Ultrasound Color-Flow Imaging on a Programmable System

An optimized ultrasound digital beamformer with dynamic focusing implemented on FPGA

We present a resource-optimized dynamic digital beamformer for an ultrasound system based on a field-programmable gate array (FPGA). A comprehensive 64-channel receive beamformer with full dynamic focusing is embedded in the Altera Arria V FPGA chip. To improve spatial and contrast resolution, full dynamic beamforming is implemented by a novel method with resource optimization. This was conceived using the implementation of the delay summation through a bulk (coarse) delay and fractional (fine) delay. The sampling frequency is 40 MHz and the beamformer includes a 240 MHz polyphase filter that enhances the temporal resolution of the system while relaxing the Analog-to-Digital converter (ADC) bandwidth requirement. The results indicate that our 64-channel dynamic beamformer architecture is amenable for a low power FPGA-based implementation in a portable ultrasound system.

Ultrasound phase rotation beamforming on multi-core DSP

Phase rotation beamforming (PRBF) is a commonly-used digital receive beamforming technique. However, due to its high computational requirement, it has traditionally been supported by hardwired architectures, e.g., application-specific integrated circuits (ASICs) or more recently field-programmable gate arrays (FPGAs). In this study, we investigated the feasibility of supporting software-based PRBF on a multi-core DSP. To alleviate the high computing requirement, the analog front-end (AFE) chips integrating quadrature demodulation in addition to analog-to-digital conversion were defined and used. With these new AFE chips, only delay alignment and phase rotation need to be performed by DSP, substantially reducing the computational load. We implemented the delay alignment and phase rotation modules on a Texas Instruments C6678 DSP with 8 cores. We found it takes 200 μs to beamform 2048 samples from 64 channels using 2 cores. With 4 cores, 20 million samples can be beamformed in one second. Therefore, ADC frequencies up to 40 MHz with 2:1 decimation in AFE chips or up to 20 MHz with no decimation can be supported as long as the ADC-to-DSP I/O requirement can be met. The remaining 4 cores can work on back-end processing tasks and applications, e.g., color Doppler or ultrasound elastography. One DSP being able to handle both beamforming and back-end processing could lead to low-power and low-cost ultrasound machines, benefiting ultrasound imaging in general, particularly portable ultrasound machines.

A single FPGA-based portable ultrasound imaging system for point-of-care applications

We present a cost-effective portable ultrasound system based on a single field-programmable gate array (FPGA) for point-of-care applications. In the portable ultrasound system developed, all the ultrasound signal and image processing modules, including an effective 32-channel receive beamformer with pseudo-dynamic focusing, are embedded in an FPGA chip. For overall system control, a mobile processor running Linux at 667 MHz is used. The scan-converted ultrasound image data from the FPGA are directly transferred to the system controller via external direct memory access without a video processing unit. The potable ultrasound system developed can provide real-time B-mode imaging with a maximum frame rate of 30, and it has a battery life of approximately 1.5 h. These results indicate that the single FPGA-based portable ultrasound system developed is able to meet the processing requirements in medical ultrasound imaging while providing improved flexibility for adapting to emerging POC applications.

New adaptive clutter rejection for ultrasound color Doppler imaging: in vivo study

Clutter rejection is essential for accurate flow estimation in ultrasound color Doppler imaging. In this article, we present a new adaptive clutter rejection (ACR) technique where an optimum filter is dynamically selected depending upon the underlying clutter characteristics (e.g., tissue acceleration and power). We compared the performance of the ACR method with other adaptive methods, i.e., down-mixing (DM) and adaptive clutter filtering (ACF), using in vivo data acquired from the kidney, liver and common carotid artery. With the kidney data, the ACR method provided an average improvement of 3.05 dB and 1.7 dB in flow signal-to-clutter ratio (SCR) compared with DM and ACF, respectively. With the liver data, SCR was improved by 2.75 dB and 1.8 dB over DM and ACF while no significant improvement with ACR was found in the common carotid artery data. Thus, the proposed adaptive method could provide more accurate flow estimation by improving clutter rejection in abdominal ultrasound color Doppler imaging pending validation.

Tissue vibration pulsatility for arterial bleeding detection using Doppler ultrasound

Trauma is the number one cause of death among Americans between 1 and 44 years old, and exsanguination due to internal bleeding resulting from arterial injuries is a major factor in trauma deaths. We have evaluated the feasibility of using tissue vibration pulsatility in arterial bleeding detection. Eight femoral arteries from four juvenile pigs were punctured transcutaneously with a 6 or 9-French catheter. Also, 11 silicone vessels wrapped with turkey breast were placed in a pulsatile flow phantom and penetrated with an 18-gauge needle. The tissue vibration pulsatility was derived as a ratio of the maximum spectral energy from 200 to 2500 Hz of tissue vibration in systole over a baseline value in diastole. Then, the tissue vibration pulsatility index (TVPI) was defined as the maximum tissue vibration pulsatility value for each experimental condition. Both in vitro and in vivo results showed that the TVPI from injured vessels is significantly higher (p<0.005) than that of intact vessels. In addition, we constructed the 2D map of tissue vibration pulsatility during in vitro studies and found that it could be used for spatial localization of the puncture site. Our preliminary results indicate that the tissue vibration pulsatility may be useful for detecting arterial bleeding and localizing the bleeding site.

