Biomedical subjects

Ernest L Madsen

Publications and source records attributed to Ernest L Madsen.

13 recordsLinked to original sources

PubMed2006

Lesion detection and characterization in a breast US phantom: results of the ACRIN 6666 Investigators.

PURPOSE: To prospectively evaluate ultrasonographic (US) lesion detection and characterization in a breast phantom by potential investigators in a screening US protocol, American College of Radiology Imaging Network (ACRIN) 6666. MATERIALS AND METHODS: National Cancer Institute Cancer Experimental Therapeutic Protocol review and ACRIN internal institutional review board approved the protocol; potential investigators were informed of the study purpose prior to participation. Six equivalent anthropomorphic phantoms were prepared with 17 masses (2-10 mm in mean diameter) in different locations at different depths. Sixty-six investigators, experienced in breast US, from 23 institutions scanned a phantom with high-frequency linear-array transducers (12-5 MHz). Lesion location, diameters, echogenicity, shape, and posterior features were recorded. Reader-specific phantom maps were generated and compared with known lesion locations and features. Results from 64 observers could be analyzed and were masked to investigator identity. Agreement on US features was measured with kappa statistics. A generalized linear model generated log relative risks for detection rates as a function of lesion diameter, depth, and features. RESULTS: Of 17 lesions, a median of 14 (82%) were detected (range, 9-16), and 86% of observers detected at least 12 lesions. Of 1088 potential detections, 861 (79.1%) were made. Among 5-10-mm lesions, 499 (97.5%) of 512 detections were made (excluding a 6-mm "skin" lesion seen by only seven observers [11%]). One 4-mm mass was seen by 53 observers (83%). Among 3-mm lesions, 274 (71.4%) of 384 detections were made. One 2-mm lesion was seen by 28 (44%) observers. Relative risk of detection decreased to 0.55 (95% confidence interval: 0.51, 0.59) for each centimeter increase in lesion depth. Agreement was slight for lesion shape (kappa=0.14), substantial for echogenicity (kappa=0.61), and moderate for posterior features (kappa=0.45). Feature description errors were common for 2-4-mm lesions; only 33% of 3-mm anechoic masses were so characterized. Among eight 6-10-mm lesions, investigators erred in feature description of a median of 1 lesion (mean, 1.3; range, 0-4). CONCLUSION: US detection and description of lesions in a breast phantom were highly consistent for lesions 5-10 mm in diameter; those smaller than 5 mm were less reliably identified or characterized by experienced investigators.

Breast Cyst↗

PubMed2006

Anthropomorphic breast phantoms for qualification of Investigators for ACRIN Protocol 6666.

The purpose of this study was to evaluate various ultrasonic properties of breast phantoms developed for use in qualifying investigators for participation in the American College of Radiology Imaging Network (ACRIN) protocol 6666, "Screening Breast Ultrasound in High-Risk Women." Specifically, a tool was sought to consistently measure the performance of radiology personnel in detecting and characterizing lesions similar to those expected with screening breast ultrasonography (US). The phantoms are equivalent to one another except for the randomization of positions of 14 of the 17 simulated lesions. The lesions differ in depth and ultrasonic properties. Representative values of propagation speed, attenuation, relative echogenicity, and mass density are reported for all tissue-mimicking components. Beam refraction occurs at the interface between the subcutaneous fat layer and the glandular parenchyma and can result in beam distortion artifacts similar to those encountered in clinical breast US.

Adipose Tissue↗

PubMed2006

Stability of heterogeneous elastography phantoms made from oil dispersions in aqueous gels.

A set of five tissue-mimicking phantoms with cylindrical inclusions were produced for assessing long-term stability of geometry and elastic properties and assessing accuracy of determination of elastic properties. The base aqueous materials were either gelatin or a mixture of agar and gelatin. Stiffness was controlled by selection of the volume percent consisting of microscopic safflower oil droplets. Cylinder diameters remained unchanged within 1% or 2% over many months. Strain ratios from elastograms of the phantoms were stable over many months, implying that elastic contrasts were also stable. Test samples, called production samples, for measurement of Young's moduli were made at the time of manufacture of each phantom and were stored separately from one another. Each production sample was homogeneous and consisted of either inclusion material or background material. For all five phantoms, it was found that the elastic contrast computed using Young's modulus values determined using the production samples accurately represented the true elastic contrasts in the corresponding phantom. This finding was established by the fact that the (true) elastic contrasts determined using samples excised from the phantoms themselves agreed with the elastic contrasts obtained using the homogeneous production samples.

