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Biomedical subjects

W D O'Brien

Publications and source records attributed to W D O'Brien.

At least 37 records · Page 2Linked to original sources

Human in situ dosimetry: differential insertion loss during passage through abdominal wall and myometrium.

We constructed a specialized in vivo exposimetry system and determined selected ultrasonic field quantities. We examined two groups of non-pregnant women (nulliparas = 14, multiparas = 9) under conditions of full and empty bladder. A calibrated 7-element linear array hydrophone was placed in the anterior fornix of the vagina in each subject. In the full bladder condition, the sound beam traversed the anterior abdominal wall and full bladder, whereas after voiding, the sound beam traversed the abdominal wall and anteverted uterine fundus. Each study was conducted using a 3.5 MHz mechanical sector transducer. Calibration data were recorded after completion of each in vivo experiment. Data from both groups were pooled for analysis. Assuming (1) the sound path through the full bladder is loss less, the insertion loss (ILFULL) should represent the insertion loss for the abdominal wall (ILABD WALL) 8.2 +/- 5.6 dB; whereas (2) for the empty bladder condition, (ILEMPTY) represents (ILABD WALL+ILUTERUS). Subtracting ILFULL from ILEMPTY yields ILUTERUS = 5.8 +/- 6.8 dB. Therefore, knowing the respective path lengths and normalizing for frequency, the mean tissue attenuation coefficients (A) are estimated to be AABD WALL = 1.39 dB/cm-MHz and AUTERUS = 0.14 dB/cm-MHz. These attenuation data suggest that the abdominal wall is the principal source of ultrasonic energy loss.

Abdominal Muscles

A flexible blood flow phantom capable of independently producing constant and pulsatile flow with a predictable spatial flow profile for ultrasound flow measurement validations.

The validation of the ultrasound time-domain correlation method of measuring blood flow has required the development of a flexible blood flow phantom capable of generating predictable flow profiles under a wide variety of conditions. The purpose of the phantom is to generate flow with well-known flow properties and not to mimic actual in vivo vessels. This paper describes a flow phantom which can independently generate both constant and pulsatile flow over a wide range of flow rates with a spatially fully developed laminar flow profile. It incorporates a computer-controlled pulsatile pump, which can produce different temporal pulsatile waveforms. The flow phantom also supports multiple vessels, different vessel sizes, as well as different attenuating media. The fluid most commonly used in the phantom is Sephadex mixed with water, and the probability density function of ultrasound reflected from Sephadex is experimentally determined and compared with that of blood. Examples of different constant and pulsatile flow experiments using the phantom are presented.

Adult

A teratologic evaluation of continuous-wave, daily ultrasound exposure in unanesthetized pregnant rats.

Pregnant Sprague-Dawley rats were trained to remain immobile when placed in water in an ultrasound exposure tank and exposed to 0, 0.1, 2.0, or 30.0 W/cm2 ISPTA (spatial peak, temporal average), 3.0-MHz continuous wave (cw) ultrasound on embryonic (E) days 4-19 for approximately 15 min/day. On E20 fetuses were removed; weighed; examined for external, skeletal, and visceral malformations; and uteri were examined for resorptions. Analyses revealed no increase in pre-implantation loss and no effects on maternal body weight, food, or water consumption. No increase in skeletal or visceral malformations was found, in fact exposed groups had a lower incidence of defects than controls. A significant increase in resorptions in the lowest exposure group (0.1 W/cm2) was obtained, but the effect was isolated, non-dose dependent and not credible as a treatment-related effect. No reduction in fetal weight was obtained, in fact the lowest (0.1-W/cm2) and middle (2.0-W/cm2) exposure level groups weighed slightly more than controls. The immobility procedure succeeded in avoiding anesthetization or forced restraint of the dams, thereby eliminating these factors as potential confounders. The results demonstrated that in unanesthetized, unrestrained rats in utero exposure to incident intensities of ultrasound of up to 30.0 W/cm2 cw ultrasound (or estimated internal exposures of 4-21 W/cm2, depending on body orientation to the incident beam) produced no evidence of embryotoxicity based on fetal necropsy data.

Analysis of Variance

In situ exposimetry: the ovarian ultrasound examination.

We have constructed a specialized in vivo exposimetry system and developed and tested customized software using specially fabricated hydrophones. We placed the hydrophones in the lateral vaginal fornix as close to the ovary as possible (usually 1-2 cm from the ovary) and determined selected first-order and second-order ultrasonic field quantities during a routine ultrasound examination of the ovary. Our sonographic measurements yielded mean ultrasound beam path distances of 7.6 cm. (n = 18) in the presence of a distended bladder and 7.0 cm. (n = 25) in the presence of an empty bladder with an average group insertion loss of 6.2 dB and 7.3 dB, respectively. Using a Fixed Attenuation Model, the tissue attenuation coefficient value was 2.98 dB/MHz; whereas for the Overlying Tissue Model the value was 0.72 dB/cm-MHz. These data are both specific and unique in that they have been systematically obtained in situ.

