A wavefront reconstruction method for a continuous shear wave is proposed. The method uses ultrasound color flow imaging (CFI) to detect the shear wave's wavefront. When the shear wave vibration frequency satisfies the required frequency condition and the displacement amplitude satisfies the displacement amplitude condition, zero and maximum flow velocities appear at the shear wave vibration phases of zero and π rad, respectively. These specific flow velocities produce the shear wave's wavefront map in CFI. An important feature of this method is that the shear wave propagation is observed in real time without addition of extra functions to the ultrasound imaging system. The experiments are performed using a 6.5 MHz CFI system. The shear wave is excited by a multilayer piezoelectric actuator. In a phantom experiment, the shear wave velocities estimated using the proposed method and those estimated using a system based on displacement measurement show good agreement.
Shear wave elastography is a distinctive method to access the viscoelastic characteristic of the soft tissue that is difficult to obtain by other imaging modalities. This paper proposes a novel shear wave elastography [color Doppler shear wave imaging (CD SWI)] for breast tissue. Continuous shear wave is produced by a small lightweight actuator, which is attached to the tissue surface. Shear wave wavefront that propagates in tissue is reconstructed as a binary pattern that consists of zero and the maximum flow velocities on color flow image (CFI). Neither any modifications of the ultrasound color flow imaging instrument nor a high frame rate ultrasound imaging instrument is required to obtain the shear wave wavefront map. However, two conditions of shear wave displacement amplitude and shear wave frequency are needed to obtain the map. However, these conditions are not severe restrictions in breast imaging. This is because the minimum displacement amplitude is [Formula: see text] for an ultrasonic wave frequency of 12 MHz and the shear wave frequency is available from several frequencies suited for breast imaging. Fourier analysis along time axis suppresses clutter noise in CFI. A directional filter extracts shear wave, which propagates in the forward direction. Several maps, such as shear wave phase, velocity, and propagation maps, are reconstructed by CD SWI. The accuracy of shear wave velocity measurement is evaluated for homogeneous agar gel phantom by comparing with the acoustic radiation force impulse method. The experimental results for breast tissue are shown for a shear wave frequency of 296.6 Hz.
We have proposed a quantitative shear wave imaging technique for continuous shear wave excitation. Shear wave wavefront is observed directly by color flow imaging using a general-purpose ultrasonic imaging system. In this study, the proposed method is applied to experiments in vivo, and shear wave maps, namely, the shear wave phase map, which shows the shear wave propagation inside the medium, and the shear wave velocity map, are observed for the skeletal muscle in the shoulder. To excite the shear wave inside the skeletal muscle of the shoulder, a hybrid ultrasonic wave transducer, which combines a small vibrator with an ultrasonic wave probe, is adopted. The shear wave velocity of supraspinatus muscle, which is measured by the proposed method, is 4.11 ± 0.06 m/s (N = 4). This value is consistent with those obtained by the acoustic radiation force impulse method.
Shear wave elastography is a useful method for evaluating tissue stiffness. We have proposed a novel shear wave imaging method (color Doppler shear wave imaging: CD SWI), which utilizes a signal processing unit in ultrasound color flow imaging in order to detect the shear wave wavefront in real time. Shear wave velocity is adopted to characterize tissue stiffness; however, it is difficult to measure tissue stiffness with high spatial resolution because of the artifact produced by shear wave diffraction. Spatial average processing in the image reconstruction method also degrades the spatial resolution. In this paper, we propose a novel measurement method for the shear wave transmissivity of a tissue boundary. Shear wave wavefront maps are acquired by changing the displacement amplitude of the shear wave and the transmissivity of the shear wave, which gives the difference in shear wave velocity between two mediums separated by the boundary, is measured from the ratio of two threshold voltages required to form the shear wave wavefronts in the two mediums. From this method, a high-resolution shear wave amplitude imaging method that reconstructs a tissue boundary is proposed.
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