ULTRASONIC IMAGING 24, 246- 260 (2002) Temperature Dependence of Ultrasonic Propagation Speed and Attenuation in Canine Tissue U. TECHAVIPOO, T. VARGHESE, J.A. ZAGZEBSKI, T. STILES 1, 2 1 1 1 AND G. FRANK 1 1 Department. of Medical Physics 2 Department of Radiology The University of Wisconsin-Madison Madison, WI-53706 tvarghese@facstaff.wisc.edu Previously reported data on the temperature dependence of propagation speed in tissues generally span only temperature ranges up to 60°C. However, with the emerging use of thermal ablative therapies, information on variation in this parameter over higher temperature ranges is needed. Measurements of the ultrasonic propagation speed and attenuation in tissue in vitro at discrete temperatures ranging from 25 to 95°C was performed for canine liver, muscle, kidney and prostate using 3 and 5 MHz center frequencies. The objective was to produce information for calibrating temperature-monitoring algorithms during ablative therapy. Resulting curves of the propagation speed vs. temperature for these tissues can be divided into three regions. In the 25-40°C range, the speed of sound increases rapidly with temperature. It increases moderately with temperature in the 40-70°C range, and it then decreases with increasing temperature from 70-95°C. Attenuation coefficient behavior with temperature is different for the various tissues. For liver, the attenuation coefficient is nearly constant with temperature. For kidney, attenuation increases approximately linearly with temperature, while for muscle and prostate tissue, curves of attenuation vs. temperature are flat in the 25-50°C range, slowly rise at medium temperatures (50-70°C), and level off at higher temperatures (70-90°C). Measurements were also conducted on a distilled degassed water sample and the results closely follow values from the literature. KEY WORDS: Ablation; attenuation; imaging; speed of sound; strain; temperature; ultrasound. INTRODUCTION Percutaneous in situ tumor ablation using various thermal energy sources is being investigated because of its promise in the treatment of focal malignant disease.1-12 These techniques allow treatment of patients who are not considered candidates for surgery due to age or extent of disease. 13 Tumor ablation using high-intensity focused ultrasound,8 radiofrequency 11,12 14 7,15 ablation, microwave, and laser energy has been conducted in human subjects. Because of the requirement to destroy only tumors with negative margins, with minimal damage to surrounding tissue, an imaging system to localize tumors16-19 and real-time temperature monitoring20-26 to estimate thermal doses are essential. Diagnostic ultrasound imaging can serve these requirements because it is real-time and inexpensive compared with other imaging techniques such as magnetic resonance imaging and computed tomography. Temperature estimation using diagnostic ultrasound has been studied by many research groups.20-26 As tissue is heated during ablation, the tissue expands along with changes in the ultrasonic propagation speed. These changes introduce time shifts in backscattered ultrasound echo signals from the heated region. Thermal expansion and sound speed changes may appear as opposing phenomena in terms of apparent shifts in radiofrequency (rf) echo signals. Depending on tissue composition, thermal expansion will likely cause smaller shifts in the echo signals than shifts due to speed of sound changes.20-26 Seip and Ebbini20 estimated the temperature changes along one dimension during heating by tracking frequency 246 0161-7346/02 $18.00 Copyright 2002, 2003 by Dynamedia, Inc. All rights of reproduction in any form reserved. TEMPERATURE DEPENDENCE OF PROPAGATION SPEED AND ATTENUATION 247 Pump and Temperature controller Tissue holder Tissue Transmitter Receiver Degassed distilled water Membranes Pump and Temperature controller Oscilloscope Sample in Saline Function Gen. Tissue holders Power Amplifier Water in heating bath FIG. 1 Experimental apparatus used in the measurements (a) and the front and side views of a tissue holder containing a tissue sample in saline (b). variations of the echo spectrum. Echo-arrival time shifts due to heating have also been applied for temperature estimation.21,23-25 The time shifts are differentiated along the axial direction and