Monitoring breast cancer response to neoadjuvant chemotherapy with ultrasound signal statistics and integrated backscatter

Monitoring Neoadjuvant chemotherapy (NAC) effects is necessary to capture resistant patients and stop or change treatment. The aim of this study was to assess the tumor response at an early stage, after the first doses of the NAC, based on the variability of the backscattered ultrasound energy, and backscatter statistics. The backscatter statistics has not previously been used to monitor NAC effects. The B-mode ultrasound images and raw radio frequency data from breast tumors were obtained using an ultrasound scanner before chemotherapy and 1 week after each NAC cycle. Twenty-four malignant breast cancers, qualified for neoadjuvant treatment before surgery, were included in the study. The shape parameter of the homodyned K distribution and integrated backscatter, along with the tumor size in the longest dimension, were determined based on ultrasound data and used as markers for NAC response. Cancer tumors were assigned to responding and non-responding groups, according to histopathological evaluation, which was a reference in assessing the utility of markers. Statistical analysis was performed to rate the ability of markers to predict NAC response based on data obtained after subsequent therapeutic doses. Statistically significant differences between groups were obtained after 2, 3, 4, and 5 doses of NAC for quantitative ultrasound markers and after 5 doses for the assessment based on maximum tumor dimension. After the second and third NAC courses the marker, which was a linear combination of both quantitative ultrasound parameters, was characterized by an AUC of 0.82 and 0.91, respectively. The introduction of statistical parameters of ultrasonic backscatter to monitor the effects of chemotherapy can increase the effectiveness of monitoring and contribute to a better personalization of NAC therapy

Ultrasonic characterization of trabecular bone: Two scatterers’ population model

AbstractThe paper describes the computer simulations allowing investigating the properties of the ultrasound pulse-echo signal, as it is received on the transducer surface after scattering in trabecular bone. A novel computer simulation model provides better understanding of ultrasonic scattering in porous bone structure and it can be also used to yield an ideal environment in which, the effects of various parameters (scatterer mechanical and geometrical properties, scatterer’ concentration), the shape of incident wave and experimental conditions influencing the scattering of ultrasonic waves in trabecular bone structure can be examined individually. The results proved that the computer simulation has a particular relevance in studying scattering in cancellous bone which may be approximated as a collection of two populations of scatterers, cylindrical and spherical that imitate thick and thin trabeculae respectively

Acoustical Imaging

The International Symposium on Acoustical Imaging is a unique forum for advanced research, covering new technologies, developments, methods and theories in all areas of acoustics. This interdisciplinary Symposium has been taking place continuously since 1968. In the course of the years the proceedings volumes in the Acoustical Imaging Series have become a reference for cutting-edge research in the field. In 2011 the 31st International Symposium on Acoustical Imaging was held in Warsaw, Poland, April 10-13. Offering both a broad perspective on the state-of-the-art as well as  in-depth research contributions by the specialists in the field, this Volume 31 in the Series contains an excellent collection of papers in six major categories: Biological and Medical Imaging Physics and Mathematics of Acoustical Imaging Acoustic Microscopy Transducers and Arrays Nondestructive Evaluation and Industrial Applications Underwater Imagin

Acoustical ImagingVolume 31 /

XIV, 454 p.online resource

GOLAY'S CODES SEQUENCES IN ULTRASONOGRAPHY

The issue of maximizing penetration depth with concurrent retaining or enhancement of image resolution constitutes one of the time invariant challenges in ultrasound imaging. Concerns about potential and undesirable side effects set limits on the possibility of overcoming the frequency dependent attenuation effects by increasing peak acoustic amplitudes of the waves probing the tissue. To overcome this limitation a pulse compression technique employing 16 bits Complementary Golay Code (CGS) was implemented at 4 MHz. In comparison with other, earlier proposed, coded excitation schemes, such as chirp, pseudo-random chirp and Barker codes, the CGS allowed virtually side lobe free operation. Computer simulation results for CGS pulse compression are presented. Next three different methods and algorithms used to calculate the pairs of Golay sequences of the different length are described. Experimental results are presented in the form, which in clear way illustrates the resolution, signal penetration and contrast dynamics of ultrasonic images obtained by using Golay coded excitation