Body Constitution

Quantitative assessment of the germicidal efficacy of ultrasonic energy.

Propagated (free-field) ultrasonic energy at a frequency of 26 kHz was used to expose aqueous suspensions of bacteria (Escherichia coli, Staphylococcus aureus, Bacillus subtilis, and Pseudomonas aeruginosa), fungus (Trichophyton mentagrophytes), and viruses (feline herpesvirus type 1 and feline calicivirus) to evaluate the germicidal efficacy of ultrasound. There was a significant effect of time for all four bacteria, with percent killed increasing with increased duration of exposure, and a significant effect of intensity for all bacteria except E. coli, with percent killed increasing with increased intensity level. There was a significant reduction in fungal growth compared with that in the controls, with decreased growth with increased ultrasound intensity. There was a significant reduction for feline herpesvirus with intensity, but there was no apparent effect of ultrasound on feline calicivirus. These results suggest that ultrasound in the low-kilohertz frequency range is capable to some degree of inactivating certain disease agents that may reside in water. The physical mechanism of inactivation appears to be transient cavitation.

Bacteria

Correlation of tissue constituents with the acoustic properties of skin and wound.

The purpose of this study was to compare measurements of ultrasound properties of skin and wound tissue with measurements of material properties such as total collagen concentration, acetic acid soluble collagen concentration, water concentration, and morphologic properties. Using a scanning laser acoustic microscope (SLAM), both ultrasonic speed and attenuation coefficient values were obtained for control skin (2-3 cm from the wound), for skin immediately adjacent to wounds (within 0.3 mm), as well as for wound tissue itself. The attenuation coefficient and speed measurements were lowest for wound tissue followed by adjacent skin and then control skin. As the wounds healed there appeared to be an increase in both speed and attenuation coefficient although the wound age at which these increases started and the length of time for which they continued varied from one dog to the next. The precision of duplicate sample measurement of wave speed was +/- 1.7% for control skin, whereas that for attenuation coefficient it was +/- 16%. Both ultrasonic speed and attenuation coefficient were directly correlated with tissue collagen concentration and inversely correlated with tissue water concentration (p less than 0.001). Attenuation coefficient correlated best (r = 0.73) with acetic acid soluble collagen concentration which reflects the changes in collagen taking place during the repair process. These attenuation measurements made at 100 MHz using the SLAM were compared for control skin and wound samples with measurements made at 10-40 MHz using backscatter acoustic techniques (BAT). The tissue samples analyzed by each ultrasound technique were from adjacent locations on the animals.

Acoustics

Quantitative ultrasonic assessment of normal and ischaemic myocardium with an acoustic microscope: relationship to integrated backscatter.

PURPOSE OF INVESTIGATION: The aim was to study ultrasonic propagation properties of normal and ischaemic myocardium with a scanning laser acoustic microscope and to correlate these changes with ultrasonic backscatter. DESIGN: Myocardial ischaemia was produced by total occlusion of left anterior descending coronary artery in anaesthetised open chest dogs. Myocardium supplied by left circumflex coronary artery served as normal control. IBR5, an optimum weighted frequency average (4-6.8 MHz) of the squared envelope of diffraction corrected backscatter, was measured in vivo. Ultrasonic attenuation coefficient, an index of loss per unit distance, the propagation speed and heterogeneity index were measured from normal and ischaemic regions with a scanning laser acoustic microscope which operates at 100MHz in vitro. Myocardial water content of normal and ischaemic myocardium was also estimated. SUBJECTS: Were five anaesthetised mongrel dogs. RESULTS: Attenuation coefficient of 33.8(SD4.2) dB.mm-1 in the ischaemic tissue was lower than 63.8(17.2) dB.mm-1 in the normal tissue (p less than 0.01). Ultrasonic speed was lower in ischaemic than normal myocardium at 1584(25) v 1612(35) m.s-1 (p less than 0.05). Heterogeneity index of 11(7) m.s-1 in the ischaemic region was lower than 14(8) m.s-1 in the normal region (27% reduction, p less than 0.05). IBR5 and myocardial water content were higher in the ischaemic than the normal myocardium: -37.2(SEM1.8) dB v -46.6(0.6) dB, (p less than 0.01) and 80.9(0.0)% v 78(0.2)%, (p less than 0.05) respectively. CONCLUSION: Ultrasonic properties of the myocardium are significantly altered during acute ischaemia.

Animals

Pulsed Doppler accuracy assessment due to frequency-dependent attenuation and Rayleigh scattering error sources.

All engineering measurements are subject to inaccurate and imprecise estimates, including the estimate of blood flow velocity. An assessment of specific error sources can minimize such uncertainties. Frequency-dependent attenuation and Rayleigh scattering are significant error sources for pulsed Doppler ultrasound because the transmitted ultrasonic signal has a finite width spectrum. The former causes a frequency downshift and the latter a frequency upshift, both of which are independent of the actual Doppler frequency shift. This communication evaluates these error sources through computer stimulation and compares the computed error to experimental data.

Blood Flow Velocity

Ultrasonic propagation properties of articular cartilage at 100 MHz.

