Shear wave elasticity imaging based on acoustic radiation force and optical detection

Acoustomotive diffuse correlation spectroscopy for sensing mechanical stiffness in tissue-mimicking phantoms

Many diseases, such as inflammation, dropsy, or tumors, often cause alterations in the mechanical stiffness of human tissues. Ultrasound-based techniques are commonly adopted in clinics for stiffness assessment, whereas optical methodologies hold promise for sensing strain changes and providing optical information pertaining to the microcirculatory network, thereby facilitating comprehensive measurements of tissue physiopathology. Diffuse correlation spectroscopy (DCS), an emerging dynamic light scattering technique, has been used to capture the enhanced motion of light scatterers induced by acoustic radiation force (ARF). Theoretically, the amplitude of this enhanced scatterers motion is related to the medium stiffness. Based on this relationship, we report a light coherent technique that combines ARF and DCS to qualitatively evaluate changes in the stiffness of medium. We experimentally demonstrate the accuracy and feasibility of this technique for probing stiffness in homogeneous phantom by comparing it with independent ultrasound methods. Additionally, we explore a potential application of this technique in distinguishing between fluid filled lesion and homogeneous tissue through heterogeneous phantom experiments. This unique combination of ARF and DCS, namely, acoustomotive DCS (AM-DCS), would provide an alternative way to measure particle-motion related stiffness, thereby assisting in the diagnosis and treatment of diseases.

Surface wave elastography using high speed full-field optical interferometry

The assessment of mechanical stiffness is an essential diagnostic tool for investigating the biomechanical properties of biological tissues. Surface wave elastography (SWE) is an emerging technique to quantify elastic properties of tissues in clinical diagnosis. High-speed optical imaging combined with SWE has enormous potential in quantifying the elastic properties of tissues at microscale resolutions. In this study, we implement surface wave elastography using high-speed optical interferometry to characterize the elastic properties of tissue-mimicking phantoms andex-vivonative caprine liver tissue by imaging the surface wave induced by an electromechanical actuator. The sinusoidal mechanical excitations ranging from 120 Hz to 1.2 kHz on the surface of tissues are captured using a high-speed camera with a frame rate of 4 kHz at micrometer resolutions. The surface wavefront reconstruction is performed using a phase-shifting algorithm and linear regression is used to calculate the surface wave velocity. The mechanical stiffness estimated from the optical system is compared with the results of mechanical compression testing measurements. The results from this multimodal platform combining optical interferometry and vibrational spectroscopy using SWE are highly promising towards a non-invasive or minimally invasive imaging forin-vivoandex-vivomechanical characterization of tissues with future clinical applications.

Laser-speckle-contrast projection tomography for three-dimensional shear wave imaging

Laser-speckle-contrast shear wave (LSC-SW) imaging is an optical method for tracking the propagation of a transient shear wave. With high spatial resolution and sensitivity in detecting displacements, this method is suitable for performing mechanical measurements in vitro. Here, we present a LSC-SW tomographic imaging system for visualizing the propagating shear wave wavefront in four dimensions [i.e., three-dimensional (3D) space plus time]. The volumetric elasticity distribution of a sample is constructed by estimating the speeds of the shear waves propagating along multiple paths at different angles. The proposed method enables multidirectional estimations of the shear wave speed. The capabilities of the imaging system are demonstrated by evaluating isotropy (both homogeneous and heterogeneous) and anisotropy in semiturbid phantoms. The proposed system is suitable for the mechanical characterization of a 3D cell culture system, such as monitoring changes in fiber orientation during the remodeling of the extracellular matrix that is known to be strongly associated with the progression and characterization of tumors.

Shear Wave Elasticity Measurements of Three-Dimensional Cancer Cell Cultures Using Laser Speckle Contrast Imaging

Shear wave elastography (SWE) has been widely adopted for clinical in vivo imaging of tissue elasticity for disease diagnosis, and this modality can be a valuable tool for in vitro mechanobiology studies but its full potential has yet to be explored. Here we present a laser speckle contrast SWE system for noncontact monitoring the spatiotemporal changes of the extracellular matrix (ECM) stiffness in three-dimensional cancer cell culture system while providing submillimeter spatial resolution and temporal resolution of 10 s. The shear modulus measured was found to be strongly correlated with the ECM fiber density in two types of cell culture system (r = 0.832 with P < 0.001, and r = 0.642 with P = 0.024 for cell culture systems containing 4 mg/ml Matrigel with 1 mg/ml and 2 mg/ml collagen type I hydrogel, respectively). Cell migration along the stiffness gradient in the cell culture system and an association between cell proliferation and the local ECM stiffness was observed. As the elasticity measurement is performed without the need of exogenous probes, the proposed method can be used to study how the microenvironmental stiffness interacts with cancer cell behaviors without possible adverse effects of the exogenous particles, and could potentially be an effective screening tool when developing new treatment strategies.

