEG during ankle joint movements. Twenty subjects participated in this experiment. The EEG was recorded using 20 electrodes and hemodynamic responses were recorded using 32 optodes positioned over the motor cortex areas. The event-related desynchronization (ERD) feature was extracted from the EEG signal in the alpha band (8-11) Hz, and the concentration change of the oxy-hemoglobin (oxyHb) was evaluated from the hemodynamics response. During the motor execution of the ankle joint movements, a decrease in the alpha (8-11) Hz amplitude (desynchronization) was found to be correlated with an increase of the oxyHb (r = -0.64061, p < 0.00001) observed on the Cz electrode and the average of the fNIRS channels (ch28, ch25, ch32, ch35) close to the foot area representation. Then, the correlated channels in both modalities were used for ankle joint movement classification. The result demonstrates that the integrated modality based on the correlated channels provides a substantial enhancement in ankle joint classification accuracy of 93.01 ± 5.60% (p < 0.01) compared with single modality. These results highlight the potential of the bimodal fNIR-EEG approach for the development of future BCI for lower limb rehabilitation.

Dataset on the effect of receiver size and acceptance half-angle on the aperture width and height of compound parabolic concentrator for low-concentrating photovoltaic applications using RSM.

The combined effect of design control factors on the response variables gives valuable information for geometric design optimization of the compound parabolic concentrator. This study presents the data related to the statistical modeling and analysis of variance for aperture width and height of a low concentration symmetric compound parabolic concentrator designed for photovoltaic applications. The design matrix was generated using the response surface modeling approach. The geometric design equations of the proposed concentrator were developed and solved analytically using MATLAB. The empirical models were developed to establish relationships between the control factors and response variables of the proposed system. The analysis of variance was conducted for two significant response variables. The developed statistical models can be used to predict the selected response variables within the permissible range. The presented data can be used for statistical modeling and design optimization of the two-dimensional symmetric compound parabolic concentrator.

Improved Active Disturbance Rejection Control for Trajectory Tracking Control of Lower Limb Robotic Rehabilitation Exoskeleton.

Neurological disorders such as cerebral paralysis, spinal cord injuries, and strokes, result in the impairment of motor control and induce functional difficulties to human beings like walking, standing, etc. Physical injuries due to accidents and muscular weaknesses caused by aging affect people and can cause them to lose their ability to perform daily routine functions. In order to help people recover or improve their dysfunctional activities and quality of life after accidents or strokes, assistive devices like exoskeletons and orthoses are developed. Control strategies for control of exoskeletons are developed with the desired intention of improving the quality of treatment. Amongst recent control strategies used for rehabilitation robots, active disturbance rejection control (ADRC) strategy is a systematic way out from a robust control paradox with possibilities and promises. In this modern era, we always try to find the solution in order to have minimum resources and maximum output, and in robotics-control, to approach the same condition observer-based control strategies is an added advantage where it uses a state estimation method which reduces the requirement of sensors that is used for measuring every state. This paper introduces improved active disturbance rejection control (I-ADRC) controllers as a combination of linear extended state observer (LESO), tracking differentiator (TD), and nonlinear state error feedback (NLSEF). The proposed controllers were evaluated through simulation by investigating the sagittal plane gait trajectory tracking performance of two degrees of freedom, Lower Limb Robotic Rehabilitation Exoskeleton (LLRRE). This multiple input multiple output (MIMO) LLRRE has two joints, one at the hip and other at the knee. In the simulation study, the proposed controllers show reduced trajectory tracking error, elimination of random, constant, and harmonic disturbances, robustness against parameter variations, and under the influence of noise, with improvement in performance indices, indicates its enhanced tracking performance. These promising simulation results would be validated experimentally in the next phase of research.

Routing Based Multi-Agent System for Network Reliability in the Smart Microgrid.

