A System-on-Chip Solution for Point-of-Care Ultrasound Imaging Systems: Architecture and ASIC Implementation

Synthetic radial aperture focusing to regulate manual volumetric scanning for economic transrectal ultrasound imaging

In this paper, we present a volumetric transrectal ultrasound (TRUS) imaging under the presence of radial scanning angle disorientation (SAD) in a resource-limited diagnostic setting. Herein, we test our hypothesis that a synthetic radial aperture focusing (TRUS-rSAF) technique, in which a radial plane in target volume is reconstructed by coherent compounding of multiple transmittance/reception events, will reject a randomized SAD in a free-hand scanning setup based on external angular tracking. Based on an analytical model of the TRUS-rSAF technique, we first tested specific scenarios using a clinically available TRUS transducer under different SADs in a range of normal distributions (σ = 0.1°, 0.2°, 0.5°, 1°, 2°, and 5°). We found a benefit of the TRUS-rSAF technique for higher robustness when the SAD is contained within the radial synthetic aperture window, i.e., ±0.71° from a target scanning angle. However, no enhancement was found in spatial resolution because of the limited transmit beam field of the clinical TRUS transducer, limiting the synthetic aperture window. We further evaluated the TRUS-rSAF technique with a modified TRUS transducer for an extended synthetic aperture window to test whether higher spatial resolution and robustness to SAD can be obtained in the same evaluation setup. Widening of the synthetic aperture window (±3.54°, ± 5.91°, ± 8.27°, ± 10.63°, ± 12.99°, ± 15.35°) resulted in proportional enhancements of spatial resolution, but it also progressively built up sidelobe artifacts due to randomized synthesis with limited phase cancellations. The results suggest the need for careful calibration of the TRUS-rSAF technique to enable TRUS imaging with free-hand radial scanning and external angle tracking in resource-limited settings.

Aluminum Nitride Piezoelectric Micromachined Ultrasound Transducer Arrays for Non-Invasive Monitoring of Radial Artery Stiffness

An aluminum nitride (AlN) piezoelectric micromachined ultrasound transducer (PMUT) array was proposed and fabricated for non-invasive radial artery stiffness monitoring, which could be employed in human vascular health monitoring applications. Using surface micromachining techniques, four hexagonal PMUT arrays were fabricated within a chip area of 3 × 3 mm². The mechanical displacement sensitivity and quality factor of a single PMUT were tested and found to be 24.47 nm/V at 5.94 MHz and 278 (in air), respectively. Underwater pulse-echo tests for the array demonstrated a -3 dB bandwidth of 0.76 MHz at 3.75 MHz and distance detection limit of approximately 25 mm. Using the PMUT array as an ultrasonic probe, the depth and diameter changes over cardiac cycles of the radial artery were measured to be approximately 3.8 mm and 0.23 mm, respectively. Combined with blood pressure calibration, the biomechanical parameters of the radial artery vessel were extracted using a one-dimensional vascular model. The cross-sectional distensibility, compliance, and stiffness index were determined to be 4.03 × 10^-3/mmHg, 1.87 × 10^-2 mm²/mmHg, and 5.25, respectively, consistent with the newest medical research. The continuous beat-to-beat blood pressure was also estimated using this model. This work demonstrated the potential of miniaturized PMUT devices for human vascular medical ultrasound applications.

A novel design framework of synthetic radial aperture focusing for volumetric transrectal ultrasound imaging

In this paper, we present a novel design framework of synthetic radial aperture focusing for three-dimensional (3D) transrectal ultrasound imaging (TRUS-rSAF), in which multiple transmittance/reception events at different scanning angles are synthesized to reconstruct a radial plane in the target volume, securing high spatial resolution and texture uniformity. A theory-based design approach has not been available to push the envelope of the 3D rSAF technique. Herein, a closed-form analytical description of the TRUS-rSAF method is presented for the first time, effectively delineating spatial resolution and grating lobe positions in the radial dimension of a TRUS transducer. We demonstrate a solid optimization workflow based on the theoretical foundation to improve its spatiotemporal resolution, grating lobe artifacts, and signal-to-noise ratio. A specific design criterion was considered to outperform a clinical 3D TRUS imaging as a reference (TRUS-REF), where each radial plane is reconstructed with a single transmittance/reception event using a motorized actuator. The optimized TRUS-rSAF method significantly enhanced spatial resolution up to 50% over the TRUS-REF method while providing clinically effective temporal resolution (2-8 volume/sec) with negligible grating lobe artifacts. The results indicate that the proposed design approach would enable a novel TRUS imaging solution in clinics.

