Estimating localized oscillatory tissue motion for assessment of the underlying mechanical modulus

Orthotropic elastic moduli of biological tissues from ultrasound-assisted diffusing-wave spectroscopy

We obtain vibro-acoustic (VA) spectral signatures of a remotely palpated region in tissue or tissue-like objects through diffusing-wave spectroscopy (DWS) measurements. Remote application of force is through focused ultrasound, and the spectral signatures correspond to vibrational modes of the focal volume (also called the ROI) excited through ultrasound forcing. In DWS, one recovers the time evolution of mean-square displacement (MSD) of Brownian particles from the measured decay of intensity autocorrelation of light, adapted also to local particles pertaining only to the ROI. We observe that the plateau of the MSD-versus-time curve has noisy fluctuations when ultrasound is applied, which disappear when forcing is removed. It is shown that the spectrum of fluctuations contains peaks corresponding to some of the modes of vibration of the ROI. This enables us to measure the vibrational modes carried by VA waves. We also show recovery of components of the orthotropic elastic tensor pertaining to the material of the ROI from the measured vibrational modes. We first recover the elastic constants for agar slabs, which are verified to be isotropic. Thereafter, we repeat the exercise on fat recovered from pork back tissue, which, from these measurements, is seen to be orthotropic. We validate some of our present measurements through independent runs in a rheometer. The present work is the first step taken, to the best of our knowledge, to characterize biological tissue on the basis of the anisotropic elasticity property, which may potentially aid in the diagnosis and tracking of the progress of cancer in soft-tissue organs.

Identification of rheological properties of human body surface tissue

According to World Health Organization obesity is one of the greatest public health challenges of the 21st century. It has tripled since the 1980s and the numbers of those affected continue to rise at an alarming rate, especially among children. There are number of devices that act as a prevention measure to boost person's motivation for physical activity and its levels. The placement of these devices is not restricted thus the measurement errors that appear because of the body rheology, clothes, etc. cannot be eliminated. The main objective of this work is to introduce a tool that can be applied directly to process measured accelerations so human body surface tissue induced errors can be reduced. Both the modeling and experimental techniques are proposed to identify body tissue rheological properties and prelate them to body mass index. Multi-level computational model composed from measurement device model and human body surface tissue rheological model is developed. Human body surface tissue induced inaccuracies can increase the magnitude of measured accelerations up to 34% when accelerations of the magnitude of up to 27 m/s(2) are measured. Although the timeframe of those disruptions are short - up to 0.2 s - they still result in increased overall measurement error.

Harmonic motion microwave Doppler imaging: a simulation study using a simple breast model

A hybrid method for tissue imaging using dielectric and elastic properties is proposed and investigated with simple bi-layered breast model. In this method, local harmonic motion is generated in the tissue using a focused ultrasound probe. A narrow-band microwave signal is transmitted to the tissue. The Doppler component of the scattered signal, which depends on the dielectric and elastic properties of the vibrating region, is sensed. A plane-wave spectrum technique is used together with reciprocity theorem for calculating the response of a vibrating electrically small spherical tumor in breast tissue. The effects of operating frequency, antenna alignment and distance, and tumor depth on the received signal are presented. The effect of harmonic motion frequency on the vibration amplitude and displacement distribution is investigated with mechanical simulations using the finite element method. The safety of the method is analyzed in terms of microwave and ultrasound exposure of the breast tissue. The results show that the method has a potential in detecting tumors inside fibro-glandular breast tissue.

CORRELATION OF DIELECTRIC PERMITTIVITY WITH MECHANICAL PROPERTIES IN SOFT TISSUE-MIMICKING POLYACRYLAMIDE PHANTOMS

In this work, an attempt has been made to correlate the dielectric permittivity of polyacrylamide based tissue mimicking phantoms with their mechanical properties such as breaking stress, breaking strain and Young's modulus. The tissue mimicking phantoms of various concentrations were prepared as per the standard protocol and their permittivity was measured using a precision impedance analyzer. The mechanical properties of the phantoms were measured by conducting tensile tests using a Universal Testing Machine. The measured mechanical properties were correlated with the dielectric permittivity by performing statistical analysis. Results demonstrate that the percentage variation in the mechanical properties correlate well with the percentage variation in the permittivity of the tissue mimicking phantoms. Further, it appears that the changes in the mechanical properties of the phantoms can be estimated by quantifying the changes in their dielectric permittivity. In this paper, the objectives of the study, methodology and significant observations are discussed in detail.

