Contrast‐Enhanced Ultrasound

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135556/1/jum2007266703.pd

Ultrasound Biosafety Considerations for the Practicing Sonographer and Sonologist

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135175/1/jum2009282139.pd

Histotripsy Homogenization of the Prostate: Thresholds for Cavitation Damage of Periprostatic Structures

Background and Purpose: Histotripsy is a noninvasive, pulsed ultrasound technology that produces mechanically homogenized tissue within targeted volumes. Previous work has demonstrated prostatic tissue debulking in a canine model. The aim was to establish safety thresholds by evaluating histologic changes of urinary sphincter, neurovascular bundle (NVB), and rectum after targeted histotripsy treatment of these critical structures. Materials and Methods: Rectum, urinary sphincter, and NVB in five anesthetized canines were targeted for histotripsy treatment (50 total points). Locations received 1k, 10k, or 100k acoustic pulses (4 microsecond, 1-MHz) at a repetition frequency of 500-Hz. Canine subjects were euthanized immediately (2), survived 3 days (1), or 2 weeks (3) after treatment. Prostates, periprostatic tissue, and rectum were harvested and processed for histology. Results: The sphincter was structurally intact with minimal muscle fiber disruption even after 100k pulses (n=10). Undamaged nerves, arteries, and veins of the NVB were seen despite mechanical homogenization of surrounding loose connective tissue (n=19). The rectum, however, exhibited dose-dependent damage (n=20). 1k pulses yielded mild submucosal hemorrhage. 10k pulses resulted in moderate collagen disruption and focal mucosal homogenization. 100k pulses produced damage to the mucosa and muscularis propria with extensive hemorrhage and collagen disruption. One canine treated with 100k pulses needed early euthanasia (day 3) because of complications from a urine leak. Conclusions: Histotripsy histologic tissue effect varied based on targeted structure with substantial structural preservation of NVB and sphincter. Rectal subclinical damage was apparent after 1k pulses and increased in extent and severity with escalating doses. Future work will include assessment of functional outcomes and refinement of these initial safety thresholds.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90446/1/end-2E2010-2E0648.pd

Measurement of Volumetric Flow

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135278/1/jum200625101305.pd

Microfluidic model of bubble lodging in microvessel bifurcations

The lodging mechanisms and dynamics of cardiovascular gas bubbles are investigated in microfluidic model bifurcations made of poly(dimethylsiloxane). This work is motivated by gas embolotherapy for the potential treatment of cancer by tumor infarction. The results show that the critical driving pressure below which a bubble will lodge in a bifurcation is significantly less than the driving pressure required to dislodge it. From the results the authors estimate that gas bubbles from embolotherapy can lodge in vessels 20 μm20μm or smaller in diameter, and conclude that bubbles may potentially be used to reduce blood flow to tumor microcirculation.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87802/2/244103_1.pd

Histotripsy of Rabbit Renal Tissue in Vivo: Temporal Histologic Trends

Background and Purpose: Histotripsy is defined as noninvasive, nonthermal, mechanical (cavitational) tissue ablation. We previously demonstrated the predictable acute tissue effects of histotripsy in rabbit kidney and other tissues. We sought to characterize the appearance and natural history of renal tissue after histotripsy. Materials and Methods: Following Institutional Animal Care Committee approval, the left kidneys of 29 rabbits were treated with 60,000 750-kHz, 15-cycle bursts of ultrasound energy from an 18-element phased-array transducer at a 1-kHz pulse-repetition frequency. The treated kidneys were harvested at 0, 1, 2, 7, 21, or 60 days; fixed in Formalin; then prepared for microscopic analysis with hematoxylin and eosin and trichrome stains. Results: For kidneys harvested acutely (day 0), a contiguous area of finely disrupted tissue was observed containing no recognizable cells or cellular components. Along the boundary of architectural disruption, a border several tubules wide contained cells that were not visibly disrupted but appeared damaged (pyknotic nuclei). At subsequent time intervals, an inflammatory response developed in association with a steadily decreasing area of cellular and architectural disruption. By day 60, only a small fibrous scar persisted adjacent to a wedge of tubular dilation and fibrosis underlying a surface-contour defect. Conclusions: Histotripsy produces mechanical fractionation of cellular and architectural structures. The resultant acellular material appears to be readily reabsorbed within 60 days in the rabbit. This may prove to be a significant advantage for imaging assessment of residual tumor after ablation of renal malignancy.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/63123/1/end.2007.9915.pd

