The present invention relates to ultrasound imaging and analysis, and in particular, to determining mechanical parameters of a sample using multi-resolution shear wave and/or axial displacement imaging and analysis.
Acoustic Radiation Force (ARF) shear wave elasticity imaging methods typically use a transverse propagation velocity of mechanical shear waves in materials to estimate mechanical properties of a sample, such as material elasticity constants. These techniques may be adapted into imaging systems to compute the local shear wave propagation velocity as a function of both axial and lateral position. The velocity may be calculated by estimating the differences in arrival times of the shear waves, either at different recording locations or from different excitation locations.
The velocity of the shear wave may, therefore, be estimated over a predefined lateral kernel or distance. If the kernel is relatively small, the arrival time difference will also be small, and therefore, small errors in the arrival time may result in large errors in the estimate. Larger kernels are more resistant to small arrival time errors, but may result in a loss of resolution or lateral blurring of the image.
In some embodiments, methods for determining a mechanical parameter for a sample having a target region include generating a tissue displacement in the target region; transmitting tracking pulses in the target region; receiving corresponding echo signals for the tracking pulses in the target region at a plurality of positions; analyzing the echo signals at one or more multi-resolution pairs of the positions and/or acquisition times; and determining at least one mechanical parameter of the target region based on the echo signals at the one or more multi-resolution pairs of the positions and/or acquisition times.
In some embodiments, one or more multi-resolution pairs of positions that are spatially-related are selected. The spatially-related pairs of positions may include a first set of positions having a first resolution therebetween and a second set of positions having a second resolution therebetween that is different from the first resolution. The first set of positions and the second set of positions may be spatially equivalent such that a sum of distances for the first set of positions is equivalent to a sum of distances for the second set of positions. Analyzing echo signals at one or more multi-resolution pairs of positions may include determining a time-of-flight and/or velocity of a shear wave. A time-of-flight difference and/or velocity estimate of the shear wave for the first and second set of spatially equivalent positions may be averaged.
In some embodiments, the plurality of positions comprise positions of ultrasound array elements that transmit the tracking pulses and receive the echo signals and/or positions of ultrasound array elements that transmit an excitation pulse configured to cause the tissue displacement. In some embodiments, analyzing echo signals at one or more multi-resolution pairs of positions includes combining echo signals at the one or more pairs of related positions.
In some embodiments, the at least one mechanical parameter includes at least one of shear elasticity modulus, Young's modulus, dynamic shear viscosity, shear wave velocity and mechanical impedance of the sample.
In some embodiments, the sample is an in vivo human tissue sample.
In some embodiments, the tissue displacement are detected with an internally inserted ultrasound probe array. In some embodiments, the shear waves are detected with an externally applied ultrasound array.
In some embodiments, the applied shear wave source is an ultrasound transducer and/or mechanical vibrator.
In some embodiments, an ultrasound system for determining a mechanical parameter for a sample having target region includes an ultrasound transducer array. A controller is configured to control the ultrasound transducer to generate a tissue displacement in the target region, to transmit tracking pulses in the target region, and to receive corresponding echo signals for the tracking pulses in the target region at a plurality of positions. A signal analyzer is configured to analyze the echo signals at one or more multi-resolution pairs of the positions and/or acquisition times and to determine at least one mechanical parameter of the target region based on the echo signals at the one or more multi-resolution pairs of the positions and/or acquisition times.
In some embodiments, a computer program product for determining a mechanical parameter for a sample having a target region includes a non-transient computer readable medium having computer readable program code embodied therein. The computer readable program code includes computer readable program code configured to generate a tissue displacement in the target region with an ultrasound transducer array; computer readable program code configured to transmit tracking pulses in the target region with the ultrasound transducer array; computer readable program code configured to receive corresponding echo signals for the tracking pulses in the target region at a plurality of positions with the ultrasound transducer array; computer readable program code configured to analyze the echo signals at one or more multi-resolution pairs of the positions and/or acquisition times; and computer readable program code configured to determine at least one mechanical parameter of the target region based on the echo signals at the one or more multi-resolution pairs of the positions and/or acquisition times.
