The The Ultrasound Ultrasound Research Research Interface: Interface: AA New New Tool Tool for for Biomedical Biomedical Investigations Investigations Shelby Brunke1, Laurent Pelissier2, Kris Dickie2, Jim Zagzebski3, Tim Hall3, Thaddeus Wilson4 1Siemens Medical Systems, Issaquah WA Medical Corporation, Vancouver, BC 3Department of Med. Physics, University of Wisconsin 4Department of Radiology, University of Tennessee 2Ultrasonix Introduction Introduction Digitally controlled ultrasound scanners offer extensive levels of programmability, which enable manufacturers to explore and to readily incorporate alternative beam formation, signal and image processing, networking, and interfacing capabilities. Recent efforts have led manufacturers to share these tools for innovation with academic and clinical researchers. This discussion will present capabilities of two such machines and present examples of research uses. AAPM 2005 The The Ultrasound Ultrasound Research Research Interface: Interface: A A New New Tool Tool for for Biomedical Biomedical Investigations Investigations Examples Examples of of Use Use Jim Zagzebski, Tim Hall, Thaddeus Wilson* Department of Med. Physics, University of Wisconsin *Department of Radiology, University of Tennessee AAPM 2005 AAPM 2005 Parametric Parametric Imaging Imaging • Except for Doppler, ultrasound imaging is based entirely on echo amplitudes • Parametric images •Acoustic attenuation •Scatterer size •Speed of sound •Elasticity (many forms) AAPM 2005 1 Ultrasound Ultrasound Attenuation Attenuation Measuring Measuring Attenuation Attenuation • Attenuation is used diagnostically in the liver, breast, etc. • However, only qualitative estimates are made • Record RF echo data from ROI • Filter, measure reduction of rf signal with depth • In a clinical machine, signal amplitude changes with depth are also affected by: – “mass exhibits shadowing” – “mass exhibits good through transmission” – – – – • Goals: incorporate methods for determining attenuation locally, and in the form of images. log S s (ω ) 2 S r (ω ) 2 Beam focusing, beam shapes TGC settings set by operator Internal TGC set by the manufacturer Nonlinear processing in scanners Depth • Reference phantom techniques have been developed that effectively account for instrumentation effects. AAPM 2005 Human Human liver liver Attenuation (dB/cm) Attenuation in liver vs. frequency 4 3.5 3 2.5 2 1.5 1 0.5 0 Tu et al • ROI outlined from B-mode image (blue line) • Areas of inhomogeneity eliminated (red line) • Algorithm retrieves RF echo data from ROI, computes attenuation • Results in normal liver agree with many previous reports (0.5 dB/cm-MHz) AAPM 2005 Attenuation Attenuation Imaging Imaging Siemens Siemens SONOLINE SONOLINE Antares Antares 0.3 dB/cm/MHz contrast, 1 cm diameter Lu et al 0 1 2 3 Frequency (MHz) 4 5 •Acquire RF data from multiple angles •Compute α from ROI’s at each angle 6 AAPM 2005 Spatial and Frequency Compounding AAPM 2005 2 Attenuation Attenuation Imaging Imaging Siemens Siemens SONOLINE SONOLINE Antares Antares ““Scatterer Scatterer Size” Size Size”” Imaging Imaging 0.3 dB/cm/MHz contrast, 1 cm diameter • RF data can be processed to yield the “backscatter coefficient” at frequencies throughout the signal bandwidth • Values of backscatter vs. frequency reflect the size of scatterers contributing to the signal. • By applying scatterer size dependent correlation models to the backscatter vs. data, possible to estimate size. •Acquire RF data from multiple angles •Compute α