An FPGA-Accelerated Parallel Digital Beamforming Core for Medical Ultrasound Sector Imaging

Plane-wave transmission followed by parallel receive beamforming is popular among high frame rate (HFR) ultrasound (US) imaging methods. However, due to technological limitations, HFR imaging is not widely successful in clinical US. The proposed work aims to design a field-programmable gate array (FPGA)-accelerated parallel beamforming core for medical US sector imaging systems. This architecture supports up to 128 channels and forms 28 beams per plane wave transmission in parallel. A block random access memories (BRAMs)-based, 28-read one-write (28R1W) multi-ported delay line architecture is actualized to realize the delay line. In addition, to optimize the FPGA memory, the required beam focusing delays are stored in an external static random access memory (SRAM) and are loaded into the internal delay line registers by a cycle stealing direct memory access (DMA). The FPGA prototype validation and verification are performed on the custom-designed Xilinx-Kintex-7 XC7C410T FPGA-based US imaging platform. The results showed that for a field of view (FOV) of 90° with 0.5° resolution, 640×480 imaging size, a ft/s of 714 is achieved. The performance of the proposed parallel beamformer architecture is compared with existing development works and concluded that the architecture is superior due to its occupancy of FPGA hardware resources and the processing speed.

Transcranial photoacoustic characterization of neurovascular physiology during early-stage photothrombotic stroke in neonatal pigletsin vivo

OBJECTIVE

Perinatal ischemic stroke is estimated to occur in 1/2300-1/5000 live births, but early differential diagnosis from global hypoxia-ischemia is often difficult. In this study, we tested the ability of a hand-held transcranial photoacoustic (PA) imaging probe to non-invasively detect a focal photothrombotic stroke (PTS) within 2 h of stroke onset in a gyrencephalic piglet brain.

APPROACH

About 17 stroke lesions of approximately 1 cm²area were introduced randomly in anterior or posterior cortex via the light/dye PTS technique in anesthetized neonatal piglets (n= 11). The contralateral non-ischemic region served as control tissue for discrimination contrast for the PA hemoglobin metrics: oxygen saturation, total hemoglobin (tHb), and individual quantities of oxygenated and deoxygenated hemoglobin (HbO₂and HbR).

MAIN RESULTS

The PA-derived tissue oxygen saturation at 2 h yielded a significant separation between control and affected regions-of-interest (p< 0.0001), which were well matched with 24 h post-stroke cerebral infarction confirmed in the triphenyltetrazolium chloride-stained image. The quantity of HbO₂also displayed a significant contrast (p= 0.021), whereas tHb and HbR did not. The analysis on receiver operating characteristic curves and multivariate data analysis also agreed with the results above.

SIGNIFICANCE

This study shows that a hand-held transcranial PA neuroimaging device can detect a regional thrombotic stroke in the cerebral cortex of a neonatal piglet. In particular, we conclude that the oxygen saturation metric can be used alone to identify regional stroke lesions. The lack of change in tHb may be related to arbitrary hand-held imaging configuration and/or entrapment of red blood cells within the thrombotic stroke.

Hardware Architectures for Real-Time Medical Imaging

Medical imaging is considered one of the most important advances in the history of medicine and has become an essential part of the diagnosis and treatment of patients. Earlier prediction and treatment have been driving the acquisition of higher image resolutions as well as the fusion of different modalities, raising the need for sophisticated hardware and software systems for medical image registration, storage, analysis, and processing. In this scenario and given the new clinical pipelines and the huge clinical burden of hospitals, these systems are often required to provide both highly accurate and real-time processing of large amounts of imaging data. Additionally, lowering the prices of each part of imaging equipment, as well as its development and implementation, and increasing their lifespan is crucial to minimize the cost and lead to more accessible healthcare. This paper focuses on the evolution and the application of different hardware architectures (namely, CPU, GPU, DSP, FPGA, and ASIC) in medical imaging through various specific examples and discussing different options depending on the specific application. The main purpose is to provide a general introduction to hardware acceleration techniques for medical imaging researchers and developers who need to accelerate their implementations.

