The present invention relates to a method for obtaining a sound speed image and a Poisson's ratio image for characterization of the tissues.
An ultrasound scanner produces pictures of the inside of human body using sound waves. It uses a small probe called a transducer placed directly on the skin. High-frequency sound waves travel from the probe into the body. The probe collects sound reflections that bounce back from acoustic contrasts in tissues and organs. Ultrasound signals contain information about mechanical and acoustic properties of tissues and organs through which the ultrasound waves propagate or from which ultrasound waves are reflected. Those sound waves are used to create an image. Ultrasound imaging is a noninvasive medical test that helps a physician to diagnose and treat medical conditions [1, 2].
Medical ultrasound applications need to make a step change from general diagnostic imaging to quantitative characterization of tissues and organs. Seeing a feature on an ultrasound image is one thing. Knowing what is inside the feature is another thing. The latter ought to be more useful for clinical applications. In this way we can make ultrasound imaging technologies more competitive with or complementary to X-CT and MRI modalities. Attempts were made to measure physical properties of tissues using ultrasound. Shear wave elastography was an example. It uses shear wave fronts excited by a moving focused ultrasound beam to measure shear wave speeds in tissues [3, 4]. Travel time tomography was also used to invert for compressional wave velocities in tissues. It uses the travel time of sound waves between a pair of transmitter and receiver [5, 6]. Diffraction tomography was used for breast imaging. It uses diffracted waves to invert for compressional wave speed distribution in breast tissues [7]. Recently deep learning and artificial intelligence methods were used to invert for sound speed in medical ultrasound, using computer generated synthetic ultrasound data as training dataset since a large amount of training datasets is hard to come by [8]. Full waveform inversion was also reported in literature where a super-computer was used to invert for sound speed variations by exactly matching recorded waveforms with computer generated waveforms [9, 10].
Commercial ultrasound scanners are good at producing a diagnostic image to show shapes and structures of tissues and organs under examination. The images could not tell other important properties that are needed to characterize the health of the tissues, such as, hardness of the tissues, density, sound speed, Poisson's ratio, mechanical moduli, water content, to name a few. Clinic physicians want to know more about features and lesions seen on an ultrasound image.
The present invention relates to ultrasound imaging in general. In particular, the invention extends ultrasound to detailed characterization of physical properties of tissues and organs. In one way we can obtain not only a reflectivity image (B-mode image) but also the sound speed value at every image point at the same time. The B-mode reflectivity image and sound speed image together can be used to perform more detailed characterization of tissues and organs under examination. B-Mode is a two-dimensional ultrasound image display composed of bright dots representing ultrasound echoes with brightness proportional to echo strength.
In another way we can obtain not only a reflectivity image but also Poisson's ratio value at every image point at the same time. Poisson's ratio is an important material property. The value of Poisson's ratio is 0.5 for water, or slightly less than 0.5 for soft tissues that contain a lot of water in content. Muscular tissues have Poisson's ratio in the range of 0.30-0.45. Bones have Poisson's ratio values in the range of 0.35-0.4. Kidney stones have even smaller Poisson's ratio values (<0.3). The B-mode reflectivity image and the Poisson's ratio image together can be used to perform more detailed characterization of tissues and organs under examination.
In one embodiment, the present application discloses a method for obtaining a sound speed image, and the method includes the steps of: (1) spraying, with a processor, a data sample of an ultrasound beam, measured with an apparatus that contains an ultrasound array transducer, into an image space of a subject along an impulse response curve; (2) collecting, with the processor, contributions of the data sample in the image space; (3) summing contributions of a plurality of data samples by repeating the step (1) and the step (2) for a plurality of ultrasound beams, with the processer, to generate a plurality of partial images, and storing the partial images in a first memory location; (4) sorting, with the processor, the partial images to form common image point gathers at a plurality of spatial locations, and storing the common image point gathers in a second memory location; (5) measuring, with the processor, residual moveout values on the common image point gathers, each residual moveout value relating to a corresponding spatial location; and (6) inverting, with the processor, the residual moveout values to form an image of the sound speed, and sending the sound speed image to a net address via TCP/IP, a display port on a host computer, or a third memory location.
In another embodiment, the step (6) includes: setting an initial sound speed; and calculating, with the processor, an updated sound speed value at the corresponding spatial location using the initial sound speed and the each residual moveout value.
In another embodiment, the initial sound speed is 1,540 m/s.
In another embodiment, the step (6) further includes: applying a spatial smoothing, with the processor, to the sound speed image to remove rapid variations.
