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Biomedical subjects

G E Trahey

Publications and source records attributed to G E Trahey.

At least 19 recordsLinked to original sources

Speckle tracking for multi-dimensional flow estimation.

Speckle tracking methods overcome the major limitations of current Doppler methods for flow imaging and quantification: angle dependence and aliasing. In this paper, we review the development of speckle tracking, with particular attention to the advantages and limitations of two-dimensional algorithms that use a single transducer aperture. Ensemble tracking, a recent speckle tracking method based upon parallel receive processing, is described. Experimental results with ensemble tracking indicate the ability to measure laminar flow in a phantom at a beam-vessel angle of 60 degrees, which had not been possible with previous 2D speckle tracking methods. Finally, important areas for future research in speckle tracking are briefly summarized.

Algorithms↗

A novel interpolation strategy for estimating subsample speckle motion.

Multidimensional, high-resolution ultrasonic imaging of rapidly moving tissue is primarily limited by sparse sampling in the lateral dimension. In order to achieve acceptable spatial resolution and velocity quantization, interpolation of laterally sampled data is necessary. We present a novel method for estimating lateral subsample speckle motion and compare it with traditional interpolation methods. This method, called grid slopes, requires no a priori knowledge and can be applied to data with as few as two samples in the lateral dimension. Computer simulations were performed to compare grid slopes with two conventional interpolation schemes, parabolic fit and cubic spline. Results of computer simulations show that parabolic fit and cubic spline performed poorly at translations greater than 0.5 samples, and translations less than 0.5 samples were subject to an estimation bias. Grid slopes accurately estimated translations between 0 and 1 samples without estimation bias at high signal-to-noise ratios. Given that the grid slopes interpolation technique performs well at high signal-to-noise ratios, one pertinent clinical application might be tissue motion tracking.

Algorithms↗

The impact of sound speed errors on medical ultrasound imaging.

The results of a quantitative study of the impact of sound speed errors on the spatial resolution and amplitude sensitivity of a commercial medical ultrasound scanner are presented in the context of their clinical significance. The beamforming parameters of the scanner were manipulated to produce sound speed errors ranging over +/-8% while imaging a wire target and an attenuating, speckle-generating phantom. For the wire target, these errors produced increases in lateral beam width of up to 320% and reductions in peak echo amplitude of up to 10.5 dB. In the speckle-generating phantom, these errors produced increases in speckle intensity correlation cell area of up to 92% and reductions in mean speckle brightness of up to 5.6 dB. These results are applied in statistical analyses of two detection tasks of clinical relevance. The first is of low contrast lesion detectability, predicting the changes in the correct decision probability as a function of lesion size, contrast, and sound speed error. The second is of point target detectability, predicting the changes in the correct decision probability as function of point target reflectivity and sound speed error. Representative results of these analyses are presented and their implications for clinical imaging are discussed. In general, sound speed errors have a more significant impact on point target detectability over lesion detectability by these analyses, producing up to a 22% reduction in correct decisions for a typical error.

Humans↗

A finite element model of remote palpation of breast lesions using radiation force: factors affecting tissue displacement.

The early detection of breast cancer reduces patient mortality. The most common method of breast cancer detection is palpation. However, lesions that lie deep within the breast are difficult to palpate when they are small. Thus, a method of remote palpation, which may allow the detection of small lesions lying deep within the breast, is currently under investigation. In this method, acoustic radiation force is used to apply localized forces within tissue (to tissue volumes on the order of 2 mm3) and the resulting tissue displacements are mapped using ultrasonic correlation based methods. A volume of tissue that is stiffer than the surrounding medium (i.e., a lesion) distributes the force throughout the tissue beneath it, resulting in larger regions of displacement, and smaller maximum displacements. The resulting displacement maps may be used to image tissue stiffness. A finite-element-model (FEM) of acoustic remote palpation is presented in this paper. Using this model, a parametric analysis of the affect of varying tissue and acoustic beam characteristics on radiation force induced tissue displacements is performed. The results are used to evaluate the potential of acoustic remote palpation to provide useful diagnostic information in a clinical setting. The potential for using a single diagnostic transducer to both generate radiation force and track the resulting displacements is investigated.