A new Tissue Resonator Indenter Device and reliability study

Knowledge of tissue mechanical properties is widely required by medical applications, such as disease diagnostics, surgery operation, simulation, planning, and training. A new portable device, called Tissue Resonator Indenter Device (TRID), has been developed for measurement of regional viscoelastic properties of soft tissues at the Bio-instrument and Biomechanics Lab of the University of Toronto. As a device for soft tissue properties in-vivo measurements, the reliability of TRID is crucial. This paper presents TRID’s working principle and the experimental study of TRID’s reliability with respect to inter-reliability, intra-reliability, and the indenter misalignment effect as well.

Phantom investigation of phase-inversion-based dual-frequency excitation imaging for improved contrast display

OBJECTIVE

The goal of this work is to examine the effects of pulse-inversion (PI) technique in combination with dual-frequency (DF) excitation method to separate the high-order nonlinear responses from microbubble contrast agents for improvement of image contrast. DF excitation method has been previously developed to induce the low-frequency ultrasound nonlinear responses from bubbles by using the composition of two high-frequency sinusoids (f(1) and f(2)).

MOTIVATION

Although the simple filtering was conventionally utilized to provide signal separation, the PI approach is better in the sense that it minimizes the mutual interferences among these high-order nonlinear responses in the presence of spectral overlap. The novelty of the work is that, in addition to the common PI summation, the PI subtraction was also applied in DF excitation method.

METHODS

DF excitation pulses having an envelope frequency of 3MHz (i.e., f(1)=8.5MHz and f(2)=11.5MHz) with pulse lengths of 3-10μs and the pressure amplitudes from 0.5 to 1.5MPa were used to interrogate the nonlinear responses of SonoVue™ microbubbles in the phantom experiments. The high-order nonlinear responses in the DF excitation were extracted for contrast imaging using PI summation for even-order nonlinear components or PI subtraction for odd-order nonlinear ones.

RESULTS

Our results indicated that, as compared to the conventional filtering technique, the PI processing effectively increases the contrast-to-tissue ratio (CTR) of the third-order nonlinear response at 5.5MHz and the fourth-order nonlinear response at 6MHz by 2-5dB. For these high-order nonlinear components, the CTR increase varies with the transmission pressures from 0.5 to 1.5MPa due to the microbubbles' displacement induced by the radiation force of DF excitation.

CONCLUSIONS

For DF excitation technique, the PI processing can help to extract either the odd-order or the even-order nonlinear components for higher CTR estimates.

AN OVERVIEW OF ELASTOGRAPHY - AN EMERGING BRANCH OF MEDICAL IMAGING

From times immemorial manual palpation served as a source of information on the state of soft tissues and allowed detection of various diseases accompanied by changes in tissue elasticity. During the last two decades, the ancient art of palpation gained new life due to numerous emerging elasticity imaging (EI) methods. Areas of applications of EI in medical diagnostics and treatment monitoring are steadily expanding. Elasticity imaging methods are emerging as commercial applications, a true testament to the progress and importance of the field.In this paper we present a brief history and theoretical basis of EI, describe various techniques of EI and, analyze their advantages and limitations, and overview main clinical applications. We present a classification of elasticity measurement and imaging techniques based on the methods used for generating a stress in the tissue (external mechanical force, internal ultrasound radiation force, or an internal endogenous force), and measurement of the tissue response. The measurement method can be performed using differing physical principles including magnetic resonance imaging (MRI), ultrasound imaging, X-ray imaging, optical and acoustic signals.Until recently, EI was largely a research method used by a few select institutions having the special equipment needed to perform the studies. Since 2005 however, increasing numbers of mainstream manufacturers have added EI to their ultrasound systems so that today the majority of manufacturers offer some sort of Elastography or tissue stiffness imaging on their clinical systems. Now it is safe to say that some sort of elasticity imaging may be performed on virtually all types of focal and diffuse disease. Most of the new applications are still in the early stages of research, but a few are becoming common applications in clinical practice.

Image quality, tissue heating, and frame rate trade-offs in acoustic radiation force impulse imaging

The real-time application of acoustic radiation force impulse (ARFI) imaging requires both short acquisition times for a single ARFI image and repeated acquisition of these frames. Due to the high energy of pulses required to generate appreciable radiation force, however, repeated acquisitions could result in substantial transducer face and tissue heating. We describe and evaluate several novel beam sequencing schemes which, along with parallel-receive acquisition, are designed to reduce acquisition time and heating. These techniques reduce the total number of radiation force impulses needed to generate an image and minimize the time between successive impulses. We present qualitative and quantitative analyses of the trade-offs in image quality resulting from the acquisition schemes. Results indicate that these techniques yield a significant improvement in frame rate with only moderate decreases in image quality. Tissue and transducer face heating resulting from these schemes is assessed through finite element method modeling and thermocouple measurements. Results indicate that heating issues can be mitigated by employing ARFI acquisition sequences that utilize the highest track-to-excitation ratio possible.