Microgrids help to achieve power balance and energy allocation optimality for the defined load networks. One of the major challenges associated with microgrids is the design and implementation of a suitable communication-control architecture that can coordinate actions with system operating conditions. In this paper, the focus is to enhance the intelligence of microgrid networks using a multi-agent system while validation is carried out using network performance metrics i.e., delay, throughput, jitter, and queuing. Network performance is analyzed for the small, medium and large scale microgrid using Institute of Electrical and Electronics Engineers (IEEE) test systems. In this paper, multi-agent-based Bellman routing (MABR) is proposed where the Bellman-Ford algorithm serves the system operating conditions to command the actions of multiple agents installed over the overlay microgrid network. The proposed agent-based routing focuses on calculating the shortest path to a given destination to improve network quality and communication reliability. The algorithm is defined for the distributed nature of the microgrid for an ideal communication network and for two cases of fault injected to the network. From this model, up to 35%-43.3% improvement was achieved in the network delay performance based on the Constant Bit Rate (CBR) traffic model for microgrids.

Stepease™ diabetic socks: An answer to efficacious indoor foot pressure relief- A prospective study.

BACKGROUND: Diabetic foot ulcer is commonly seen in people with diabetes mellitus. Inadequate plantar pressure offloading has been identified as a contributing factor to development of diabetic foot ulcers. Various pressure off-loading footwear are widely available in the market but poor compliance has been reported especially for indoor usage. StepEase™ diabetic socks have been designed using Ethylene Vinyl Acetate (EVA) microspheres for better redistribution of plantar pressure. The objective of this study was to determine the efficacy of StepEase™ in redistributing the foot plantar pressure and to assess patients' satisfaction on the usage of the socks. METHODS: This was a prospective non randomized clinical trial conducted on 31 patients with diabetes mellitus with high risk foot (King's classification stage II) over a 12 weeks period. Dynamic foot plantar pressure reading was recorded at day 0, 6 weeks and 12 weeks intervals, both barefoot and with StepEase™, using Novel Pedar-X system (Novel GmbH, Munich, Germany). Patients' satisfaction and usage practice were assessed by a questionnaire. RESULTS: The mean age of subjects was 57.9 years with mean body mass index (BMI) of 26 kg/m2. The mean duration of diagnosis with diabetes mellitus was 10.2 years. The mean peak plantar pressure was found to be highest at the right forefoot and left heel region, 267.6 kPa (SD113.5 kPa) and 266.3 kPa (SD 94.6 kPa) respectively. There was a statistically significant reduction of mean peak pressure (P < 0.0001 to P = 0.024) in all masked regions except the left toe region ranging from 22.3 to 47.5% (53.2-117.4 kPa). The highest reduction was seen in the right toe region (47.5%). The reduction of peak pressure was still significant (P < 0.0001 to P = 0.034) at 6 weeks ranging from 24.7% to 46.8% (46.1-100.6 kPa) and at 12 weeks, which was 22.2-49.2% (40.6-91.9 kPa). Mean usage of the socks was 4.39 days per week (SD 1.82), with the mode of 4-6 h per day. Most of the subjects were satisfied or very satisfied with the StepEase™ socks (77.4%) while 87.1% agreed to continue using the socks. None had any new ulcer development or fall during the study period. CONCLUSION: StepEase™ was significantly effective as an indoor foot pressure relieving footwear. It resulted in significant peak plantar pressure reduction by up to 49.2% and the effect was maintained for at least 12 weeks duration.

Classification of Motor Functions from Electroencephalogram (EEG) Signals Based on an Integrated Method Comprised of Common Spatial Pattern and Wavelet Transform Framework.

In this work, an algorithm for the classification of six motor functions from an electroencephalogram (EEG) signal that combines a common spatial pattern (CSP) filter and a continuous wavelet transform (CWT), is investigated. The EEG data comprise six grasp-and-lift events, which are used to investigate the potential of using EEG as input signals with brain computer interface devices for controlling prosthetic devices for upper limb movement. Selected EEG channels are the ones located over the motor cortex, C3, Cz and C4, as well as at the parietal region, P3, Pz and P4. In general, the proposed algorithm includes three main stages, band pass filtering, CSP filtering, and wavelet transform and training on GoogLeNet for feature extraction, feature learning and classification. The band pass filtering is performed to select the EEG signal in the band of 7 Hz to 30 Hz while eliminating artifacts related to eye blink, heartbeat and muscle movement. The CSP filtering is applied on two-class EEG signals that will result in maximizing the power difference between the two-class dataset. Since CSP is mathematically developed for two-class events, the extension to the multiclass paradigm is achieved by using the approach of one class versus all other classes. Subsequently, continuous wavelet transform is used to convert the band pass and CSP filtered signals from selected electrodes to scalograms which are then converted to images in grayscale format. The three scalograms from the motor cortex regions and the parietal region are then combined to form two sets of RGB images. Next, these RGB images become the input to GoogLeNet for classification of the motor EEG signals. The performance of the proposed classification algorithm is evaluated in terms of precision, sensitivity, specificity, accuracy with average values of 94.8%, 93.5%, 94.7%, 94.1%, respectively, and average area under the receiver operating characteristic (ROC) curve equal to 0.985. These results indicate a good performance of the proposed algorithm in classifying grasp-and-lift events from EEG signals.

