Ultrafast Ultrasound Imaging

Among medical imaging modalities, such as computed tomography (CT) and magnetic resonance imaging (MRI), ultrasound imaging stands out due to its temporal resolution. Owing to the nature of medical ultrasound imaging, it has been used for not only observation of the morphology of living organs but also functional imaging, such as blood flow imaging and evaluation of the cardiac function. Ultrafast ultrasound imaging, which has recently become widely available, significantly increases the opportunities for medical functional imaging. Ultrafast ultrasound imaging typically enables imaging frame-rates of up to ten thousand frames per second (fps). Due to the extremely high temporal resolution, this enables visualization of rapid dynamic responses of biological tissues, which cannot be observed and analyzed by conventional ultrasound imaging. This Special Issue includes various studies of improvements to the performance of ultrafast ultrasoun

Advanced signal processing methods for plane-wave color Doppler ultrasound imaging

Conventional medical ultrasound imaging uses focused beams to scan the imaging scene line-by-line, but recently however, plane-wave imaging, in which plane-waves are used to illuminate the entire imaging scene, has been gaining popularity due its ability to achieve high frame rates, thus allowing the capture of fast dynamic events and producing continuous Doppler data. In most implementations, multiple low-resolution images from different plane wave tilt angles are coherently averaged (compounded) to form a single high-resolution image, albeit with the undesirable side effect of reducing the frame rate, and attenuating signals with high Doppler shifts. This thesis introduces a spread-spectrum color Doppler imaging method that produces high-resolution images without the use of frame compounding, thereby eliminating the tradeoff between beam quality, frame rate and the unaliased Doppler frequency limit. The method uses a Doppler ensemble formed of a long random sequence of transmit tilt angles that randomize the phase of out-of-cell (clutter) echoes, thereby spreading the clutter power in the Doppler spectrum without compounding, while keeping the spectrum of in-cell echoes intact. The spread-spectrum method adequately suppresses out-of-cell blood echoes to achieve high spatial resolution, but spread-spectrum suppression is not adequate for wall clutter which may be 60 dB above blood echoes. We thus implemented a clutter filter that re-arranges the ensemble samples such that they follow a linear tilt angle order, thereby compacting the clutter spectrum and spreading that of the blood Doppler signal, and allowing clutter suppression with frequency domain filters. We later improved this filter with a redesign of the random sweep plan such that each tilt angle is repeated multiple times, allowing, after ensemble re-arrangement, the use of comb filters for improved clutter suppression. Experiments performed using a carotid artery phantom with constant flow demonstrate that the spread-spectrum method more accurately measures the parabolic flow profile of the vessel and outperforms conventional plane-wave Doppler in both contrast resolution and estimation of high flow velocities. To improve velocity estimation in pulsatile flow, we developed a method that uses the chirped Fourier transform to reduce stationarity broadening during the high acceleration phase of pulsatile flow waveforms. Experimental results showed lower standard deviations compared to conventional intensity-weighted-moving-average methods. The methods in this thesis are expected to be valuable for Doppler applications that require measurement of high velocities at high frame rates, with high spatial resolution

Acoustical structured illumination for super-resolution ultrasound imaging.

Structured illumination microscopy is an optical method to increase the spatial resolution of wide-field fluorescence imaging beyond the diffraction limit by applying a spatially structured illumination light. Here, we extend this concept to facilitate super-resolution ultrasound imaging by manipulating the transmitted sound field to encode the high spatial frequencies into the observed image through aliasing. Post processing is applied to precisely shift the spectral components to their proper positions in k-space and effectively double the spatial resolution of the reconstructed image compared to one-way focusing. The method has broad application, including the detection of small lesions for early cancer diagnosis, improving the detection of the borders of organs and tumors, and enhancing visualization of vascular features. The method can be implemented with conventional ultrasound systems, without the need for additional components. The resulting image enhancement is demonstrated with both test objects and ex vivo rat metacarpals and phalanges

Development of novel ultrasound techniques for imaging and elastography. From simulation to real-time implementation

Ultrasound techniques offer many advantages, in terms of ease of realization and patients’ safety. The availability of suitable hardware and software tools is condicio sine qua non for new methods testing. This PhD project addresses medical ultrasound signal processing and seeks to achieve two scientific goals: the first is to contribute to the development of an ultrasound research platform, while the second is introducing and validating, through this platform, non-standard methods. During the thesis, the capabilities of the system were improved by creating advanced software tools, such as acoustic field simulators, and by developing echo-signals elaboration programs. In particular, a novel technique for quasi-static elastography was developed, in-vitro tested and implemented in real-time

