Publications by authors named "Douglas M Dumont"

Article Synopsis
  • Radiation force-based elasticity imaging is being researched for clinical applications like liver fibrosis staging and cardiovascular tissue characterization.
  • The study assesses how peak displacement magnitude impacts image quality and suggests using a Bayesian estimator to improve data collection in low-signal conditions.
  • Results indicate that the Bayesian estimator enhances signal-to-noise ratio (SNR) by about 9 dB and doubles the contrast-to-noise ratio, suggesting it can effectively boost data quality in challenging imaging scenarios.
View Article and Find Full Text PDF

Radiation-force-based elasticity imaging describes a group of techniques that use acoustic radiation force (ARF) to displace tissue to obtain qualitative or quantitative measurements of tissue properties. Because ARF-induced displacements are on the order of micrometers, tracking these displacements in vivo can be challenging. Previously, it has been shown that Bayesian-based estimation can overcome some of the limitations of a traditional displacement estimator such as normalized cross-correlation (NCC).

View Article and Find Full Text PDF
Article Synopsis
  • * The RFC catheter was tested on excised pig mitral valves and then in healthy pigs, demonstrating a significant reduction in leaflet area (38%) and length (9.2%) post-treatment.
  • * The results indicate that the RFC catheter is effective in reducing mitral valve leaflet size, suggesting potential for use as a less invasive option compared to traditional surgical methods.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how elastography imaging techniques, specifically shear wave elasticity imaging (SWEI) and acoustic radiation force impulse (ARFI), can assess tissue stiffness changes during and after radiofrequency ablation (RFA) in dogs.* -
  • Measurements were taken at RFA sites in six canines, revealing an immediate increase in tissue stiffness during ablation, with the stiffness area stabilizing two minutes post-ablation, while adjacent areas saw a slight increase over 15 minutes.* -
  • Overall, the results indicate that these ultrasound techniques can reliably monitor and assess tissue stiffness shortly and up to 30 minutes after RFA, highlighting their potential for consistent lesion evaluation.*
View Article and Find Full Text PDF
Article Synopsis
  • This study investigates the use of acoustic radiation force impulse (ARFI) imaging to visualize changes in tissue stiffness after radiofrequency ablation (RFA) in canine subjects.
  • The main goals were to measure the displacements caused by ARFI in both ablated and unablated heart tissue and to evaluate the contrast and quality of ARFI images compared to standard echo images.
  • Results showed that ARFI images had a higher accuracy in identifying lesion sites and produced better contrast and contrast-to-noise ratios than conventional imaging methods.
View Article and Find Full Text PDF
Article Synopsis
  • - Plaque rupture is a key factor in serious health issues like stroke and coronary heart failure, with certain plaque characteristics (like a large lipid core and a thin fibrous cap) linked to a higher risk of rupture.
  • - A new imaging technique called Acoustic Radiation Force Impulse (ARFI) shows potential for noninvasive detection of these risky plaque features, helping to differentiate between vulnerable and less dangerous plaques.
  • - Research using Finite Element Method (FEM) models demonstrated that ARFI imaging could effectively identify the softer lipid pool within plaques, revealing that the stress levels caused by ARFI are significantly lower than those from blood pressure, implying a safer imaging method.
View Article and Find Full Text PDF

Acoustic radiation force impulse (ARFI) imaging has been shown to be capable of imaging local myocardial stiffness changes throughout the cardiac cycle. Expanding on these results, the authors present experiments using cardiac ARFI imaging to visualize and quantify the propagation of mechanical stiffness during ventricular systole. In vivo ARFI images of the left ventricular free wall of two exposed canine hearts were acquired.

View Article and Find Full Text PDF

Background: Arrhythmia recurrence after cardiac radiofrequency ablation (RFA) for atrial fibrillation has been linked to conduction through discontinuous lesion lines. Intraprocedural visualization and corrective ablation of lesion line discontinuities could decrease postprocedure atrial fibrillation recurrence. Intracardiac acoustic radiation force impulse (ARFI) imaging is a new imaging technique that visualizes RFA lesions by mapping the relative elasticity contrast between compliant-unablated and stiff RFA-treated myocardium.