Harmonic motion detection in a vibrating scattering medium

Elasticity imaging is an emerging medical imaging modality that seeks to map the spatial distribution of tissue stiffness. Ultrasound radiation force excitation and motion tracking using pulse-echo ultrasound have been used in numerous methods. Dynamic radiation force is used in vibrometry to cause an object or tissue to vibrate, and the vibration amplitude and phase can be measured with exceptional accuracy. This paper presents a model that simulates harmonic motion detection in a vibrating scattering medium incorporating 3-D beam shapes for radiation force excitation and motion tracking. A parameterized analysis using this model provides a platform to optimize motion detection for vibrometry applications in tissue. An experimental method that produces a multifrequency radiation force is also presented. Experimental harmonic motion detection of simultaneous multifrequency vibration is demonstrated using a single transducer. This method can accurately detect motion with displacement amplitude as low as 100 to 200 nm in bovine muscle. Vibration phase can be measured within 10 degrees or less. The experimental results validate the conclusions observed from the model and show multifrequency vibration induction and measurements can be performed simultaneously.

Propagation velocity and attenuation of a shear wave pulse measured by ultrasound detection in agarose and polyacrylamide gels

The aim of our research was to measure and analyze phase velocity and pulse attenuation of a shear wave in two media: well-known agarose-gelatin gel and seldom-used polyacrylamide gel. These quantities were determined at three temperatures by the method of transmission sonoelastography described by Catheline et al. (1999). The shear wave was generated with a shaker stimulated by an electric pulse, with a length of one sinusoidal period with a preset frequency. The calculation method is based on a cross-correlation algorithm used for consecutive A-scans of signals of backwards scattered ultrasonic pulses. It allows determination of the local displacement of scattering elements in the medium, caused by a propagating shear wave, and determination of viscoelastic properties of gels. The results of the measurements of shear wave phase velocity and attenuation, obtained for agarose-gelatin and polyacrylamide gels that simulate biological systems depending on frequency and amplitude of vibrations, are presented. The comparison of the measured characteristic properties of gels has revealed that polyacrylamide gel is more useful in viscoelastic investigations of tissue-like phantoms.

Harmonic pulsed excitation and motion detection of a vibrating reflective target

Elasticity imaging is an emerging medical imaging modality. Methods involving acoustic radiation force excitation and pulse-echo ultrasound motion detection have been investigated to assess the mechanical response of tissue. In this work new methods for dynamic radiation force excitation and motion detection are presented. The theory and model for harmonic motion detection of a vibrating reflective target are presented. The model incorporates processing of radio frequency data acquired using pulse-echo ultrasound to measure harmonic motion with amplitudes ranging from 100 to 10,000 nm. A numerical study was performed to assess the effects of different parameters on the accuracy and precision of displacement amplitude and phase estimation and showed how estimation errors could be minimized. Harmonic pulsed excitation is introduced as a multifrequency radiation force excitation method that utilizes ultrasound tonebursts repeated at a rate f(r). The radiation force, consisting of frequency components at multiples of f(r), is generated using 3.0 MHz ultrasound, and motion detection is performed simultaneously with 9.0 MHz pulse-echo ultrasound. A parameterized experimental analysis showed that displacement can be measured with small errors for motion with amplitudes as low as 100 nm. The parameterized numerical and experimental analyses provide insight into how to optimize acquisition parameters to minimize measurement errors.

Preliminary assessment of one-dimensional MR elastography for use in monitoring focused ultrasound therapy