multiplied by a tissue dependent parameter to obtain local temperature changes. The temperature value estimated depends on the thermal expansion coefficient and on the variation of the propagation speed with temperature. Simon et al21 obtained this parameter experimentally and assumed it to be constant in the temperature range from 25 to 43°C. However, this temperature range is too low for tumor ablation therapies.1-12 Furthermore, the tissue-dependent parameter may not be constant, particularly for high temperatures. Data on ultrasonic propagation speeds and attenuation coefficients in human and animal tissues have been summarized in Wells,27, Goss28 and Duck.29 Variations in the propagation speeds and attenuation with temperature have also been reported.30-34 Bowen et al30 illustrated that the rate of change of the propagation speed with temperature is correlated with the ultrasonic velocity near normal body temperature. Bamber and Hill33 measured the ultrasonic attenuation and the propagation speed in bovine and human soft tissues in the range of 5 to 65°C. Worthington and Sherar32 measured the same properties in porcine kidney. Both groups measured the attenuation by using a broadband substitution method. Variations in the ultrasonic propagation speed35-38 and attenuation36-48 have also been used extensively to differentiate between normal and diseased tissue. In this article, we report results of measurements of ultrasound propagation speed and attenuation in excised canine tissue over the temperature range of 25 to 95°C. Specimens of liver, kidney, muscle and prostate tissues were evaluated using a narrow band substitution technique. MATERIALS AND METHODS The apparatus used for the measurement is shown in figure 1. Two water baths were used in the experiment, one for performing acoustical measurements and the other for heating the samples before taking measurements. The transmitting transducer (Panametrics V309, 248 TECHAVIPOO ET AL Waltham, MA) is 13 mm in diameter. The transducer was driven by 30-cycle duration, narrowband pulses using a function generator (Wavetek model 81, San Diego, CA) and a power amplifier (Amplifier Research model 75A250, Souderton, PA). Center frequencies of 3 and 5 MHz were used in the experiment. The receiving transducer (Aerotech Delta, Krautkramer Inc., Lewistown, PA) is 8 mm in diameter. Optimal operation of the transducer transmitter-receiver pair was at a center frequency of 5 MHz. The received signals were recorded and averaged over 50 successive traces by a digital oscilloscope (LeCroy 9410, Chestnut Ridge, NY), triggered by the function generator. The temperature of the degassed distilled water in each water bath was controlled by a pump and temperature controller (Haake, Karlsruhe, West Germany). Each tissue sample was immersed in saline and enclosed in a tissue holder (whose dimensions are 1.6 cm thick, 5 cm wide and 15 cm in height). The sides of the tissue sample holder are made of a 25 mm membrane (Saran Wrap, Dow Chemical Company, Midland, MI) as shown in figure 1. To verify the accuracy of the measurement method, a sample of degassed distilled water whose propagation speed and attenuation coefficient as a function of temperature were known was used in each experiment. A. Tissue preparation Four types of tissue samples, liver, psoas muscle, kidney and prostate were obtained from approximately 10-month old male hounds available from unrelated studies in an adjoining lab. The measurements were begun less than five hours after excision. Each sample was cut into approximate dimensions of 1.6 cm ´5 cm ´5 cm and placed in the tissue holder, along with degassed saline buffer. Liver tissue sections without large veins and bile ducts were selected, and placed into the sample holder without any preferred orientation. Muscle tissue was arranged in the holder such that the ultrasound signal propagated perpendicular to its fibers. The kidney was cut in the axial direction across its center for the 1.6 cm thickness and put into the tissue holder so the kidney medulla was in the center position for measuring. The entire prostate gland was put into the tissue holder in a direction such that the prostatic urethra was parallel to the propagation direction. The thicknesses of the tissue samples were measured at each temperature using