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Individuals with diabetes at risk of developing diabetic kidney disease (DKD) are challenging to identify using currently available clinical methods. Prognostic accuracy and initiation of treatment could be improved by a quantification of the renal microvascular rarefaction and the increased vascular tortuosity during the development of DKD. Super-resolution ultrasound (SRUS) imaging is an in vivo technique capable of visualizing blood vessels at sizes below 75 µm. This preclinical study aimed to investigate the alterations in renal blood vessels' density and tortuosity in a type 2 diabetes rat model, Zucker diabetic fatty (ZDF) rats, as a prediction of DKD. Lean age-matched Zucker rats were used as controls. A total of 36 rats were studied, subdivided into ages of 12, 22, and 40 weeks. Measured albuminuria indicated the early stage of DKD, and the SRUS was compared with the ex vivo micro-computed tomography (µCT) of the same kidneys. Assessed using the SRUS imaging, a significantly decreased cortical vascular density was detected in the ZDF rats from 22 weeks of age compared to the healthy controls, concomitant with a significantly increased albuminuria. Already by week 12, a trend towards a decreased cortical vascular density was found prior to the increased albuminuria. The quantified vascular density in µCT corresponded with the in vivo SRUS imaging, presenting a consistently lower vascular density in the ZDF rats. Regarding vessel tortuosity, an overall trend towards an increased tortuosity was present in the ZDF rats. SRUS shows promise for becoming an additional tool for monitoring and prognosing DKD. In the future, large-scale animal studies and human trials are needed for confirmation. [ABSTRACT FROM AUTHOR]

Purpose: This paper investigates the accuracy of blood flow velocities simulated from a geometry prescribed computational fluid dynamics (CFD) pipeline by applying it to a dynamic heart phantom. The CFD flow patterns are compared to a direct flow measurement by ultrasound vector flow imaging (VFI). The hypothesis is that the simulated velocity magnitudes are within one standard deviation of the measured velocities. Methods: The CFD pipeline uses computed tomography angiography (CTA) images with 20 volumes per cardiac cycle as geometry input. Fluid domain movement is prescribed from volumetric image registration using the CTA image data. Inlet and outlet conditions are defined by the experimental setup. VFI is systematically measured in parallel planes, and compared to the corresponding planes in the simulated time dependent three dimensional fluid velocity field. Results: The measured VFI and simulated CFD have similar flow patterns when compared qualitatively. A quantitative comparison of the velocity magnitude is also performed at specific regions of interest. These are evaluated at 11 non-overlapping time bins and compared by linear regression giving R2 = 0.809, SD = 0.060 m/s, intercept = − 0.039 m/s, and slope = 1.09. Excluding an outlier at the inlet, the correspondence between CFD and VFI improves to: R2 = 0.823, SD = 0.048 m/s, intercept = -0.030 m/s, and slope = 1.01. Conclusion: The direct comparison of flow patterns shows that the proposed CFD pipeline provide realistic flow patterns in a well-controlled experimental setup. The demanded accuracy is obtained close to the inlet and outlet, but not in locations far from these. [ABSTRACT FROM AUTHOR]

Capacitive micromachined ultrasonic transducers (CMUTs) have a nonlinear relationship between the applied voltage and the emitted signal, which is detrimental to conventional contrast enhanced ultrasound (CEUS) techniques. Instead, a three-pulse amplitude modulation (AM) sequence has been proposed, which is not adversely affected by the nonlinearly emitted harmonics. In this paper, this is shown theoretically, and the performance of the sequence is verified using a 4.8 MHz linear capacitive micromachined ultrasonic transducer (CMUT) array, and a comparable lead zirconate titanate (PZT) array, across 6–60 V applied alternating current (AC) voltage. CEUS images of the contrast agent SonoVue flowing through a 3D printed hydrogel phantom showed an average enhancement in contrast-to-tissue ratio (CTR) between B-mode and CEUS images of 49.9 and 37.4 dB for the PZT array and CMUT, respectively. Furthermore, hydrophone recordings of the emitted signals showed that the nonlinear emissions from the CMUT did not significantly degrade the cancellation in the compounded AM signal, leaving an average of 2% of the emitted power between 26 and 60 V of AC. Thus, it is demonstrated that CMUTs are capable of CEUS imaging independent of the applied excitation voltage when using a three-pulse AM sequence. [ABSTRACT FROM AUTHOR]

