Cheong, Mathew

Bladder wall mechanical properties are important indicators of bladder compliance. This study compares the effectiveness of the Kelvin-Voigt, Maxwell, and fractional Kelvin-Voigt rheological models in capturing the mechanical properties of normal (compliant) and aberrant (non-compliant) ex-vivo pig bladder walls. Bladders were filled to different volumes, varying their thickness and internal pressure, and excited by the acoustic radiation force. Pulse-echo ultrasound imaged anti-symmetrical Lamb waves traveling along the bladder wall. Two-dimensional Fourier analysis generated velocity-frequency dispersion curves for the Lamb wave propagation. Fitting these experimental curves against theoretical curves from the models yielded values for bladder elasticity and viscosity. Pressure, measured simultaneously, was used as a point of comparison with elasticity. Our findings indicate an increasing trend in both elasticity for the rheological models and recorded pressure with increasing volume. This rate was observed to be significantly higher in aberrant bladders than intact bladders for the Maxwell and fractional Kelvin-Voigt models (p-value of 0.0082). Additionally, all three models showed a similar strong correlation (greater than 0.9) between pressure and elasticity. These findings provide a foundation for selecting an appropriate bladder wall rheology model which can potentially be used in evaluation of human bladder mechanical properties. [Work supported by NIH grant DK99231.]

Healthy human bladder is a viscoelastic shell capable of expanding to allow storage of urine at low pressures. The ability to maintain low pressures as the urine volume increases is called bladder compliance. Compliance is a key in proper functioning of urinary system. Spinal cord injuries and other neurogenic diseases can cause deterioration in bladder expansion capability (e.g., through excessive growth of fibrotic tissue), which in turn can increase the rigidity of the wall and reduce bladder compliance. Urodynamic study (UDS) is the clinical standard for evaluation of the bladder compliance through observation of bladder pressure-volume behavior. However, this method is costly and invasive. Ultrasound bladder vibrometry (UBV) has been introduced as noninvasive technique for evaluation of bladder viscoelasticity through excitation of the bladder using ultrasound radiation force and tracking the resulting Lamb waves. Here, we present the results of UBV from 44 patients undergoing concurrent UDS and UBV studies. Our results show that elasticity parameters obtained from the UBV closely correlate with the UDS pressure-volume data with a median Pearson’s correlation value of more than 0.8. These results prove the potential utility of UBV as an alternative noninvasive method for bladder compliance assessment. [Work supported by NIH grant DK99231.]

In this work, an ultrasound-guided remote measurement technique is proposed for bone demineralization assessment. Utilizing an acoustic radiation force (ARF) beam as our excitation source and a receiving hydrophone, the mechanical properties of a bone can be noninvasively assessed. Focusing the ARF beam on the bone surface acts as point force generating vibrational waves. Coupling the bone surface and hydrophone, the ensuing radiating acoustic pressure from these vibrational waves are captured for analysis. Of particular interest, are the features best related to the bone’s mechanical properties. Conducting ex-vivo experiments demonstrated that the velocity feature best delineates intact and demineralized bones. The typical velocity of an intact bone (3000 m/s) is higher in comparison to a 72 h demineralized bone (1600 m/s). According to the receiver operating characteristic (ROC) curve, the optimal velocity cut-off value of 3096 m/s yields 80% sensitivity and 82.61% specificity between the intact and demineralized bones. Other features, such as the spectra of the demineralized bones’ acoustic response, exhibited higher attenuation for frequencies below 200 kHz in comparison to the intact bones. A time-frequency analysis demonstrated a frequency shift with demineralization. These results demonstrate the potential application of our proposed technique for monitoring bone demineralization.