In another embodiment, the present application provides a method for obtaining a Poisson's ratio image, and the method includes the steps of: (1) spraying, with a processor, a data sample of an ultrasound beam, measured with an apparatus that contains an ultrasound array transducer, into an image space of a subject along an impulse response curve; (2) collecting, with the processor, contributions of the data sample in the image space; (3) summing the contributions of a plurality of data samples by repeating the step (1) and the step (2) for a plurality of ultrasound beams, with the processer, to generate a plurality of partial images, and storing the partial images in a first memory location; (4) sorting, with the processor, the partial images to form common image point gathers at a plurality of spatial locations, and storing the common image point gathers in a second memory location; (5) measuring, with the processor, residual moveout values on the common image point gathers, each residual moveout value relating to a corresponding spatial location; (6) applying, with the processor, residual moveout corrections to flatten the common image point gathers; (7) measuring, with the processor, amplitudes and reflection angles on the common image point gathers, each pair of amplitude and reflection angle relating to a corresponding spatial location; and (8) inverting, with the processor, the amplitudes and reflection angles to form a Poisson's ratio image, and sending the Poisson's ratio image to a net address via TCP/IP, a display port on a host computer, or a third memory location.
In another embodiment, the step (8) comprises: estimating a normal incident reflection amplitude; and calculating, with the processor, a proxy of Poisson's ratio at the corresponding spatial location using the normal incident reflection amplitude and the measured amplitudes at a plurality of reflection angles.
In another embodiment, the step (8) comprises: estimating a normal incident reflection amplitude; and calculating, with the processor, a proxy of shear wave speed contrast at the corresponding spatial location using the normal incident reflection amplitude and the measured amplitudes at a plurality of reflection angles.
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory and are intended to provide further explanation of the invention as claimed.
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention.
Reference will now be made in detail to embodiments of the present invention, example of which is illustrated in the accompanying drawings.
Traditional beamforming of ultrasound data utilizes dynamic focusing method implemented on FPGA hardware [1, 2]. Modern ultrasound imaging applications use pixel-based beamforming methods [11-16], mostly implemented on GPU hardware. All these methods can be easily understood by examining spatial impulse responses of the beamforming operators applied on individual data sample collected by an ultrasound scanner. An impulse response of a beamforming operator, by our definition, is a curve in image domain with a finite support. It contains all possible image points that one data sample in one input ultrasound beam contributes to. The final image is formed by summing all impulse responses for all data samples of all input beams.
Formulas are given in the box in
A general formulation of impulse responses for ultrasound beam data of arbitrary types can be found in our separate patent application, U.S. Provisional Patent Application No. 63/184,174, filed May 4, 2021.
A common image point gather is formed by sorting all partial images at a fixed output location into a gather as shown in
It is worthwhile to note that, if the correct sound speed is used in beamforming, the common image point gather in
The best sound speed value that yields a focused image of ultrasound data at a given spatial location is the RMS (root-mean-square) equivalent of the true sound speed distribution in tissues that acoustic waves travel through. Sound speed varies spatially in tissues, either continuously or in a discontinuous fashion. The RMS equivalent of sound speed, at a given location, is given by:
where V(t) is a sound speed profile that is converted into vertical two-way time.
If the sound speed value used in beamforming (V0) is equal to the effective sound speed value (VRMS) in equation (1), then all partial images should be spatially co-located (i.e., the same tissue structure is imaged multiple times from different illuminations). In this case one should see a flat common image point gather for reflection data at every output location (
The correct sound speed value V1 (RMS equivalent) that yields the best focused images at a given spatial location is related to the residual moveout curvature according to the following formula:
where V0 is the sound speed used in an initial beamforming (typically 1540 m/s). VRMO is the inverse of the residual moveout curvature we measure on a common image point gather. If the gather is flat, i.e., the curvature term is zero, the second term in the right-hand side of equation (2) vanishes. This leads to V1=V0. If the residual moveout curvature is positive, we will have V1<V0. If the residual moveout curvature is negative, we will have V1>V0.
The Dix inversion formula has not been used in B-mode ultrasound imaging for medical applications. The inversion formula proposed by Dix is given as:
where V (T1, T2) is the estimated average sound speed between two-way vertical time T1 and T2. Inputs to the Dix inversion are RMS equivalent sound speeds at the time samples.
The Dix inversion is one dimensional in nature and its result looks blocky between data points. Editing out some outliers and applying some spatial smoothing are common practices in geophysical applications [20].
The use of amplitude information (or echo strength) in B-mode ultrasound imaging is mostly for identification of echoic regions and anechoic regions in human bodies. We extend the use of amplitude measurements on common image point gathers to directly invert or infer physical property distributions in tissues, such as Poisson ratio, Young's moduli, compressional impedance, shear impedance, density, water content, to name a few. The data used in our inversion or inference are pairs of amplitudes and reflection angles (or offsets) measured on common image point gathers [21, 22]. The methodology is not known in medical applications such as B-mode ultrasound imaging.