Obesity is a risk factor of chronic kidney disease (CKD), leading to alterations in the renal vascular structure. This study tested if renal vascular density and tortuosity was quantifiable in vivo in obese rats using microbubble-based super-resolution ultrasound imaging. The kidneys of two 11-week-old and two 20-week-old male obese Zucker rats were compared with age-matched male lean Zucker rats. The super-resolution ultrasound images were manually divided into inner medulla, outer medulla, and cortex, and each area was subdivided into arteries and veins. We quantified vascular density and tortuosity, number of detected microbubbles, and generated tracks. For comparison, we assessed glomerular filtration rate, albumin/creatinine ratio, and renal histology to evaluate CKD. The number of detected microbubbles and generated tracks varied between animals and significantly affected quantification of vessel density. In areas with a comparable number of tracks, density increased in the obese animals, concomitant with a decrease in glomerular filtration rate and an increase in albumin/creatinine ratio, but without any pathology in the histological staining. The results indicate that super-resolution ultrasound imaging can be used to quantify structural alterations in the renal vasculature. Techniques to generate more comparable number of microbubble tracks and confirmation of the findings in larger-scale studies are needed. [ABSTRACT FROM AUTHOR]

Super-resolution ultrasound imaging, based on the localization and tracking of single intravascular microbubbles, makes it possible to map vessels below 100 µm. Microbubble velocities can be estimated as a surrogate for blood velocity, but their clinical potential is unclear. We investigated if a decrease in microbubble velocity in the arterial and venous beds of the renal cortex, outer medulla, and inner medulla was detectable after intravenous administration of the α1-adrenoceptor antagonist prazosin. The left kidneys of seven rats were scanned with super-resolution ultrasound for 10 min before, during, and after prazosin administration using a bk5000 ultrasound scanner and hockey-stick probe. The super-resolution images were manually segmented, separating cortex, outer medulla, and inner medulla. Microbubble tracks from arteries/arterioles were separated from vein/venule tracks using the arterial blood flow direction. The mean microbubble velocities from each scan were compared. This showed a significant prazosin-induced velocity decrease only in the cortical arteries/arterioles (from 1.59 ± 0.38 to 1.14 ± 0.31 to 1.18 ± 0.33 mm/s, p = 0.013) and outer medulla descending vasa recta (from 0.70 ± 0.05 to 0.66 ± 0.04 to 0.69 ± 0.06 mm/s, p = 0.026). Conclusively, super-resolution ultrasound imaging makes it possible to detect and differentiate microbubble velocity responses to prazosin simultaneously in the renal cortical and medullary vascular beds. [ABSTRACT FROM AUTHOR]

Super-resolution ultrasound imaging (SRUS) enables in vivo microvascular imaging of deeper-lying tissues and organs, such as the kidneys or liver. The technique allows new insights into microvascular anatomy and physiology and the development of disease-related microvascular abnormalities. However, the microvascular anatomy is intricate and challenging to depict with the currently available imaging techniques, and validation of the microvascular structures of deeper-lying organs obtained with SRUS remains difficult. Our study aimed to directly compare the vascular anatomy in two in vivo 2D SRUS images of a Sprague–Dawley rat kidney with ex vivo μCT of the same kidney. Co-registering the SRUS images to the μCT volume revealed visually very similar vascular features of vessels ranging from ~ 100 to 1300 μm in diameter and illustrated a high level of vessel branching complexity captured in the 2D SRUS images. Additionally, it was shown that it is difficult to use μCT data of a whole rat kidney specimen to validate the super-resolution capability of our ultrasound scans, i.e., validating the actual microvasculature of the rat kidney. Lastly, by comparing the two imaging modalities, fundamental challenges for 2D SRUS were demonstrated, including the complexity of projecting a 3D vessel network into 2D. These challenges should be considered when interpreting clinical or preclinical SRUS data in future studies. [ABSTRACT FROM AUTHOR]

