This invention relates to a shear wave imaging method for collecting information on a target region of a soft solid. This invention also relates to a shear wave imaging installation for performing such a method.
In the meaning of the present invention, a soft solid is an organic tissue which can have an animal or vegetal origin. For instance, such a soft solid can be an organ of a human body, of an animal body or of a vegetable. A soft solid can also be an aliment, e.g. cheese, or a non metallic part of a prosthesis, made of a natural or synthetic material.
Shear wave elastography has been known for several years as an efficient technique for detecting an inhomogeneity of elasticity in a soft solid, such as a tumor. This technique is based on the detection of shear waves propagation speed. Such a detection can be based on an ultrasonic technology or on a magnetic resonance imaging (MRI) technology.
In a soft solid, shear waves propagate at a speed in the range of 1 to several meters per second (m/s) and this speed can be used to characterize a target region of a soft solid since the speed pattern of these waves allows generating images representative of the shear elastic modulus. This shear elastic modulus approximately corresponds to the elasticity which can be sensed by palpation and is ranging from a few hundred Pa to a few thousand kPa. This is different from an approach based on the propagation of compression waves which propagate at a much higher speed, in the range of 1500 m/s, in a soft solid. The repartition of the compression waves in such a solid is representative of the compression elastic modulus of the tissue, typically in the order of 2.4 GPa, six orders of magnitude bigger than the shear elastic modulus. This is why biological tissues are generally considered not to be compressible. Thus, a detection method based on the propagation of compression waves cannot be considered as an elastography method.
In the field of elastography, it is known from U.S. Pat. No. 6,770,033 to use a loudspeaker controlled by a micro computer so as to apply an excitation, in the form of a low-frequency pulse, to the surface of a soft solid. In order to use the device of U.S. Pat. No. 6,770,033, one must manipulate, with one hand, the loudspeaker and, with the other hand, a sensor which is supposed to collect information with respect to the propagation of shear waves generated in the tissue. This is tedious and requires a high expertise.
U.S. Pat. No. 5,606,971 discloses a method for shear wave elasticity imaging where shear waves are generated in a focus zone of a piezo-electric transducer inside soft solids to be studied. This transducer has a double function: it creates the shear waves and it detects them. With this approach, shear waves can be generated in a target zone close to the transducer array. However, this technique is difficult to implement when the target zone is far from the transducer array, for instance in deep organs. Actually, the ultrasound energy deposition quickly decreases with depth, and under such circumstances, the ultrasound radiation force cannot create effective shear waves propagation.
On the other hand, US-A-2009/018432 discloses a method for imaging with magnetic induction, where one uses a magnetic pulsed stimulation with a duration in the order of one microsecond (μs). In other words, the excitation frequency of the magnetic stimulation is in the range of 1 MHz, which generates compression waves, but no shear waves. It is known that shear waves are strongly attenuated and cannot propagate in tissues at such a frequency. A key aspect of the teachings of US-A-2009/018432 is that the precision of the resolution depends on the frequency used for the magnetic stimulation. Under such circumstances, the method described in this document relies on the use of high frequency excitation, in order to obtain a satisfactory resolution. On the contrary, elastography requires low vibration frequencies to induce shear waves. Therefore the technology of US-A-2009/018432 is not adapted to shear wave elastography.
U.S. Pat. No. 6,583,624 discloses a method where a voltage applied to a subject material is used to produce shear waves and an IRM technique is used to detect the shear waves. A magnetic field is used for the IRM detection, but it does not participate to the shear waves generation.
US-A-2006/0152219 discloses a method where either a piezoelectric actuator, alternating currents or an alternating magnetic field is/are used to input mechanical motions to spins within a sample.
In these two last prior art documents, one relies on a single electric phenomenon to move some particles and, where a magnetic field is applied for the IRM detection, it is not used to generate shear waves. Thus, shear waves generation in deep target regions is also difficult to obtain with these techniques.
The invention aims at solving the problems of known elastography methods with a new method which is efficient to generate shear waves, even in deep target regions of a soft solid. More generally speaking, the invention aims at providing a shear wave imaging method which is easy to implement and can be used for elastography or electric tomography.
