Citations

Shear wave elastography is a method for quantitatively measuring the mechanical properties of soft tissues. Shear wave attenuation is high in soft tissues and increases with frequency. In a recent work, high resolution and accuracy can be reached at higher temporal frequencies. To combat the high shear wave attenuation and to obtain higher accuracy and lower variability, we propose to combine acoustic radiation force excitations that have multiple push beams and high temporal frequencies. Multiple push beams were generated with multiple focused beams and multiple intersecting unfocused beams. Measurements made with tonebursts of ultrasound with length 200 μs repeated at 500 and 1000 Hz were compared against a single toneburst. Measurements were made in commercial homogeneous and heterogeneous phantoms. Wave velocity images were reconstructed from the acquired data. The accuracy and variance were evaluated in the homogeneous phantoms. The contrast and accuracy were evaluated in the heterogeneous phantoms. In both types of phantoms, the magnitude at selected frequencies will be compared among the different excitations. The frequency bandwidth for each excitation will be compared. This work highlights that the combination of multiple push beams and excitations with high temporal frequencies can be combined for improved imaging in shear wave elastography.

Ultrasound shear wave elastography (SWE) is a promising imaging modality used for noninvasive, quantitative evaluation of tissue mechanical properties. This method uses an acoustic radiation force to produce laterally propagating shear waves that can be tracked to obtain the wave velocity. One of the ways to explore the viscoelasticity is through examining the shear wave velocity dispersion curves. In this paper, we present an alternative method to the classical two-dimensional Fourier transform (2D-FT), a two-point wavelet transformation method. We use the Morlet wavelet function as the mother wavelet to filter two shear waves at different locations. We examined how starting distance from the push and distance between the two locations affected the shear wave velocity dispersion. We tested this method on digital phantom data created using local interaction simulation approach (LISA) in viscoelastic media and on data acquired from phantom experiments. We compared results from the two-point method with the 2D-FT technique. The two-point method provided dispersion curves estimation with lower errors over a wider frequency band. Tests conducted showed that the two-point technique gives results with better accuracy in simulation results and can be used to measure phase velocity of viscoelastic materials.

Background: Flow diverters (FD) are increasingly used in the treatment of intracranial aneurysms. The risk of distal thromboembolic complications with FD is high, even in patients treated with dual antiplatelet therapy. The aim of the study was to understand the downstream vascular wall changes, by measuring the pulse wave velocity and vascular contractility following flow diverter treatment in a rabbit model. Methods: FD (Pipeline Embolic Device, Medtronic) were implanted in normal rabbits and sham-operated aorta were used as controls (n=5 for each group). Pulse wave imaging with ultra-fast ultrasound at 1600 frames per second (Vantage, Verasonics, Inc.) was performed in the vessel wall distal to FD, prior to device implantation and at 8 weeks follow up to measure the pulse wave propagation. Force contraction studies were conducted in the aortic rings using organ bath to assess the vascular functions. Results: The difference in pulse wave velocity (PWV) in the follow-up compared to pre-implantation was significantly higher (p=0.03,Fig 1A) in the distal vessels compared to sham controls (mean difference of PWV was 1.18 m/s and -0.37m/s, respectively as shown in Fig 1B). Conversely, the distal aortic segments to FD exhibited 55% increase in the level of vascular contractility compared to that of proximal segments (p=0.002). There is a significant positive correlation between mean PWV and mean vascular contractility. Conclusion: Our study found changes in the PWV after implantation of the FD, which correlated with vascular contractility. These results could explain vascular wall changes downstream following FD implantation.

As shown in a recent study, estimation of the magnitude of the acoustic radiation force (ARF) in isotropic tissue-like solids is the key to measuring a third-order nonlinear modulus of elasticity (C)—responsible for coupling the shear and volumetric constitutive responses of a material. Due to experimental limitations, a direct measurement of the ARF in tissue is however difficult. To overcome this problem, we deploy 3D elastodynamic finite element (EFE) simulations of the ARF experiment in tissue-mimicking phantoms to estimate (i) the “background” shear modulus from the phase of the induced shear waves; (ii) the ARF magnitude from the shear wave amplitude, and (iii) the modulus C from the knowledge of the ARF. In this way, by interpreting the ARF-generated shear waves through the prism of 3D-EFE simulations, we facilitate local estimation of the nonlinear C modulus with spatial resolution equaling the size of the focal region. We call this method the C-Elastography (CE). In this study, the CE technique is applied to gelatin phantoms containing an agar-based inclusion. The profiles of the C-modulus in phantoms tested demonstrate good correlation with the phantom geometry, showing marked (and sharp) C-contrast at push points acting on the inclusion. [Acknowledgment: NIH-Grant EB23113.]

