| CPC G06V 10/764 (2022.01) [A61B 8/0841 (2013.01); A61B 8/085 (2013.01); A61B 8/0875 (2013.01); A61B 8/5207 (2013.01); A61B 8/5246 (2013.01); G06F 18/24 (2023.01); G06V 20/653 (2022.01); A61B 8/4427 (2013.01); G06T 7/12 (2017.01); G06T 7/13 (2017.01); G06V 2201/03 (2022.01); G16H 30/40 (2018.01)] | 16 Claims |

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1. A method, comprising:
obtaining, by a processor, ultrasound data generated based on one or more ultrasound signals from an imaged region of a subject;
determining, by the processor, a shadow profile based on:
(1) creating a shadow intensity image from the ultrasound data by calculating a weighted integrated sum of ultrasound data of a plurality of depth samples having values greater in depth than a current depth sample plus an offset, wherein the offset is greater than zero, and wherein the plurality of depth samples used to calculate the weighted integrated sum change depending on a depth or depths of the ultrasound data of the plurality of depth samples; and
(2) determining from each A-line of a plurality of A-lines of the shadow intensity image a depth corresponding to a location of a boundary between a shadow region and tissue;
convolving, by the processor, the shadow profile with a matched shadow profile filter approximating a location or locations of one or more known anatomical landmarks, thereby creating a filtered shadow profile;
identifying, by the processor, an anatomical landmark present in the filtered shadow profile by using at least one of a most prominent peak or a subpeak of the most prominent peak located in the shadow profile;
classifying, by the processor, the anatomical landmark using the at least one or more of the most prominent peak or the subpeak of the most prominent peak located in the shadow profile;
displaying, on a display of a handheld ultrasound imager, a composite image based on the ultrasound data and based on the identified and classified anatomical landmark; and
performing a probe insertion procedure based on the displayed composite image.
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