Integrated Circuits for Medical Ultrasound Applications: Imaging and Beyond

Medical ultrasound has become a crucial part of modern society and continues to play a vital role in the diagnosis and treatment of illnesses. Over the past decades, the development of medical ultrasound has seen extraordinary progress as a result of the tremendous research advances in microelectronics, transducer technology and signal processing algorithms. However, medical ultrasound still faces many challenges including power-efficient driving of transducers, low-noise recording of ultrasound echoes, effective beamforming in a non-linear, high-attenuation medium (human tissues) and reduced overall form factor. This paper provides a comprehensive review of the design of integrated circuits for medical ultrasound applications. The most important and ubiquitous modules in a medical ultrasound system are addressed, i) transducer driving circuit, ii) low-noise amplifier, iii) beamforming circuit and iv) analog-digital converter. Within each ultrasound module, some representative research highlights are described followed by a comparison of the state-of-the-art. This paper concludes with a discussion and recommendations for future research directions.

Automatic Measurement of the Carotid Blood Flow for Wearable Sensors: A Pilot Study

The assessment of the velocity of blood flowing in the carotid, in modern clinical practice, represents an important exam performed both in emergency situations and as part of scheduled screenings. It is typically performed by an expert sonographer who operates a complex and costly clinical echograph. Unfortunately, in developing countries, in rural areas, and even in crowded modern cities, the access to this exam can be limited by the lack of suitable personnel and ultrasound equipment. The recent availability of low-cost, handheld devices has contributed to solving part of the problem, but a wide access to the exam is still hampered by the lack of expert sonographers. In this work, an automated procedure is presented with the hope that, in the near future, it can be integrated into a low-cost, handheld instrument that is also suitable for self-measurement, for example, as can be done today with the finger oximeter. The operator should only place the probe on the neck, transversally with respect to the common tract of the carotid. The system, in real-time, automatically locates the vessel lumen, places the sample volume, and performs an angle-corrected velocity measurement of the common carotid artery peak velocity. In this study, the method was implemented for testing on the ULA-OP 256 scanner. Experiments on flow phantoms and volunteers show a performance in sample volume placement similar to that achieved by expert operators, and an accuracy and repeatability of 3.2% and 4.5%, respectively.

Towards A Pixel-Level Reconfigurable Digital Beamforming Core for Ultrasound Imaging

Ultrasound (US) imaging systems typically employ a single beamforming scheme which is the delay and sum (DAS) beamforming due to its reduced complexity. However, DAS results in images with limited resolution and contrast. The limitations of DAS have been overcome by, delay multiply and sum (DMAS) beamforming, making it especially preferable in cases where finer image details are required in larger depth of scans for an accurate diagnosis. But, DMAS is confined to transducer frequencies where the generated harmonics also fall in the processable frequency range of the US system. However, if US systems could provide the flexibility to reconfigure beamforming considering the restrictions of each beamforming scheme, it is possible to select the best beamforming according to the clinical requirement and system constraints. This work is a fundamental step towards enabling reconfigurable beamforming for on-the-fly selection among the DAS and DMAS beamforming schemes, with low reconfiguration overhead, specifically for each imaging scenario to aid better diagnosis. Two novel architectures are proposed, that reconfigures between DAS and DMAS beamforming as a function of transducer's center frequency with minimum additional computational overhead. The implementation results of the proposed architectures on xc7z010clg400-1 FPGA are reported. The possibilities of pixel-level beamforming reconfigurability, where the different tissue regions are beamformed with either DAS or DMAS are also shown through simulations.

Multi-Channel Signal-Generator ASIC for Acoustic Holograms

A complementary metal-oxide-semiconductor (CMOS) application-specific integrated circuit (ASIC) has been developed to generate arbitrary, dynamic phase patterns for acoustic hologram applications. An experimental prototype has been fabricated to demonstrate phase shaping. It comprises a cascadable 1 ×9 array of identical, independently controlled signal generators implemented in a 0.35- [Formula: see text] minimum-feature-size process. It can individually control the phase of a square wave on each of the nine output pads. The footprint of the integrated circuit is [Formula: see text]. A 128-MHz clock frequency is used to produce outputs at 8 MHz with a phase resolution of 16 levels (4 bits) per channel. A 6 ×6 air-coupled matrix array ultrasonic transducer was built and driven by four ASICs, with the help of commercial buffer amplifiers, for the application demonstration. Acoustic pressure mapping and particle manipulation were performed. In addition, a 2 ×2 array piezoelectric micromachined ultrasonic transducer (PMUT) was connected and driven by four output channels of a single ASIC, demonstrating the flexibility of the ASIC to work with different transducers and the potential for direct integration of CMOS and PMUTs.