Acoustics↗

The use of acoustic streaming in breast lesion diagnosis: a clinical study.

Results from a clinical study are presented, in which ultrasonically-induced acoustic streaming was successfully used to differentiate fluid-filled lesions (cysts) from solid lesions in the breast. In this study, high-intensity ultrasound pulses from a modified commercial scanner were used to induce acoustic streaming in cyst fluid, and this motion was detected using Doppler methods. Acoustic streaming was generated and detected in 14 of 15 simple cysts, and 4 of 14 sonographically indeterminate breast lesions. This lesion differentiation method appears to be particularly suited for diagnosis of small, possibly newer, cysts that appear indeterminate on conventional sonography due to their size. The results indicate that this method would be a useful adjunct to conventional sonography for the purpose of breast lesion classification.

Adult↗

The direct estimation of sound speed using pulse-echo ultrasound.

A method for the direct estimation of the longitudinal speed of sound in a medium is presented. This estimator derives the speed of sound through analysis of pulse-echo data received across a single transducer array following a single transmission, and is analogous to methods used in exploration seismology. A potential application of this estimator is the dynamic correction of beamforming errors in medical imaging that result from discrepancy between the assumed and actual biological tissue velocities. The theoretical basis of this estimator is described and its function demonstrated in phantom experiments. Using a wire target, sound-speed estimates in water, methanol, ethanol, and n-butanol are compared to published values. Sound-speed estimates in two speckle-generating phantoms are also compared to expected values. The mean relative errors of these estimates are all less than 0.4%, and under the most ideal experimental conditions are less than 0.1%. The relative errors of estimates based on independent regions of speckle-generating phantoms have a standard deviation on the order of 0.5%. Simulation results showing the relative significance of potential sources of estimate error are presented. The impact of sound-speed errors on imaging and the potential of this estimator for phase aberration correction and tissue characterization are also discussed.

Humans↗

The detection of breast microcalcifications with medical ultrasound.

Microcalcifications are small crystals of calcium apatites which form in human tissue through a number of mechanisms. The size, morphology, and distribution of microcalcifications are important indicators in the mammographic screening for and diagnosis of various carcinomas in the breast. Although x-ray mammography is currently the only accepted method for detecting microcalcifications, its efficacy in this regard can be reduced in the presence of dense parenchyma. Current ultrasound scanners do not reliably detect microcalcifications in the size range of clinical interest. The results of theoretical, simulation, and experimental studies focused on the improvement of the ultrasonic visualization of microcalcifications are presented. Methods for estimating the changes in microcalcification detection performance which result from changes in aperture geometry or the presence of an aberrator are presented. An analysis of the relative efficacy of spatial compounding and synthetic receive aperture geometries in the detection of microcalcifications is described. The impact of log compression of the detected image on visualization is discussed. Registered high resolution ultrasound and digital spot mammography images of microcalcifications in excised breast carcinoma tissue and results from the imaging of suspected microcalcifications in vivo are presented.

Breast↗

Speckle coherence and implications for adaptive imaging.

Tissue speed of sound inhomogeneities cause significant degradation of medical ultrasound images. In certain cases these inhomogeneities can be modeled as a thin, spatially varying time delay screen located at the face of the transducer. Correction of such aberrators requires the addition of compensating time delays to the normal system focusing delays. These compensating delays are estimated from the arrival time differences between echoes received on different array elements. The accuracy with which these arrival time differences can be estimated is limited by the level of correlation between received speckle signals. This paper derives analytical expressions predicting the correlation between speckle signals acquired by a pulse echo system with either point or larger receive elements in the presence of near-field phase aberrations. Simulations are presented which are in good agreement with theoretical predictions. Similarities between the derived expressions and the Van Cittert-Zernike Theorem are discussed. These results indicate that near-field phase aberration correction may be far more difficult than previous analyses suggest because of the low correlation between echoes received by adjacent elements in elevation in 1.5-D arrays. Transmit aperture amplitude apodization and a new translating aperture technique are presented as methods for improving speckle correlation.