Characterizing Morphology and Nonlinear Elastic Properties of Normal and Thermally Stressed Engineered Oral Mucosal Tissues Using Scanning Acoustic Microscopy

This study examines the use of high-resolution ultrasound to monitor changes in the morphology and nonlinear elastic properties of engineered oral mucosal tissues under normal and thermally stressed culture conditions. Nonlinear elastic properties were determined by first developing strain maps from acoustic ultrasound, followed by fitting of nonlinear stress?strain data to a 1-term Ogden model. Testing examined a clinically developed ex vivo produced oral mucosa equivalent (EVPOME). As seeded cells proliferate on an EVPOME surface, they produce a keratinized protective upper layer that fills in and smoothens out surface irregularities. These transformations can also alter the nonlinear stress/strain parameters as EVPOME cells differentiate. This EVPOME behavior is similar to those of natural oral mucosal tissues and in contrast to an unseeded scaffold. If ultrasonic monitoring could be developed, then tissue cultivation could be adjusted in-process to account for biological variations in their development of the stratified cellular layer. In addition to ultrasonic testing, an in-house-built compression system capable of accurate measurements on small (?1.0?1.5?cm2) tissue samples is presented. Results showed a near 2.5-fold difference in the stiffness properties between the unstressed EVPOME and the noncell-seeded acellular scaffold (AlloDerm?). There were also 4?greater differences in root mean square values of the thickness in the unseeded AlloDerm compared to the mature unstressed EVPOME; this is a strong indicator for quantifying surface roughness.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140241/1/ten.tec.2012.0467.pd

Imaging of joints with laser‐based photoacoustic tomography: An animal study

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134964/1/mp4166.pd

Determination of scan-plane motion using speckle decorrelation: Theoretical considerations and initial test

The correlation function of the echo signal intensities at a fixed region on a series of B-mode images is directly related to the change of speckle patterns between these images. An indication is given here of how the rate of the change of that correlation function can be used to estimate the scan-plane motion in any direction relative to the imaged tissue or other material. In this first implementation it is assumed that the statistical properties of the echo signals follow those of a complex circular Gaussian, and the case is considered of diffusely scattering tissue with many fine particles per resolution cell and with no phase distortion. The method is applied to data from a one-dimensional linear array and initial results are presented for scanning a tissue-mimicking phantom in the elevational direction of the transducer. Experimental results are in good agreement with the predictions. The current method should provide a good indication of the local rate of scan-head motion in those tissues in which the normalized correlation function of the echo signal intensities behaves, or can be made to behave, as it would for a medium with uniform acoustic properties and containing many, randomly distributed, pointlike scatterers, although application might be made to other situations where a deterministic condition exists for the correlation between images taken at differing locations within a volume. © 1997 John Wiley & Sons, Inc. Int J Imaging Syst Technol, 8, 38–44, 1997Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/35064/1/5_ftp.pd

Phase cancellation: A cause of acoustical shadowing at the edges of curved surfaces in B-mode ultrasound images

Acoustical shadowing occurring at the edges of curved objects is one of the most frequently observed artifacts in ultrasound imaging. This artifact has been generally ascribed to refraction and reflection effects at the boundary between the curved object and the surrounding tissues. However, the shadowing that would be produced by pure refraction and reflection may not correspond in all circumstances to what is most often seen clinically, i.e., a sharp, discrete shadow projecting down from the edge. We used a tissue-mimicking contrast detail phantom, speed of sound (SOS) 1477 m/s, containing cylindrically shaped wells to investigate the origin of these shadows. Using solutions of relatively high SOS (20% ethylene glycol), approximately equivalent SOS (distilled water), and low SOS (70% isopropyl alcohol), the phantom was scanned with the scanhead face oriented perpendicular to and parallel to the central axes of the cylinders. Shadowing could be produced in both cases when there was a SOS difference between the contents of the cylinders and the phantom. When scanning perpendicular to the cylinders, refraction and reflection effects could have contributed to any shadowing produced, but when the scan planes were oriented parallel to the central axes of the cylinders, neither refraction nor reflection could be occurring to a significant degree. The shadowing produced in these circumstances could be better explained by a phenomenon well known in transmission ultrasonography called phase cancellation. Phase cancellation would produce shadowing independent of scan plane orientation, and could contribute to the shadowing generated in clinical imaging.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/29542/1/0000630.pd