Volume flow estimation in the common carotid artery (CCA) can assess the absolute hemodynamic effect of a carotid stenosis. The aim of this study was to compare a commercial vector flow imaging (VFI) setup against the reference method magnetic resonance phase contrast angiography (MRA) for volume flow estimation in the CCA. Ten healthy volunteers were scanned with VFI and MRA over the CCA. VFI had an improved precision of 19.2% compared to MRA of 31.9% (p = 0.061). VFI estimated significantly lower volume flow than MRA (mean difference: 63.2 mL/min, p = 0.017), whilst the correlation between VFI and MRA was strong (R² = 0.81, p < 0.0001). A Bland-Altman plot indicated a systematic bias. After bias correction, the percentage error was reduced from 41.0% to 25.2%. This study indicated that a VFI setup for volume flow estimation is precise and strongly correlated to MRA volume flow estimation, and after correcting for the systematic bias, VFI and MRA become interchangeable. [ABSTRACT FROM AUTHOR]

A method for volumetric Tensor Velocity Imaging employing row-column (RC) addressed array with low computational complexity is investigated in simulations. An interleaved and non-interleaved sliding aperture sequence with 11 rows and 11 columns emissions by a 62 + 62 RC addressed array was used. The 3D velocities were estimated by a transverse oscillation (TO) cross-correlation estimator. Parabolic profiles at six different orientations corresponding to combinations of 0, 45 degrees azimuth angles and 90, 75, 60 beam-to-flow angles were investigated with 5 kHz pulse repetition frequencies. The Field II simulations were performed at a depth of 30 mm with peak velocity of 0.3 m/s. Across all vessel orientations, the relative mean bias varied from 2.3% to −14.26%, and the relative standard deviation varied from 0.43% to 5.5%. The best and worst performance was found at beam to flow angles of 90 degrees with 0 degrees rotation angle and 60 degrees beam-to-flow angle with 45 degrees rotation angle respectively. Due to the low channel count of the RC array and the low computational complexity, real-time implementation is feasible on conventional ultrasound systems. [ABSTRACT FROM AUTHOR]

Keywords: high intensity exercise; adipose tissue metabolism; nutrient redistribution; weight loss; skeletal muscle adaptation; metabolic disease EN high intensity exercise adipose tissue metabolism nutrient redistribution weight loss skeletal muscle adaptation metabolic disease 1 3 3 11/17/21 20211115 NES 211115 Obesity is a major health problem throughout the world, being one of the leading risk factors for type 2 diabetes mellitus, high blood pressure, cardiovascular disease, and premature death (Després and Lemieux, [6]; Ritchie and Connell, [13]). Weight loss, skeletal muscle adaptation, high intensity exercise, adipose tissue metabolism, nutrient redistribution, metabolic disease Such information is ultimately important for developing the most appropriate and efficient exercise programs for reductioning fat mass and treating the numerous metabolic disorders and physical disabilities associated with obesity. [Extracted from the article]

Vector flow techniques in the field of ultrasound encompass different pulse emission and estimation strategies. Numerous techniques have been introduced over the years, and recently commercial implementations usable in the clinic have been made. A number of clinical papers using different vector velocity approaches have been published. This review will give an overview of the most significant in vivo results achieved with ultrasound vector flow techniques, and will outline some of the possible clinical applications for vector velocity estimation in the future. [ABSTRACT FROM AUTHOR]

A response from the authors of the article "Power and color Doppler ultrasound settings for inflammatory flow: impact on scoring of disease activity in patients with rheumatoid arthritis" in a 2015 issue of the journal is presented.

Synthetic aperture sequential beamforming (SASB) and tissue harmonic imaging (THI) are combined to improve the image quality of medical ultrasound imaging. The technique is evaluated in a comparative study against dynamic receive focusing (DRF). The objective is to investigate if SASB combined with THI improves the image quality compared to DRF-THI. The major benefit of SASB is a reduced bandwidth between the probe and processing unit. A BK Medical 2202 Ultraview ultrasound scanner was used to acquire beamformed RF data for offline evaluation. The acquisition was made interleaved between methods, and data were recorded with and without pulse inversion for tissue harmonic imaging. Data were acquired using a Sound Technology 192 element convex array transducer from both a wire phantom and a tissue mimicking phantom to investigate spatial resolution and penetration. In vivo scans were also performed for a visual comparison. The spatial resolution for SASB-THI is on average 19% better than DRI-THI, and the investigation of penetration showed equally good signal-to-noise ratio. In vivo B-mode scans were made and compared. The comparison showed that SASB-THI reduces the artifact and noise interference and improves image contrast and spatial resolution. VC 2014 Acoustical Society of America. [ABSTRACT FROM AUTHOR]