Algorithms↗

A novel ultrasonic technique for differentiating cysts from solid lesions: preliminary results in the breast.

The feasibility of a new ultrasonic technique to distinguish cysts from solid lesions is explored. High intensity pulses are used to induce acoustic streaming in cyst fluid, and this motion is detected using Doppler techniques. Acoustic streaming cannot be generated in solid lesions, therefore, its detection would indicate a cyst. In six of seven breast cysts motion was clearly generated and detected in vivo. Ultrasonic pulses with intensities up to 4.4 W cm-2 (I(spta) in water) were focused on the cysts for 10 s. Lesion diameters ranged from 0.6 to 2.5 cm; induced flow velocities were less than 4.0 cm s-1.

Breast Neoplasms↗

Experimental velocity profiles and volumetric flow via two-dimensional speckle tracking.

The performance of a two-dimensional speckle tracking system in measuring in vitro laminar flow is evaluated. The system uses a pattern matching algorithm to track subresolution-sized speckle regions between successive ultrasonic 2D pulse-echo acquisitions in order to determine both the axial and the lateral components of velocity. In this study, multiple 2D vector velocity maps were acquired in real time using a calibrated laminar flow phantom, and then statistically analyzed off-line. At a 90 degrees transducer angle, volumetric flow rates computed from measured velocity profiles exhibited excellent linearity (R2 > 0.99), with a mean error of -6.1%, over the range 5-30 mL/s. At 105 degrees and 120 degrees, experimental volume flow rates also agreed well with actual rates, although measured velocity profiles appeared more irregular with decreasing Doppler angles. Velocity profiles estimated using sampled radio-frequency data rather than envelope-detected data were inconsistent due to an insufficient sampling rate and the quantization of the velocity grid. Results indicate that excellent flow velocity and volume rate estimates can be obtained from vector velocity measurements along a single line of sight, without a priori knowledge of the flow direction, at transducer angles near 90 degrees where Doppler instruments are prone to large errors.

Phantoms, Imaging↗

A real time system for quantifying and displaying two-dimensional velocities using ultrasound.

This paper describes a system that has been developed for measuring two-dimensional velocities in real time using ultrasound. The instrument tracks interframe speckle pattern motion using a Sum-Absolute-Difference (SAD) algorithm in order to produce a vector map of 2D velocities. The system's parallel architecture allows calculation of approximately 20,000 vectors per second using the current tracking geometry. A programmable graphics processor encodes individual velocity vectors with color and displays them superimposed on the B-mode image in real time. In vitro tests indicate that the system can track velocities well over the Doppler aliasing limit in any direction in the scan plane with greater than 94% accuracy. A color encoded image obtained from a flow phantom highlights the system's ability to display lateral motion with uniform coloration, in contrast to the two-color display of current ultrasonic Doppler instruments.

Algorithms↗

Real-time system for angle-independent US of blood flow in two dimensions: initial results.

The authors developed an ultrasound system that enables the speckle patterns produced by echoes from moving blood to be tracked in real time. Unlike current color Doppler flow imagers, this system allows the measurement of blood velocities in any direction within the imaging plane. The authors used this device to image flow in the human jugular vein and contrasted the image with one obtained under similar circumstances with color Doppler flow imaging. The authors demonstrated that this system can display in vivo lateral blood flow in real time. Further development of the system, including the incorporation of wall filters to enhance weak blood echoes and parallel techniques to reduce data acquisition time, will allow clinical imaging of flow with velocities of several meters per second in any direction without aliasing or dependence on the Doppler angle.

Adult↗

Phase aberration correction using echo signals from moving targets. I: Description and theory.

Inhomogeneous acoustic velocity in human tissue introduces phase aberration in ultrasonic imaging systems and degrades image quality. A novel technique that employs echo signals from moving diffuse targets, such as flowing blood, as an image quality factor to compensate for phase aberration is described. Such signals can be obtained by subtracting the images of two consecutive target interrogations. The fundamental statistics of the quality factor and other related parameters are developed to provide a theoretical basis for the technique.

Algorithms↗

Phase aberration correction using echo signals from moving targets. II: Experimental system and results.