To this end, the invention concerns a shear wave imaging method for collecting information on a target region of a soft solid, this method comprising at least the following steps:
This method is characterized in that
Thanks to the invention, one uses Lorentz forces induced both by the electric field and by the magnetic field to generate one or several shear waves in the soft solid to be studied. This is possible thanks to the conjunction of the electric field and the magnetic field which each contributes to a portion of the Lorentz forces applied to an electrically loaded particle, according to the following equation:
{right arrow over (FL)}=q {right arrow over (E)}+q·{right arrow over (V)}{right arrow over (B)}={right arrow over (FE)}+{right arrow over (FM)} (equation 1)
Thus, Lorentz forces applied to a particle of the target region include Coulomb forces and Laplace forces.
Since at least one of the electric and magnetic fields is variable, the Lorentz force applied to a particle is also variable, which implies that a wave is generated. When two variable fields are used, their central difference frequency also induces a variable Lorentz force. Since the central frequency of the variable field or the central difference frequency is relatively low, below 10 kHz, the variable Lorentz force generates a shear wave. The propagation speed of this shear wave can be measured to determine the shear elastic modulus of a soft solid, leading to an elastography method. This enables to draw a map of the shear elastic modulus of the soft solid. Alternatively or in addition, it is also possible to detect, on the basis of the shear wave propagation pattern, the source of each shear wave which can be considered to correspond to an elastic inhomogeneity. In case of an electrically heterogeneous soft solid, the method of the invention enables to draw a map of the electric conductivity of the soft solid.
According to further aspects of the invention which are advantageous but not compulsory, the method might incorporate one or several of the following features, taken in any technically admissible configuration:
The invention also concerns a shear wave imaging installation which can be used to perform the method mentioned here-above and, more specifically, an installation for collecting information on a target region of a soft solid, this installation comprising a first system for generating at least one shear wave in the target region and a second system for detecting a propagation pattern of the at least one shear wave. This installation is characterized in that the first system includes:
According to an advantageous aspect of the invention, the first means include a set of electrodes installed on either sides, on one side or within the soft solid and connected to a source of electric current, with an intensity between 1 μA and 1 A.
The invention will be better understood on the basis of the following description which is given in correspondence with the appended figures and as an illustrative example, without restricting the object of the invention. In the annexed figures:
The installation 2 represented on
One considers a region R of soft solid S to be studied by elastography. In the example of
Since an alternative current I is applied to electrodes 42 and 44, an alternative electric field {right arrow over (E)} is generated between these electrodes, across region R of soft solid S.
Generator 4 delivers a current with an amplitude I equal to 100 mA, with a sinusoidal shape and a frequency f equal to 100 Hz.
In practice, amplitude I of the current can be selected between 1 μA and 1 A and frequency f can vary in a range between 1 Hz and 10 kHz. Preferably, frequency f is chosen in the range 5 to 1000 Hz, most preferably in the range 50 to 150 Hz, whereas the value of 100 Hz gives good experimental results.
One defines the central frequency fo of a variable signal as the arithmetic mean value of the Fourier transform of this signal. Such a definition is known, e.g., from J. T. Taylor and Q. Huang in CRC Handbook of electrical filters (1997).
Frequency f can be a central frequency fo in the sense that any modulated signal can be used for the electric field E. Any wave or signal mixing that result in a central frequency as mentioned here-above is suitable for the methods and installations of the invention.
In the present example, as current I delivered by generator 4 is sinusoidal, electric field {right arrow over (E)} is sinusoidal, with the same frequency f, and the central frequency fo of electric field {right arrow over (E)} equals the central frequency of the current delivered by generator 4.
Alternatively, the current delivered by generator 4 is not sinusoidal but has the form of a square wave or of one or several picks. In such a case, central frequency fo can be calculated via a Fourier transform, as explained here-above.
Region R of soft solid S is also subjected to a constant or permanent magnetic field {right arrow over (B)}. This permanent magnetic field {right arrow over (B)} is generated across soft solid S by a permanent magnet 7. Alternatively, one can use an electromagnet instead of permanent magnet in order to generate magnetic field {right arrow over (B)}. The field strength of magnetic field of {right arrow over (B)} is between 10 mT and 10 T. The direction of magnetic field {right arrow over (B)} is perpendicular to the plane of
Reference 6 denotes a closed envelope, preferably shielded against magnetic perturbations, inside which magnetic field {right arrow over (B)} is generated.