The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate embodiments of the invention and, together with the description, serve to explain principles of the invention.
The present invention now will be described hereinafter with reference to the accompanying drawings and examples, in which embodiments of the invention are shown. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art.
Like numbers refer to like elements throughout. In the figures, the thickness of certain lines, layers, components, elements or features may be exaggerated for clarity.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the singular forms “a,” “an” and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms “comprises” and/or “comprising,” when used in this specification, specify the presence of stated features, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, steps, operations, elements, components, and/or groups thereof. As used herein, the term “and/or” includes any and all combinations of one or more of the associated listed items. As used herein, phrases such as “between X and Y” and “between about X and Y” should be interpreted to include X and Y. As used herein, phrases such as “between about X and Y” mean “between about X and about Y.” As used herein, phrases such as “from about X to Y” mean “from about X to about Y.”
Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. It will be further understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the specification and relevant art and should not be interpreted in an idealized or overly formal sense unless expressly so defined herein. Well-known functions or constructions may not be described in detail for brevity and/or clarity.
It will be understood that when an element is referred to as being “on,” “attached” to, “connected” to, “coupled” with, “contacting,” etc., another element, it can be directly on, attached to, connected to, coupled with or contacting the other element or intervening elements may also be present. In contrast, when an element is referred to as being, for example, “directly on,” “directly attached” to, “directly connected” to, “directly coupled” with or “directly contacting” another element, there are no intervening elements present. It will also be appreciated by those of skill in the art that references to a structure or feature that is disposed “adjacent” another feature may have portions that overlap or underlie the adjacent feature.
Spatially relative terms, such as “under,” “below,” “lower,” “over,” “upper” and the like, may be used herein for ease of description to describe one element or feature's relationship to another element(s) or feature(s) as illustrated in the figures. It will be understood that the spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if the device in the figures is inverted, elements described as “under” or “beneath” other elements or features would then be oriented “over” the other elements or features. For example, the term “under” can encompass both an orientation of “over” and “under.” The device may be otherwise oriented (rotated 90 degrees or at other orientations) and the spatially relative descriptors used herein interpreted accordingly. Similarly, the terms “upwardly,” “downwardly,” “vertical,” “horizontal” and the like are used herein for the purpose of explanation only unless specifically indicated otherwise.
It will be understood that, although the terms “first,” “second,” etc. may be used herein to describe various elements, these elements should not be limited by these terms. These terms are only used to distinguish one element from another. Thus, a “first” element discussed below could also be termed a “second” element without departing from the teachings of the present invention. The sequence of operations (or steps) is not limited to the order presented in the claims or figures unless specifically indicated otherwise.
The present invention is described below with reference to block diagrams and/or flowchart illustrations of methods, apparatus (systems) and/or computer program products according to embodiments of the invention. It is understood that each block of the block diagrams and/or flowchart illustrations, and combinations of blocks in the block diagrams and/or flowchart illustrations, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, and/or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer and/or other programmable data processing apparatus, create means for implementing the functions/acts specified in the block diagrams and/or flowchart block or blocks.
These computer program instructions may also be stored in a computer-readable memory that can direct a computer or other programmable data processing apparatus to function in a particular manner, such that the instructions stored in the computer-readable memory produce an article of manufacture including instructions which implement the function/act specified in the block diagrams and/or flowchart block or blocks.
The computer program instructions may also be loaded onto a computer or other programmable data processing apparatus to cause a series of operational steps to be performed on the computer or other programmable apparatus to produce a computer-implemented process such that the instructions which execute on the computer or other programmable apparatus provide steps for implementing the functions/acts specified in the block diagrams and/or flowchart block or blocks.