A Computationally Efficient Mean Sound Speed Estimation Method Based on an Evaluation of Focusing Quality for Medical Ultrasound Imaging

Generally, ultrasound receive beamformers calculate the focusing time delays of fixed sound speeds in human tissue (e.g., 1540 m/s). However, phase distortions occur due to variations of sound speeds in soft tissues, resulting in degradation of image quality. Thus, an optimal estimation of sound speed is required in order to improve image quality. Implementation of real-time sound speed estimation is challenging due to high computational and hardware complexities. In this paper, an optimal sound speed estimation method with a low-cost hardware resource is presented. In the proposed method, the optimal mean sound speed is determined by measuring the amplitude variance of pre-beamformed radio-frequency (RF) data. The proposed method was evaluated with phantom and in vivo experiments, and implemented on Virtex-4 with Xilinx ISE 12.4 using VHDL. Experiment results indicate that the proposed method could estimate the mean optimal sound speed and enhance spatial resolution with a negligible increase in the hardware resource usage.

A Pseudo-Dynamic Delay Calculation Using Optimal Zone Segmentation for Ultra-Compact Ultrasound Imaging Systems

The implementation of dynamic delay calculations (DDCs) is challenging for ultra-compact ultrasound imaging due to the enormous computation and power consumption requirements. Here, we present an efficient pseudo-DDC method based on optimal zone segmentation (PDC-Optimal), which significantly decreases these requirements relative to an unconstrained DDC method: reductions in flip-flops of 84.35% and in look-up tables of 94.19%, respectively. The reductions lead to an up to 94.53% lower dynamic power consumption and provide image quality comparable to the unconstrained DDC method. The proposed PDC-Optimal method also provides adaptive flexibility between beamforming accuracy and battery life using the delay error allowance, a user-definable parameter. A conventional pseudo-DDC method using uniform zone segmentation (PDC-Conv) presented substantial image degradation in the near imaging field when the same number of zone segments was used. Therefore, the PDC-Optimal method provides an efficient yet flexible DDC solution to improve the experiences for ultra-compact ultrasound imaging system users.

Two-Stage Beamforming for Phased Array Imaging Using the Fast Hankel Transform

An ultrasound scan generates a huge amount of data. To form an image, this data has to be transferred to the imaging system. This is an issue for applications where the data transfer capacity is limited such as hand-held systems, wireless probes, and miniaturized array probes. Two-stage beamforming methods can be used to significantly reduce the data transfer requirements. In the first stage, which is applied in-probe, the amount of data is reduced from channel to scanline data. In the imaging system, the data are then beamformed to obtain images, which are synthetically focused over the entire image. Currently, two approaches exist for the second stage. The first approach is a time-of-flight (TOF) approach called synthetic aperture sequential beamforming (SASB), which has been developed for both linear and phased arrays. SASB does, however, introduce artifacts in the image that can be reduced by tapering the first-stage scanlines at the cost of lateral resolution. The second approach is based on the wave equation, but a computationally efficient method for phased arrays that is producing sector scan data is lacking. Here, we propose an algorithm that uses the fast Hankel transform to obtain a fast algorithm. The imaging performance of this method is evaluated with simulations and experiments. Compared with PSASB, which is an adaption of SASB for phased arrays, our method requires a similar amount of operations to construct the entire image and there is no tradeoff between resolution and artifacts. These results show the advantage of using the wave equation instead of a TOF approach.

Real-Time Lossless Compression Algorithm for Ultrasound Data Using BL Universal Code

Software-based ultrasound imaging systems provide high flexibility that allows easy and fast adoption of newly developed algorithms. However, the extremely high data rate required for data transfer from sensors (e.g., transducers) to the ultrasound imaging systems is a major bottleneck in the software-based architecture, especially in the context of real-time imaging. To overcome this limitation, in this paper, we present a Binary cLuster (BL) code, which yields an improved compression ratio compared to the exponential Golomb code. Owing to the real-time encoding/decoding features without overheads, the universal code is a good solution to reduce the data transfer rate for software-based ultrasound imaging. The performance of the proposed method was evaluated using in vitro and in vivo data sets. It was demonstrated that the BL-beta code has a good stable lossless compression performance of 20%~30% while requiring no auxiliary memory or storage.