The far field velocity potential and radiation pattern of baffled circular plates and membranes are found analytically using the full set of modal velocity profiles derived from the corresponding equation of motion. The derivation is valid for a plate or membrane subjected to an external excitation force, which is used as a sound receiver in any medium or as a sound transmitter in a gaseous medium. A general, concise expression is given for the radiation pattern of any mode of the membrane and the plate with arbitrary boundary conditions. Specific solutions are given for the four special cases of a plate with clamped, simply supported, and free edge boundary conditions as well as for the membrane. For all non-axisymmetric modes, the velocity potential along the axis of the radiator is found to be strictly zero. In the long wavelength limit, the radiation pattern of all axisymmetric modes approaches that of a monopole, while the non-axisymmetric modes exhibit multipole behavior. Numerical results are also given, demonstrating the implications of having non-axisymmetric excitation using both a point excitation with varying eccentricity and a homogeneous excitation acting on half of the circular radiator. [ABSTRACT FROM AUTHOR]

Volumetric imaging can be performed using 1-D arrays in combination with mechanical motion. Outside the elevation focus of the array, the resolution and contrast quickly degrade compared with the lateral plane, because of the fixed transducer focus. This paper shows the feasibility of using synthetic aperture focusing for enhancing the elevation focus for a convex rocking array. The method uses a virtual source (VS) for defocused multi-element transmit, and another VS in the elevation focus point. This allows a direct time-of-flight to be calculated for a given 3-D point. To avoid artifacts and increase SNR at the elevation VS, a plane-wave VS approach has been implemented. Simulations and measurements using an experimental scanner with a convex rocking array show an average improvement in resolution of 26% and 33%, respectively. This improvement is also seen in in vivo measurements. An evaluation of how a change in transducer design will affect the resolution improvement shows a potential for using a modified transducer for 3-D imaging with improved elevation focusing and contrast. [ABSTRACT FROM AUTHOR]

FIELD II is a simulation software capable of predicting the field pressure in front of transducers having any complicated geometry. A calibrated prediction with this program is, however, dependent on an exact voltage-to-surface acceleration impulse response of the transducer. Such impulse response is not calculated by FIELD II. This work investigates the usability of combining a one-dimensional multilayer transducer modeling principle with the FIELD II software. Multilayer here refers to a transducer composed of several material layers. Measurements of pressure and current from Pz27 piezoceramic disks as well as pressure and intensity measurements in front of a 128 element commercial convex medical transducer are compared to the simulations. Results show that the models can predict the pressure from the piezoceramic disks with a root mean square (rms) error of 11.2% to 36.2% with a 2 dB amplitude decrease. The current through the external driving circuits are predicted within 8.6% to 36% rms error. Prediction errors of 30% and in the range of 5.8%–19.9% for the pressure and the intensity, respectively, are found when simulating the commercial transducer. It is concluded that the multilayer transducer model and the FIELD II software in combination give good agreement with measurements. [ABSTRACT FROM AUTHOR]

Measurements on microbubbles clearly indicate a relation between the ambient pressure and the acoustic behavior of the bubble. The purpose of this study was to optimize the sensitivity of ambient pressure measurements, using the subharmonic component, through microbubble response simulations. The behavior of two microbubbles corresponding to two different contrast agents was investigated as a function of driving pulse and ambient overpressure pov. Simulations of Levovist using a rectangular driving pulse show an almost linear reduction in the subharmonic component as pov is increased. For a 20 cycle driving pulse, a reduction of 4.6 dB is observed when changing pov from 0 to 25 kPa. Increasing the pulse duration makes the reduction even clearer. For a pulse with 64 cycles, the reduction is 9.9 dB. This simulation is in good correspondence with measurement results presented in the literature. Further simulations of Levovist show that also the shape and the acoustic pressure of the driving pulse are very important factors. The best pressure sensitivity of Levovist was found to be 0.88 dB/kPa. For Sonazoid, a sensitivity of 1.14 dB/kPa has been found, although the reduction is not completely linear as a function of the ambient pressure. [ABSTRACT FROM AUTHOR]