Coming now to
Under the effect of this electric force, particle P1 moves in the same direction and has a velocity {right arrow over (V)}1 oriented in the same direction. Because of this velocity {right arrow over (V)}1 and of the second part of equation 1, particle P1 is also subjected to a magnetic force {right arrow over (FM1)} which equals q+·{right arrow over (V)}1 {right arrow over (B)} and which is oriented to the right on
When the polarity between electrodes 42 and 44 is inverted, then electric field {right arrow over (E)} is oriented as shown by the arrow in dashed line on
{right arrow over (F′E1)} equals q+·{right arrow over (E)} and {right arrow over (F′L1)} equals q+·{right arrow over (V)}′1 {right arrow over (B)} where {right arrow over (V)}′1 is the velocity of particle P1 under the effect of electric field {right arrow over (E)} oriented towards electrode 42.
Thus, because of the fact that electric field {right arrow over (E)} is variable in time, particle P1 is subjected to alternative Lorentz forces {right arrow over (FL1)} and {right arrow over (F′L1)}, which generates shear waves as shown by axis lines SW at the bottom of
If one considers another particle P2 with a negative electric charge q− as represented on top of
In summary, positively loaded particles P1 and negatively loaded particles P2 of soft solid S have roughly the same behavior and <<shake>> because of alternatively changing Lorentz forces, which generates shear waves SW in soft solid S.
As explained here-above, the propagation speed of the shear waves SW can be considered as representative of the shear elastic modulus of soft solid S in region R, irrespective of whether or not the region is elastically homogeneous.
Installation 2 also includes an ultrasonic probe 10 which can be of any known type, e.g. of the type mentioned in U.S. Pat. No. 6,770,033. This probe 10 is connected to an ultrasound scanner 12 which is provided with a speckle tracking module, so that, as known in the art, this scanner is capable of measuring a propagation speed of shear waves SW within region R.
An elastography method implemented with installation 2 is now described: first, one defines target region R of soft solid S as the portion of this soft solid located between electrodes 42 and 44, within envelope 6. When the generator 4 is actuated, this region R is subjected to electric field {right arrow over (E)} and magnetic field {right arrow over (B)}. As mentioned here-above, this results in submitting positive and negative particles P1 and P2 to variable Lorentz forces, which generates shear waves SW in the target region R. Depending on the distribution and strength of electric field {right arrow over (E)} and magnetic field {right arrow over (B)}, one or several shear waves is/are generated. This or these shear waves can then be detected by ultrasonic probe 10 which sends a corresponding electronic signal S10 to ultrasound scanner 12. The speckle tracking module of ultrasound scanner 12 detects the propagation speed of shear waves SW in ant direction.
If region R is elastically homogeneous, the propagation speed of shear waves SW within region R is constant and a measure of this speed allows to determine, via the speckle tracking module of ultrasound scanner 12, the shear elastic modulus of sift solid S within this region.
If region R is elastically heterogeneous, the different propagation speeds of shear waves SW with region R can be measured and a map of the corresponding shear elastic modulus values, within region R, can be established.
Thus, the method of the invention is an elastography method and it is very efficient to detect any elasticity inhomogeneity, even in a deep region of tissue R, which is relatively far away from its boundaries considered as the portion of tissue R close to electrodes 42 and 44.
The frequency used for working ultrasonic probe 10 is between 100 kHz and 100 MHz, preferably between 2 MHz and 20 MHz, with a pulse repetition frequency between 10 Hz and 100 kHz, preferably between 1 kHz and 5 kHz.
In the second, third and fourth embodiments of the invention respectively represented on
In the embodiment of
If an electrical impedance inhomogeneity 8 is present in region R of soft solid S, then the behavior of its positive and negative particles under the effect of Lorentz forces is different from the behavior of the positive and negative particles P1 and P2 of the rest of tissue T. Shear waves SW8 generated in the region of this inhomogeneity 8 have a different pattern than shear waves SW, as shown in
According to another method of the invention, it is possible to locate, thanks to ultrasound scanner 12, the source region of shear waves SW8, which can be identified as an impedance inhomogeneity. On this basis, it is possible to draw a map or “tomographic image” of the electrical conductivity of soft solid S within region R. Thus, an electric tomography method is implemented.