Accordingly, the present invention may be embodied in hardware and/or in software (including firmware, resident software, micro-code, etc.). Furthermore, embodiments of the present invention may take the form of a computer program product on a computer-usable or computer-readable non-transient storage medium having computer-usable or computer-readable program code embodied in the medium for use by or in connection with an instruction execution system.
The computer-usable or computer-readable medium may be, for example but not limited to, an electronic, optical, electromagnetic, infrared, or semiconductor system, apparatus, or device. More specific examples (a non-exhaustive list) of the computer-readable medium would include the following: an electrical connection having one or more wires, a portable computer diskette, a random access memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or Flash memory), an optical fiber, and a portable compact disc read-only memory (CD-ROM).
Embodiments according to the present invention are described herein with reference to the term “tissue.” It will be understood that the term tissue can include biological materials, such as, blood, organs, vessels, and other biological objects found in a body. It will be further understood that embodiments according to the present invention may be applicable to humans as well as other species. Embodiments according to the present invention may also be utilized to image objects other than tissue.
It will be understood that the scope of the present invention includes, for example, two dimensional (2D) ultrasound imaging and 3D (or volumetric) ultrasound imaging. In addition, the components of the ultrasound imaging described herein may be packaged as a single unit or packaged separately and interconnected to provide the functions described herein.
Embodiments according to the present invention are also described by reference to Acoustic Radiation Force Imaging (ARFI) which is described in greater detail, for example, in U.S. Pat. No. 6,371,912, the entire disclosure of which is incorporated herein by reference. An acoustic radiation force may be used to apply a force to tissue thereby causing the tissue to move in the direction of the force and/or to generate a shear wave.
As used herein, a “shear wave” is a form of sample displacement in which a shear wave source, such as ultrasound energy, is transmitted into the sample in one direction and generates an extended shear wave the propagates in another direction that is substantially orthogonal to the direction of the shear wave source. The displacement caused by a shear wave source may be in a range between about 0.1 μm and about 300 μm. Other displacements can be provided.
The term “time of arrival” refers herein to the measured elapsed time between the transmission of a transmitting signal and the return of a corresponding reflected signal. The time of arrival is measured by conventional measurement techniques.
The term “multi-resolution” refers to measurements made with different resolutions. For example, multi-resolution measurements may include ultrasound measurements having different resolution characteristics, such as ultrasound echo signals from different transmit and receive locations. The transmit/receive locations may be defined by ultrasound array element positions and/or electronic steering and focusing of the ultrasound array. An example of a multi-resolution measurement includes ultrasound echo signals received at closely-spaced ultrasound array elements, which have a relatively high resolution, and ultrasound echo signals received at ultrasound array elements that have a relatively greater spacing, which have a lower resolution.
As illustrated in
The controller 20 may include a shear wave generation module 22 and the signal analyzer 30 may include a multi-resolution analyzing module 32. The shear wave generation module 22 and the multi-resolution analyzing module 32 may be configured to control the array 40 and/or to analyze echo signals received by the array 40 as described herein. The shear wave generation module 22 and the multi-resolution analyzing module 32 may include hardware, such as control and/or analyzing circuits, and/or software stored on a non-transient computer readable medium for carrying out operations described herein.
As illustrated in
In some embodiments, the echo signals at one or more pairs of related positions may be combined by summing and/or subtracting. In some embodiments, the echo signals at one or more pairs of related positions may be combined using delay-and-sum beamforming.
In some embodiments, the shear wave and/or displacement data acquired as described herein can be used to quantify the stiffness of tissues and/or organs, which may be useful in the clinical setting to track the progression of disease and to monitor the response of diseased tissues to treatments (e.g., drug regimens, diet/lifestyle changes, chemotherapy, and radiotherapy). The techniques described herein can be used to characterize the stiffness of biological tissues using their dynamic displacement response to impulsive acoustic radiation force excitations. This may allow for absolute and relative quantification of tissue stiffness to aid in clinical treatment of a variety of pathologic conditions, such as liver disease (e.g., liver steatosis, liver fibrosis and cirrhosis), atherosclerosis, benign prostatic hypertrophy (BPH), muscular dystrophy, products of ablation, cancer in various organs/tissue, thyroid disease and/or skin diseases. Accordingly, the tissue sample may be an in vivo human tissue sample. The shear waves can be detected and/or generated using an internally inserted ultrasound probe array (such as an ultrasound probe array configured for insertion into an orifice of the body) or with an externally applied ultrasound array.
