High frame rate contrast enhanced echocardiography: microbubbles stability and contrast evaluation

Contrast Echocardiography (CE) with microbubble contrast agents have significantly advanced our capability in assessing cardiac function, including myocardium perfusion imaging and quantification. However in conventional CE techniques with line by line scanning, the frame rate is limited to tens of frames per second and image quality is low. Recent works in high frame-rate (HFR) ultrasound have shown significant improvement of the frame rate. The aim of this work is to investigate the MBs stability and the contrast improvement using HFR CE compared to CE transmission at an echocardiography relevant frequency for different mechanical indices (MIs). Our results show that the contrast and bubble destruction of HFR CE and standard CEUS varies differently as a function of space and MIs. At low MIs, HFR CE shows a similar behavior as focused CE with little MB destruction, and generates better CTR (up to 3 folds). As MI increases, the MB destruction is more significant for HFR CE with a reduction of the CTR

Effects of motion on high frame rate contrast enhanced echocardiography and its correction

Contrast echocardiography (CE) ultrasound with microbubble contrast agents have significantly advanced our capability in assessing cardiac function, including myocardium perfusion imaging and quantification. However in conventional CE techniques with line by line scanning, the frame rate is limited to tens of frames per second and image quality is low. Recent research works in high frame-rate (HFR) ultrasound have shown significant improvement of the frame rate in non-contrast cardiac imaging. But with a higher frame rate, the coherent compounding of HFR CE images shows some artifacts due to the motion of the microbubbles. In this work we demonstrate the impact of this motion on compounded HFR CE in simulation and then apply a motion correction algorithm on in-vivo data acquired from the left ventricle (LV) chamber of a sheep. It shows that even if with the fast flow found inside the LV, the contrast is improved at least 100%

Spatial coherence of backscattered signals in multi-line transmit ultrasound imaging and its effect on short-lag Filtered-Delay Multiply and Sum beamforming

In Multi-Line Transmission (MLT), high frame-rate ultrasound imaging is achieved by the simultaneous transmission of multiple focused beams along different directions, which unfortunately generates unwanted artifacts in the image due to inter-beam crosstalk. The Filtered-Delay Multiply and Sum (F-DMAS) beamformer, a non-linear spatial-coherence (SC)-based algorithm, was demonstrated to successfully reduce such artifacts, improving the spatial resolution at the same time. In this paper, we aim to provide further insights on the working principle and performance of F-DMAS beamforming in MLT imaging. First, we carry out an analytical study to analyze the behavior and trend of backscattered signals SC in MLT images, when the number of simultaneously transmitted beams and/or their angular spacing change. We then reconsider the F-DMAS algorithm proposing the “short-lag F-DMAS” formulation, in order to limit the maximum lag of signals used for the SC computation on which the beamformer is based. Therefore, we investigate in simulations how the performance of short-lag F-DMAS varies along with the maximum lag in the different MLT configurations considered. Finally, we establish a relation between the obtained results and the signals SC trend

Algorithm and Hardware Design for High Volume Rate 3-D Medical Ultrasound Imaging