Development of Rheumatoid Arthritis Classification from Electronic Image Sensor Using Ensemble Method.

Rheumatoid arthritis (RA) is an autoimmune illness that impacts the musculoskeletal system by causing chronic, inflammatory, and systemic effects. The disease often becomes progressive and reduces physical function, causes suffering, fatigue, and articular damage. Over a long period of time, RA causes harm to the bone and cartilage of the joints, weakens the joints' muscles and tendons, eventually causing joint destruction. Sensors such as accelerometer, wearable sensors, and thermal infrared camera sensor are widely used to gather data for RA. In this paper, the classification of medical disorders based on RA and orthopaedics datasets using Ensemble methods are discussed. The RA dataset was gathered from the analysis of white blood cell classification using features extracted from the image of lymphocytes acquired from a digital microscope with an electronic image sensor. The orthopaedic dataset is a benchmark dataset for this study, as it posed a similar classification problem with several numerical features. Three ensemble algorithms such as bagging, Adaboost, and random subspace were used in the study. These ensemble classifiers use k-NN (K-nearest neighbours) and Random forest (RF) as the base learners of the ensemble classifiers. The data classification is accessed using holdout and 10-fold cross-validation evaluation methods. The assessment was based on set of performance measures such as precision, recall, F-measure, and receiver operating characteristic (ROC) curve. The performance was also measured based on the comparison of the overall classification accuracy rate between different ensembles classifiers and the base learners. Overall, it was found that for Dataset 1, random subspace classifier with k-NN shows the best results in terms of overall accuracy rate of 97.50% and for Dataset 2, bagging-RF shows the highest overall accuracy rate of 94.84% over different ensemble classifiers. The findings indicate that the efficiency of the base classifiers with ensemble classifier have substantially improved.

EEG-Based Control for Upper and Lower Limb Exoskeletons and Prostheses: A Systematic Review.

Electroencephalography (EEG) signals have great impact on the development of assistive rehabilitation devices. These signals are used as a popular tool to investigate the functions and the behavior of the human motion in recent research. The study of EEG-based control of assistive devices is still in early stages. Although the EEG-based control of assistive devices has attracted a considerable level of attention over the last few years, few studies have been carried out to systematically review these studies, as a means of offering researchers and experts a comprehensive summary of the present, state-of-the-art EEG-based control techniques used for assistive technology. Therefore, this research has three main goals. The first aim is to systematically gather, summarize, evaluate and synthesize information regarding the accuracy and the value of previous research published in the literature between 2011 and 2018. The second goal is to extensively report on the holistic, experimental outcomes of this domain in relation to current research. It is systematically performed to provide a wealthy image and grounded evidence of the current state of research covering EEG-based control for assistive rehabilitation devices to all the experts and scientists. The third goal is to recognize the gap of knowledge that demands further investigation and to recommend directions for future research in this area.

Intra- and Inter-database Study for Arabic, English, and German Databases: Do Conventional Speech Features Detect Voice Pathology?