The mechanical parameter(s) of the sample can be correlated to measurement of healthy/diseased tissue states, such as by using actual clinical data and known healthy/diseased tissue states. The clinical data can be based on other factors such as demographic information, e.g., age, gender and race, to correlate the measurement of the mechanical parameter(s) with a measurement of healthy/diseased tissue states in a particular demographic group.
In some embodiments, the mechanical parameter(s) of the sample can be monitored as a function of time by performing the multi-resolution analyzing techniques on a sample repeatedly over a period of time. A healthy/diseased tissue state determination can be based on a change in the mechanical parameter(s) as a function of time. For example, the mechanical parameter(s) can be monitored over a period of minutes, hours, days, weeks, months or even years to determine the progression of the disease and/or the efficacy of treatment.
In some embodiments, the mechanical parameter(s) may be used to form an ultrasound image, such as a B-mode image or an ARFI image.
Although embodiments according to the invention are described herein with respect to shear waves, it should be understood that multi-resolution analysis may be used to estimate other forms of tissue motion and/or displacement, including axial tissue motion (e.g., using radio frequency (RF) traces instead of a motion profile). Moreover, although embodiments are described with respect to spatially offset multi-resolution values, temporally offset values may be used, for example, to estimate the motion/displacement of a sample over time.
Embodiments according to the invention will now be described with respect to the following non-limiting examples.
Time-of-Flight Estimation
For any pair of recording locations away from a single source in a homogenous medium, the signals of tissue motion at each location are scaled, time-delayed versions of one another, with the time delay reflecting the shear wave velocity between the recording locations as follows:
For any pair of source excitations, the tissue motion signals recorded at any single location outside of the sources will be time-delayed versions of one another with the time delay reflecting the shear wave velocity between the locations. In a heterogeneous medium, c becomes c(x), so equation (1) may be written as follows:
This assumes that the derivative of c(x) is small relative to the wavelength such that there is negligible reflection. In the case of a single, significant reflection, u(x,t) may be split into its transmitted and reflected components uT(x,t) and uR(x,t), which are scaled by transmission and reflection coefficients, respectively. For multiple reflections, additional wave components may be added. In practice, a directional filter may be used to suppress the reflected wave components in post-processing, and most time delay estimators are robust to variations in signal amplitude. Various techniques may be used to estimate the time delay between the two signals, including the sum-of-absolute differences, normalized cross-correlation, and phase-based methods.
For M discrete ultrasound element receiver locations, there are M2 possible sets of time delay pairs. In this example, it is assumed that all M receivers are located collinearly along the direction of wave propagation and that the source of the wave is outside of the receiver positions. To form a consistent set, the delays obey a set of rules:
1) Δtii=0. A signal compared with itself will indicate no time delay.
2) ΔtijΔtji. The delay is the same regardless of which signal is the reference.
3) Δtij+Δtjk.=Δtik. The delay between any two points is independent of the path of delays between the points.