calipers at several locations around the center of the samples where the acoustic measurements were also acquired. B. Data acquisition The propagation speeds and the attenuation coefficients were measured at eight different temperatures, 25, 30, 40, 50, 60, 70, 80, 90 and 95°C, in the order of increasing temperature. The experiment was conducted by transferring a specimen from the heating bath to the measurement bath, taking a measurement immediately after the sample was in position, and restoring the specimen back to the heating bath. The time shift in the received ultrasonic pulse after interposing the specimen was recorded for the propagation speed, while the peakto-peak voltage amplitudes with and without the specimen in place were measured for the attenuation coefficient. This process was repeated three times followed by measurement of the sample thickness. Then the temperature of the water in each bath was changed to the next higher temperature setting and twenty minutes was allowed for thermal equilibrium before the next measurement. For the first three temperature settings, the water temperature in the measurement bath was the same temperature as the heating bath. For higher temperatures, the measurement bath was maintained at 40°C, but care was taken to ensure that time shifts and transmitted amplitudes were recorded within seconds after insertion of the sample. This experiment was repeated ten times, each time using tissue from a different animal. TEMPERATURE DEPENDENCE OF PROPAGATION SPEED AND ATTENUATION 249 C. Data reduction Propagation speed was determined using the substitution technique.49 Ignoring the propagation time in the thin membrane layers of the tissue holder, the propagation speed in tissue, cm, can be computed by cm = cw /(1 - cw Dt / d ) (1) where cw is the propagation speed of water in the measurement bath; Dt is the time shift after insertion of the sample; and d is the sample thickness. The sound propagation time with and without the sample was measured from the position of the zero crossing of the fifth cycle of the transmitted ultrasound pulse. The speed of sound in distilled water over the temperature range from 0 to 100 °C at atmospheric pressure can be estimated by a fifth-order polynomial whose coefficients from the zeroth to the fifth degree are given by 1402.736, 5.03358, -0.0579506, 3.31636´10-4, -1.45262´10-6 and 3.0449´10-9 respectively.50 The attenuation coefficients were measured at 3 and 5 MHz using the narrowband substitution technique. Assuming that attenuation of ultrasound through the water over the thickness of the sample is negligible compared to the attenuation in tissue, the attenuation coefficient, a, in dB/cm can be written as a = (20 / d ) log( A0 / ATtotal ) (2) where d is the measured thickness of the sample, A0 and A are the measured peak-to-peak signal voltages without and with the sample inserted respectively, and Ttotal is the combined amplitude transmission coefficient49, 51 through the sample windows. The latter is calculated using Ttotal = 4 Z1 Z 3 ( Z1 + Z 3 ) cos (k 2l ) + ( Z 2 + Z1Z 3 / Z 2 ) 2 sin 2 (k 2l ) 2 (3) 2 where the subscripts 1, 2 and 3 refer to the properties of the water in the measurement bath, the thin layer material and the tissue sample respectively; Z denotes the acoustic impedance, k the wave number and l is the thickness of the thin layer. The acoustic impedance Z was calculated from Z = rc, where r is the density and c is the sound speed in the material. The wave number k2 was calculated indirectly from 2pf/c2, where c2 is the sound speed in the thin layer. Assuming that the acoustic impedance Z2 (= 4.25´106 kg/m2s), the sound speed c2 (= 2504 m/s), the thickness l (= 25´10-6 m) of the thin layer and the densities of the tissue sample r3 (= 1.050´103, 1.041´103, 1.044´103 and 1.045´103 kg/m3 for liver, muscle, kidney and prostate, respectively) are known and do not vary with temperature, the combined amplitude transmission coefficient can be estimated.49 Densities of human tissue29 were used in Eq. (3) instead of those of canine tissue. The acoustic impedance of water in the measurement bath at different temperatures was calculated by multiplying the sound speed50 as shown above and the density, which was also approximated by a fifth-order polynomial whose coefficients are