Shear wave elastography is being increasingly used for multiple applications including investigation of diffuse disease in the liver or kidney and malignancies or neoplasms in the breast and thyroid. It is important to provide robust and accurate reconstructions of shear wave velocity (SWV) for imaging purposes to provide reliable data for diagnosis. One such approach was a two-dimensional method for estimating SWV (Song, et al., Ultrasound Med. Biol. 40, pp. 1343–1355, 2014). This method uses a weighted average using a large window and smaller patches to perform time-domain cross-correlations for the calculation of the SWV. We also implemented a spatial sigmoid weighting to combine reconstruction results from independent reconstructions after directional filtering. We used a Verasonics system equipped with a linear array transducer to conduct a parametric study in phantoms to investigate the effects of the window and patch on image reconstruction metrics. Measurements were made in homogeneous phantoms and in a phantom with cylindrical inclusions of different diameters. Larger windows and patches typically yielded low variability but did not always produce the highest contrast. This investigation is the basis for an adaptive method for reconstructing SWV in soft tissues and choosing optimal parameters for the SWV reconstruction.

We recently developed a fast approach for simulating shear waves generated by an acoustic radiation force. The input for these simulations is generated in FOCUS, the “Fast object-oriented C + + simulator” (www.egr.msu.edu/~fultras-web), which rapidly models the three-dimensional (3D) pressure, intensity, and acoustic radiation force on a desktop computer. The shear waves generated by the acoustic radiation force are then quickly simulated with Green's functions for viscoelastic media in a two-dimensional (2D) plane on a high-performance graphics processing unit (GPU). For these simulations, an L7-4 linear array is electronically focused at a depth of 25 mm to generate an acoustic radiation force “push” for 200 microseconds. The simulation results are compared to shear wave data measured in three viscoelastic shear wave phantoms with low, medium, and high values of the shear viscosity using a Verasonics Vantage ultrasound system. The measured and simulated shear wave data are compared for several different combinations of the simulation parameters, where these comparisons are enabled by the rapid acoustic radiation force and shear wave simulations. The results show that the shear waves simulated in 2D planes achieve good agreement with the measured shear wave data. [Work supported in part by NIH Grants EB023051 and DK092255.]

Arterial stiffness is a well-known biomarker of early cardiovascular disease. Shear wave dispersion ultrasound vibrometry (SDUV) has emerged as a promising technique to estimate local arterial stiffness from the observed dispersion of guided waves. With the ultimate goal of developing real-time inversion for arterial stiffness from SDUV measurements, we develop and validate highly efficient and accurate computational algorithms that compute the wave dispersion in multi-layered immersed tubes. The proposed approach carefully combines Fourier transformation and one-dimensional finite-element discretization to accurately capture fully three-dimensional wave propagation. The method is several orders of magnitude more efficient than three-dimensional finite element simulation, and eliminates other complexities such as the need for absorbing boundary conditions. The method is validated using SDUV experiments on tissue-mimicking phantoms. The validation exercise uncovered an important detail that is often overlooked—the dispersion curve captured through SDUV experiments does not correspond to a single dispersion curve, but a combination of multiple dispersion curves. This implies that proper identification of the dispersion curves could be critical to estimating the arterial stiffness. In this talk, we present the details of the proposed method including formulation, computational complexity, verification and validation.

Abstract Diastolic dysfunction causes close to half of congestive heart failures and is associated with increased stiffness in left-ventricular myocardium. A clinical tool capable of measuring viscoelasticity of the myocardium could be beneficial in clinical settings. We used Lamb wave Dispersion Ultrasound Vibrometry (LDUV) for assessing the feasibility of making in vivo non-invasive measurements of myocardial elasticity and viscosity in pigs. In vivo open-chest measurements of myocardial elasticity and viscosity obtained using a Fourier space based analysis of Lamb wave dispersion are reported. The approach was used to perform ECG-gated transthoracic in vivo measurements of group velocity, elasticity and viscosity throughout a single heart cycle. Group velocity, elasticity and viscosity in the frequency range 50–500 Hz increased from diastole to systole, consistent with contraction and relaxation of the myocardium. Systolic group velocity, elasticity and viscosity were 5.0 m s −1 , 19.1 kPa, 6.8 Pa · s, respectively. In diastole, the measured group velocity, elasticity and viscosity were 1.5 m s −1 , 5.1 kPa and 3.2 Pa · s, respectively.

Abstract Arterial stiffness is found to be an early indicator of many cardiovascular diseases. Among various techniques, shear wave elastography has emerged as a promising tool for estimating local arterial stiffness through the observed dispersion of guided waves. In this paper, we develop efficient models for the computational simulation of guided wave dispersion in arterial walls. The models are capable of considering fluid-loaded tubes, immersed in fluid or embedded in a solid, which are encountered in in vitro/ex vivo , and in vivo experiments. The proposed methods are based on judiciously combining Fourier transformation and finite element discretization, leading to a significant reduction in computational cost while fully capturing complex 3D wave propagation. The developed methods are implemented in open-source code, and verified by comparing them with significantly more expensive, fully 3D finite element models. We also validate the models using the shear wave elastography of tissue-mimicking phantoms. The computational efficiency of the developed methods indicates the possibility of being able to estimate arterial stiffness in real time, which would be beneficial in clinical settings.