A method for correcting errors due to near-field tissue inhomogeneities in phased array ultrasound images is evaluated experimentally. The method uses the brightness of a moving speckle-generating target, such as blood, as a quality factor to correct for unknown phase aberrations. A real time experimental system utilizing the technique has been constructed and is described. Initial results from in vitro studies using a flow phantom are compared to theoretical predictions. The results indicate that the technique can provide significant improvements in image quality when imaging through aberrating media, and may find application in clinical imaging through skull and fatty layers.

Algorithms↗

Two-dimensional arrays for medical ultrasound.

The design, fabrication and evaluation of two-dimensional transducer arrays are described for medical ultrasound imaging. A 4 x 32, 2.8 MHz array was developed to use new signal processing techniques for improved B-scan imaging including elevation focusing, phase correction and synthetic aperture imaging. Laboratory measurements from typical array elements showed 50 omega insertion loss of -56 dB, -6 dB fractional bandwidth of 43%, interelement crosstalk of -19 dB, and -6 dB pulse-echo angular response of 62 degrees. Simulations of pulse-echo beam plots have shown grating lobes 20 dB below the main lobe at +/- 7 degrees in the elevation direction. The complete 2-D array has been used for measurements of phase aberrations in breast, and the individual 32 element linear arrays have been used to obtain conventional B-scans. Several 16 x 16 arrays have also been developed for high speed volumetric imaging. These include 96 transmit elements and 32 receive channels. With a lambda/4 matching layer, laboratory measurements show 50 omega insertion loss of -72 dB, -6 dB fractional bandwidth of 63%, interelement crosstalk of -29 dB and -6 dB angular response of 25 degrees. Pulse-echo sensitivity was improved by 21 dB through the use of integrated circuit preamplifiers of high impedance mounted in the transducer handle. In vivo cardiac, abdominal, and obstetric B-scans with elevation focusing, as well as high speed C-scans, have been obtained with these 2-D arrays.

Equipment Design↗

Two dimensional ultrasonic beam distortion in the breast: in vivo measurements and effects.

Two dimensional arrival time data was obtained for the propagation of ultrasound across the breasts of 7 female volunteers. These profiles were extracted through the use of cross-correlation measurements and a simulated annealing process that maintained phase closure while aligning the data. The phase aberration measured in two dimensions had a larger magnitude than previously reported phase aberration measured in one dimension in the breast. A point spread function generation computer program was used to demonstrate the system response degrading effects of the measured phase aberration and the usefulness of current one dimensional phase aberration correction techniques. The results indicate that two dimensional correction algorithms are necessary to restore the system performance losses due to phase aberration.

Female↗

The impact of acoustic velocity variations on target detectability in ultrasonic images of the breast.

Experimentally obtained ultrasonic phase aberration profiles in the breast were used to investigate the impact of acoustic velocity variations on images of simulated breast lesions. The imaging properties of several phased-array transducers with varying frequencies and geometries were studied as phase error profiles of increasing magnitude were introduced. The targets studied were anechoic lesions of various sizes. The results indicate that phase aberrations significantly degrade the contrast of ultrasonic breast images, especially for high-resolution scanning systems.

Acoustics↗

A novel method for angle independent ultrasonic imaging of blood flow and tissue motion.

Tracking the speckle patterns produced by moving targets has been shown effective for angle independent imaging of blood flow and tissue motion. While speckle tracking overcomes major limitations of Doppler-based flow imaging, the computational complexity of commonly used cross correlation algorithms currently limits it to off-line studies. A much simpler algorithm for angle independent motion imaging is described in this paper. This method requires only one absolute difference operation per pixel, compared to eight operations for normalized cross correlation. Quantitative studies using speckle-generating targets translated by fixed amounts both axially and laterally indicate that the technique tracks moving speckle as accurately as correlation. Color flow images generated from clinical blood and liver data highlight the success of the technique for tracking both large and small motions in two dimensions. The algorithm's suitability for implementation in digital hardware makes possible the development of clinical instruments for angle independent ultrasonic imaging of blood flow and tissue motion in real time.

Algorithms↗