Sverre Holm

Adaptive Beamforming Applied to Medical Ultrasound Imaging

We have applied the minimum variance (MV) adaptive beamformer to medical ultrasound imaging and shown significant improvement in image quality compared to delay-and-sum (DAS). We demonstrate reduced main-lobe width and suppression of sidelobes on both simulated and experimental RF data of closely spaced wire targets, which gives potential contrast and resolution enhancement in medical images. The method is applied to experimental RF data from a heart phantom, in which we show increased resolution and improved definition of the ventricular walls. A potential weakness of adaptive beamformers is sensitivity to errors in the assumed wavefield parameters. We look at two ways to increase robustness of the proposed method; spatial smoothing and diagonal loading. We show that both are controlled by a single parameter that can move the performance from that of a MV beamformer to that of a DAS beamformer. We evaluate the sensitivity to velocity errors and show that reliable amplitude estimates are achieved while the mainlobe width and sidelobe levels are still significantly lower than for the conventional beam-former.

Benefits of minimum-variance beamforming in medical ultrasound imaging

Recently, significant improvement in image resolution has been demonstrated by applying adaptive beamforming to medical ultrasound imaging. In this paper, we have used the minimum-variance beamformer to show how the low sidelobe levels and narrow beamwidth of adaptive methods can be used, not only to increase resolution, but also to enhance imaging in several ways. By using a minimum-variance beamformer instead of delay-and-sum on reception, reduced aperture, higher frame rates, or increased depth of penetration can be achieved without sacrificing image quality. We demonstrate comparable resolution on images of wire targets and a cyst phantom obtained with a 96-element, 18.5-mm transducer using delay-and-sum, and a 48-element, 9.25-mm transducer using minimum variance. To increase frame rate, fewer and wider transmit beams in combination with several parallel receive beams may be used. We show comparable resolution to delay-and-sum using minimum variance, 1/4th of the number of transmit beams and 4 parallel receive beams, potentially increasing the frame rate by 4. Finally, we show that by lowering the frequency of the transmitted beam and beamforming the received data with the minimum variance beamformer, increased depth of penetration is achieved without sacrificing lateral resolution.

Properties of the beampattern of weight- and layout-optimized sparse arrays

Theory for random arrays predicts a mean sidelobe level given by the inverse of the number of elements. In practice, however, the sidelobe level fluctuates much around this mean. In this paper two optimization methods for thinned arrays are given: one is for optimizing the weights of each element, and the other one optimizes both the layout and the weights. The weight optimization algorithm is based on linear programming and minimizes the peak sidelobe level for a given beamwidth. It is used to investigate the conditions for finding thinned arrays with peak sidelobe level at or below the inverse of the number of elements. With optimization of the weights of a randomly thinned array, it is possible to come quite close and even below this value, especially for 1D arrays. Even for 2D sparse arrays a large reduction in peak sidelobe level is achieved. Even better solutions are found when the thinning pattern is optimized also. This requires an algorithm that uses mixed integer linear programming. In this case solutions, with lower peak sidelobe level than the inverse number of elements can be found both in the 1D and the 2D cases.

Sparse 2-D arrays for 3-D phased array imaging - design methods

One of the most promising techniques for limiting complexity for real-time 3-D ultrasound systems is to use sparse 2-D layouts. For a given number of channels, optimization of performance is desirable to ensure high quality volume images. To find optimal layouts, several approaches have been followed with varying success. The most promising designs proposed are Vernier arrays, but also these suffer from high peaks in the sidelobe region compared with a dense array. In this work, we propose new methods based on the principles of suppression of grating lobes to form symmetric and non-symmetric regular sparse periodic and radially periodic designs. The proposed methods extend the concept of sparse periodic layouts by exploiting either an increased number of symmetry axes or radial symmetry. We also introduce two new strategies to form designs with nonoverlapping elements. The performance of the new layouts range from the performance of Vernier arrays to almost that of dense arrays. Our designs have simplicity in construction, flexibility in the number of active elements, and the possibility of trade off sidelobe peaks against sidelobe energy.

Modified Szabo’s wave equation models for lossy media obeying frequency power law

Szabos models of acoustic attenuation [Szabo, J. Acoust. Soc. Am. 96(1), 491-500 (1994)] comply well with the empirical frequency power law involving noninteger and odd-integer exponent coefficients while guaranteeing causality, but nevertheless encounter the troublesome issues of hypersingular improper integral and obscurity in implementing initial conditions. The purpose of this paper is to ease or remove these drawbacks of the Szabos models via the Caputo fractional derivative concept. The positive time-fractional derivative is also introduced to include the positivity of the attenuation processes.

Visfatin/NAMPT: A Multifaceted Molecule with Diverse Roles in Physiology and Pathophysiology

Visfatin/NAMPT (nicotinamide phosphoribosyltransferase) is a protein with several suggested functions. Although the first discovery of this molecule as a pre-B-cell colony-enhancing factor suggested primarily a cytokine function, its rediscovery as the key enzyme in nicotinamide adenine dinucleotide generation has considerably widened its potential biological activities. Although originally thought to be produced in adipose tissue (i.e., adipocytes and infiltrating macrophages), its production seems to involve other cells and tissues such as skeletal muscle, liver, immune cells, cardiomyocytes, and the brain. Visfatin/NAMPT has both intracellular and extracellular effects influencing several signaling pathways. Its broad spectrum of effects is mirrored by its potential involvement in a wide range of disorders including human immunodeficiency virus infection, septicemia, myocardial failure, atherosclerosis, metabolic disorders, inflammatory diseases, malignancies, and neurodegenerative disorders and aging. Moreover, studies on visfatin/NAMPT in atherosclerotic disorders suggest a rather complex role of this molecule in pathophysiology, potentially mediating both adaptive and maladaptive responses.