Elastography with low-frame-rate laser speckle contrast imaging using the aliasing effect

Elastography is an attractive technique for quantifying the mechanical properties of biological tissue. Here, we report an elastography method with low-frame-rate laser speckle contrast imaging (LSCI) using the aliasing effect. This method needs only one excitation source, a low-frame-rate camera, and no synchronization between excitation and acquisition. The accuracy of the elasticity measurement was validated on tissue-mimicking phantoms by comparing the value with the elasticity measured by a high-frame-rate LSCI and by the rheometer. Elastography was also performed on chicken breast in vitro.

Simultaneous viscosity and elasticity measurement using laser speckle contrast imaging

Viscosity and elasticity are closely related to the physiological characteristics of biological tissues. This Letter reports a simultaneous quantitative measurement of these parameters realized with the laser speckle contrast imaging method. The propagation of a Rayleigh wave induced by an acoustic speaker is traced, and the frequency-dependent velocity dispersion is extracted with the frequency-wavenumber spectrum analysis method. The viscosity and elasticity moduli of oil-in-gelatin tissue-mimicking phantoms are calculated by fitting the dispersion curves to the Voigt model. The method is validated by comparing it with the results obtained by using a conventional mechanical rheometer.

Three-dimensional shear wave imaging based on full-field laser speckle contrast imaging with one-dimensional mechanical scanning

The high imaging resolution and motion sensitivity of optical-based shear wave detection has made it an attractive technique in biomechanics studies with potential for improving the capabilities of shear wave elasticity imaging. In this study we implemented laser speckle contrast imaging for two-dimensional (X-Z) tracking of transient shear wave propagation in agarose phantoms. The mechanical disturbances induced by the propagation of the shear wave caused temporal and spatial fluctuations in the local speckle pattern, which manifested as local blurring. By mechanically moving the sample in the third dimension (Y), and performing two-dimensional shear wave imaging at every scan position, the three-dimensional shear wave velocity distribution of the phantom could be reconstructed. Based on comparisons with the reference shear wave velocity measurements obtained using a commercial ultrasound shear wave imaging system, the developed system can estimate the shear wave velocity with an error of less than 6% for homogeneous phantoms with shear moduli ranging from 1.52 kPa to 7.99 kPa. The imaging sensitivity of our system makes it capable of measuring small variations in shear modulus; the estimated standard deviation of the shear modulus was found to be less than 0.07 kPa. A submillimeter spatial resolution for three-dimensional shear wave imaging has been achieved, as demonstrated by the ability to detect a 1-mm-thick stiff plate embedded inside heterogeneous agarose phantoms.

Quasi-plane shear wave propagation induced by acoustic radiation force with a focal line region: a simulation study

Shear wave propagation speed has been regarded as an attractive indicator for quantitatively measuring the intrinsic mechanical properties of soft tissues. While most existing techniques use acoustic radiation force (ARF) excitation with focal spot region based on linear array transducers, we try to employ a special ARF with a focal line region and apply it to viscoelastic materials to create shear waves. First, a two-dimensional capacitive micromachined ultrasonic transducer with 64 × 128 fully controllable elements is realised and simulated to generate this special ARF. Then three-dimensional finite element models are developed to simulate the resulting shear wave propagation through tissue phantom materials. Three different phantoms are explored in our simulation study using: (a) an isotropic viscoelastic medium, (b) within a cylindrical inclusion, and (c) a transverse isotropic viscoelastic medium. For each phantom, the ARF creates a quasi-plane shear wave which has a preferential propagation direction perpendicular to the focal line excitation. The propagation of the quasi-plane shear wave is investigated and then used to reconstruct shear moduli sequentially after the estimation of shear wave speed. In the phantom with a transverse isotropic viscoelastic medium, the anisotropy results in maximum speed parallel to the fiber direction and minimum speed perpendicular to the fiber direction. The simulation results show that the line excitation extends the displacement field to obtain a large imaging field in comparison with spot excitation, and demonstrate its potential usage in measuring the mechanical properties of anisotropic tissues.

Dual shear wave induced laser speckle contrast signal and the improvement in shear wave speed measurement

Shear wave speed is quantitatively related to tissue viscoelasticity. Previously we reported shear wave tracking at centimetre depths in a turbid optical medium using laser speckle contrast detection. Shear wave progression modulates displacement of optical scatterers and therefore modulates photon phase and changes the laser speckle patterns. Time-resolved charge-coupled device (CCD)-based speckle contrast analysis was used to track shear waves and measure the time-of-flight of shear waves for speed measurement. In this manuscript, we report a new observation of the laser speckle contrast difference signal for dual shear waves. A modulation of CCD speckle contrast difference was observed and simulation reproduces the modulation pattern, suggesting its origin. Both experimental and simulation results show that the dual shear wave approach generates an improved definition of temporal features in the time-of-flight optical signal and an improved signal to noise ratio with a standard deviation less than 50% that of individual shear waves. Results also show that dual shear waves can correct the bias of shear wave speed measurement caused by shear wave reflections from elastic boundaries.