abstract: Ultrasound B-mode imaging is an increasingly significant medical imaging modality for clinical applications. Compared to other imaging modalities like computed tomography (CT) or magnetic resonance imaging (MRI), ultrasound imaging has the advantage of being safe, inexpensive, and portable. While two dimensional (2-D) ultrasound imaging is very popular, three dimensional (3-D) ultrasound imaging provides distinct advantages over its 2-D counterpart by providing volumetric imaging, which leads to more accurate analysis of tumor and cysts. However, the amount of received data at the front-end of 3-D system is extremely large, making it impractical for power-constrained portable systems. In this thesis, algorithm and hardware design techniques to support a hand-held 3-D ultrasound imaging system are proposed. Synthetic aperture sequential beamforming (SASB) is chosen since its computations can be split into two stages, where the output generated of Stage 1 is significantly smaller in size compared to the input. This characteristic enables Stage 1 to be done in the front end while Stage 2 can be sent out to be processed elsewhere. The contributions of this thesis are as follows. First, 2-D SASB is extended to 3-D. Techniques to increase the volume rate of 3-D SASB through a new multi-line firing scheme and use of linear chirp as the excitation waveform, are presented. A new sparse array design that not only reduces the number of active transducers but also avoids the imaging degradation caused by grating lobes, is proposed. A combination of these techniques increases the volume rate of 3-D SASB by 4\texttimes{} without introducing extra computations at the front end. Next, algorithmic techniques to further reduce the Stage 1 computations in the front end are presented. These include reducing the number of distinct apodization coefficients and operating with narrow-bit-width fixed-point data. A 3-D die stacked architecture is designed for the front end. This highly parallel architecture enables the signals received by 961 active transducers to be digitalized, routed by a network-on-chip, and processed in parallel. The processed data are accumulated through a bus-based structure. This architecture is synthesized using TSMC 28 nm technology node and the estimated power consumption of the front end is less than 2 W. Finally, the Stage 2 computations are mapped onto a reconfigurable multi-core architecture, TRANSFORMER, which supports different types of on-chip memory banks and run-time reconfigurable connections between general processing elements and memory banks. The matched filtering step and the beamforming step in Stage 2 are mapped onto TRANSFORMER with different memory configurations. Gem5 simulations show that the private cache mode generates shorter execution time and higher computation efficiency compared to other cache modes. The overall execution time for Stage 2 is 14.73 ms. The average power consumption and the average Giga-operations-per-second/Watt in 14 nm technology node are 0.14 W and 103.84, respectively.Dissertation/ThesisDoctoral Dissertation Engineering 201

Évaluation de la biomécanique cardiovasculaire par élastographie ultrasonore non-invasive