If contrasts in acoustic properties across an internal boundary are small, the reflection amplitudes vary with the reflection angles according to the following formula:
where A is the normal incidence reflection amplitude and B is the gradient in a cross plot of amplitude R(θ) and sin2 θ. In a linearized approximation they are related to contrasts in physical parameters as follows [23, 24]:
where V is sound speed (compressional wave), ρ is density, and σ is Poisson's ratio. ΔV/V is the relative change of sound speed across an internal boundary. Δρ/ρ is the relative change of density. Δσ is the absolute change of Poisson's ratio.
Human tissues are 90% or more water in content. Values of Poisson's ratio in human tissues are close to 0.5 which is the Poisson's ratio of water. In this case the first two terms of B in equation (2b) are much smaller than the third term. The gradient B is mostly related to the contrast in Poisson's ratio σ for medical ultrasound applications. We shall call the gradient B a proxy of Poisson's ratio in these cases. In all examples below we are using the gradient B value as a proxy of Poisson's ratio attribute in our analysis.
In human tissues the relative change of compressional wave speed is much smaller than the relative change of shear wave speed, i.e.,
It is easy to show that:
Therefore, the gradient B is also negatively correlated with the relative change of shear wave speed:
The significance of equation (7) is that we can obtain shear wave information using B-mode ultrasound beam data without actual excitation of shear waves in tissues, which is different from shear wave elastography [3, 4].
The Poisson's ratio proxy (also shear wave reflectivity proxy) can be obtained from a parametric fitting/linear regression of equation (4) on a common image point gather on which both reflection amplitudes and reflection angles are measured. We first compute envelopes of traces on the common image point gather in order to remove the impact of wavelet polarity on the regression or fitting. We then perform the two parameters (A and B) regression using the envelope amplitudes. The resulting B value is a good indication how amplitudes vary with reflection angles: a positive B value corresponds to the case of the envelope amplitude increasing with reflection angle; a negative B value corresponds to the case of the envelope amplitude decreasing with reflection angle. We repeat this process for all output locations to obtain an image of the Poisson's ratio proxy (i.e., B value). The image can also be interpreted as a proxy of the shear wave reflectivity.
Positive B values are typically associated with soft tissues with a lot of water content (σ is close to 0.5). Negative B values are typically associated with harder or solid tissues with less water content (σ<0.45). The B value (Poisson's ratio proxy) is sensitive to water content, which shares similarity with MRI images used by clinical physicians. It is also sensitive to calcification of tissues (such as liver) where the values of Poisson's ratio decrease and the values of shear wave speed increase significantly.
PICMUS is the IEEE US 2016 Plane-wave Imaging Challenge in Medical UltraSound, an initiative of IEEE US to promote use of plane-wave ultrasound imaging modality. PICMUS carotid challenge dataset is a public domain dataset for download at Ultrasound Test Benchmark (USTB) website (https://www.ustb.no/ustb-datasets). The dataset contains two in vivo carotid scans, one in the cross section and another in longitudinal section, collected by a volunteer with a Verasonics Vantage 256 System and a Verasonics L11 transducer. The use of this dataset is subject to citation rule (https://www.ustb.no/examples/picmus/picmus-invivo-carotid-cross and https://www.ustb.no/examples/picmus/picmus-invivo-carotid-long). We sincerely thank IEEE US for making this dataset available in the public domain.
The images in
We are able to produce improved images with the method disclosed in this invention, using the same PIMCUS carotid raw ultrasound data as input.
To obtain a spatially varying sound speed image we first generate a set of common image point gathers using the PICMUS carotid challenge dataset. Since sound waves in different tissues propagate with different speed values, a beamforming algorithm that uses a constant value for sound speed will always produce non-flat common image point gathers as shown in
It is worthwhile to note that the estimated values of sound speed at the bottom part of the images are not reliable as acoustic waves are strongly attenuated by tissue absorption before they can reach the transducer placed on the top surface (dark color in
To obtain an image of spatially varying Poisson's ratio we generate a set of common image point gathers using the PICMUS carotid challenge dataset. We measure the residual moveouts on the common image point gathers. We perform a residual moveout correction to flatten the common image point gathers. We measure amplitudes on the common image point gathers and estimate B values using the amplitude vs. sine squared reflection angle cross-plot. The B value serves as a proxy of Poisson's ratio (also a good proxy of shear wave reflectivity). Fluid and fatty tissues have larger Poisson's ratio value. Muscle tissues and bones have smaller Poisson's ratio value. Therefore, we can use the Poisson's ratio value to aid our characterization of various tissues.
It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit or scope of the invention. Thus, it is intended that the present invention cover the modifications and variations of this invention provided they come within the scope of the appended claims and their equivalents.
This application claims priority to U.S. Provisional Patent Application No. 63/229,246, filed on Aug. 4, 2021, which is incorporated by reference for all purposes as if fully set forth herein.
Filing Document | Filing Date | Country | Kind |
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PCT/US2022/039282 | 8/3/2022 | WO |
Number | Date | Country | |
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63229246 | Aug 2021 | US |