from ROI’s at each angle Spatial and Frequency Compounding AAPM 2005 ’Brien, IEEE Mouse OO’Brien, Mouse tumor tumor model model (Oelze (Oelzeand andO’ IEEEUFFC, UFFC,2004) 2004) Use single element transducer, 20 MHz AAPM 2005 Overlaid -mode and B Overlaid BB-mode and Scatterer Scatterer size size • • Carcinoma • • Fibroadenoma Acquire RF echo data from normal human thyroid Siemens Antares, 6-13 MHz Histology book: 100-200 µm lobules Scatterer size image data appears to correlate with anatomy. Scatterer size Reflects histological structure AAPM 2005 AAPM 2005 3 Patient Patient with with thyroid thyroid nodule nodule (Wilson (Wilson et et al) al) Elasticity Elasticity Imaging Imaging • Improve on manual palpation • Use a clinical ultrasound imaging system as a sensor of anatomic deformation • Relative deformation quantifies the bulk mechanical properties of tissue • Provides new diagnostic information Near real-time scatterer size imaging mode on Ultrasonix RP500 AAPM 2005 AAPM 2005 Estimation of Strain (Uses RF data frames) Implementation Implementation on on Machine Machine with with URI URI Pre-compression RF line Array Transducer τ1 τ2 ∆T Post-compression RF line Strain = τ −τ 1 2 ∆T (Gradient of the axial displacement) AAPM 2005 4 169 169 Breast Breast Lesions; Lesions; 11 Observer Observer Relative Relative Size Size of of Lesions Lesions Invasive Ductal Carcinoma Fibroadenoma AAPM 2005 AAPM 2005 Spatial Angular Compounded Elastograms Spatial Angular Compounded Elastograms (Ultrasonix 500 RP) x 10 8 0 0º -3 -3 x 10 8 0 0 x 10 8 5 7 10 6 5 7 5 7 15 5 10 6 10 6 20 4 15 5 15 5 25 3 20 10º 4 30 20 2 4 35 3 25 30 2 30 2 35 1 35 1 40 0 40 0 25 1 3 40 10 20 30 40 0 10 20 30 40 -3 12º 5 7 5 7 10 6 10 6 15 5 15 5 20 4 20 4 25 3 25 3 15º 30 2 30 2 35 1 35 1 0 40 40 0 10 20 30 40 0 10 20 (Ultrasonix, gel phantom, inclusion is 3x stiffer) 30 20 30 40 40 AAPM 2005 0 -3 31 x 10 8 0 10 Elastogram Without Compounding -3 x 10 8 0 0 30 SNRe (dB) 0 0 -3 29 28 o 0.5 o 1 o 2 o 3 27 26 25 0 5 10 15 o Maximum Angle ( ) 20 0 x 10 8 5 7 10 6 15 5 20 4 25 3 30 2 35 1 40 0 10 20 30 40 0 -15 º ~ 15 º Compounded Compounded Elastograms Elastograms AAPM 2005 5 Speed Speed of of sound sound Speed Speed of of sound sound Hayashi et al, A new method for measuring in vivo speed of sound speed in the reflection mode, J. Clin Ultrasound 16: 87-93, 1988. Can you measure SOS in pulseecho mode? • Beam former adds time delays to echo data picked up from elements in an array. Assumes SOS = 1540 m/s. • Some URI’s allow assumed speed of sound to be programmed. • Proper focusing is obtained only when the assumed speed of sound matches the speed of sound in the subject. Affects image intensity, for example. AAPM 2005 Speed Speed of of sound sound • Generate images of phantoms for different assumed SOS in the beamformer • Measure image brightness vs assumed SOS • Peak occurs near SOS of phantom AAPM 2005 Conclusions Conclusions • Parametric imaging adds new information to improve diagnostic accuracy • The ‘research interface’ on high-end systems are somewhat limiting in what the user can control Extended control and system programming available through close working relationship with manufacturer RMI 403 C=1540 m/s • The ‘research interface’ on lower-end systems provide greater access to system resources and system parameters • These research interfaces provide an opportunity to investigate imaging algorithms that were impractical with laboratory data acquisition systems ATS 539 C=1460m/s AAPM 2005 AAPM 2005 6