Motonao Tanaka

Noninvasive evaluation of local myocardial thickening and its color-coded imaging

For the noninvasive diagnosis of heart disease based on the acoustic characteristics of the heart muscle, we have developed a new method for accurately tracking the movement of the heart wall. By this method, a velocity signal of the heart wall with a small amplitude of less than 10 /spl mu/m on the motion resulting from a heartbeat with large amplitude of 10 mm can be successfully detected with sufficient reproducibility in the frequency range up to several hundred Hertz continuously for periods of about 10 heartbeats. In this paper, the method is applied to multiple points preset in the left ventricular (LV) wall along the ultrasonic beam so that the spatial (depth) distributions of the velocity at these points are simultaneously obtained. The motion of the heart wall is divided into the following two components: parallel global motion of the heart wall and the change in myocardial layer thickening at each depth across the LV wall during myocardial contraction/relaxation. The latter component is superimposed on the M (motion) mode image using a color code to map contraction as red and expansion as blue. By preliminary human studies, the principle of the method proposed in this paper is verified and the frequency band of the components generated by thickening and/or thinning in the myocardium is identified. This new approach offers potential for research on noninvasive acoustical diagnosis of myocardial local motility, that is, the myocardial layer function at each depth in the ventricular wall.

Ultrasonic tissue characterization of infarcted myocardium by scanning acoustic microscopy

The purpose of this study was to ultrasonically characterize infarcted human myocardial tissue at the microscopic level by scanning acoustic microscopy. Infarcted myocardial specimens from ten cases with acute myocardial infarction were studied. Specimens were formalin fixed, paraffin embedded and sectioned to 10-micron thickness. A specially developed scanning acoustic microscope system, operating in the 100- to 200-MHz ultrasound frequency range, was used for the measurements. The values of the attenuation constant were 0.94 +/- 0.04 dB/mm/MHz in normal myocardium, 0.71 +/- 0.12 dB/mm/MHz in degenerated myocardium, 0.88 +/- 0.47 dB/mm/MHz in granulation tissue and 1.75 +/- 0.11 dB/mm/MHz in fibrosis. The values of sound speed were 1620.2 +/- 8.2 m/s in normal myocardium, 1572.4 +/- 10.6 m/s in degenerated myocardium, 1590.2 +/- 32.5 m/s in granulation tissue and 1690.3 +/- 9.1 m/s in fibrosis. The ultrasonic properties of the diseased myocardium at the microscopic level will provide important information for ultrasonic tissue characterization at the macroscopic level.

A new echocardiographic method for identifying vortex flow in the left ventricle: numerical validation.

A new mathematical method for estimating velocity vectors from color Doppler datasets is proposed to image blood flow dynamics; this method has been called echodynamography or vector flow mapping (VFM). In this method, the concept of stream function is exploited to expand a 2-D distribution of radial velocities in polar coordinates, observed with color Doppler, to a 2-D distribution of velocity vectors. This study was designed to validate VFM using 3-D numerical flow models. Velocity fields were reconstructed from the virtual color Doppler datasets derived from the models. VFM captured the gross features of flow structures and produced comparable images of the distribution of vorticity, which correlated significantly with the original field (for velocity magnitudes, standard error of estimate = 0.003 to 0.007 m/s; for vorticity, standard error of estimate = 0.35 to 2.01/s). VFM may be sensitive for depicting flow structures derived from color Doppler velocities with reasonable accuracy.

The ultrasonic properties of gastric cancer tissues obtained with a scanning acoustic microscope system

A newly developed scanning acoustic microscope (SAM) system operating in the frequency range of 100-200 MHz has been employed to measure the attenuation and the sound speed of formalin-fixed specimens of five different types of gastric cancer. Signet-ring cell carcinoma specimens exhibit attenuation constant and sound speed values significantly lower than other types of gastric cancer tissues. Tubular adenocarcinoma specimens exhibit a trend toward higher attenuation and sound speed values as the cell type became differentiated. Our measurements and observations suggest that the ultrasonic properties are influenced by cellular arrangement, intercellular junction and intracellular chemical components.

ACOUSTIC PROPERTIES OF ATHEROSCLEROSIS OF HUMAN AORTA OBTAINED WITH HIGH-FREQUENCY ULTRASOUND

The ultrasonic properties of the tissue elements in the aorta were measured using a scanning acoustic microscope (SAM). Twelve autopsied aortas were formalin-fixed, frozen and sectioned at 10 microm thickness and mounted on glass slides for SAM investigation. A specially developed SAM system operating in the frequency range of 100-200 MHz was employed, and color-coded images of the two-dimensional (2-D) distributions of attenuation and sound speed were displayed. The region-of-interest (ROI) for attenuation and sound speed measurements was determined by comparison of optical and acoustic images. The average value of the slope of attenuation was 0.61 dB/mm/MHz and the sound speed was 1568 m/s in the normal intima; 2.5 dB/mm/MHz, 1760 m/s in the calcificated lesion; 1.7 dB/mm/MHz and 1677 m/s in the fibrosis; and 0.34 dB/mm/MHz, 1526 m/s in the fatty material, respectively. Acoustic microscopy provides the basic data for understanding the IVUS imaging of atherosclerosis, as well as on the pathological features of atherosclerosis.