Agar↗

PubMed2005

Spherical lesion phantoms for testing the performance of elastography systems.

A set of three cubic one-litre phantoms containing spherical simulated lesions was produced for use in comparing lesion detection performance of different elastography systems. The materials employed are known to be stable in heterogeneous configurations regarding geometry and elastic contrast identical with (storage modulus of lesion material) / (storage modulus of background material), and regarding ultrasound and NMR properties. The materials mimic soft tissues in terms of elastic, ultrasound and NMR properties. Each phantom has only one value of elastic contrast (3.3, 4.6 or 5.5) and contains arrays of 1.6 mm, 2 mm, 3 mm and 4 mm diameter spherical simulated lesions. All the spheres of a given diameter are arranged in a regular array with coplanar centres. Elastograms of an array made with ultrasound allow determination of the depth range over which lesions of that diameter and elastic contrast can be detected. Two phantoms are made from agar-plus-gelatin-based materials, and one is made from oil-in-gelatin dispersions. The methods for producing the phantoms are described in detail. Lesion detection performances for two ultrasound systems, both operating at about 7.5 MHz and focused at about 5 cm, were quantified with distinctions between the two systems demonstrated. Neither system was capable of detecting any of the 1.6 mm lesions. Phantoms such as these should be useful in research labs that are refining hardware and/or software for elastography.

Agar↗

PubMed2005

Tissue-mimicking agar/gelatin materials for use in heterogeneous elastography phantoms.

Five 9 cm x 9 cm x 9 cm phantoms, each with a 2-cm-diameter cylindrical inclusion, were produced with various dry-weight concentrations of agar and gelatin. Elastic contrasts ranged from 1.5 to 4.6, and values of the storage modulus (real part of the complex Young's modulus) were all in the soft tissue range. Additives assured immunity from bacterial invasion and can produce tissue-mimicking ultrasound and NMR properties. Monitoring of strain ratios over a 7 to 10 month period indicated that the mechanical properties of the phantoms were stable, allowing about 1 month for the phantom to reach chemical equilibrium. The only dependable method for determining the storage moduli of the inclusions is to make measurements on samples excised from the phantoms. If it is desired to produce and accurately characterize a phantom with small inclusions with other shapes, such as an array of small spheres, an auxiliary phantom with the geometry of the cylindrical inclusion phantoms or the equivalent should be made at the same time using the same materials. The elastic contrast can then be determined using samples excised from the auxiliary phantom. A small increase of about 10% in volume of the cylindrical inclusions occurred-a tolerable increase. Interestingly, the smallest increase (about 5%) occurred in the phantom with the largest elastic contrast.

Adhesives↗

PubMed2005

Tissue-mimicking phantom materials for narrowband and ultrawideband microwave applications.

We propose and characterize oil-in-gelatin dispersions that approximate the dispersive dielectric properties of a variety of human soft tissues over the microwave frequency range from 500 MHz to 20 GHz. Different tissues are mimicked by selection of an appropriate concentration of oil. The materials possess long-term stability and can be employed in heterogeneous configurations without change in geometry or dielectric properties due to osmotic effects. Thus, these materials can be used to construct heterogeneous phantoms, including anthropomorphic types, for narrowband and ultrawideband microwave technologies, such as breast cancer detection and imaging systems.

Breast Neoplasms↗

PubMed2005

Imaging the shear modulus of the heel fat pads.