Towards Ultrasound Everywhere: A Portable 3D Digital Back-End Capable of Zone and Compound Imaging

Ultrasound imaging is a ubiquitous diagnostic technique, but does not fit the requirements of the telemedicine approach, because it relies on the real-time manipulation and image recognition skills of a trained expert, called sonographer. Sonographers are only available in hospitals and clinics, negating or at least delaying access to ultrasound scans in many locales-rural areas, developing countries-as well as in medical rescue operations. Telesonography would require an advanced imager that supports three-dimensional (3-D) acquisition; this would allow untrained operators to acquire broad scans and upload them remotely for diagnosis. Such advanced imagers do exist, but do not meet several other requirements for telesonography, such as being portable, inexpensive, and sufficiently low power to enable battery operation. In this work, we present our prototype of the first portable 3-D digital ultrasound back-end system. The prototype is implemented in a single midrange Xilinx field programmable gate array (FPGA), for an estimated power consumption of 5 W. The device supports up to 1024 input channels, which is state of the art and could be scaled further, and supports multiple image reconstruction modes. We evaluate the resource utilization of the FPGA and provide various quality metrics to ascertain the output image quality.

Quadrature Synthetic Aperture Beamforming Front-End for Miniaturized Ultrasound Imaging

A quadrature synthetic aperture front-end receiver for B-mode ultrasound imaging is presented. The receiver targets small-scale imaging applications such as capsule endoscopy and low-cost portable devices. System complexity, area, power consumption, and cost are minimized using synthetic aperture beamforming (SAB), whereby signals are processed in a sequential manner using only a single channel. SAB is combined with quadrature (I/Q) sampling, which further reduces the bandwidth and computational load. I/Q demodulation is carried out using a full custom analog front-end (AFE), which comprises a low-noise, variable gain preamplifier, followed by a passive mixer, programmable gain amplifier (PGA) and active lowpass filter. A novel preamplifier design is proposed, with quasi-exponential time-gain control and low noise (${\text{5.42 nV}}/\sqrt{\text{Hz}}$ input-referred noise). Overall, the AFE consumes ${\text{7.8 mW}}$ (static power) and occupies ${\text{1.5}}\,\text{mm}\times {\text{1.5}}\,\text{mm}$ in AMS ${\text{0.35}}\,\mu \text{m}$ CMOS. Real-time SAB is carried out using a Spartan-6 FPGA, which dynamically apodises and focuses the data by interpolating and applying complex phase rotations to the I/Q samples. For a frame rate of ${\text{7}}\,\text{Hz}$ , the power consumption is ${\text{3.4}}\,\text{mW}/\text{channel}$ across an aperture of 64 elements. B-mode images were obtained using a database of ultrasound signals ( ${\text{2.5}}\,\text{MHz}$ center frequency) derived from a commercial ultrasound machine. The normalized root mean squared error between the quadrature SAB image and the RF reference image was ${\text{13}}\%$. Image quality/frame rate may be tuned by varying the degree of spatial compounding.

Comparison of synthetic aperture architectures for miniaturised ultrasound imaging front-ends

Background

Point of care ultrasonography has been the focus of extensive research over the past few decades. Miniaturised, wireless systems have been envisaged for new application areas, such as capsule endoscopy, implantable ultrasound and wearable ultrasound. The hardware constraints of such small-scale systems are severe, and tradeoffs between power consumption, size, data bandwidth and cost must be carefully balanced.

Methods

In this work, two receiver architectures are proposed and compared to address these challenges. Both architectures uniquely combine low-rate sampling with synthetic aperture beamforming to reduce the data bandwidth and system complexity. The first architecture involves the use of quadrature sampling to minimise the signal bandwidth and computational load. Synthetic aperture beamforming (SAB) is carried out using a single-channel, pipelined protocol suitable for implementation on an FPGA/ASIC. The second architecture employs compressive sensing within the finite rate of innovation framework to further reduce the bandwidth. Low-rate signals are transmitted to a computational back-end (computer), which sequentially reconstructs each signal and carries out beamforming.

Results

Both architectures were tested using a custom hardware front-end and synthetic aperture database to yield B-mode images. The normalised root-mean-squared-error between the quadrature SAB image and the RF reference image was \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$13\%$$\end{document}13% while the compressive SAB error was \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$22\%$$\end{document}22% for the same degree of spatial compounding. The sampling rate is reduced by a factor of 2 (quadrature SAB) and 4.7 (compressive SAB), compared to the RF sampling rate. The quadrature method is implemented on FPGA, with a total power consumption of \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$4.1 $$\end{document}4.1 mW, which is comparable to state-of-the-art hardware topologies, but with significantly reduced circuit area.

Conclusions

Through a novel combination of SAB and low-rate sampling techniques, the proposed architectures achieve a significant reduction in data transmission rate, system complexity and digital/analogue circuit area. This allows for aggressive miniaturisation of the imaging front-end in portable imaging applications.

