Mostafa Fatemi

Quantifying elasticity and viscosity from measurement of shear wave speed dispersion

The propagation speed of shear waves is related to frequency and the complex stiffness (shear elasticity and viscosity) of the medium. A method is presented to solve for shear elasticity and viscosity of a homogeneous medium by measuring shear wave speed dispersion. Harmonic radiation force, introduced by modulating the energy density of incident ultrasound, is used to generate cylindrical shear waves of various frequencies in a homogeneous medium. The speed of shear waves is measured from phase shift detected over the distance propagated. Measurements of shear wave speed at multiple frequencies are fit with the theoretical model to solve for the complex stiffness of the medium. Experiments in gelatin phantoms show promising results validated by an independent method. Practical considerations and challenges in possible medical applications are discussed.

AN OVERVIEW OF ELASTOGRAPHY – AN EMERGING BRANCH OF MEDICAL IMAGING

From times immemorial manual palpation served as a source of information on the state of soft tissues and allowed detection of various diseases accompanied by changes in tissue elasticity. During the last two decades, the ancient art of palpation gained new life due to numerous emerging elasticity imaging (EI) methods. Areas of applications of EI in medical diagnostics and treatment monitoring are steadily expanding. Elasticity imaging methods are emerging as commercial applications, a true testament to the progress and importance of the field.In this paper we present a brief history and theoretical basis of EI, describe various techniques of EI and, analyze their advantages and limitations, and overview main clinical applications. We present a classification of elasticity measurement and imaging techniques based on the methods used for generating a stress in the tissue (external mechanical force, internal ultrasound radiation force, or an internal endogenous force), and measurement of the tissue response. The measurement method can be performed using differing physical principles including magnetic resonance imaging (MRI), ultrasound imaging, X-ray imaging, optical and acoustic signals.Until recently, EI was largely a research method used by a few select institutions having the special equipment needed to perform the studies. Since 2005 however, increasing numbers of mainstream manufacturers have added EI to their ultrasound systems so that today the majority of manufacturers offer some sort of Elastography or tissue stiffness imaging on their clinical systems. Now it is safe to say that some sort of elasticity imaging may be performed on virtually all types of focal and diffuse disease. Most of the new applications are still in the early stages of research, but a few are becoming common applications in clinical practice.

Probing the dynamics of tissue at low frequencies with the radiation force of ultrasound

Over the past few years there has been an increasing interest in using the radiation force of ultrasound for evaluating, characterizing and imaging biological tissues. Of particular interest are those methods that measure the dynamic properties of tissue at low frequencies. In this paper we present dynamic radiation force methods for probing tissue as a new field, discuss the interrelationship of several methods within this field and compare their features. The techniques in this field can be categorized into three groups: transient methods, shear-wave measurement methods and a recently developed method called vibro-acoustography. The last method is the focus of this paper. After briefly describing the key concepts of the first two methods, we will present a detailed description of vibro-acoustography. Finally, we will compare the capabilities and limitations of these methods.

Vibro-acoustic tissue mammography

A novel method for detection and imaging of microcalcifications in breast tissue is presented. The method, called vibro-acoustography, uses the radiation force of ultrasound to vibrate tissue at low (kHz) frequency and utilizes the resulting response to produce images that are related to the hardness of the tissue. The method is tested on human breast tissues. The resulting vibro-acoustographic images are in agreement with corresponding X-ray mammography images of the specimens. The existence of microcalcifications in locations indicated by vibro-acoustography is confirmed by histology. Microcalcifications as small as 110 /spl mu/m in diameter are detected by this method. Resulting vibro-acoustographic images show microcalcifications with high contrast with respect to the background soft tissue. Structures such as dense sclerotic tissue do not seem to interfere with detection of microcalcifications.

Imaging elastic properties of biological tissues by low-frequency harmonic vibration

The elastic properties of soft tissues are closely related to their structure, biological conditions, and pathology. For years, physicians have used palpation as a crude elasticity measurement tool to diagnose diseases in the human body. Based on this simple concept, but using modern technology, several elasticity imaging schemes have been developed during the past two decades. In this paper, we present two elasticity imaging methods that use a low-frequency (Hz to kHz range) harmonic force to excite the tissue. The first method, called magnetic resonance elastography (MRE), uses a phase sensitive magnetic resonance technique to detect tissue motion. Excitation is usually performed with a mechanical actuator on the surface of the body, although other excitation methods are possible. In the second method, called vibro-acoustography, the radiation force from focused ultrasound is used for excitation in a limited region within the tissue. Tissue motion is detected by measuring the acoustic field emitted by the object in response to the vibration. The resulting images in both methods can be related to the dynamics of the object at the excitation frequency. The spatial resolution of MRE and vibro-acoustography images is in the millimeter and sub-millimeter ranges, respectively. Here, we present the theory and physical principles of MRE and vibro-acoustography and describe their performances. We also present results of experiments on various human tissues, including breast, brain, and vessels. Finally, we discuss potential clinical application of these two imaging methods.