A unifying fractional wave equation for compressional and shear waves

This study has been motivated by the observed difference in the range of the power-law attenuation exponent for compressional and shear waves. Usually compressional attenuation increases with frequency to a power between 1 and 2, while shear wave attenuation often is described with powers less than 1. Another motivation is the apparent lack of partial differential equations with desirable properties such as causality that describe such wave propagation. Starting with a constitutive equation which is a generalized Hookes law with a loss term containing a fractional derivative, one can derive a causal fractional wave equation previously given by Caputo [Geophys J. R. Astron. Soc. 13, 529-539 (1967)] and Wismer [J. Acoust. Soc. Am. 120, 3493-3502 (2006)]. In the low omegatau (low-frequency) case, this equation has an attenuation with a power-law in the range from 1 to 2. This is consistent with, e.g., attenuation in tissue. In the often neglected high omegatau (high-frequency) case, it describes attenuation with a power-law between 0 and 1, consistent with what is observed in, e.g., dynamic elastography. Thus a unifying wave equation derived properly from constitutive equations can describe both cases.

Nuclear Receptor Liver X Receptor Is O-GlcNAc-modified in Response to Glucose

Post-translational modification of nucleocytoplasmic proteins by O-linked β-N-acetylglucosamine (O-GlcNAc) has for the last 25 years emerged as an essential glucose-sensing mechanism. The liver X receptors (LXRs) function as nutritional sensors for cholesterol-regulating lipid metabolism, glucose homeostasis, and inflammation. LXRs are shown to be post-translationally modified by phosphorylation, acetylation, and sumoylation, affecting their target gene specificity, stability, and transactivating and transrepressional activity, respectively. In the present study, we show for the first time that LXRα and LXRβ are targets for glucose-hexosamine-derived O-GlcNAc modification in human Huh7 cells. Furthermore, we observed increased hepatic LXRα O-GlcNAcylation in vivo in refed mice and in streptozotocin-induced refed diabetic mice. Importantly, induction of LXRα O-GlcNAcylation in both mouse models was concomitant with increased expression of the lipogenic gene SREBP-1c (sterol regulatory element-binding protein 1c). Furthermore, glucose increased LXR/retinoic acid receptor-dependent activation of luciferase reporter activity driven by the mouse SREBP-1c promoter via the hexosamine biosynthetic pathway in Huh7 cells. Altogether, our results suggest that O-GlcNAcylation of LXR is a novel mechanism by which LXR acts as a glucose sensor affecting LXR-dependent gene expression, substantiating the crucial role of LXR as a nutritional sensor in lipid and glucose metabolism.

Wiener beamforming and the coherence factor in ultrasound imaging

The coherence factor (CF) is used for aberration correction and sidelobe suppression in ultrasound imaging. Unfortunately, it suffers from artifacts when the SNR is low. We show how the CF can be interpreted as an implementation of the Wiener postfilter for a delay-and-sum beamformer. In addition, we show that a minimum-variance, distortionless-response beamformer followed by CF weighting can be interpreted as an implementation of the Wiener beamformer. These interpretations provide us with a theoretical framework for analyzing and improving CF-based methods. We use this theory to develop more robust implementations for both the Wiener postfilter and beamformer. The performance of these implementations is shown on simulated and real data.

Increased YKL-40 expression in patients with carotid atherosclerosis

OBJECTIVE We hypothesized a role for the inflammatory protein YKL-40 in atherogenesis and plaque destabilization based on its role in macrophage activation, tissue remodeling, and angiogenesis. METHODS Serum YKL-40 levels were measured by enzyme immunoassay in 89 patients with carotid atherosclerosis and 20 healthy controls. Carotid expression of YKL-40 was examined by real time RT-PCR in 57 of the patients. Regulation and effect of YKL-40 were examined in THP-1 monocytes. RESULTS Our main findings were: (1) serum YKL-40 levels were significantly elevated in patients with carotid atherosclerosis, with particularly high levels in those with symptomatic disease; (2) patients with recent ischemic symptoms (within 2 months) had higher YKL-40 mRNA levels in carotid plaque than other patients; (3) in vitro, the beta-adrenergic receptor agonist isoproterenol, toll-like receptor (TLR) 2 and TLR4 agonists, and in particular releasate from activated platelets significantly increased the expression of YKL-40 in THP-1 monocytes and (4) in vitro, YKL-40 increased matrix metalloproteinase-9 expression and activity in THP-1 monocytes, involving activation of p38 mitogen-activated protein kinase. CONCLUSIONS Our findings suggest that YKL-40 might be a marker of plaque instability, potentially reflecting macrophage activation and matrix degradation within the atherosclerotic lesion.