Probing Tissue Viscoelasticity With STL Ultrasound Shearwave Spectroscopy Using Cole-Cole Diagrams.

Objective: Viscoelasticity is mapped by dispersion in shearwave elastography. Incomplete spectral information of shearwaves is therefore used to estimate mechanical stiffness. We propose capturing the "full-waveform-information" of the shear wave spectra to better resolve complex shear modulus μ (ω).

Imaging the Local Nonlinear Viscoelastic Properties of Soft Tissues: Initial Validation and Expected Benefits.

Imaging tissue mechanical properties has shown promise in noninvasive assessment of numerous pathologies. Researchers have successfully measured many linear tissue mechanical properties in laboratory and clinical settings. Currently, multiple complex mechanical effects such as frequency-dependence, anisotropy, and nonlinearity are being investigated separately.

Enabling quantitative robot-assisted compressional elastography via the extended Kalman filter.

Compressional or quasi-static elastography has demonstrated the capability to detect occult cancers in a variety of tissue types, however it has a serious limitation in that the resulting elastograms are generally qualitative whereas other forms of elastography, such as shear-wave, can produce absolute measures of elasticity for histopathological classification. We address this limitation by introducing a stochastic method using an extended Kalman filter and robot-assistance to obtain quantitative elastograms which are resilient to measurement noise and system uncertainty. In this paper, the probabilistic framework is described, which utilizes many ultrasound acquisitions obtained from multiple palpations, to fuse data and uncertainty from a robotic manipulator's joint encoders and force/torque sensor directly into the inverse reconstruction of the elastogram.

Shear Wave Elasticity Imaging Using Nondiffractive Bessel Apodized Acoustic Radiation Force.

The acoustic radiation force impulse (ARFI) has been widely used in transient shear wave elasticity imaging (SWEI). For SWEI based on focused ARFI, the highest image quality exists inside the focal zone due to the limitation of the depth of focus and diffraction. Consequently, the areas outside the focal zone and in the near field present poor image quality.

Shear Induced Non-Linear Elasticity Imaging: Elastography for Compound Deformations.

The goal of non-linear ultrasound elastography is to characterize tissue mechanical properties under finite deformations. Existing methods produce high contrast non-linear elastograms under conditions of pure uni-axial compression, but exhibit bias errors of 10-50% when the applied deformation deviates from the uni-axial condition. Since freehand transducer motion generally does not produce pure uniaxial compression, a motion-agnostic non-linearity estimator is desirable for clinical translation.

Intraocular Pressure-dependent Corneal Elasticity Measurement Using High-frequency Ultrasound.

Measurement of corneal biomechanical properties can aid in predicting corneal responses to diseases and surgeries. For delineation of spatially resolved distribution of corneal elasticity, high-resolution elastography system is required. In this study, we demonstrate a high-resolution elastography system using high-frequency ultrasound for ex-vivo measurement of intraocular pressure (IOP)-dependent corneal wave speed.

Nonlinear Shear Modulus Estimation With Bi-Axial Motion Registered Local Strain.

Nonlinear elasticity imaging provides additional information about tissue behavior that is potentially diagnostic and avoids errors inherent in applying a linear elastic model to tissue under large strains. Nonlinear elasticity imaging is challenging to perform due to the large deformations required to obtain sufficient tissue strain to elicit nonlinear behavior. This work uses a method of axial and lateral displacement tracking to estimate local axial strain with simultaneous measurement of shear modulus at multiple compression levels.

Plane-Wave Imaging Improves Single-Track Location Shear Wave Elasticity Imaging.

Single-track location shear wave elasticity imaging (STL-SWEI) is immune to speckle bias, but the quality of the images is depth dependent. We hypothesize that plane-wave imaging can reduce the depth dependence of STL-SWEI. To test this hypothesis, we developed a novel technique known as plane-wave STL-SWEI (pSTL-SWEI).

Measurement of Liver Stiffness Using Shear Wave Elastography in a Rat Model: Factors Impacting Stiffness Measurement with Multiple- and Single-Tracking-Location Techniques.