given by 999.842594, 6.793952´10-2, -9.095290´10-3, 1.001685´10-4, -1.120083 ´10-6 and 6.536332´10-9 respectively.52 250 TECHAVIPOO ET AL RESULTS A. Degassed distilled water measurements Figure 2 shows the measured propagation speeds and the attenuation coefficients in the degassed distilled water at different temperatures for 3 and 5 MHz. Similar sample holders as those used for tissue samples were used for the degassed distilled water measurements. Each data point is the mean over ten experiments, and its error bar represents ±1 standard deviation of the results. In figure 2a, the measurement of the propagation speed closely follows the values reported by Greenspan and Tschegg50 with a very small standard deviation. However, the results tend to deviate from the literature values above 80°C. This suggests that our measurements below 80°C are more accurate than those above this temperature. However, the largest deviation is about 7 m/s, or 0.48 percent, from the literature value. This deviation may be caused by small temperature changes in the sample during the brief time after it was inserted into the lower temperature measurement bath for measuring the time shift. In figure 2b, the attenuation measurements are close to zero as expected, although results have large error bars at higher temperatures. The largest standard deviation in the attenuation coefficient measured was 0.666 dB/cm at 3 MHz and 0.422 dB/cm at 5 MHz, assuming that the attenuation coefficient of the water is constant at 0.0025 dB/cm/MHz2 (or 0.0225 dB/cm at 3 MHz and 0.0625 dB/cm at 5 MHz) for all of the measurement temperatures. The errors at higher temperatures could be a result of air bubbles accumulating in the sample. Even though the samples were degassed, there was a tendency for limited number of bubbles to accumulate on the sample walls. B. Propagation speed in canine tissue Figure 3 shows the propagation speed in canine tissues at 3 and 5 MHz center frequencies versus temperature. Note that the graphs are plotted on the same scale, and each point denotes the mean value across 10 different animals, while the error bar denotes the standard deviation. For a sample size of 10, the probability is 95% that the study will detect a relationship between the independent and dependent variables at a two-sided 5% significance level, if the true change in the dependent variable is 1.313 standard deviations per one standard deviation in the independent variable. In general, the propagation speeds in canine tissue samples lie between 1545-1595 m/s. For each tissue type, the propagation speed behavior at 3 and 5 MHz is virtually identical. The graphs in figure 3, may be broken down into three regions. In the first region, the propagation speed increases rapidly with temperature (25 to 40°C). The approximate slopes for this region are 1.15, 1.51, 1.46, and 1.62 m/s/°C for liver, muscle, kidney and prostate respectively. In the second region, the rate of increase in the propagation speed with temperature is less than that found below 40°C. This region extends over the temperature range of 40 to 70°C (40 to 60°C for liver). The approximate slopes of propagation speed vs. temperature for this region are 0.250, 0.410, 0.620, and 0.355 m/s/°C for liver, muscle, kidney, and prostate respectively. Finally, in the third region, the propagation speed decreases with the temperature from 70 to 95°C (60 to 95°C for liver). The approximate slopes for this region are -0.917, -0.629, -0.644, and -0.624 m/s/°C for liver, muscle, kidney, and prostate respectively. C. Attenuation coefficient in canine tissue Figure 4 shows the variation in the attenuation coefficients with temperature in canine tissues at 3 and 5 MHz center frequencies. Again the graphs are plotted using the same scale, and each point denotes the mean value across 10 different animals, while its error bar indi- TEMPERATURE DEPENDENCE OF PROPAGATION SPEED AND ATTENUATION 251 1605 1595 1585 1575 1565 1555 5 MHz 1545 3 MHz 1535 20 30 40 50 60 70 80 90 100 80 90 100 Temperature (°C) (a) 0.80 Attenuation Coefficient (dB/cm) 5 MHz 0.60 3 MHz 0.40 0.20 0.00 -0.20 -0.40 20 30 40 50 60 70 Temperature (°C) (b) FIG. 2 The propagation speed (a) and the attenuation coefficient (b) of a degassed distilled water sample vs. sample temperature. Error bars represent ± 1 SD. Results are shown for both 3 and 5 MHz center frequency bursts. 