Conventional linear arrays can be used for 3-D ultrasound imaging by moving the array in the elevation direction and stacking the planes in a volume. The point-spread function is larger in the elevation plane, because the aperture is smaller and has a fixed elevation focus. Resolution improvements in elevation can be achieved by applying synthetic aperture focusing to the beamformed-in-plane RF data. The proposed method uses a virtual source placed at the elevation focus for postbeamforming. This has previously been done in 2 steps, in-plane focusing followed by synthetic aperture postfocusing in elevation, due to lack of a simple expression for the exact time of flight. This paper presents a new single step method for calculating the time of flight for a 3-D case using a linear array. The new method is more flexible and is able to beamform a fewer number of points much more efficiently. The method is evaluated using both simulated data and phantom measurements using the RASMUS experimental scanner. Computational cost of the method is higher than the 2-step method for a full volume beamforming, but it allows for a reduction of an order-of-magnitude if 3 planes are used for real-time visualization. In addition, the need for a temporary storage of beamformed data is removed. [ABSTRACT FROM AUTHOR]

In this paper, 2 adaptive spectral estimation techniques are analyzed for spectral Doppler ultrasound. The purpose is to minimize the observation window needed to estimate the spectrogram to provide a better temporal resolution and gain more flexibility when designing the data acquisition sequence. The methods can also provide better quality of the estimated power spectral density (PSD) of the blood signal. Adaptive spectral estimation techniques are known to pro- vide good spectral resolution and contrast even when the observation window is very short. The 2 adaptive techniques are tested and compared with the averaged periodogram (Welch's method). The blood power spectral capon (BPC) method is based on a standard minimum variance technique adapted to account for both averaging over slow-time and depth. The blood amplitude and phase estimation technique (BAPES) is based on finding a set of matched filters (one for each velocity component of interest) and filtering the blood process over slow-time and averaging over depth to find the PSD. The methods are tested using various experiments and simulations. First, controlled flow-rig experiments with steady laminar flow are carried out. Simulations in Field II for pulsating flow resembling the femoral artery are also analyzed. The simulations are followed by in vivo measurement on the common carotid artery. In all simulations and experiments it was concluded that the adaptive methods display superior performance for short observation windows compared with the averaged periodogram. Computational costs and implementation details are also discussed. [ABSTRACT FROM AUTHOR]

A minimum variance (MV) approach for near-field beamforming of broadband data is proposed. The approach is implemented in the frequency domain, and it provides a set of adapted, complex apodization weights for each frequency subband. The performance of the proposed MV beam former is tested on simulated data obtained using Field II. The method is validated using synthetic aperture data and data obtained from a plane wave emission. Data for 13 point targets and a circular cyst with a radius of 5 mm are simulated. The performance of the MV beam former is compared with delay-and-sum (DS) using boxcar weights and Hanning weights and is quantified by the full width at half maximum (FWHM) and the peak-side-lobe level (PSL). Single emission (DS boxcar, DS Hanning, MV) provide a PSL of (-16, -36, -49) dB and a FWHM of (0.79, 1.33, 0.08) mm. Using all 128 emissions, (DS boxcar, DS Hanning, MV) provides a PSL of (-32, -49, -65) dB, and a FWHM of (0.63, 0.97, 0.08) mm. The contrast of the beam formed single emission responses of the circular cyst was calculated as (-18, -37, -40) dB. The simulations have shown that the frequency subband MV beam former provides a significant increase in lateral resolution compared with DS, even when using considerably fewer emissions. An increase in resolution is seen when using only one single emission. Furthermore, the effect of steering vector errors is investigated. The steering vector errors are investigated by applying an error of the sound speed estimate to the ultrasound data. As the error increases, it is seen that the MV beam former is not as robust compared with the DS beam former with boxcar and Hanning weights. Nevertheless, it is noted that the DS does not outperform the MV beam former. For errors of 2% and 4% of the correct value, the FWHM are (0.81, 1.25, 0.34) mm and (0.89, 1.44, 0.46) mm, respectively. [ABSTRACT FROM AUTHOR]

