Elastography: a quantitative method for imaging the elasticity of biological tissues

Visualizing tissue compliance with MR imaging

We propose a method for visualizing the mechanical properties of tissue based on the use of periodic mechanical compression in conjunction with phase-contrast MR imaging. A specialized mechanical transducer was used to provide programmable compression pulses to the surface of compliant phantoms. These compression pulses were synchronized to a spin-echo sequence with motion-sensitizing gradients to generate phase information reflecting spin displacement throughout the phantom. This sequence was tested with two agarose gel phantoms. The first was a cylinder containing three parallel layers of varying compliance and the second was composed of a semirigid sphere suspended in a uniform layer of decreased elastic modulus. Images showed complex patterns of motion throughout the phantom, which correlated with expected motion behavior of the phantom structures. This indicates that the biomechanical properties of tissues may be elucidated through the use of motion-sensitized MR imaging and suggests that a form of image contrast relating to tissue elasticity may be feasible.

Magnetic resonance elastography by direct visualization of propagating acoustic strain waves

A nuclear magnetic resonance imaging (MRI) method is presented for quantitatively mapping the physical response of a material to harmonic mechanical excitation. The resulting images allow calculation of regional mechanical properties. Measurements of shear modulus obtained with the MRI technique in gel materials correlate with independent measurements of static shear modulus. The results indicate that displacement patterns corresponding to cyclic displacements smaller than 200 nanometers can be measured. The findings suggest the feasibility of a medical imaging technique for delineating elasticity and other mechanical properties of tissue.

Methods for estimation of subsample time delays of digitized echo signals

Time delay estimation (TDE) is commonly performed in practice by crosscorrelation of digitized echo signals. Since time delays are generally not integral multiples of the sampling period, the location of the largest sample of the crosscorrelation function (ccf) is an inexact estimator of the location of the peak. Therefore, one must interpolate between the samples of the ccf to improve the estimation precision. Using theory and simulations, we review and compare the performance of several methods for interpolation of the ccf. The maximum likelihood approach to interpolation is the application of a reconstruction filter to the discrete ccf. However, this method can only be approximated in practice and can be computationally intensive. For these reasons, a simple method is widely used that involves fitting a parabola (or other curve) to samples of the ccf in the neighborhood of its peak. We describe and compare two curve-fitting methods: parabolic and cosine interpolation. Curve-fitting interpolation can yield biased time-delay estimates, which may preclude the use of these methods in some applications. The artifactual effect of these bias errors on elasticity imaging by elastography is discussed. We demonstrate that reconstructive interpolation is unbiased. An iterative implementation of the reconstruction procedure is proposed that can reduce the computation time significantly.

Reduction of image noise in elastography

Elastography is a method for imaging the elastic properties of compliant tissues which produces gray scale elasticity images called elastograms. The elastograms of phantoms with homogeneous elastic properties exhibit a noisy appearance. We demonstrate that this noisy appearance of the elastograms is due to the nonstationary relationship between the pre- and postcompression signals that results in an artifactual modulation of the strain estimates by the amplitude variations of the envelope of the rf signal. We have identified two methods to reduce the strain modulation artifact. The first method consists of reducing the signal amplitude swings within the observation windows by logarithmically or otherwise compressing the rf signal. The sensitivity of this method to amplitude compression strength and the ability to reduce the noise in the elastograms without affecting the spatial resolution are investigated through simulations. The second method to reduce the strain modulation artifact consists of temporal stretching of the signal obtained after physical compression to approximate the shape of the signal obtained before compression. In this paper, we discuss the first method. The results show that significant improvement in image noise can be obtained with logarithmic amplitude compression. This improvement is obtained in conjunction with improved spatial resolution.

Elastography: elasticity imaging using ultrasound with application to muscle and breast in vivo

Changes in tissue elasticity are generally correlated with its pathological state. In many cases, despite the difference in elasticity, the small size of a lesion or its location deep in the body preclude its detection by palpation. In general, such a lesion may or may not possess echogenic properties that would make it ultrasonically detectable. Elastography is an ultrasonic method for imaging the elasticity of compliant tissues. The method estimates the local longitudinal strain of tissue elements by ultrasonically assessing the one dimensional local displacements. This information can be combined with first order theoretical estimates of the local stress to yield a quantitative measure of the local elastic properties of tissue. The elasticity information is displayed in the form of a gray scale image called an elastogram. An experimental system for elastography in phantoms based on a single element transducer has been described previously [1]. Here we introduce a new elastography system based on a linear array transducer that is suitable for in vivo scanning. We describe tissue mimicking phantom experiments and preliminary in vivo breast and muscle elastograms confirming the feasibility of performing elastography in vivo. An elastogram of a breast containing an 8 mm palpable cancer nodule clearly shows the lesion. Elastograms and their corresponding sonograms show some similarities and differences in the depiction of tissue structures.