The Flow Velocity Distribution from the Doppler Information on a Plane in Three-Dimensional Flow

In order to observe and estimate the flow of fluid in three-dimensional space, the pulsed Doppler method has been used widely. However, the velocity information acquired is only the velocity component in the beam direction of the wave even if an observation plane is formed by beam scanning. Accordingly, it is difficult to know the velocity distribution in the observation plane in tree-dimensional flow. In this paper, the new idea for processing the velocity distribution in the beam direction on an observation plane for transposing to flux distribution (flow function method) has been introduced. Further, the flow in an observation domain is divided into two kinds of flows, viz., the base flow which indicates the directivity of the flow in the observation domain and the vortex which is considered a two-dimensional flow. By applying the theory of a stream function to the two-dimensional flow, and by using the physical feature of a streamline to the base flow, the velocity component v which intersects perpendicularly to the beam direction is estimated. The flow velocity distribution in a scanning plane (observation plane) can be known from these two components of velocity, viz., beam direction componentu and perpendicular component to the beam directionv. The principle was explained by an example of the blood flow measurement in normal and abnormal heart chamber, by the ultrasonic Doppler method.

Ultrasonic Tissue Characterization of Atherosclerosis by a Speed-of-Sound Microscanning System

We have been developing a scanning acoustic microscope (SAM) system for medicine and biology featuring quantitative measurement of ultrasonic parameters of soft tissues. In the present study, we propose a new concept sound speed microscopy that can measure the thickness and speed of sound in the tissue using fast Fourier transform of a single pulsed wave instead of burst waves used in conventional SAM systems. Two coronary arteries were frozen and sectioned approximately 10 mum in thickness. They were mounted on glass slides without cover slips. The scanning time of a frame with 300 X 300 pixels was 90 s and two- dimensional distribution of speed of sound was obtained. The speed of sound was 1680 plusmn 30 m/s in the thickened intima with collagen fiber, 1520 plusmn 8 m/s in the lipid deposition underlying the fibrous cap, and 1810 plusmn 25 m/s in a calcified lesion in the intima. These basic measurements will help in the understanding of echo intensity and pattern in intravascular ultrasound images.

Determination of sound speed in biological tissues based on frequency analysis of pulse response

The sound speed in biological tissues provides important diagnostic and treatment planning information. Conventional methods of sound-speed determination generally require that transducers make physical contact with specimens in order to measure thickness and travel time in the time domain. The physical contact may cause deformation and affect blood flow and the measurement of travel time in the time domain may be sensitive to waveform distortion due to tissue inhomogeneity and surface roughness. A method for determination of the sound speed is proposed in which the sound travel time in the sample and the difference in total travel time from the transducer to the rigid reflector due to the presence of the sample are estimated in the frequency domain and which does not require physical contact of ultrasonic probes to living or freshly excised tissue specimens. Ultrasonic speed measurements in silicone rubber and acrylic resin specimens verified the method validity. The standard deviation of the measurements over a 10- x 10-mm area is less than 4 m/s. Sound-speed distribution measurements of porcine muscle are in agreement with previously published results.

Relationship Between Speed of Sound in and Density of Normal and Diseased Rat Livers

Speed of sound is an important acoustic parameter for quantitative characterization of living tissues. In this paper, the relationship between speed of sound in and density of rat liver tissues are investigated. The speed of sound was measured by the nondeformable technique based on frequency-time analysis of a 3.5 MHz pulse response. The speed of sound in normal livers varied minimally between individuals and was not related to body weight or age. In liver tissues which were administered CCl4, the speed of sound was lower than the speed of sound in normal tissues. The relationship between speed of sound and density in normal, fatty and cirrhotic livers can be fitted well on the line which is estimated using the immiscible liquid model assuming a mixture of normal liver and fat tissues. For 3.5 MHz ultrasound, it is considered that the speed of sound in fresh liver with fatty degeneration is responsible for the fat content and is not strongly dependent on the degree of fibrosis.

Ultrasonic Imaging of Propagation of Contraction and Relaxation in the Heart Walls at High Temporal Resolution

Strain and strain rate imaging have been shown to be useful for the assessment of regional myocardial function. However, some of the mechanisms of transition in myocardial contraction/relaxation remain unclear. In this study, the RF echoes from the left ventricular (LV) wall were acquired in both the longitudinal-axis view and the apical view by scanning ultrasonic beams sparsely to improve the temporal resolution, and a frame rate of about 600 Hz was realized. The phased tracking method was applied to multiple points in the heart wall to estimate the strain rate. The spatial distribution of the strain rate measured about every 2 ms showed the continuous transition in the myocardium. In the apical view, the propagation speed of contraction from the apex to the base side in the interventricular septum was found to be about 0.8 m/s. These results indicate the potential of this method in the estimation of the physiological function of the myocardium. [DOI: 10.1143/JJAP.46.4889]