BACKGROUND: Steady state, dynamic MR elastography provides quantitative images of the shear modulus of tissues in vivo. MR elastography was evaluated for its ability to characterize the mechanical properties of the weight bearing plantar soft tissues in vivo. METHODS: MR elastography was used to image the heel fat pad and surrounding soft tissues when the subject applied a low pressure on the foot and again when the subject applied high pressure. The placement of the foot was identical for both sets of images. FINDINGS: The results agree well with expected trends. The shear modulus of the tissue under the calcaneus increased from 8 kPa to 12 kPa with increasing pressure while that of peripheral tissues remained constant at 8 kPa which is similar to the shear modulus of fat in breast tissue. INTERPRETATION: Preliminary results from the steady state MR elastography methods being developed to measure the shear modulus of plantar soft tissues are promising. MR elastography is sufficiently accurate to observe the change in shear modulus with changes in applied pressure and is capable of characterizing the mechanical properties of the plantar soft tissues. Detailed anatomic information can be combined with co-registered mechanical properties. MR elastography could play a significant role in understanding the weight bearing functions of the plantar soft tissues and in evaluating those structures for improved diagnosis and assessment of disease progression.

Adipose Tissue↗

PubMed2005

Association of automated and human observer lesion detecting ability using phantoms.

A set of tissue-mimicking phantoms containing spherical negative contrast simulated lesions was employed to associate an automated method for determining detectability with human observers. Six alternative methods for computing the lesion signal-to-noise ratio (LSNR) were employed for quantifying automated detecting ability. The six methods differ regarding effective lesion area and whether or not gradients in local mean background echo levels were accounted for. The two-alternative-forced-choice (TAFC) technique was used to associate detecting ability of human observers with LSNR values. Although the six methods gave similar results, one method exhibited the least dependency on lesion diameter and is recommended; that method accounts for gradients in local mean background echo levels and employs an effective sphere area of 2/pi times the projected sphere area. A reasonable LSNR detection threshold value of -2.0 was found to apply for nominal transducer frequencies from 4 through 6 MHz and for lesion diameters from 2 through 5 mm. This result allows rapid human-observer-calibrated automated determination of the depth range of detectability as a function of sphere diameter and contrast.

Humans↗

PubMed2005

Optimization of angular and frequency compounding in ultrasonic attenuation estimations.

Previous reports have shown that the variance in ultrasound attenuation measurements is reduced when spatial and frequency compounding were applied in data acquisition and analysis. This paper investigates factors affecting the efficiency of compound attenuation imaging methods. A theoretical expression is derived that predicts the correlation between attenuation versus frequency slope (beta) estimates as a function of the increment between measurement frequencies (deltaf ) and the angular separation between beam lines (Delta (theta)). Theoretical results are compared with those from attenuation measurements on tissue-mimicking phantoms and from simulation data. Both predictions and measurement results show that the correlation between beta estimates as a function of (Delta f ) is independent of the length of the radio frequency (rf) data segment over which beta is derived. However, it decreases with an increase in the length of the data segment used in power spectra estimates. In contrast, the correlation between beta estimates as a function of delta(theta) decreases when the rf data segment length is longer or the frequency of the signal is higher. O 2005 Acoustical Society of America.

Acoustics↗

PubMed2005

Tissue-mimicking liquid for use in exposimetry.

OBJECTIVE: Current determinations of diagnostic ultrasound exposure parameters (eg, peak rarefactional pressure and pulse intensity integral) are intended to correspond to propagation through soft tissue with a propagation speed of 1540 m/s and attenuation of 0.3 dB x cm(-1) x MHz(-1). These current measurements are made in water, which has very little attenuation, and a linear derating factor is applied to approximate 0.3 dB x cm(-1) x MHz(-1) attenuation. The fact that propagation through water as well as through soft tissue involves nonlinear propagation is not directly addressed. A better way to determine exposure parameters would be to use a liquid that has the desired tissue-mimicking properties, including a value of the nonlinearity parameter B/A representative of soft tissue. To be of practical use in the laboratory, the ultrasonic properties of this liquid must remain stable and spatially uniform for many months or years without need for periodic mixing by the user. METHODS: Fifty-two samples of fat-free milk that was concentrated to one third of its original volume by ultrafiltration were created. Each sample was preserved by a different method. The speed of sound, attenuation, and nonlinearity parameter B/A of each sample were periodically monitored by narrowband through-transmission techniques. RESULTS: Six of the 52 samples remained liquid and retained acceptably stable acoustic properties over 22 months of storage at room temperature. CONCLUSIONS: Fat-free milk, concentrated via ultrafiltration and preserved in 1 of 6 different methods, has been found to be a stable tissue-mimicking liquid with acoustic properties appropriate for use in exposimetry.