Efficient Sample Delay Calculation for 2-D and 3-D Ultrasound Imaging

Ultrasound imaging is a reference medical diagnostic technique, thanks to its blend of versatility, effectiveness, and moderate cost. The core computation of all ultrasound imaging methods is based on simple formulae, except for those required to calculate acoustic propagation delays with high precision and throughput. Unfortunately, advanced three-dimensional (3-D) systems require the calculation or storage of billions of such delay values per frame, which is a challenge. In 2-D systems, this requirement can be four orders of magnitude lower, but efficient computation is still crucial in view of low-power implementations that can be battery-operated, enabling usage in numerous additional scenarios. In this paper, we explore two smart designs of the delay generation function. To quantify their hardware cost, we implement them on FPGA and study their footprint and performance. We evaluate how these architectures scale to different ultrasound applications, from a low-power 2-D system to a next-generation 3-D machine. When using numerical approximations, we demonstrate the ability to generate delay values with sufficient throughput to support 10 000-channel 3-D imaging at up to 30 fps while using 63% of a Virtex 7 FPGA, requiring 24 MB of external memory accessed at about 32 GB/s bandwidth. Alternatively, with similar FPGA occupation, we show an exact calculation method that reaches 24 fps on 1225-channel 3-D imaging and does not require external memory at all. Both designs can be scaled to use a negligible amount of resources for 2-D imaging in low-power applications and for ultrafast 2-D imaging at hundreds of frames per second.

Development of a Low-Complexity, Cost-Effective Digital Beamformer Architecture for High-Frequency Ultrasound Imaging

This paper presents a low-complexity, cost-effective digital beamformer architecture for a high-frequency ultrasound imaging system. The proposed beamformer uses a lookup table and linear interpolation methods for computing the dynamic receive focusing delays and a postfiltering technique to minimize hardware complexity. In the postfiltering technique, channel radio-frequency data having the same fractional delay (i.e., 16f₀ resolution) are aggregated prior to interpolation. Thus, only four polyphase structure filters are required in the developed beamformer. In addition, a quadrature bandpass filter that generates an analytic signal is utilized as an interpolation filter; this allows decimation during beam formation and a reduction in computational complexity. The proposed method was evaluated through a 20- [Formula: see text] wire phantom experiment, and the -6-dB lateral and axial resolutions obtained therein were measured and compared with those obtained using a conventional method. The same lateral (165 [Formula: see text]) and axial (80 [Formula: see text]) resolutions at a depth of 5.6 mm were obtained using both the methods, and the proposed method could reduce the beamforming points (i.e., computational complexity) by a factor of the decimation factor (≥4). Images from an excised bovine eye were captured; they showed that the proposed beamformer identified fine anatomical structures such as cornea or iris without compromising the spatial resolution and reduced the computational complexity.

Ultrasonographically locating the mental foramen and its soft tissue relations

OBJECTIVES

This ultrasound-based cross-sectional study aimed to visualize, locate and compare the position of the mental foramen with regard to its relationship to various soft tissue landmarks.

METHODS

100 Black and Caucasian subjects were included. An ultrasound transducer was used to locate the mental foramina. Distances to various landmarks were measured and compared.

RESULTS

All mental foramina were visualized. The mean soft tissue distance of the entire group from the mental foramen on the right and left sides, respectively, were as follows: (a) 3.4 mm [standard deviation (SD) 1.7 mm] and 3.4 mm (SD 1.5 mm) lateral to a vertical line passing through the chelion; (b) 20.1 mm (SD 2.6 mm) and 20.1 mm (SD 2.6 mm) distal to a horizontal line bisecting the chelions; (c) 15.1 mm (SD 2.4 mm) and 15.0 mm (SD 2.4 mm) proximal to the inferior border of the mandible. We found no statistically significant differences between race groups, between gender group and between age categories with regard to the horizontal soft tissue distance from a vertical line passing through the chelion to the mental foramen on the right or left sides. There were statistically significant (but not clinically significant) differences between race groups and between gender groups but not between age groups with regard to the vertical soft tissue distance from a horizontal line bisecting the chelions to the mental foramen as well as from the inferior border of the mandible to the mental foramen on both the right and left sides.

CONCLUSIONS

This study suggests that ultrasound is a feasible imaging modality that can be utilized to locate the mental foramen. Differences in the position of the mental foramen with regard to various soft tissue landmarks are minor and clinically insignificant.