Greenleaf, James F.

Pulse wave velocity (PWV) is widely used for estimating the stiffness of an artery. It is well known that a stiffened artery can be associated with disease and aging. Usually, PWV is measured using the foot-to-foot time-delay method. However, the foot of the pulse wave cannot be accurately determined due to reflected waves. In addition, PWV is an average indicator of artery stiffness between the two measuring points. We propose to generate a wave in the artery wall using localized ultrasound radiation force. The wave velocity can be measured accurately by the phase change versus distance over a few millimeters. A mathematical model is developed by which the real part of the complex Young’s modulus of the artery can be determined from measured wave velocities. The imaginary part of the complex modulus can be assessed by the wave amplitude decay over distance. Experiments were conducted on a pig carotid artery in gelatin. The measured wave velocity is about 3 m/s at 100 Hz and 6.5 m/s at 500 Hz. The real part of complex modulus is estimated to be 300 kPa. The present technique offers a new method for estimating the complex elastic modulus of the artery over a short length.

Order statistics filters are nonlinear filters that suppress impulsive and Gaussian noise while preserving edges. These features are particularly useful for cardiac boundary detection in ultrasound images. Based on these facts, we have analyzed performance of a combined ranked order statistics filter. The filter subtracts ranks of ordered highest and lowest intensity values of pixels encompassed in a filter window. The rank extent and window size selection allow adjustment of filter properties for a particular application. Increasing the rank fosters the low-pass characteristics of the filter. Increasing the window size supports noise removal but reduces anatomic selectivity. The filter highlights cardiac boundaries in clinical echocardiograms with intensity proportional to the local probability of a presence of the boundary.

The cardiovascular diseases such as atherosclerosis, coronary artery disease, hypertension and diastolic dysfunction have been associated with arterial stiffening and decreased ventricular compliance. Noninvasive techniques capable of quantifying elasticity and viscosity of cardiovascular tissues could facilitate early diagnosis and improve treatment. Here, we present a technique that uses focused ultrasound radiation force to excite mechanical waves in the tissue of interest and pulse echo to track the tissue deformation. Analysis of tissue deformation as a function of time using Fourier transforms allows calculation of the phase wave velocity dispersion (change of velocity as a function of frequency) of various modes of deformation. Continuum mechanics equations governing the motion of a viscoelastic plate and a tube are used to model the myocardial wall and arteries, respectively. Dispersion equations are derived for the two geometries and fit to the measured velocity dispersion to estimate tissue elasticity and viscosity. ECG-gated in vivo measurements of porcine myocardial and arterial elasticity and viscosity through a heart cycle are reported. The results show that both elasticity and viscosity increase during systole and decrease during diastole in the myocardium and arteries, consistent with underlying physiology.

Arterial elasticity has been proposed as an independent predictor of cardiovascular diseases and mortality. Identification of the different propagating modes in thin shells can be used to characterize the elastic properties. Ultrasound radiation force was used to generate local mechanical waves in the wall of a urethane tube or an excised pig carotid artery. The waves were tracked using pulse-echo ultrasound. A modal analysis using two-dimensional discrete fast Fourier transform was performed on the time–space signal. This allowed the visualization of different modes of propagation and characterization of dispersion curves for both structures. The urethane tube/artery was mounted in a metallic frame, embedded in tissue-mimicking gelatin, cannulated, and pressurized over a range of 10–100 mmHg. The k-space and the dispersion curves of the urethane tube showed one mode of propagation, with no effect of transmural pressure. Fitting of a Lamb wave model estimated Young’s modulus in the urethane tube around 560 kPa. Young’s modulus of the artery ranged from 72 to 134 kPa at 10 and 100 mmHg, respectively. The changes observed in the artery dispersion curves suggest that this methodology of exciting mechanical waves and characterizing the modes of propagation has potential for studying arterial elasticity.

Arterial elasticity has gained importance in the past decades as it has been shown to be an independent predictor of cardiovascular diseases. Ultrasound radiation force has been used to excite propagating waves in arterial vessels in order to measure the wave speeds and characterize the elastic properties of the vessels. Excised pig carotid arteries were excited with impulsive radiation force using 3-MHz tonebursts of length 200, and the propagating waves were measured along the length of the artery over a distance of 2 cm. A 2-D fast Fourier transform was performed on the spatiotemporal data for identification of several propagating modes in the vessel. Multiple propagating modes could be visualized from the spatiotemporal data that varied with the transmural pressure of the artery under investigation over a range of 10–100 mm Hg. The modes present in the data were fitted with a theoretical model to estimate the elasticity of the arteries. The comparison with the model provides insight into characterizing the elastic properties of the artery. [This work was supported in part by NIH Grant no. EB002640.]