The clinical use of elastography for monitoring fibrosis progression is challenged by the subtle changes in liver stiffness associated with early-stage fibrosis and the comparatively large variance in stiffness estimates provided by elastography. Single-tracking-location (STL) shear wave elasticity imaging (SWEI) is an ultrasound elastography technique previously found to provide improved estimate precision compared with multiple-tracking-location (MTL) SWEI. Because of the improved precision, it is reasonable to expect that STL-SWEI would provide improved ability to differentiate liver fibrosis stage compared with MTL-SWEI.

Shear Wave Speed Measurements Using Crawling Wave Sonoelastography and Single Tracking Location Shear Wave Elasticity Imaging for Tissue Characterization.

Elastography provides tissue stiffness information that attempts to characterize the elastic properties of tissue. However, there is still limited literature comparing elastographic modalities for tissue characterization. This study focuses on two quantitative techniques using different vibration sources that have not been compared to date: crawling wave sonoelastography (CWS) and single tracking location shear wave elasticity imaging (STL-SWEI).

Shear Wave Elastography in the Living, Perfused, Post-Delivery Placenta.

The placenta is the critical interface between the mother and the developing fetus and is essential for survival and growth. Despite the widespread use of ultrasound imaging and Doppler in obstetrics and gynecology and the recent growth of elastographic technologies, little is known about the biomechanical (elastic shear wave) properties of the placenta and the range of normal and pathologic parameters that are present. This study uses a well-developed protocol for perfusing whole placentas, post-delivery, to maintain tissue integrity and function for hours.

Shear wave arrival time estimates correlate with local speckle pattern.

We present simulation and phantom studies demonstrating a strong correlation between errors in shear wave arrival time estimates and the lateral position of the local speckle pattern in targets with fully developed speckle. We hypothesize that the observed arrival time variations are largely due to the underlying speckle pattern, and call the effect speckle bias. Arrival time estimation is a key step in quantitative shear wave elastography, performed by tracking tissue motion via cross-correlation of RF ultrasound echoes or similar methods.

Scholte wave generation during single tracking location shear wave elasticity imaging of engineered tissues.

The physical environment of engineered tissues can influence cellular functions that are important for tissue regeneration. Thus, there is a critical need for noninvasive technologies capable of monitoring mechanical properties of engineered tissues during fabrication and development. This work investigates the feasibility of using single tracking location shear wave elasticity imaging (STL-SWEI) for quantifying the shear moduli of tissue-mimicking phantoms and engineered tissues in tissue engineering environments.

Single tracking location acoustic radiation force impulse viscoelasticity estimation (STL-VE): A method for measuring tissue viscoelastic parameters.

Single tracking location (STL) shear wave elasticity imaging (SWEI) is a method for detecting elastic differences between tissues. It has the advantage of intrinsic speckle bias suppression compared with multiple tracking location variants of SWEI. However, the assumption of a linear model leads to an overestimation of the shear modulus in viscoelastic media.

Analysis and measurement of the modulation transfer function of harmonic shear wave induced phase encoding imaging.

Shear wave induced phase encoding (SWIPE) imaging generates ultrasound backscatter images of tissue-like elastic materials by using traveling shear waves to encode the lateral position of the scatters in the phase of the received echo. In contrast to conventional ultrasound B-scan imaging, SWIPE offers the potential advantages of image formation without beam focusing or steering from a single transducer element, lateral resolution independent of aperture size, and the potential to achieve relatively high lateral resolution with low frequency ultrasound. Here a Fourier series description of the phase modulated echo signal is developed, demonstrating that echo harmonics at multiples of the shear wave frequency reveal target k-space data at identical multiples of the shear wavenumber.

Design and validation of two optical beacons for guidewire localization in breast-conserving surgery.

Stereotactically placed guidewires are used for indicating the location of a nonpalpable carcinoma in breast-conserving surgery. Pathologists use the end of the embedded guidewire to guide sectioning during intraoperative margin assessment, but they do not currently have a tool to indicate the location of the guidewire end for informed sectioning. We present analysis and experimental testing of two optical methods for localizing the end of an embedded fiber-optic guidewire: the first uses irradiance emitted from the fiber to indicate the location of the guidewire end, while the second system uses the fiber optic to create a photoacoustic pulse for localization.