Image quality evaluation with a new phase rotation beamformer

Over the last few decades, dynamic focusing based on digital receive beamforming (DRBF) has led to significant improvements in image quality. However, it is computationally very demanding due to its requirement for multiple lowpass filters (e.g., a complex filter for each receive channel in quadrature demodulation-based phase rotation beamformers (QD-PRBF)). We recently developed a novel phase rotation beamformer with reduced complexity, which can lower: 1) the number of lowpass filters using 2-stage demodulation (TSD) and 2) the number of beamforming points using adap tive field-of-view (AFOV) imaging. In TSD, dynamic focusing is performed on the mixed signals, while sampling frequency of the beamformed signal (i.e., beamforming frequency) is adjusted based on the displayed field-of-view (FOV) size in AFOV imaging. In this paper, the image quality of the developed beamformer (i.e., TSD-AFOV-PRBF) has been quantitatively evaluated using phantom and in vivo data. From the phantom study, it was found that TSD-AFOV-PRBF with only 1024 beamforming points provides comparable image quality to QD-PRBF. We obtained a median contrast resolution (CR) degradation of 7.6% for the FOV size of 160 mm. Image quality steadily improves with FOV size reduction (e.g., 2.3% CR degradation at 85 mm). Similar results were also obtained from an in vivo study. Thus, TSD-AFOV-PRBF could provide comparable image quality to conventional beamformers at considerably reduced computational cost.

Research interface on a programmable ultrasound scanner

MOTIVATION

Commercial ultrasound machines in the past did not provide the ultrasound researchers access to raw ultrasound data. Lack of this ability has impeded evaluation and clinical testing of novel ultrasound algorithms and applications.

OBJECTIVES

Recently, we developed a flexible ultrasound back-end where all the processing for the conventional ultrasound modes, such as B, M, color flow and spectral Doppler, was performed in software. The back-end has been incorporated into a commercial ultrasound machine, the Hitachi HiVision 5500. The goal of this work is to develop an ultrasound research interface on the back-end for acquiring raw ultrasound data from the machine.

METHODS

The research interface has been designed as a software module on the ultrasound back-end. To increase the amount of raw ultrasound data that can be spooled in the limited memory available on the back-end, we have developed a method that can losslessly compress the ultrasound data in real time.

RESULTS AND DISCUSSION

The raw ultrasound data could be obtained in any conventional ultrasound mode, including duplex and triplex modes. Furthermore, use of the research interface does not decrease the frame rate or otherwise affect the clinical usability of the machine. The lossless compression of the ultrasound data in real time can increase the amount of data spooled by approximately 2.3 times, thus allowing more than 6s of raw ultrasound data to be acquired in all the modes. The interface has been used not only for early testing of new ideas with in vitro data from phantoms, but also for acquiring in vivo data for fine-tuning ultrasound applications and conducting clinical studies. We present several examples of how newer ultrasound applications, such as elastography, vibration imaging and 3D imaging, have benefited from this research interface. Since the research interface is entirely implemented in software, it can be deployed on existing HiVision 5500 ultrasound machines and may be easily upgraded in the future.

CONCLUSIONS

The developed research interface can aid researchers in the rapid testing and clinical evaluation of new ultrasound algorithms and applications. Additionally, we believe that our approach would be applicable to designing research interfaces on other ultrasound machines.

Ultrasonic technique for imaging tissue vibrations: preliminary results

We propose an ultrasound (US)-based technique for imaging vibrations in the blood vessel walls and surrounding tissue caused by eddies produced during flow through narrowed or punctured arteries. Our approach is to utilize the clutter signal, normally suppressed in conventional color flow imaging, to detect and characterize local tissue vibrations. We demonstrate the feasibility of visualizing the origin and extent of vibrations relative to the underlying anatomy and blood flow in real-time and their quantitative assessment, including measurements of the amplitude, frequency and spatial distribution. We present two signal-processing algorithms, one based on phase decomposition and the other based on spectral estimation using eigen decomposition for isolating vibrations from clutter, blood flow and noise using an ensemble of US echoes. In simulation studies, the computationally efficient phase-decomposition method achieved 96% sensitivity and 98% specificity for vibration detection and was robust to broadband vibrations. Somewhat higher sensitivity (98%) and specificity (99%) could be achieved using the more computationally intensive eigen decomposition-based algorithm. Vibration amplitudes as low as 1 mum were measured accurately in phantom experiments. Real-time tissue vibration imaging at typical color-flow frame rates was implemented on a software-programmable US system. Vibrations were studied in vivo in a stenosed femoral bypass vein graft in a human subject and in a punctured femoral artery and incised spleen in an animal model.