Detecting tissue optical and mechanical properties with an ultrasound modulated optical imaging system in reflection detection geometry

Tissue optical and mechanical properties are correlated to tissue pathologic changes. This manuscript describes a dual-mode ultrasound modulated optical imaging system capable of sensing local optical and mechanical properties in reflection geometry. The optical characterisation was achieved by the acoustic radiation force assisted ultrasound modulated optical tomography (ARF-UOT) with laser speckle contrast detection. Shear waves generated by the ARF were also tracked optically by the same system and the shear wave speed was used for the elasticity measurement. Tissue mimicking phantoms with multiple inclusions buried at 11 mm depth were experimentally scanned with the dual-mode system. The inclusions, with higher optical absorption and/or higher stiffness than background, were identified based on the dual results and their stiffnesses were quantified. The system characterises both optical and mechanical properties of the inclusions compared with the ARF-UOT or the elasticity measurement alone. Moreover, by detecting the backward scattered light in reflection detection geometry, the system is more suitable for clinical applications compared with transmission geometry.

Practical Challenges of Current Video Rate OCT Elastography: Accounting for Dynamic and Static Tissue Properties

Optical coherence tomography (OCT) elastography (OCTE) has the potential to be an important diagnostic tool for pathologies including coronary artery disease, osteoarthritis, malignancies, and even dental caries. Many groups have performed OCTE, including our own, using a wide range of approaches. However, we will demonstrate current OCTE approaches are not scalable to real-time, in vivo imaging. As will be discussed, among the most important reasons is current designs focus on the system and not the target. Specifically, tissue dynamic responses are not accounted, with examples being the tissue strain response time, preload variability, and conditioning variability. Tissue dynamic responses, and to a lesser degree static tissue properties, prevent accurate video rate modulus assessments for current embodiments. Accounting for them is the focus of this paper. A top-down approach will be presented to overcome these challenges to real time in vivo tissue characterization. Discussed first is an example clinical scenario where OTCE would be of substantial relevance, the prevention of acute myocardial infarction or heart attacks. Then the principles behind OCTE are examined. Next, constrains on in vivo application of current OCTE are evaluated, focusing on dynamic tissue responses. An example is the tissue strain response, where it takes about 20 msec after a stress is applied to reach plateau. This response delay is not an issue at slow acquisition rates, as most current OCTE approaches are preformed, but it is for video rate OCTE. Since at video rate each frame is only 30 msec, for essentially all current approaches this means the strain for a given stress is changing constantly during the B-scan. Therefore the modulus can't be accurately assessed. This serious issue is an even greater problem for pulsed techniques as it means the strain/modulus for a given stress (at a location) is unpredictably changing over a B-scan. The paper concludes by introducing a novel video rate approach to overcome these challenges.

Tracking shear waves in turbid medium by light: theory, simulation, and experiment

Shear wave propagation provides rich information for material mechanical characterization, including elasticity and viscosity. This Letter reports tracking of shear wave propagation in turbid media by laser-speckle-contrast analysis. The theory is described, and a Monte Carlo simulation of light shear wave interaction was developed. Simulation and experiments on tissue-mimicking phantoms agree well and show tracking of shear wave at the phantom surface and at depth as well as multiple shear waves interacting within the object. The relationship between speckle contrast value and shear wave amplitude is also investigated.

Performance of shear wave elastography for differentiation of benign and malignant solid breast masses

OBJECTIVES

To perform a meta-analysis assessing the ability of shear wave elastography (SWE) to identify malignant breast masses.

METHODS

PubMed, the Cochrane Library, and the ISI Web of Knowledge were searched for studies evaluating the accuracy of SWE for identifying malignant breast masses. The diagnostic accuracy of SWE was evaluated according to sensitivity, specificity, and hierarchical summary receiver operating characteristic (HSROC) curves. An analysis was also performed according to the SWE mode used: supersonic shear imaging (SSI) and the acoustic radiation force impulse (ARFI) technique. The clinical utility of SWE for identifying malignant breast masses was evaluated using analysis of Fagan plot.

RESULTS

A total of 9 studies, including 1888 women and 2000 breast masses, were analyzed. Summary sensitivities and specificities were 0.91 (95% confidence interval [CI], 0.88-0.94) and 0.82 (95% CI, 0.75-0.87) by SSI and 0.89 (95% CI, 0.81-0.94) and 0.91 (95% CI, 0.84-0.95) by ARFI, respectively. The HSROCs for SSI and ARFI were 0.92 (95% CI, 0.90-0.94) and 0.96 (95% CI, 0.93-0.97), respectively. SSI and ARFI were both very informative, with probabilities of 83% and 91%, respectively, for correctly differentiating between benign and malignant breast masses following a "positive" measurement (over the threshold value) and probabilities of disease as low as 10% and 11%, respectively, following a "negative" measurement (below the threshold value) when the pre-test probability was 50%.

CONCLUSIONS

SWE could be used as a good identification tool for the classification of breast masses.