Single tracking location methods suppress speckle noise in shear wave velocity estimation.

In ultrasound-based elastography methods, the estimation of shear wave velocity typically involves the tracking of speckle motion due to an applied force. The errors in the estimates of tissue displacement, and thus shear wave velocity, are generally attributed to electronic noise and decorrelation due to physical processes. We present our preliminary findings on another source of error, namely, speckle-induced bias in phase estimation.

Comparison of two methods for the generation of spatially modulated ultrasound radiation force.

Spatially modulated ultrasound radiation force (SMURF) imaging is an elastographic technique that involves generating a radiation force beam with a lateral intensity variation of a defined spatial frequency. This results in a shear wave of known wavelength. By using the displacements induced by the shear wave and standard Doppler or speckle-tracking methods, the shear wave frequency, and thus material shear modulus, is estimated.

Shear-modulus estimation by application of spatially-modulated impulsive acoustic radiation force.

We present a method for determining the shear modulus of an elastic material wherein a spatially-modulated acoustic radiation force is used to generate a disturbance of known spatial frequency (wavelength). The propagation of this initial displacement as a shear wave is measured using ultrasound tracking methods and the temporal frequency of the shear wave is estimated. Given the known wavelength and material density and the measured estimate of temporal frequency, the shear modulus at the point of excitation may be calculated easily.

Dynamic mechanical response of elastic spherical inclusions to impulsive acoustic radiation force excitation.

Acoustic radiation force impulse imaging has been used clinically to study the dynamic response of lesions relative to their background material to focused, impulsive acoustic radiation force excitations through the generation of dynamic displacement field images. Dynamic displacement data are typically displayed as a set of parametric images, including displacement immediately after excitation, maximum displacement, time to peak displacement, and recovery time from peak displacement. To date, however, no definitive trends have been established between these parametric images and the tissues' mechanical properties.

Adaptive imaging on a diagnostic ultrasound scanner at quasi real-time rates.

Constructing an ultrasonic imaging system capable of compensating for phase errors in real-time is a significant challenge in adaptive imaging. We present a versatile adaptive imaging system capable of updating arrival time profiles at frame rates of approximately 2 frames per second (fps) with 1-D arrays and up to 0.81 fps for 1.

Ultrasonic tracking of acoustic radiation force-induced displacements in homogeneous media.

The use of ultrasonic methods to track the tissue deformation generated by acoustic radiation force is subject to jitter and displacement underestimation errors, with displacement underestimation being primarily caused by lateral and elevation shearing within the point spread function (PSF) of the ultrasonic beam. Models have been developed using finite element methods and Field II, a linear acoustic field simulation package, to study the impact of focal configuration, tracking frequency, and material properties on the accuracy of ultrasonically tracking the tissue deformation generated by acoustic radiation force excitations. These models demonstrate that lateral and elevation shearing underneath the PSF of the tracking beam leads to displacement underestimation in the focal zone.

Acoustic radiation force impulse imaging of myocardial radiofrequency ablation: initial in vivo results.

Acoustic radiation force impulse (ARFI) imaging techniques were used to monitor radiofrequency (RF) ablation of ovine cardiac tissue in vivo. Additionally, ARFI M-mode imaging methods were used to interrogate both healthy and ablated regions of myocardial tissue. Although induced cardiac lesions were not visualized well in conventional B-mode images, ARFI images of ablation procedures allowed determination of lesion location, shape, and relative size through time.

Estimates of echo correlation and measurement bias in acoustic radiation force impulse imaging.

Acoustic radiation force impulse (ARFI) imaging is a novel imaging modality in which pulses from a diagnostic ultrasound scanner are used to displace tissue and track its motion. The region displaced has lateral and elevational dimensions of similar scale to the ultrasound beams used to track the motion. Therefore, there is a range of tissue displacements present within the tracking beam, leading to decorrelation of the echo signal.

Doppler ultrasound imaging of magnetically vibrated brachytherapy seeds.

Vibration induced by an alternating magnetic field is proposed as a method for the identification of modified brachytherapy seeds with Doppler ultrasound. In vitro experiments with agar and liver-tissue phantoms using a clinical scanner and simple apparatus demonstrate that the technique is feasible.