The purpose of this work is to assess a fast technique that measures tissue stiffness and temperature during focused ultrasound thermal therapy (FUS). A one-dimensional (1D) MR elastography (MRE) pulse sequence was evaluated for the purpose of obtaining rapid measurements of thermally induced changes in tissue stiffness and temperature for monitoring FUS treatments. The accuracy of the 1D measurement was studied by comparing tissue displacements measured by 1D MRE with those measured by the well-established 2D MRE pulse sequence. The reproducibility of the 1D MRE measurement was assessed, in gel phantoms and ex vivo porcine tissue, for varied FUS intensity levels (31.5-199.9 W cm(-2)) and over a range of displacements at the focus (0.1-1 microm). Temperature elevations in agarose gel phantoms were measured using 1D MRE and calibrated using fiberoptic-thermometer-based measurements. The 1D MRE displacement measurements are highly correlated with those obtained with the 2D technique (R(2) = 0.88-0.93), indicating that 1D MRE can successfully measure tissue displacement. Ten repeated trials at each FUS power level yielded a minimum detectable displacement change of 0.2 microm in phantoms and 0.4 microm in tissue (at 95% confidence level). The 1D MRE temperature measurements correlated well with temperature changes measured simultaneously with fiberoptic thermometers (R(2) = 0.97). The 1D MRE technique is capable of detecting tissue displacements as low as 0.4 microm, which is an order of magnitude smaller than 5 microm displacements expected during FUS therapy (Le et al 2005 AIP Conf. Proc.: Ther. Ultrasound 829 186-90). Additionally, 1D MRE was shown to provide adequate measurements of temperature elevations in tissue. These findings indicate that 1D MRE may be an effective tool for monitoring FUS treatments.

Phase aberration correction using ultrasound radiation force and vibrometry optimization

We describe a phase aberration correction method that uses dynamic ultrasound radiation force to harmonically vibrate an object using amplitude modulated continuous wave ultrasound. The phase of each element of an annular array transducer is adjusted to maximize the radiation force and obtain optimal focus of the ultrasound beam. The maximization of the radiation force is performed by monitoring the velocity of scatterers in the focus region. We present theory that shows focal optimization with radiation force has a well-behaved cost function. Experimental validation is shown by correction of manual defocusing of an annular array as well as correcting for a lens-shaped aberrator placed near the transducer. A Doppler laser vibrometer and a pulse-echo Doppler ultrasound method were used to monitor the velocity of a sphere used as a target for the transducer. By maximizing the radiation force-induced vibration of scatterers in the focal region, the resolution of the ultrasound beam can be recovered after aberration defocusing.

Robust intravascular optical coherence elastography by line correlations

We present a new method for intravascular optical coherence elastography, which is robust against motion artefacts. It employs the correlation between adjacent lines, instead of subsequent frames. Pressure to deform the tissue is applied synchronously with the line scan rate of the optical coherence tomography (OCT) instrument. The viability of the method is demonstrated with a simulation study. We find that the root mean square (rms) error of the displacement estimate is 0.55 microm, and the rms error of the strain is 0.6%. It is shown that high-strain spots in the vessel wall, such as observed at the sites of vulnerable atherosclerotic lesions, can be detected with the technique.

Frame rate considerations for real-time abdominal acoustic radiation force impulse imaging

With the advent of real-time Acoustic Radiation Force Impulse (ARFI) imaging, elevated frame rates are both desirable and relevant from a clinical perspective. However, fundamental limitations on frame rates are imposed by thermal safety concerns related to incident radiation force pulses. Abdominal ARFI imaging utilizes a curvilinear scanning geometry that results in markedly different tissue heating patterns than those previously studied for linear arrays or mechanically-translated concave transducers. Finite Element Method (FEM) models were used to simulate these tissue heating patterns and to analyze the impact of tissue heating on frame rates available for abdominal ARFI imaging. A perfusion model was implemented to account for cooling effects due to blood flow and frame rate limitations were evaluated in the presence of normal, reduced and negligible tissue perfusions. Conventional ARFI acquisition techniques were also compared to ARFI imaging with parallel receive tracking in terms of thermal efficiency. Additionally, thermocouple measurements of transducer face temperature increases were acquired to assess the frame rate limitations imposed by cumulative heating of the imaging array. Frame rates sufficient for many abdominal imaging applications were found to be safely achievable utilizing available ARFI imaging techniques.

Multifrequency vibro-acoustography

Elasticity imaging is a burgeoning medical imaging field. Many methods have been proposed that impart a force to tissue and measure the mechanical response. One method, vibro-acoustography, uses the ultrasound radiation force to harmonically vibrate tissue and measure the resulting acoustic emission field with a nearby hydrophone. Another method, vibrometry, uses the ultrasound radiation force accompanied with a measurement of the resulting velocity or displacement of the vibrating tissue or object has also been used for different applications. An extension of the vibro-acoustography method using a multifrequency stress field to vibrate an object is described. The objective of this paper is to present the image formation theory for multifrequency vibro-acoustography. We show that the number of low-frequency components created by this multifrequency method scales with the square of the number of ultrasound sources used. We provide experimental validation of the point-spread function of the multifrequency stress field and show examples of both vibrometry and vibro-acoustography imaging applications. This method holds the potential for a large gain of information with no increase in scanning time compared to conventional vibro-acoustography systems.