A tracking FFT processor for pulsed Doppler analysis beyond the Nyquist limit

Real-Time High Frame Rate Color Flow Mapping System

Plane wave (PW) transmission (TX) can be profitably used to improve the performance of color flow mapping (CFM) systems by increasing the autocorrelation ensemble length (EL) and/or the frame rate (FR). Although high-end scanners tend to include imaging schemes using PW TX and parallel receive beams, high frame rate (HFR) CFM has been so far experimentally implemented mostly through research platforms that transmit PWs and beamform/process the received channel data off-line. In this article, full real-time implementation of PW CFM with continuous-time clutter filtering and extended FR/EL is reported. The field-programmable gate arrays (FPGAs) and digital signal processors (DSPs) onboard the ULA-OP 256 research scanner were programmed to perform high-speed parallel beamforming and autocorrelation-based CFM processing, respectively. Different strategies were tested, in which the TX of PWs for CFM is either continuous or interleaved with the TX of packets of B-mode pulses. A fourth-order Chebyshev continuous-time high-pass filter with programmable cutoff frequency was implemented and its clutter rejection performance was positively compared with that obtained when operating on packet data. CFM FRs up to 575 were obtained. The possibility of programming the autocorrelation EL up to 64 permitted to detect flow with high sensitivity and accuracy (average relative errors down to 0.4% ± 8.4%). In vivo HFR movies are presented, showing the dynamics of flow in the common carotid artery, which highlight the presence of secondary flow components.

Virtual Real-Time for High PRF Multiline Vector Doppler on ULA-OP 256

The recent development of high-frame-rate (HFR) imaging/Doppler methods based on the transmission of plane or diverging waves has proposed new challenges to echographic data management and display. Due to the huge amount of data that need to be processed at very high speed, the pulse repetition frequency (PRF) is typically limited to hundreds hertz or few kilohertz. In Doppler applications, a PRF limitation may result unacceptable since it inherently translates to a corresponding limitation in the maximum detectable velocity. In this article, the ULA-OP 256 implementation of a novel ultrasound modality, called virtual real-time (VRT), is described. First, for a given HFR RT modality, the scanner displays the processed results while saving channel data into an internal buffer. Then, ULA-OP 256 switches to VRT mode, according to which the raw data stored in the buffer are immediately reprocessed by the same hardware used in RT. In the two phases, the ULA-OP 256 calculation power can be differently distributed to increase the acquisition frame rate or the quality of processing results. VRT was here used to extend the PRF limit in a multiline vector Doppler (MLVD) application. In RT, the PRF was maximized at the expense of the display quality; in VRT, data were reprocessed at a lower rate in a high-quality display format, which provides more detailed flow information. Experiments are reported in which the MLVD technique is shown capable of working at 16-kHz PRF, so that flow jet velocities higher up to 3 m/s can be detected.

Spectral velocity estimation in ultrasound using sparse data sets

Velocity distributions in blood vessels can be displayed using ultrasound scanners by making a Fourier transform of the received signal and then showing spectra in an M-mode display. It is desired to show a B-mode image for orientation, and data for this have to be acquired interleaved with the flow data. This either halves the effective pulse repetition frequency f(prf) or gaps appear in the spectrum from B-mode emissions. This paper presents a technique to maintain the highest possible f(prf) and at the same time show a B-mode image. The power spectrum can be calculated from the Fourier transform of the autocorrelation function, and it is shown that the autocorrelation function can be calculated for a sparse set of data where flow and B-mode emissions are interspaced. Both short deterministic sequences of emissions and full random sequences can be used. The dynamic range of the sparse sequence is reduced compared to a full sequence. Typically, a reduction of 20 dB is found when using 66% of the data compared to using all data. The theory of the method and examples from simulations of flow in arteries are presented. The audio signal can also be generated from the spectrogram.

Applications of transcranial Doppler in the ICU: a review

OBJECTIVE

Transcranial Doppler (TCD) ultrasonography is a technique that uses a hand-held Doppler transducer (placed on the surface of the cranial skin) to measure the velocity and pulsatility of blood flow within the intracranial and the extracranial arteries. This review critically evaluates the evidence for the use of TCD in the critical care population.

DISCUSSION

TCD has been frequently employed for the clinical evaluation of cerebral vasospasm following subarachnoid haemorrhage (SAH). To a lesser degree, TCD has also been used to evaluate cerebral autoregulatory capacity, monitor cerebral circulation during cardiopulmonary bypass and carotid endarterectomies and to diagnose brain death. Technological advances such as M mode, colour Doppler and three-dimensional power Doppler ultrasonography have extended the scope of TCD to include other non-critical care applications including assessment of cerebral emboli, functional TCD and the management of sickle cell disease.

CONCLUSIONS

Despite publications suggesting concordance between TCD velocity measurements and cerebral blood flow there are few randomized controlled studies demonstrating an improved outcome with the use of TCD monitoring in neurocritical care. Newer developments in this technology include venous Doppler, functional Doppler and use of ultrasound contrast agents.

Ultrasound processing and computing: review and future directions

Since the introduction of medical ultrasound in the 1950s, modern diagnostic ultrasound has progressed to see many major diagnostic tools come into widespread clinical use, such as B-mode imaging, color-flow imaging, and spectral Doppler. New applications, such as panoramic imaging, three-dimensional imaging, and quantitative imaging, are now beginning to be offered on some commercial ultrasound machines and are expected to grow in popularity. In this review, we focus on the various algorithms, their processing requirements, and the challenges of these ultrasound modes. Whereas the older, mature B and color-flow modes could be systolically implemented using hardwired components and boards, new applications, such as three-dimensional imaging and image feature extraction, are being implemented more by using programmable processors. This trend toward programmable ultrasound machines will continue, because the programmable approach offers the advantages of quick implementation of new applications without any additional hardware and the flexibility to adapt to the changing requirements of these dynamic new applications.

Comparison of FFT- and AR-based sonogram outputs of 20 MHz pulsed Doppler data in real time

Real time sonogram outputs of autoregressive (AR) and Fast Fourier Transform (FFT) spectral analysis of 20 MHz pulsed ultrasonic Doppler blood flowmeter are presented. Data obtained from coronary, renal, iliac, digital and mesenteric arteries were processed using AR- and FFT-based spectral analysis techniques and interpretable sonograms were constructed. In comparison with the FFT-based sonogram outputs. AR-based sonogram outputs for 20 MHz pulsed Doppler data provide better results. Hence, the AR modeling is strongly recommended for small vessels with diameters between 1 and 2 mm.

The present status of ultrasonic imaging in medicine

The ultrasonic techniques that are used routinely in medical imaging have resulted from basic scientific discoveries, new methods of signal analysis and image processing, the development of transducer materials and fabrication techniques, and the application of digital electronics. The system designer is constrained by the ultrasonic properties of tissues, especially speed and attenuation: these properties determine the optimum choices of ultrasonic frequency, and spatial contrast and temporal resolutions. Ultrasonic Doppler techniques provide information about moving targets, including blood flow. Two-dimensional images of anatomical structure and blood flow can be combined in real-time displays. Other advances include sonoelasticity imaging, computed tomography, three-dimensional imaging, contrast agents and quality assurance. Contemporary ultrasonic diagnostic techniques seem to be safe, but the search for possible hazards is continuing with emphasis on thermal effects and cavitation.