In this formulation, there are M−1 degrees of freedom, and the time delays in single-subscript notation are Δti=Δti(i+1), which are each the denominator term for the corresponding local shear wave velocity,
with Δxi=Δxi(i+1). To take advantage of multiple estimates, each of the observations Δtij is expressed as the linear combination of the parameters Δti, that is:
Expressed in matrix form as A{right arrow over (b)}={right arrow over (y)}, with {right arrow over (b)}=ΔT and {right arrow over (y)}=Δt,
The above may be converted to a classical inverse problem, and to recover ΔT, the Least-Squares solution may be used as follows:
{right arrow over (b)}=(ATA)−1AT{right arrow over (y)} (7)
Notably, the Least-Squares solution may be expressed as a linear transformation of the observations, and the matrix inversion step may be performed a priori on the condition matrix A. Because A is relatively simple in structure, (ATA)−1AT may be examined to consider a solution. For example, a case where there are three receive locations having three observations, Δt12, Δt23, and Δt13 may be considered as follows:
The solution for the high resolution estimates ΔT12and ΔT12 may be expressed as follows:
Accordingly, there is a direct observation of the estimate in addition to two other measurements, whose difference should be equal to the first direct observation. In some embodiments, the direct observation is preferentially weighted. Expanding this concept to find a high resolution estimate from all multi-resolution estimates within N samples of the estimate, a pattern emerges in the linear combination applied to the nearby observations (e.g., the row of (ATA)−1AT corresponding to the estimate).
With no multi-resolution kernel (N=0), the estimate is simply the average of the forward and reverse estimates Δtij and −1*Δji, which, for cross-correlation, are the same. The progressive time-delays are estimated in this case. For larger multi-resolution kernels, however, the solutions may include all of the two-observation multipath combinations that yield the estimate within N samples. From this formulation, the concept of spatial regularization may be introduced to favor solutions that are more smooth. For example, using Tikhonov Regularization, the solution may be expressed as follows:
{right arrow over (b)}=(ATA+λΓTΓ)−1AT{right arrow over (y)} (11)
where Γ is a regularization matrix, scaled by the regularization factor λ. To favor solutions with small first derivatives, the difference operator is chosen for Γ. As λ is increased, solutions are favored that are increasingly smooth. This may be seen in the character of the filter representation shown in
Finite Element Method Simulation
A finite element method (FEM) simulation of a shear wave generated by acoustic radiation force was created using LS-DYNA (Livermore Software Technology Corporation (Livermore, Calif., USA)). A Siemens Acuson ER7B linear array transducer (Siemens Healthcare Solutions (Malvern, Pa., USA)) was simulated for excitation, with a transmit focus of 15 mm at F/3. The induced shear wave was recorded at 1,000 frames per second with a lateral spacing of 0.1 mm over 6 mm to the right of the excitation. The elastic material was simulated with a Young's modulus of 4.5 kPa on the left side, and 24 kPa on the right side, with a vertical layer boundary 3 mm to the right of the excitation. The displacements calculated from the FEM simulation were used without simulated ultrasonic tracking.
The effect of regularization on CNR estimates from
To compare the tradeoff of CNR and resolution in the multi-resolution techniques against the same tradeoff for linear regression,
Although embodiments according to the invention are described herein with respect to solving the above system of equations by a Least-Squares solution, it should be understood that any suitable technique may be used. For example, a Maximum A Posteriori (MAP) estimation or any suitable inverse problem technique may be used. The above system of equations may be solved for sets of single values for time-of-flight pairs, such as the peak of the correlation function, or for sets of probability distributions functions (PDF's), including means and standard deviations, instead of for single values.
The foregoing is illustrative of the present invention and is not to be construed as limiting thereof. Although a few example embodiments of this invention have been described, those skilled in the art will readily appreciate that many modifications are possible in the example embodiments without materially departing from the novel teachings and advantages of this invention. Accordingly, all such modifications are intended to be included within the scope of this invention as defined in the claims. Therefore, it is to be understood that the foregoing is illustrative of the present invention and is not to be construed as limited to the specific embodiments disclosed, and that modifications to the disclosed embodiments, as well as other embodiments, are intended to be included within the scope of the appended claims. The invention is defined by the following claims, with equivalents of the claims to be included therein.
This invention was made with government support under Grant No R37HL096023 awarded by the National Institutes of Health. The government has certain rights in the invention.
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