Acoustics↗

PubMed2005

Interlaboratory comparison of ultrasonic backscatter coefficient measurements from 2 to 9 MHz.

OBJECTIVE: As are the attenuation coefficient and sound speed, the backscatter coefficient is a fundamental ultrasonic property that has been used to characterize many tissues. Unfortunately, there is currently far less standardization for the ultrasonic backscatter measurement than for the other two, as evidenced by a previous American Institute of Ultrasound in Medicine (AIUM)-sponsored interlaboratory comparison of ultrasonic backscatter, attenuation, and speed measurements (J Ultrasound Med 1999; 18:615-631). To explore reasons for these disparities, the AIUM Endowment for Education and Research recently supported this second interlaboratory comparison, which extends the upper limit of the frequency range from 7 to 9 MHz. METHODS: Eleven laboratories were provided with standard test objects designed and manufactured at the University of Wisconsin (Madison, WI). Each laboratory was asked to perform ultrasonic measurements of sound speed, attenuation coefficients, and backscatter coefficients. Each laboratory was blinded to the values of the ultrasonic properties of the test objects at the time the measurements were performed. RESULTS: Eight of the 11 laboratories submitted results. The range of variation of absolute magnitude of backscatter coefficient measurements was about 2 orders of magnitude. If the results of 1 outlier laboratory are excluded, then the range is reduced to about 1 order of magnitude. Agreement regarding frequency dependence of backscatter was better than reported in the previous interlaboratory comparison. For example, when scatterers were small compared with the ultrasonic wavelength, experimental frequency-dependent backscatter coefficient data obtained by the participating laboratories were usually consistent with the expected Rayleigh scattering behavior (proportional to frequency to the fourth power). CONCLUSIONS: Greater standardization of backscatter measurement methods is needed. Measurements of frequency dependence of backscatter are more consistent than measurements of absolute magnitude.

1-Propanol↗

PubMed2004

Noise reduction using spatial-angular compounding for elastography.

Ultrasound elastography has developed into an imaging modality suitable for detection and diagnosis of cancers in the breast, prostate, and thyroid and for monitoring ablative therapies in the liver, kidneys, and other sites. In this article, a new approach is described that enables the reduction of noise artifacts in elastography without a significant reduction in either the contrast or spatial resolution. The technique uses angular-weighted compounding of local angular strains estimated from echo signals scanned at different insonification angles. Strain estimated along angular insonification directions can be separated into strain tensor components along the axial (direction of compression) and lateral directions. The mechanical stimulus is applied only along one direction. Angular-weighting factors are derived from the relationship between the axial and lateral strains under the assumption of tissue incompressibility. Experimental results using a uniformly elastic, tissue-mimicking phantom demonstrate the improvement in the signal-to-noise ratio obtained with angular-weighted compounding. Variation in the signal-to-noise ratio obtained using different angular increments also is investigated. Elastograms obtained from an inclusion phantom also demonstrate the improvement in contrast detail resolution obtained using spatial-angular compounding.

Algorithms↗

PubMed2003

Ultrasound attenuation imaging using compound acquisition and processing.

A method that combines both spatial and frequency compounding is described for measuring attenuation in tissue. The technique applies a reference phantom to account for imaging system dependencies of echo signals. Emphasis is given to local attenuation estimates, to reduce the variance of the attenuation measurements over small regions of interest (ROI) and to enable coarse attenuation imaging. Experiments using a uniform phantom show that the standard deviation of local attenuation estimates within a ROI drops when greater degrees of compounding are applied. Attenuation images of a specially designed phantom containing inclusions with attenuation contrast illustrate the accuracy and precision of the technique.

Phantoms, Imaging↗