Ultrasonic color flow maps are made by estimating the velocities line by line over the region of interest. For each velocity estimate, multiple repetitions are needed. This sets a limit on the frame rate, which becomes increasingly severe when imaging deeper lying structures or when simultaneously acquiring spectrogram data for triplex imaging. This paper proposes a method for decreasing the data acquisition time by simultaneously sampling multiple lines for color flow maps, using narrow band signals with approximately disjoint spectral support. The signals are separated in the receiver by filters matched to the emitted waveforms, producing a number of data sets with different center frequencies. The autocorrelation estimator is then applied to each of the data sets. The method is presented, various side effects are considered, and the method is tested on data from a recirculating flow phantom. A mean standard deviation across the flow profile of 3.1, 2.5, and 2.1% of the peak velocity was found for bands at 5 MHz, 7 MHz, and 9 MHz, respectively. Alternatively, the method can be used for simultaneously sampling data for a color flow map and for multiple spectrograms using different spectral bands. Using three spectral bands, data for a color flow map and two independent spectrograms can be acquired at the time normally spent on acquiring data for a color flow map only. This yields an expansion of triplex imaging called multi-frequency quadroplex imaging, which enables study of the flow over an arterial stenosis by simultaneously acquiring spectrograms on both sides of the stenosis, while maintaining the color flow map. The method was tested in vivo on data from the common carotid artery of a healthy male volunteer, both for fast color flow mapping and for multi-frequency quadroplex imaging. [ABSTRACT FROM AUTHOR]

This paper describes a method for spatial encoding in synthetic transmit aperture ultrasound imaging. This allows several ultrasonic sources to be active simultaneously. The method is based on transmitting pseudo-random sequences to spatially encode the transmitters. The data can be decoded after only one transmission using the knowledge of the transmitted code sequences as opposed to other spatial encoding techniques, such as Hadamard or Golay encoding. This makes the method less sensitive to motion, and data can be acquired using fewer transmissions. The aim of this paper is to analyze the underlying theory and to test the feasibility in a physical system. The method has been evaluated in simulations using Field II in which the point-spread functions were simulated for different depths for a 7 MHz linear array transducer. A signal-to-noise ratio (SNR) simulation also was included in the study in which an improvement in SNR of 1.5 dB was attained compared to the standard synthetic transmit aperture (STA) firing scheme. Considering the amount of energy transmitted, this value is low. A plausible explanation is given that is verified in simulation. The method also was tested in an experimental ultrasound scanner and compared to a synthetic transmit aperture ultrasound imaging scheme using a sinusoidal excitation. The performance of the proposed method wan comparable to the reference with respect to axial and lateral resolution, but it displayed poorer contrast with sidelobe levels at -40 dB compared to the mainlobe. [ABSTRACT FROM AUTHOR]

In this paper a method for designing waveforms for temporal encoding in medical ultrasound imaging is described. The method is based on least squares optimization and is used to design nonlinear frequency modulated signals for synthetic transmit aperture imaging. By using the proposed design method, the amplitude spectrum of the transmitted waveform can be optimized, such that most of the energy is transmitted where the transducer has large amplification. To test the design method, a waveform was designed for a BK8804 linear array transducer. The resulting nonlinear frequency modulated waveform was compared to a linear frequency modulated signal with amplitude tapering, previously used in clinical studies for synthetic transmit aperture imaging. The latter had a relatively flat spectrum which implied that the waveform tried to excite all frequencies including ones with low amplification. The proposed waveform, on the other hand, was designed so that only frequencies where the transducer had a large amplification were excited. Hereby, unnecessary heating of the transducer could be avoided and the signal-to-noise ratio could be increased. The experimental ultrasound scanner RASMUS was used to evaluate the method experimentally. Due to the careful waveform design optimized for the transducer at hand, a theoretic gain in signal-to-noise ratio of 4.9 dB compared to the reference excitation was found, even though the energy of the nonlinear frequency modulated signal was 71% of the energy of the reference signal. This was supported by a signal-to-noise ratio measurement and comparison in penetration depth, where an increase of 1 cm was found in favor for the proposed waveform. Axial and lateral resolutions at full-width half-maximum were compared in a water phantom at depths of 42, 62, 82, and 102 mm. The axial resolutions of the nonlinear frequency modulated signal were 0.62, 0.69, 0.60, and 0.60 mm, respectively. The corresponding axial resolutions for the reference waveform were 0.58, 0.65, 0.62, and 0.60 mm, respectively. The compression properties of the matched filter (mismatched filter for the linear frequency modulated signal) were tested for both waveforms in simulation with respect to the Doppler frequency shift occurring when probing moving objects. It was concluded that the Doppler effect of moving targets does not significantly degrade the filtered output. Finally, in vivo measurements are shown for both methods, wherein the common carotid artery on a 27-year-old healthy male was scanned. [ABSTRACT FROM AUTHOR]