Cardiovascular disease (CVD) has been the number one killer in the United States. It has long been recognized that a high percentage of all cardiovascular disease is associated with the hardening of arteries or arteriosclerosis. Several imaging techniques, including x-ray angiography, ultrasound, magnetic resonance imaging (MRI), etc., are available for imaging atherosclerotic arteries. Most imaging techniques measure luminal diameter, wall thickness and plaque volume. However, no current imaging methods can measure elasticity of the arterial wall. Pulse wave velocity (PWV) is a simple and robust method to measure arterial stiffness. However, PWV can not evaluate the local arterial stiffness. We have developed a novel ultrasound method for estimating local elasticity of arteries by the wave speed dispersion. In this paper, we present a method to measure the wave speed dispersion by resonance. Theory was developed to calculate the wave speed in cylindrical tubes. Experiments were done on a rubber tube. The resonance of the tube was generated by an air-coupled ultrasound transducer. The resonance frequency was measured by a laser vibrometer. Theoretical and experimental wave dispersions were compared. This method may be useful in characterizing the elastic properties of arterial samples where the wave speed dispersion can not be easily measured.

Pulse wave velocity (PWV) is widely used for estimating the stiffness of an artery. PWV is measured by the time of travel of the “foot” of the pressure wave over a known distance. This technique has a low time resolution and is an average measurement of artery stiffness between the two measuring positions. In this paper an arterial wave is generated non-invasively in the vessel wall by the radiation force of ultrasound. The wave velocity in the vessel is measured non-invasively by ultrasound with high time resolution over a short distance of a few millimeters.

Arterial elasticity is an independent predictor of cardiovascular disease and mortality. Measurment of waves in thin shells can be used to estimate the circumferential and the longitudinal elastic moduli. Latex tubes and excised pig arteries were used as isotropic and anisotropic models. Waves were generated using focused ultrasound (1 ms, 3 MHz) in different locations of the wall. The modes of propagation of the waves were detected with a laser vibrometer or an ultrasound pulse echo tool while the excitation was moved known distances. Bending waves were predominant when exciting in the center of the wall, while a combination of torsion and bending waves resulted from exciting off center. Wave speeds of 15 m/s and 5 m/s respectively, were measured for the bending waves. Using the Moens-Korteweg equation, values of 1.1 and 0.350 MPa were found for the longitudinal elastic modulus in the tube and artery respectively. Generation of different modes in the tubes and arteries is possible using focused ultrasound. Elastic components of the tubes and vessels in the longitudinal and the circumferential direction can be estimated from the speed of propagation and the frequency of the bending and the torsional waves.

Vibro-acoustography (VA) is an imaging modality that uses the radiation force of ultrasound to vibrate tissue at a low frequency and records the resulting acoustic field to produce an image that is represents object characteristics at both ultrasound as well as low (audio) frequencies. Currently, B-mode ultrasound is used for prostate imaging. This imaging method has some limitations, including the speckle noise, which limit its ability in detection of lesions and calcifications. The purpose of this study is to explore the potentials of VA for prostate imaging. VA, B-mode ultrasound, and radiography were performed on 12 excised human prostate samples and the resulting images were compared. VA system parameters were, center frequency 3 MHz, Δf=50 kHz, image area 5×5 cm, pixel size 0.2×0.2 mm. Images evaluated in terms of visibility of anatomical and pathological structures and contrast. Results showed that prostate anatomical structures, mass lesions, and calcifications were visible in the VA images taken at different depths, and VA image quality was superior to B-mode. VA images exhibited significant contrast between the central and peripheral zones with enhanced borders. It is concluded that, with further development, VA may become suitable modality for in prostate imaging.

Arterial wall stiffness can be associated with various diseases. The stiffness of an artery can be assessed by measurement of the pulse wave velocity (PWV). Usually, PWV is estimated using the foot-to-foot method. However, the foot of the pressure wave is not very clear due to reflected waves. Also, the blood pressure wave generated by the heart is normally a low frequency wave, hence the time resolution is low. PWV is an average indicator of artery stiffness between two measuring locations, therefore, it is not easy to identify local stiffness. In this paper a short external pulse is generated in an artery by the radiation force of ultrasound. The propagation velocity of the pulse wave is measured along the artery. The temporal resolution of this method, which is in the range of microseconds, is much higher than the conventional pressure PWV method, and therefore allows the wave velocity to be measured accurately over a few millimeters.