Unfocused ultrasound waves for manipulating and imaging microbubbles

With unfocused plane/diverging ultrasound waves, the capability of simultaneous sampling on each element of an array transducer has spawned a branch known as high-frame-rate (HFR) ultrasound imaging, whose frame rate can be two orders of magnitude faster than traditional imaging systems. Microbubbles are micron-sized spheres with a heavy gas core that is stabilized by a shell made of lipids, polymers, proteins, or surfactants. They are excellent ultrasound scatters and have been used as ultrasound contrast agents, and more recently researched as a mechanism for targeted drug delivery. With the Ultrasound Array Research Platform II (UARP II), the objective of this thesis was to develop and advance several techniques for manipulating and imaging microbubbles using unfocused ultrasound waves. These techniques were achieved by combining custom transmit/receiving sequencing and advanced signal processing algorithms, holding promise for enhanced diagnostic and therapeutic applications of microbubbles. A method for locally accumulating microbubbles with fast image guidance was first presented. A linear array transducer performed trapping of microbubble populations interleaved with plane wave imaging, through the use of a composite ultrasound pulse sequence. This technique could enhance image-guided targeted drug delivery using microbubbles. A key component of targeted drug delivery using liposome-loaded microbubbles and ultrasound is the ability to track these drug vehicles to guide payload release locally. As a uniquely identifiable emission from microbubbles, the subharmonic signal is of interest for this purpose. The feasibility of subharmonic plane wave imaging of liposome-loaded microbubbles was then proved. The improved subharmonic sensitivity especially at depth compared to their counterpart of bare (unloaded) microbubbles was confirmed. Following plane wave imaging, the combination of diverging ultrasound waves and microbubbles was investigated. The image formation techniques using coherent summation of diverging waves are susceptible to tissue and microbubble motion artefacts, resulting in poor image quality. A correlation-based 2-D motion estimation algorithm was then proposed to perform motion compensation for HFR contrast-enhanced echocardiography (CEE). A triplex cardiac imaging technique, consisting of B mode, contrast mode and 2-D vector flow imaging with a frame rate of 250 Hz was presented. It was shown that the efficacy of coherent diverging wave imaging of the heart is reliant on carefully designed motion compensation algorithms capable of correcting for incoherence between steered diverging-wave transmissions. Finally, comparisons were made between the correlation-based method and one established image registration method for motion compensation. Results show that the proposed correlation-based method outperformed the image registration model for motion compensation in HFR CEE, with the improved image contrast ratio and visibility of geometrical borders both in vitro and in vivo

Echocardiography

The book "Echocardiography - New Techniques" brings worldwide contributions from highly acclaimed clinical and imaging science investigators, and representatives from academic medical centers. Each chapter is designed and written to be accessible to those with a basic knowledge of echocardiography. Additionally, the chapters are meant to be stimulating and educational to the experts and investigators in the field of echocardiography. This book is aimed primarily at cardiology fellows on their basic echocardiography rotation, fellows in general internal medicine, radiology and emergency medicine, and experts in the arena of echocardiography. Over the last few decades, the rate of technological advancements has developed dramatically, resulting in new techniques and improved echocardiographic imaging. The authors of this book focused on presenting the most advanced techniques useful in today's research and in daily clinical practice. These advanced techniques are utilized in the detection of different cardiac pathologies in patients, in contributing to their clinical decision, as well as follow-up and outcome predictions. In addition to the advanced techniques covered, this book expounds upon several special pathologies with respect to the functions of echocardiography

Ultrafast radial modulation imaging

International audienceRadial modulation imaging improves the detection of microbubbles at high frequency by using a dual ultrasonic excitation. However, the synchronization between the imaging pulses is non-trivial because microbubbles need to be interrogated in the compression and the rarefaction phase and the time-delay difference from dispersion has to be corrected. To address these issues, we propose the use of ultrafast radial modulation imaging (uRMI). In this technique, a beat frequency between the modulation pulse (around 1 MHz) and the ultrafast pulse-repetition frequency was exploited to separate microbubbles from tissue phantom in-vitro. This led to a modulated images set in the spectral domain of the slow-time that may then be demodulated through a digital lock-in amplifier to retrieve the contrast image. Ultrafast RMI, applied on a flow phantom with microbubbles, provided a contrast-to-tissue ratio from 7.2 to 14.8 dB at 15 MHz. For flow speed lower than 0.05 mL/min, uRMI (16 dB) provided a better contrast-to-tissue ratio than other techniques: SVD spatiotemporal filter (11 dB), amplitude modulation (9 dB) or microbubbles disruption (6 dB) or. This technique may then be suitable to improve the detection of targeted microbubbles, in ultrasound molecular imaging applications, and the detection of extremely slow microbubbles moving in the finest vessels in ultrasound localization microscopy