252 TECHAVIPOO ET AL 1565 1555 1545 1535 1525 1515 5 MHz 3 MHz 1505 Ref 1495 20 30 40 50 60 70 80 90 100 Temperature (°C) (a) 1605 1595 1585 1575 1565 1555 5 MHz 1545 3 MHz 1535 20 30 40 50 60 70 Temperature (°C) (b) 80 90 100 TEMPERATURE DEPENDENCE OF PROPAGATION SPEED AND ATTENUATION 253 1605 1595 1585 1575 1565 1555 5 MHz 1545 3 MHz 1535 20 30 40 50 60 70 80 90 100 Temperature (°C) (c) 1605 1595 1585 1575 1565 1555 5 MHz 1545 3 MHz 1535 20 30 40 50 60 70 80 90 100 Temperature (°C) (d) FIG. 3 Propagation speed vs. temperature measured at 3 and 5 MHz. Results are shown for canine (a) liver, (b) muscle, (c) kidney and (d) prostate. 254 TECHAVIPOO ET AL 20.00 5 MHz Attenuation Coefficient (dB/cm) 18.00 3 MHz 16.00 14.00 12.00 10.00 8.00 6.00 4.00 2.00 0.00 20 30 40 50 60 70 80 90 100 Temperature (°C) (a) 20.00 18.00 16.00 14.00 12.00 10.00 8.00 6.00 4.00 5 MHz 2.00 3 MHz 0.00 20 30 40 50 60 70 Temperature (°C) (b) 80 90 100 TEMPERATURE DEPENDENCE OF PROPAGATION SPEED AND ATTENUATION 255 20.00 5 MHz Attenuation Coefficient (dB/cm) 18.00 3 MHz 16.00 14.00 12.00 10.00 8.00 6.00 4.00 2.00 0.00 20 30 40 50 60 70 80 90 100 Temperature (°C) (c) 20.00 5 MHz Attenuation Coefficient (dB/cm) 18.00 3 MHz 16.00 14.00 12.00 10.00 8.00 6.00 4.00 2.00 0.00 20 30 40 50 60 70 80 90 100 Temperature (°C) (d) FIG. 4 Attenuation coefficient vs. temperature for canine tissue samples, measured both at 3 and 5 MHz. Results are shown for (a) liver, (b) muscle, (c) kidney and (d) prostate. 256 TECHAVIPOO ET AL Table 1 Comparison between results presented in this paper and those of other studies for the propagation speed in 1 2 canine tissue. Note Bowen et al (1979) and Goldman and Richards (1954). Tissue types T (°C) Our results (m/s) Other studies (m/s) Liver 26 37 1577 1590 1581 1 1592-1604 Muscle 26 37 1562 1579 1576 1 1589-1603 Muscle 26 37 1547 1563 15592 1 1567-1571 2 2 cates the standard deviation. In figure 4a, the attenuation coefficients at 3 and 5 MHz for liver tissue are almost invariant with temperature. Those for kidney tissue, however, (figure 4c) exhibit a linear increase with temperature. The approximate slopes of attenuation coefficient vs. temperature for liver tissue are 0.0038 and 0.0076 dB/cm/°C at 3 and 5 MHz respectively. For kidney tissue, the slopes are 0.0801 and 0.0967 dB/cm/°C at 3 and 5 MHz respectively. For muscle and prostate tissue (Fig. 4b, d) the curves are flat at lower temperatures (25-50°C), slowly increase with temperature at medium temperatures (50-70°C), and level off at higher temperatures (70-90°C). DISCUSSION The measured values of ultrasonic propagation speed and attenuation coefficient in canine tissues and in degassed distilled water at different temperature are compared with literature values. In general, the results are in agreement with those reported in the literature. For the water sample, the propagation speeds are close to the values reported in reference 50 and the attenuation coefficient is close to zero. Our values of the propagation speed in soft tissues generally agree with results of other studies, though subtle differences are seen. For low temperatures (26 and 37°C), our results are slightly lower than the results reported in reference 30 and 53. These authors measured the propagation speed in canine liver, muscle and kidney. Detailed comparisons are shown in table 1. Note that linear interpolation was used to approximate our propagation speed results to the same temperature as in the other studies. For other temperatures, we could not find similar published results so we compared our results with those reported for different animal species. Bamber and Hill33 measured the propagation speed in human and bovine livers at temperatures from 5 to 65°C. Worthington and Sherar32 did so in porcine kidneys from 37 to 65°C. Graphs of propagation speed vs. temperature for each type of tissue follow the same trend noted in this study, i.e., they increase at low temperatures and decrease at high temperatures. Bamber and Hill33 used only one human tissue sample and two bovine tissue samples, so the reported values may not represent the general trend for this tissue type. The graph of propagation speed vs. temperature reported for their kidney sample32 exhibits many abrupt