If soft solid S is elastically and electrically heterogeneous, then a combination of the elastography and electric tomography methods mentioned here-above in reference to
In the embodiment of
An electric field {right arrow over (E)} is generated as in the first embodiment, by a sinusoidal current generator 4 which is connected to electrodes 42 and 44.
In this embodiment, one takes advantage from the fact that a permanent magnetic field is generated for MRI subassembly 20, by field generator 204. This permanent magnetic field is used as the constant magnetic field {right arrow over (B)} of the first embodiment to generate the shear waves, in conjunction with electric field {right arrow over (E)}.
With this embodiment, one can implement an elastography method, similar to the one mentioned in reference to
In the embodiment of
A static or constant electric field {right arrow over (E)} is generated between two electrodes 42 and 44 via a generator of DC current 14. The static electrical current generated by generator 14 can have an intensity between 1 μA and 1 A.
As mentioned with respect to the first embodiment, the positive and negative particles of a region R of soft solid S located between electrodes 42 and 44 are subjected to variable Lorentz forces, which generates shear waves.
An ultrasonic probe 10 is connected to an ultrasound scanner 12 and measures the propagation speed of the shear waves, as in the first embodiment, in order to implement an elastography method. Alternatively or in addition, an electric tomography method can be implemented on the basis of the detection of sources of shear waves corresponding to impedance inhomogeneities. Alternatively, a MRI subassembly can be used, instead of ultrasonic probe 10 in the fourth embodiment.
According to an alternative embodiment which is not represented on the figures, one can use two variable fields, namely a variable electric field {right arrow over (E)} and a variable magnetic field {right arrow over (B)}, each of them having a central frequency fo between 1 Hz and 10 kHz. According to still another alternative embodiment which is not represented, each one of electric E and magnetic field {right arrow over (B)} is a high frequency field, preferably a field modulated in amplitude, frequency and/or phase. In such a case, the respective frequencies of these fields, which can be as high as several MHz, are chosen so that their central difference frequency Δfo, computed on the basis of their difference frequency Δf, is in the range 1-10 kHz, preferably 5 to 1000 Hz, more preferably between 50 and 150 Hz.
According to another non represented alternative embodiment, the electrical field {right arrow over (E )} can be generated by a second magnetic field {right arrow over (B)}′, because a variable magnetic field generates an electrical field, leading to eddy currents in the soft solid S.
According to still another embodiment which is not represented, electrodes 42 and 44 can be installed within region R, instead of on one side, either sides or around this solid for the embodiments shown on the figures.
The invention is explained here-above when fields {right arrow over (E)} and {right arrow over (B)} are perpendicular to each other. It can also be implemented with non perpendicular fields {right arrow over (E)} and {right arrow over (B)}, provided that they are not collinear.
Irrespective of the actual method used to generate the shear waves SW, as explained here-above, the ultrasonic probes 10 or the MRI subassembly 20 can detect an abnormality, such as a cancerous tumor, as an inhomogeneity 8. In a zone of target region R where such a cancerous tumor exists, soft solid S is not as soft as in the other zone, so that shear waves tend to propagate quicker than in the other zones. This difference in shear waves propagation speed can then be interpreted as an indication that a cancerous tumor is present or might be present in this region.
The invention is not limited to the detection of tumors in organs. It can be used to characterize different types of soft solids, animal or vegetal soft solids and soft material in cosmetic or food industry. The invention can also be used to characterize non metallic portions of prostheses.
In order to increase the accuracy of the method of the invention, metallic particles can be injected in the soft solid. Alternatively, a conductive liquid, such as salty water, can be injected in the bladder of a patient in order to facilitate generation of shear waves in the prostate, the stomach, the liver or the pancreas.
The invention can be implemented at a macroscopic level, as explained here-above, and also at a microscopic level. In particular, a biological cell can be considered as soft solid for implementing the method of the invention.
The embodiments and variants considered here-above can be combined in order to generate new embodiments of the invention.
Number | Date | Country | Kind |
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13305987 | Jul 2013 | EP | regional |
Filing Document | Filing Date | Country | Kind |
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PCT/EP2014/064794 | 7/10/2014 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
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WO2015/004224 | 1/15/2015 | WO | A |
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