A pilot study on articular cartilage assessed the contributions of individual matrix components to ultrasound propagation. The influence of collagen fibril orientation and collagen cross linking was also assessed. Sections of adult bovine articular cartilage cut both parallel and perpendicular to the articular surface were examined using the scanning laser acoustic microscope (SLAM) operating at an ultrasonic frequency of 100 MHz. A set of samples was evaluated that had been sequentially treated by enzymes to (1) remove 85% of the chondroitin sulfate; (2) remove remaining glycosaminoglycans, glycoproteins, and other noncollagen proteins, leaving only the collagen fibril network; and (3) disrupt the collagen intermolecular cross links. Two striking observations were made: a profound effect of the "preferred" collagen fibril orientation on ultrasonic speed and a marked increase in attenuation coefficient when intermolecular cross links were broken in the collagen.

Animals

Frequency dependence of tissue attenuation measured by acoustic microscopy.

Broadband scanning acoustic microscopy (SAM) has been used to investigate the mechanical properties of sections of tissue with a resolution of around 8 microns. The work reported here extends these results by reporting the frequency dependence of the attenuation coefficient from 100-500 MHz. A discussion of the theory of the measurements is presented. The scanning laser acoustic microscope (SLAM) is used to characterize similar tissue sections at 100 MHz. The data obtained with the two forms of acoustic microscopy are compared with results from the literature.

Acoustics

Numerical study of higher-order diffraction tomography via the sinc basis moment method.

Behavior and limitations of the sinc basis method have been discovered during simulation studies. An iterative row-action method (ART) is compared with a full-matrix, least-squares solution (QR decomposition) and the problem of multiple solutions is discussed. Knowledge of the spatial distribution of scattered field energy can be used to speed up convergence. The first iteration is shown to be equivalent to the first Born solution. A fundamental limitation of present diffraction tomography algorithms, concerning phase shift through the scatterer, is found and related to clinical values. Effects of improvements on the initial guesses for the object function and internal field are studied. Lossy cylinder and contrived multicomponent reconstructions yield additional understanding of the phase shift problem. A sequence of simulations investigates estimated solution movement in hyperspace.

Humans

Ultrasonic propagation properties (@ 100 MHz) in excessively fatty rat liver.

The effects on the ultrasonic propagation properties of livers of the addition of 1% orotic acid to rat diets were examined. In rats, dietary orotic acid exerts several effects on lipid metabolism; its overall consequence is that excessively high hepatic fat concentrations are built up over a short period of time, thus making this an ideal model to study the ultrasonic propagation properties as a function of sequential development of fatty liver. Over a 16-day period on the orotic acid diet, the supplemented rat liver lipid concentrations increased from a normal range of 2%-4% to the lower 20's%; hepatic water concentration decreased from a normal value of approximately 70% to approximately 50%; total protein concentration decreased slightly from a normal range of 17%-20% to 11%-16%; and rat liver weight increased from approximately 11 g to around 20 g. Ultrasonic attenuation coefficient and speed were assessed in liver tissue with the scanning laser acoustic microscope at 100 MHz. As hepatic lipid increased, ultrasonic attenuation at 100 MHz increased temporally from a normal range of 12-14 dB/mm to a maximum of 54 dB/mm and ultrasonic speed decreased from a normal range of 1553-1584 m/s to a minimum of 1507 m/s. Multivariant linear regression was used in the analysis of covariance to fit the least-squares estimates to the linear regression model. Strong correlates of ultrasonic speed with both water concentration and fat concentration in the liver were observed.

Animals

Interlaboratory comparison of ultrasonic attenuation and speed measurements.

A set of test samples, all containing ultrasonically equivalent tissue-mimicking material, was produced and measurements of ultrasonic speed and ultrasonic attenuation coefficients were made at seven laboratories using various techniques. The ultrasonic speed values agree well with one another, having a spread of about 0.3 per cent; thus, speed values for tissue parenchyma appearing in the literature are likely to be accurate. Values of ultrasonic attenuation coefficients agree fairly well with one another, with differences between individual values and the group mean of generally less than 20 per cent of the group mean.

Humans

Ultrasonic attenuation and velocity properties in rat liver as a function of fat concentration: a study at 100 MHz using a scanning laser acoustic microscope.

This study examines the extent to which ultrasonic attenuation coefficients and velocity properties change between normal and fatty rat liver. The view of this problem is toward the application in clinical medicine in the future. Fatty livers were produced in rats by feeding them alcohol diets in liquid form. The animals were sacrificed and the fat concentration of the liver specimens determined. The fat concentration varied from 2.5% to 16.8% wet weight. The ultrasonic attenuation coefficient and velocity properties in 28 specimens were measured at 100 MHz with the scanning laser acoustic microscope (SLAM). Regression analysis was applied to the liver's ultrasonic propagation properties as a function of fat concentration. The results show that the attenuation coefficient increases at a rate of 1.08 dB/mm/% fat and the velocity decreases at a rate of 2.3 m/s/% fat as the fat concentration increases.

Animals