View Article and Find Full Text PDF

The progression of atherosclerotic disease is a complex process believed to be a function of the localized mechanical properties and hemodynamic loading associated with the arterial wall. It is hypothesized that measurements of cardiovascular stiffness and wall-shear rate (WSR) may provide important information regarding vascular remodeling, endothelial function and the growth of soft lipid-filled plaques that could help a clinician better predict the occurrence of clinical events such as stroke. Two novel ARFI based imaging techniques, combined on-axis/off-axis ARFI/Spectral Doppler Imaging (SAD-SWEI) and Gated 2D ARFI/Spectral Doppler Imaging (SAD-Gated), were developed to form co-registered depictions of B-mode echogenicity, ARFI displacements, ARF-excited transverse wave velocity estimates and estimates ofwall-shear rate throughout the cardiac cycle.

View Article and Find Full Text PDF

Acoustic radiation force impulse (ARFI) imaging is being utilized to investigate mechanical properties ofcardiac tissue. The underlying physiological motion, however, presents a major challenge. This paper aims to investigate the effectiveness of various physiological motion filters using in vivo canine data with a simulated ARFI push pulse.

View Article and Find Full Text PDF

Stroke is the third leading cause of death and long-term disability in the USA. Currently, surgical intervention decisions in asymptomatic patients are based upon the degree of carotid artery stenosis. While there is a clear benefit of endarterectomy for patients with severe (> 70%) stenosis, in those with high/moderate (50-69%) stenosis the evidence is less clear.

View Article and Find Full Text PDF

A method for reliable, noninvasive estimation of abdominal aortic aneurysms (AAA) wall mechanics may be a useful clinical tool for rupture prediction. An in vitro AAA model was developed from an excised porcine aorta with elastase treatment. The AAA model behaviour was analysed using acoustic radiation force impulse (ARFI) imaging techniques to generate and measure wave propagation in both aneurysmal and normal aortic tissue.

View Article and Find Full Text PDF

Acoustic radiation force impulse (ARFI) imaging has been demonstrated to be capable of visualizing changes in local myocardial stiffness through a normal cardiac cycle. As a beating heart involves rapidly-moving tissue with cyclically-varying myocardial stiffness, it is desirable to form images with high frame rates and minimize susceptibility to motion artifacts. Three novel ARFI imaging methods, pre-excitation displacement estimation, parallel-transmit excitation and parallel-transmit tracking, were implemented.

View Article and Find Full Text PDF

Atherosclerotic disease in the carotid artery is a risk factor for stroke. The susceptibility of atherosclerotic plaque to rupture, however, is challenging to determine by any imaging method. In this study, acoustic radiation force impulse (ARFI) imaging is applied to atherosclerotic disease in the carotid artery to determine the feasibility of using ARFI to noninvasively characterize carotid plaques.

View Article and Find Full Text PDF

The initial results from clinical trials investigating the utility of acoustic radiation force impulse (ARFI) imaging for use with radio-frequency ablation (RFA) procedures in the liver are presented. To date, data have been collected from 6 RFA procedures in 5 unique patients. Large displacement contrast was observed in ARFI images of both pre-ablation malignancies (mean 7.

View Article and Find Full Text PDF

Acoustic radiation force impulse (ARFI) imaging has been demonstrated to be capable of visualizing variations in local stiffness within soft tissue. Recent advances in ARFI beam sequencing and parallel imaging have shortened acquisition times and lessened transducer heating to a point where ARFI acquisitions can be executed at high frame rates on commercially available diagnostic scanners. In vivo ARFI images were acquired with a linear array placed on an exposed canine heart.

View Article and Find Full Text PDF
Article Synopsis
  • - Intracardiac echocardiography (ICE) is an effective imaging tool for guiding cardiac procedures, like radiofrequency ablation (RFA), but traditional ultrasound struggles to assess lesion size accurately.
  • - Acoustic radiation force impulse (ARFI) imaging offers improved visualization of variations in tissue stiffness, allowing for clearer identification of lesions created during RFAs.
  • - The study demonstrated that ARFI imaging with an ICE probe can produce high-quality images that reveal the boundaries of lesions, facilitating better monitoring during cardiac ablations, unlike conventional B-mode imaging which was less effective.
View Article and Find Full Text PDF