10/5/2021 8:00:44 AM TOPIC:ADVANCES IN ULTRASOUNDS (US) 10/5/2021 8:00:44 AM TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 0. CONTENTS 1. GENERAL INTRODUCTION 2. TRANSDUCERS. 3. US IMAGING MODES AND NEW IMAGING MODES 4. 5. ADVANCES IN US-THERAPY 1. A, B, M-MODES 1. HIGH INTENSITY FOCUSED US. 2. NEW MODES 2. US DRUG AND GENE DERIVERY ADVANCES IN US- DIAGNOSIS 1. Diagnosis Contrast agents 2. Elastography 3. Tissue harmonic imaging 4. Vibro acoustography and acoustic microscopy 10/5/2021 8:00:44 AM 6. CONCLUSION 7. REFERENCING TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 1. GENERAL INTRODUCTION ULTRASOUND IMAGING ADVANTAGES: a. Non ionic modality in nature therefore safe for prenatal imaging b. Easy to use i.e. some machines are portable c. Non invasive d. Capture live (real time ) image of soft tissues. GAP over years: Small bandwidth, contrast and spatial resolution. Objective: Use of technological advances in electronics and computational to expand applications. 10/5/2021 8:00:44 AM TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 2. US TRANSDUCERS 1. Protective layer for protection 2. Lens for beam focusing 3. Matching layer: For US energy transfer from transducer to the medium. 4. Piezoelectric element: For electrical to sound energy and vice versa. 5. Backing block for damping resonant vibrations. Note: 1. Reverberation artifacts may be reduced by shifting from Lead zirconate titanate to ferroelectric relaxors PZT. 2. Advances in US have also to keep on improving beam focusing and steering by changing array configurations, digital image processing technology , hanafy lens as well as extending field of view. 10/5/2021 8:00:44 AM TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 3. ULTRASOUND IMAGING MODES 2) Different techniques such Doppler imaging, non linear imaging, harmonic imaging, extended field of view, 3D US have been manufactured to advances US. In addition the processing modes such as automatic gain compensation and photopic US real time post processing modes are advancing the 10/5/2021 8:00:44of AMUS. applications TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 4. ADVANCES IN US_DIAGNOSIS 1. Diagnosis Contrast agents US lacked the contrast agents as it was for other modalities. Form 1990s where microbubbles (<10 micrometers diameter) have started to be used by enhancing the echogenicity. Microbubbles consist of gas such as air or perfluorocarbon and they can be stabilized by shell phospholipid. 10/5/2021 8:00:44 AM TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 4. ADVANCES IN US_DIAGNOSIS 2. Elastography Young's modulus E: The longitudinal elasticity or stiffness of a tissue, ΔL/L (the percentage change in its length) in response to stress σ which equals the action of a contraction force F on the tissue’s surface A. E = (stress)/(strain)= 10/5/2021 8:00:44 AM 𝐹 𝐴 ∆𝐿 𝐿 TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 4. ADVANCES IN US_DIAGNOSIS 3. Tissue harmonic imaging Is a grayscale ultrasound mode that provides images of higher quality than conventional sonography. Is based on the phenomenon of nonlinear distortion of acoustic signal as it travels through the body. Harmonics are produced by tissue vibration and are usually integral multiples of the transmitted frequency 10/5/2021 8:00:44 AM 3. Tissue harmonic imaging Harmonic wave frequencies are higher integer multiples of the transmitted frequency. Current technology uses only the second harmonic(twice the transmitted frequency) for imaging. The processed image is formed with use of the harmonic frequency bandwidth in the received signal after the transmitted frequency spectrum is filtered out TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 4. ADVANCES IN US_DIAGNOSIS 4. A. Vibro acoustography The image is built up through interference of two scanning the focused beam across the object of interest. 4. B. acoustic microscopy This uses a ultra high frequency (30- 100 MHz) micro transducer composed of polymer ferroelectric polyvinylidene fluoride to increase bandwidth. This allows its usage in ophthalmology diseases. The technique uses attenuation and impedance to produce images. 10/5/2021 8:00:44 AM TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 5. ADVANCES IN US_THERAPY 1. HIGH INTENSITY FOCUSED ULTRASOUND(HIFU) HIFU is a therapy that uses focused ultrasound waves to thermally remove a portion of tissue. As people age, collagen decreases therefore HIFU treatment may be used for collagen production. HIFU is used to destroy a defined volume of tissue by inducing a rise in temperature greater than 500 𝐶 Example: Treatment of liver, prostate and kidney tumors. 10/5/2021 8:00:44 AM TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 5. ADVANCES IN US_THERAPY 2. US DRUG AND GENE DERIVERY Not all drug particles are allowed to get into cell during current drug and gene delivery A low frequency US waves may be focused on the target to make a small and temporary opening for injected particles to be penetrated (sonoporation) into the cytoplasm up to nucleus of the cell for gene derivery. 10/5/2021 8:00:44 AM TOPIC:ADVANCES IN ULTRASOUNDS 10/5/2021 8:00:44 AM 6. CONCLUSION The modern technological advances in electronics and computing is bring divers imaging modes. Advances in ultrasounds is progressing to give diagnosis and therapeutic choices. Contrast agents have been used to improve contrast in clinic applications 10/5/2021 8:00:44 AM 10/5/2021 8:00:44 AM REFERENCING 1. Christopher J. H, James M.P, Robert J.E, Martin J.K.B, & David O.C ( 2001). Advances in ultrasound. Clinical Radiology 57, 157-177. 2. Andrzej N. , & Katarzyna D. Introduction to ultrasound elastography. J Ultrason. 2016 Jun; 16(65): 113–124. 3. Porter,T., Zeng, P. & Xie, F. Advances in Ultrasound Therapeutics. Curr Cardiol Rep 23, 133 (2021). 4. Dr.Yunjie Tong. Medical Imaging Systems: Ultrasound( lecture slides). UR& Perdue University(2021). +Questions / Supporting Ideas Thank You Very Much. 10/5/2021 8:00:44 AM