L’élastographie est une technique d’imagerie qui vise à cartographier in vivo les propriétés mécaniques des tissus biologiques dans le but de fournir des informations diagnostiques additionnelles. Depuis son introduction en imagerie ultrasonore dans les années 1990, l’élastographie a trouvé de nombreuses applications. Cette modalité a notamment été utilisée pour l’étude du sein, du foie, de la prostate et des artères par imagerie ultrasonore, par résonance magnétique ou en tomographie par cohérence optique. Dans le contexte des maladies cardiovasculaires, cette modalité a un fort potentiel diagnostique puisque l’athérosclérose modifie la structure des tissus biologiques et leurs propriétés mécaniques bien avant l’apparition de tout symptôme. Quelle que soit la modalité d’imagerie utilisée, l’élastographie repose sur : l’excitation mécanique du tissu (statique ou dynamique), la mesure de déplacements et de déformations induites, et l’inversion qui permet de recouvrir les propriétés mécaniques des tissus sous-jacents. Cette thèse présente un ensemble de travaux d’élastographie dédiés à l’évaluation des tissus de l’appareil cardiovasculaire. Elle est scindée en deux parties. La première partie intitulée « Élastographie vasculaire » s’intéresse aux pathologies affectant les artères périphériques. La seconde, intitulée « Élastographie cardiaque », s’adresse aux pathologies du muscle cardiaque. Dans le contexte vasculaire, l’athérosclérose modifie la physiologie de la paroi artérielle et, de ce fait, ses propriétés biomécaniques. La première partie de cette thèse a pour objectif principal le développement d’un outil de segmentation et de caractérisation mécanique des composantes tissulaires (coeur lipidique, tissus fibreux et inclusions calciques) de la paroi artérielle, en imagerie ultrasonore non invasive, afin de prédire la vulnérabilité des plaques. Dans une première étude (Chapitre 5), nous présentons un nouvel estimateur de déformations, associé à de l’imagerie ultrarapide par ondes planes. Cette nouvelle méthode d’imagerie permet d’augmenter les performances de l’élastographie non invasive. Dans la continuité de cette étude, on propose une nouvelle méthode d’inversion mécanique dédiée à l’identification et à la quantification des propriétés mécaniques des tissus de la paroi (Chapitre 6). Ces deux méthodes sont validées in silico et in vitro sur des fantômes d’artères en polymère. Dans le contexte cardiaque, les ischémies et les infarctus causés par l’athérosclérose altèrent la contractilité du myocarde et, de ce fait, sa capacité à pomper le sang dans le corps (fonction myocardique). En échocardiographie conventionnelle, on évalue généralement la fonction myocardique en analysant la dynamique des mouvements ventriculaires (vitesses et déformations du myocarde). L’abscence de contraintes physiologiques agissant sur le myocarde (contrairement à la pression sanguine qui contraint la paroi vasculaire) ne permet pas de résoudre le problème inverse et de retrouver les propriétés mécaniques du tissu. Le terme d’élastographie fait donc ici référence à l’évaluation de la dynamique des mouvements et des déformations et non à l’évaluation des propriétés mécanique du tissu. La seconde partie de cette thèse a pour principal objectif le développement de nouveaux outils d’imagerie ultrarapide permettant une meilleure évaluation de la dynamique du myocarde. Dans une première étude (Chapitre 7), nous proposons une nouvelle approche d’échocardiographie ultrarapide et de haute résolution, par ondes divergentes, couplée à de l'imagerie Doppler tissulaire. Cette combinaison, validée in vitro et in vivo, permet d’optimiser le contraste des images mode B ainsi que l’estimation des vitesses Doppler tissulaires. Dans la continuité de cette première étude, nous proposons une nouvelle méthode d’imagerie des vecteurs de vitesses tissulaires (Chapitre 8). Cette approche, validée in vitro et in vivo, associe les informations de vitesses Doppler tissulaires et le mode B ultrarapide de l’étude précédente pour estimer l’ensemble du champ des vitesses 2D à l’intérieur du myocarde.Elastography is an imaging technique that aims to map the in vivo mechanical properties of biological tissues in order to provide additional diagnostic information. Since its introduction in ultrasound imaging in the 1990s, elastography has found many applications. This method has been used for the study of the breast, liver, prostate and arteries by ultrasound imaging, magnetic resonance imaging (MRI) or optical coherence tomography (OCT). In the context of cardiovascular diseases (CVD), this modality has a high diagnostic potential as atherosclerosis, a common pathology causing cardiovascular diseases, changes the structure of biological tissues and their mechanical properties well before any symptoms appear. Whatever the imaging modality, elastography is based on: the mechanical excitation of the tissue (static or dynamic), the measurement of induced displacements and strains, and the inverse problem allowing the quantification of the mechanical properties of underlying tissues. This thesis presents a series of works in elastography for the evaluation of cardiovascular tissues. It is divided into two parts. The first part, entitled « Vascular elastography » focuses on diseases affecting peripheral arteries. The second, entitled « Cardiac elastography » targets heart muscle pathologies. In the vascular context, atherosclerosis changes the physiology of the arterial wall and thereby its biomechanical properties. The main objective of the first part of this thesis is to develop a tool that enables the segmentation and the mechanical characterization of tissues (necrotic core, fibrous tissues and calcium inclusions) in the vascular wall of the peripheral arteries, to predict the vulnerability of plaques. In a first study (Chapter 5), we propose a new strain estimator, associated with ultrafast plane wave imaging. This new imaging technique can increase the performance of the noninvasive elastography. Building on this first study, we propose a new inverse problem method dedicated to the identification and quantification of the mechanical properties of the vascular wall tissues (Chapter 6). These two methods are validated in silico and in vitro on polymer phantom mimicking arteries. In the cardiac context, myocardial infarctions and ischemia caused by atherosclerosis alter myocardial contractility. In conventional echocardiography, the myocardial function is generally evaluated by analyzing the dynamics of ventricular motions (myocardial velocities and deformations). The abscence of physiological stress acting on the myocardium (as opposed to the blood pressure which acts the vascular wall) do not allow the solving the inverse problem and to find the mechanical properties of the fabric. Elastography thus here refers to the assessment of motion dynamics and deformations and not to the evaluation of mechanical properties of the tissue. The main objective of the second part of this thesis is to develop new ultrafast imaging tools for a better evaluation of the myocardial dynamics. In a first study (Chapter 7), we propose a new approach for ultrafast and high-resolution echocardiography using diverging waves and tissue Doppler. This combination, validated in vitro and in vivo, optimize the contrast in B-mode images and the estimation of myocardial velocities with tissue Doppler. Building on this study, we propose a new velocity vector imaging method (Chapter 8). This approach combines tissue Doppler and ultrafast B-mode of the previous study to estimate 2D velocity fields within the myocardium. This original method was validated in vitro and in vivo on six healthy volunteers