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Jean-Luc Gennisson

Publications and source records attributed to Jean-Luc Gennisson.

6 recordsLinked to original sources

Assessment by transient elastography of the viscoelastic properties of blood during clotting.

Blood clotting is a natural process that can be both beneficial and life-threatening for the human body. It allows the maintenance of hemostasis after vascular injury, but it can also cause deep vein thrombosis and heart stroke. This study aimed better to understand the clotting process from a biomechanical point of view by using an acoustic method. The long-term objective is the staging of the age of clots in deep veins for therapy planning. The transient elastography method using a shear elasticity probe served to evaluate the shear wave velocity (V(S)) and shear wave attenuation (alpha(S)) of porcine whole blood during in vitro clot formation. By solving an inverse problem, it was then possible to provide images of the elasticity (mu(B)) and of the viscosity (eta(B)) from clotting blood. The time-varying elasticity and viscosity were very similar to what has been observed for the sol-gel transition of polymers. The mechanical properties of blood clot, which were modified by varying the hematocrit and by adding heparin or fibrinogen, were clearly assessed by the transient elastography technique. It is concluded that the shear elasticity probe is an appropriate tool to quantify and follow the sol-gel transition of blood during clotting.

Animals↗

Nonlinear viscoelastic properties of tissue assessed by ultrasound.

A technique to assess qualitatively the presence of higher-order viscoelastic parameters is presented. Low-frequency, monochromatic elastic waves are emitted into the material via an external vibrator. The resulting steady-state motion is detected in real time via an ultra fast ultrasound system using classical, one-dimensional (1-D) ultrasound speckle correlation for motion estimation. Total data acquisition lasts only for about 250 ms. The spectrum of the temporal displacement data at each image point is used for analysis. The presence of nonlinear effects is detected by inspection of the ratio of the second harmonics amplitude with respect to the total amplitude summed up to the second harmonic. Results from a polyacrylamide-based phantom indicate a linear response (i.e., the absence of higher harmonics) for this type of material at 65 Hz mechanical vibration frequency and about 100 microm amplitude. A lesion, artificially created by injection of glutaraldehyde into a beef specimen, shows the development of higher harmonics at the location of injection as a function of time. The presence of upper harmonics is clearly evident at the location of a malignant lesion within a mastectomy.

Algorithms↗

Sol-gel transition in agar-gelatin mixtures studied with transient elastography.

Using the shear wave propagation in solids, the transient elastography technique has been developed to assess the elastic properties of soft tissues. Here, a new approach of transient elastography allows assessing the viscoelastic properties of soft tissues. In this paper, the method is used to follow-up the sol-gel transition of an agar-gelatin mixture noninvasively. The shear wave velocity and shear wave attenuation through the mixture were continuously monitored in the audible range of frequencies (from 50 Hz to 200 Hz). The observed changes in velocities and attenuations as a function of frequency confirmed the validity of the Voigt's model to describe the gel at its stable mechanical state. By a simple inverse problem approach, based on the one-dimensional (1-D) Helmholtz equation, the elasticity and the viscosity of such a mixture were recovered as a function of time. The results obtained are in good agreement with the literature and theoretical predictions. Overall, they demonstrate the high sensitivity of the transient elastography measurements to the rheological parameter changes in agar-gelatin mixtures during gelation.

Agar↗

Assessment of elastic parameters of human skin using dynamic elastography.

Sonoelastography and transient elastography are two ultrasound-based techniques that facilitate noninvasive characterization of the viscoelastic properties of soft tissues by investigating their response to shear mechanical excitation. Young's modulus is the principle assessment parameter. Because it defines local tissue stiffness, it is of major interest for the medical imaging and cosmetic industries as it could replace subjective palpation by yielding local, quantitative information. In this paper, we describe a new high-resolution device capable of measuring local Young's modulus in very thin layers (1-5 mm) and devoted to the in vivo evaluation of the elastic properties of human skin. It uses an ultrasonic probe (50 MHz) for tracking the displacements induced by a 300 Hz shear wave generated by a ring surrounding the transducer. The displacements are measured using a conventional cross-correlation technique between successive ultrasonic back-scattered echoes. First, this noninvasive technique has been experimentally proven to be accurate for investigating elasticity in different skin-mimicking phantoms. Second, data were acquired in vivo on human forearms. As expected, Young's modulus was found to be higher in the dermis than in the hypodermis and other soft tissues.

Elasticity↗

Transient elastography in anisotropic medium: application to the measurement of slow and fast shear wave speeds in muscles.

From the measurement of a low frequency (50-150 Hz) shear wave speed, transient elastography evaluates the Young's modulus in isotropic soft tissues. In this paper, it is shown that a rod source can generate a low frequency polarized shear strain waves. Consequently this technique allows to study anisotropic medium such as muscle. The evidence of the polarization of low frequency shear strain waves is supported by both numeric simulations and experiments. The numeric simulations are based on theoretical Green's functions in isotropic and anisotropic media (hexagonal system). The experiments in vitro led on beef muscle proves the pertinent of this simple anisotropic pattern. Results in vivo on man biceps shows the existence of slow and fast shear waves as predicted by theory.

Acoustic Stimulation↗

Shear elasticity probe for soft tissues with 1-D transient elastography.

Important tissue parameters such as elasticity can be deduced from the study of the propagation of low frequency shear waves. A new method for measuring the shear velocity in soft tissues is presented in this paper. Unlike conventional transient elastography, in which the ultrasonic transducer and the low frequency vibrator are two separated parts, the new method relies on a probe that associates the vibrator and the transducer, which is built on the axis of the vibrator. This setup is easy to use. The low frequency shear wave is driven by the transducer itself that acts as a piston while it is used in pulse echo mode to acquire ultrasonic lines. The results obtained with the new method are in good agreement with those obtained with the conventional one.

Algorithms↗