Performance of vibro-acoustography in detecting microcalcifications in excised human breast tissue: a study of 74 tissue samples

X-ray mammography is the principal modality used today for detection of breast microcalcifications and breast lesions associated with breast cancer. X-ray mammography, however, is ionizing and its sensitivity is greatly reduced in dense breasts. Hence, alternative noninvasive and nonionizing breast imaging tools that can aid physicians to better diagnose early-stage breast lesions are of great interest. Vibro-acoustography is a novel noninvasive imaging technique that uses ultrasound in a fundamentally new way. This method uses the radiation force of ultrasound to vibrate the tissue at low (kilohertz) frequency and records the resulting response to produce images that are related to the mechanical properties of the tissue. The goal of this study is to evaluate the performance of vibro-acoustography in detecting breast microcalcifications by conducting vibro-acoustography on 74 fixed breast tissue samples with known microcalcifications based on their radiographs. The results indicate that in most cases micro-calcifications can be detected by vibro-acoustography. Further development of vibro-acoustography may lead to a novel-imaging tool for in vivo detection of microcalcifications.

Remote measurement of material properties from radiation force induced vibration of an embedded sphere

A quantitative model is presented for a sphere vibrated by two ultrasound beams of frequency omega1 and omega2. Due to the interference of two sound beams, the radiation force has a dynamic component of frequency omega2-omega1. The radiation impedance and mechanical impedance of the sphere are then used to compute the vibration speed of the sphere. Vibration speed versus vibration frequency is measured by laser vibrometer on several spheres, both in water and in gel phantom. These experimental results are used to verify the model. This method can be used to estimate the material properties of the medium (e.g., shear modulus) surrounding the sphere.

Application of radiation force in noncontact measurement of the elastic parameters

Ultrasound-stimulated vibro-acoustic spectrography is a recently-developed method that employs the radiation force of two intersecting continuous ultrasound beams to remotely vibrate an object at an arbitrary low frequency. Object vibration produces a sound field (acoustic emission) in the medium, which is a function of object mechanical properties. By measuring the acoustic emission field, one can obtain information about the mechanical parameters of the object. In this paper, we use this method for remote (noncontact) measurement of the dynamic Youngs modulus of a rod based on its fundamental resonance frequency. Experimental results on an aluminum rod agree with the published data.

Comparison of stress field forming methods for vibro-acoustography

Vibro-acoustography is a method that produces images of the acoustic response of a material to a localized harmonic motion generated by ultrasound radiation force. The low-frequency, oscillatory radiation force (e.g., 10 kHz) is produced by amplitude modulating a single ultrasound beam, or by interfering two beams of slightly different frequencies. Proper beam forming for the stress field of the probing ultrasound is very important because it determines the resolution of the imaging system. Three beam-forming geometries are studied: amplitude modulation, confocal, and x-focal. The amplitude of radiation force on a unit point target is calculated from the ultrasound energy density averaged over a short period of time. The profiles of radiation stress amplitude oil the focal plane and on the beam axis are derived. The theory is validated by experiments using a small sphere as a point target. A laser vibrometer is used to measure the velocity of the sphere, which is proportional to the radiation stress exerted on the target as the transducer is scanned over the focal plane or along the beam axis. The measured velocity profiles match the theory. The theory and experimental technique may be useful in future transducer design for vibro-acoustography.

Imaging mass lesions by vibro-acoustography: modeling and experiments

Vibro-acoustography is a recently developed imaging method based on the dynamic response of to low-frequency vibration produced by of ultrasound radiation force. The main differentiating feature of this method is that the image includes information about the dynamic properties of the object at the frequency of the vibration, which is normally much lower than the ultrasound frequency. Such information is not available from conventional ultrasound imaging. The purpose of this study is to evaluate the performance of vibro-acoustography in imaging mass lesions in soft tissue. Such lesions normally have elastic properties that are different from the surrounding tissue. Here, we first present a brief formulation of image formation in vibro-acoustography. Then we study vibro-acoustography of solid masses through computer simulation and in vitro experiments. Experiments are conducted on excised fixed liver tissues. Resulting images show lesions with enhanced boundary and often with distinctive textures relative to their background. The results suggest that vibro-acoustography maybe a clinically useful imaging modality for detection of mass lesions.