A large population around the world has voice complications. Various approaches for subjective and objective evaluations have been suggested in the literature. The subjective approach strongly depends on the experience and area of expertise of a clinician, and human error cannot be neglected. On the other hand, the objective or automatic approach is noninvasive. Automatic developed systems can provide complementary information that may be helpful for a clinician in the early screening of a voice disorder. At the same time, automatic systems can be deployed in remote areas where a general practitioner can use them and may refer the patient to a specialist to avoid complications that may be life threatening. Many automatic systems for disorder detection have been developed by applying different types of conventional speech features such as the linear prediction coefficients, linear prediction cepstral coefficients, and Mel-frequency cepstral coefficients (MFCCs). This study aims to ascertain whether conventional speech features detect voice pathology reliably, and whether they can be correlated with voice quality. To investigate this, an automatic detection system based on MFCC was developed, and three different voice disorder databases were used in this study. The experimental results suggest that the accuracy of the MFCC-based system varies from database to database. The detection rate for the intra-database ranges from 72% to 95%, and that for the inter-database is from 47% to 82%. The results conclude that conventional speech features are not correlated with voice, and hence are not reliable in pathology detection.

Impacting clinical evaluation of anterior talofibular ligament injuries through analysis of ultrasound images.

BACKGROUND: Anterior talofibular ligament (ATFL) is considered as the weakest ankle ligament that is most prone to injuries. Ultrasound imaging with its portable, non-invasive and non-ionizing radiation nature is increasingly being used for ATFL diagnosis. However, diagnosis of ATFL injuries requires its segmentation from ultrasound images that is a challenging task due to the existence of homogeneous intensity regions, homogeneous textures and low contrast regions in ultrasound images. To address these issues, this research has developed an efficient ATFL segmentation framework that would contribute to accurate and efficient diagnosis of ATFL injuries for clinical evaluation. METHODS: The developed framework comprises of five computational steps to segment the ATFL ligament region. Initially, region of interest is selected from the original image, which is followed by the adaptive histogram equalization to enhance the contrast level of the ultrasound image. The enhanced contrast image is further optimized by the particle swarm optimization algorithm. Thereafter, the optimized image is processed by the Chan-Vese method to extract the ATFL region through curve evolution; then the resultant image smoothed by morphological operation. The algorithm is tested on 25 subjects' datasets and the corresponding performance metrics are evaluated to demonstrate its clinical applicability. RESULTS: The performance of the developed framework is evaluated based on various measurement metrics. It was found that estimated computational performance of the developed framework is 12 times faster than existing Chan-Vese method. Furthermore, the developed framework yielded the average sensitivity of 98.3 %, specificity of 96.6 % and accuracy of 96.8 % as compared to the manual segmentation. In addition, the obtained distance using Hausdorff is 14.2 pixels and similarity index by Jaccard is 91 %, which are indicating the enhanced performance whilst segmented area of ATFL region obtained from five normal (average Pixels-16,345.09), five tear (average Pixels-14,940.96) and five thickened (average Pixels-12,179.20) subjects' datasets show good performance of developed framework to be used in clinical practices. CONCLUSIONS: On the basis of obtained results, the developed framework is computationally more efficient and more accurate with lowest rate of coefficient of variation (less than 5 %) that indicates the highest clinical significance of this research in the assessment of ATFL injuries.

Automatic Voice Pathology Detection With Running Speech by Using Estimation of Auditory Spectrum and Cepstral Coefficients Based on the All-Pole Model.

BACKGROUND AND OBJECTIVE: Automatic voice pathology detection using sustained vowels has been widely explored. Because of the stationary nature of the speech waveform, pathology detection with a sustained vowel is a comparatively easier task than that using a running speech. Some disorder detection systems with running speech have also been developed, although most of them are based on a voice activity detection (VAD), that is, itself a challenging task. Pathology detection with running speech needs more investigation, and systems with good accuracy (ACC) are required. Furthermore, pathology classification systems with running speech have not received any attention from the research community. In this article, automatic pathology detection and classification systems are developed using text-dependent running speech without adding a VAD module. METHOD: A set of three psychophysics conditions of hearing (critical band spectral estimation, equal loudness hearing curve, and the intensity loudness power law of hearing) is used to estimate the auditory spectrum. The auditory spectrum and all-pole models of the auditory spectrums are computed and analyzed and used in a Gaussian mixture model for an automatic decision. RESULTS: In the experiments using the Massachusetts Eye & Ear Infirmary database, an ACC of 99.56% is obtained for pathology detection, and an ACC of 93.33% is obtained for the pathology classification system. The results of the proposed systems outperform the existing running-speech-based systems. DISCUSSION: The developed system can effectively be used in voice pathology detection and classification systems, and the proposed features can visually differentiate between normal and pathological samples.