changes, in contrast to the results shown in figure 3(c). This might stem from the authors’ measurement method, which used different sets of samples for each temperature. Thus, sample-to-sample variability may have contributed to the variations in the data. Since the kidney is inhomogeneous, the propagation speed also depends on the section of the kidney interrogated and its orientation. In contrast, our speed of sound vs. temperature curve is smooth, probably due to the fact that the same tissue was used at all measurement tempera- TEMPERATURE DEPENDENCE OF PROPAGATION SPEED AND ATTENUATION 257 tures and a large sample size was used at each temperature(?). However, our method could suffer from tissue degradation with temperature. The measurements were taken over a 10-hour period and completed 15 hours after excision. Our results for the attenuation coefficient follow the same trends as those of Bamber and Hill33 and Worthington and Sherar32 for the same organs but different animal species. We are unable to compare with the same species because none of the earlier studies measured in the same canine organs and at the same frequencies as we did. Compared with Bamber and Hill,33 at a 3-MHz center frequency, our results are very close to reported values of one of their bovine samples and their human sample for the temperature range from 25 to 50°C. However, our graph does not increase with temperature as rapidly as their data for higher temperatures. At 5 MHz, our results lie between their graphs. Compared with Worthington and Sherar,32 our samples exhibit higher attenuation but have the same trend of increasing with temperature. The difference between our results and others might stem from a difference in measurement methods, e.g., pulse types (broadband and narrowband) and use of different animal species (bovine, porcine, and canine). Tissue degeneration with temperature may have an effect on our experiments as well as those of previous authors. Gas bubbles formed in tissue samples, such as could have occurred by degeneration may have increased the attenuation coefficient estimate in our experiments. Some researchers degas the tissue using a vacuum pump before measurement. We did not degas the tissue since it was freshly excised and would not contain gas bubbles at the start of the experiment. The properties of tissue close to those in living animals are of interest. The findings of this study are restricted to an assumption of invariance with temperature of the tissue holder membrane properties and tissue densities. Measurement accuracies at high temperatures are also limited by the heat loss that occurs while measuring samples in the 40oC measurement bath. Note also that whether in vitro values accurately represent the in vivo values that could be applied to a temperature-monitoring algorithm in living bodies still needs to be established. CONCLUSION Variation in the ultrasonic propagation speed and attenuation with temperature are measured for canine liver, kidney, prostate, and muscle tissue. The dependence of these acoustic parameters on temperature varies with tissue type. For each tissue, curves of speed of sound or attenuation exhibit three distinct behaviors over the 25-95°C temperature range. Measurements of propagation speed and attenuation were primarily to obtain calibration curves for ultrasonic monitoring during thermal ablative treatments. The design of this experiment, where the same tissue sample is continuously heated over the entire temperature range of 25-95°C, differs from most approaches reported in the literature, where each tissue sample is raised to a single set temperature. We are currently analyzing differences between these two approaches. Results of changes in the propagation speed and attenuation with temperature will be used for calibrating temperature distributions during ultrasound-guided ablative therapy. ACKNOWLEDGEMENTS The authors thank Mr. Larry Whitesell and Ms. Jennifer Puck for providing liver tissue samples used for the experiments. This work was supported in part by start-up grant funds 258 TECHAVIPOO ET AL from the Department of Medical Physics, Medical School and Graduate School at the University of Wisconsin-Madison and by NIH grants R01 CA39224. REFERENCES 1. 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