Detection of Voice Pathology using Fractal Dimension in a Multiresolution Analysis of Normal and Disordered Speech Signals.

Voice disorders are associated with irregular vibrations of vocal folds. Based on the source filter theory of speech production, these irregular vibrations can be detected in a non-invasive way by analyzing the speech signal. In this paper we present a multiband approach for the detection of voice disorders given that the voice source generally interacts with the vocal tract in a non-linear way. In normal phonation, and assuming sustained phonation of a vowel, the lower frequencies of speech are heavily source dependent due to the low frequency glottal formant, while the higher frequencies are less dependent on the source signal. During abnormal phonation, this is still a valid, but turbulent noise of source, because of the irregular vibration, affects also higher frequencies. Motivated by such a model, we suggest a multiband approach based on a three-level discrete wavelet transformation (DWT) and in each band the fractal dimension (FD) of the estimated power spectrum is estimated. The experiments suggest that frequency band 1-1562 Hz, lower frequencies after level 3, exhibits a significant difference in the spectrum of a normal and pathological subject. With this band, a detection rate of 91.28 % is obtained with one feature, and the obtained result is higher than all other frequency bands. Moreover, an accuracy of 92.45 % and an area under receiver operating characteristic curve (AUC) of 95.06 % is acquired when the FD of all levels is fused. Likewise, when the FD of all levels is combined with 22 Multi-Dimensional Voice Program (MDVP) parameters, an improvement of 2.26 % in accuracy and 1.45 % in AUC is observed.

Investigation of window size in classification of EEG-emotion signal with wavelet entropy and support vector machine.

When dealing with patients with psychological or emotional symptoms, medical practitioners are often faced with the problem of objectively recognizing their patients' emotional state. In this paper, we approach this problem using a computer program that automatically extracts emotions from EEG signals. We extend the finding of Koelstra et. al [IEEE trans. affective comput., vol. 3, no. 1, pp. 18-31, 2012] using the same dataset (i.e. the DEAP: dataset for emotion analysis using electroencephalogram, physiological and video signals), where we observed that the accuracy can be further improved using wavelet features extracted from shorter time segments. More precisely, we achieved accuracy of 65% for both valence and arousal using the wavelet entropy of 3 to 12 seconds signal segments. This improvement in accuracy entails an important discovery that information on emotions contained in the EEG signal may be better described in term of wavelets and in shorter time segments.

Curvelet based automatic segmentation of supraspinatus tendon from ultrasound image: a focused assistive diagnostic method.

BACKGROUND: Disorders of rotator cuff tendons results in acute pain limiting the normal range of motion for shoulder. Of all the tendons in rotator cuff, supraspinatus (SSP) tendon is affected first of any pathological changes. Diagnosis of SSP tendon using ultrasound is considered to be operator dependent with its accuracy being related to operator's level of experience. METHODS: The automatic segmentation of SSP tendon ultrasound image was performed to provide focused and more accurate diagnosis. The image processing techniques were employed for automatic segmentation of SSP tendon. The image processing techniques combines curvelet transform and mathematical concepts of logical and morphological operators along with area filtering. The segmentation assessment was performed using true positives rate, false positives rate and also accuracy of segmentation. The specificity and sensitivity of the algorithm was tested for diagnosis of partial thickness tears (PTTs) and full thickness tears (FTTs). The ultrasound images of SSP tendon were taken from medical center with the help of experienced radiologists. The algorithm was tested on 116 images taken from 51 different patients. RESULTS: The accuracy of segmentation of SSP tendon was calculated to be 95.61% in accordance with the segmentation performed by radiologists, with true positives rate of 91.37% and false positives rate of 8.62%. The specificity and sensitivity was found to be 93.6%, 94% and 95%, 95.6% for partial thickness tears and full thickness tears respectively. The proposed methodology was successfully tested over a database of more than 116 US images, for which radiologist assessment and validation was performed. CONCLUSIONS: The segmentation of SSP tendon from ultrasound images helps in focused, accurate and more reliable diagnosis which has been verified with the help of two experienced radiologists. The specificity and sensitivity for accurate detection of partial and full thickness tears has been considerably increased after segmentation when compared with existing literature.