A method for determining both velocity magnitude and angle in a synthetic aperture ultrasound system is described. The approach uses directional beamforming along the flow direction and cross correlation to determine velocity magnitude. The angle of the flow is determined from the maximum normalized correlation calculated as a function of angle. This assumes the flow direction is within the imaging plane. Simulations of the angle estimation method show both biases and standard deviations of the flow angle estimates below 30 for flow angles from 200 to 90° (transverse flow). The method is also investigated using data measured by an experimental ultrasound scanner from a flow rig. A commercial 128 element 7-MHz linear array transducer is used, and data are measured for flow angles of 60° and 90°. Data are acquired using the RASMUS experimental ultrasound scanner, which samples 64 channels simultaneously. A 20-μs chirp was used during emission and eight virtual transmit sources were created behind the transducer using 11 transmitting elements. Data from the eight transmissions are beamformed and coherently summed to create high-resolution lines at different angles for a set of points within the region of flow. The velocity magnitude is determined with a precision of 0.36% (60°) and 1.2% (90°), respectively. The 60° angle is estimated with a bias of 0.54° and a standard deviation of 2.1°. For 90° the bias is 0.0003° and standard deviation 1.32°. A parameter study with regard to correlation length and number of emissions is performed to reveal the accuracy of the method. Real time data covering 2.2 s of the carotid artery of a healthy 30-year-old male volunteer is acquired and then processed offline using a computer cluster. The direction of flow is estimated using the above mentioned method. It is compared to the flow angle of 106° with respect to the axial direction, determined visually from the B-mode image. For a point in the center of the common carotid artery, 76% of the flow angle estimates over the 2.2 s were within 10° of the visually determined flow angle. The standard deviation of these estimates was below 2.7°. Full color flow maps from different parts of the cardiac cycle are presented, including vector arrows indicating both estimated flow direction and velocity magnitude. [ABSTRACT FROM AUTHOR]

This paper investigates the possibility of flow estimation using spatio-temporal encoding of the transmissions in synthetic transmit aperture imaging (STA). The spatial encoding is based on a frequency division approach. In STA, a major disadvantage is that only a single transmitter (denoting single transducer element or a virtual source) is used in every transmission. The transmitted acoustic energy will be low compared to a conventional focused transmission in which a large part of the aperture is used. By using several transmitters simultaneously, the total transmitted energy can be increased. However, to focus the data properly, the signals originating from the different transmitters must be separated. To do so, the pass band of the transducer is divided into a number of subbands with disjoint spectral support. At every transmission, each transmitter is assigned one of the subbands. In receive, the signals are separated using a simple filtering operation. To attain high axial resolution, broadband spectra must be synthesized for each of the transmitters. By multiplexing the different waveforms on different transmitters over a number of transmissions, this can be accomplished. To further increase the transmitted energy, the waveforms are designed as linear frequency modulated signals. Therefore, the full excitation amplitude can be used during most of the transmission. The method has been evaluated for blood velocity estimation for several different velocities and incident angles. The program Field II was used. A 128-element transducer with a center frequency of 7 MHz was simulated. The 64 transmitting elements were used as the transmitting aperture and 128 elements were used as the receiving aperture. Four virtual sources were created in every transmission. By beamforming lines in the flow direction, directional data were extracted and correlated. Hereby, the velocity of the blood was estimated. The pulse repetition frequency was 16 kHz. Three different setups were investigated with flow angles of 45, 60, and 75 degrees with respect to the acoustic axis. Four different velocities were simulated for each angle at 0.10, 0.25, 0.50, and 1.00 m/s. The mean relative bias with respect to the peak flow for the three angles was less than 2%, 2%, and 4%, respectively. [ABSTRACT FROM AUTHOR]

Velocity distributions in blood vessels can be displayed using ultrasound scanners by making a Fourier transform of the received signal and then showing spectra in an M-mode display. It is desired to show a B-mode image for orientation, and data for this have to be acquired interleaved with the flow data. This either halves the effective pulse repetition frequency fprf or gaps appear in the spectrum from B-mode emissions. This paper presents a technique to maintain the highest possible fprf and at the same time show a B-mode image. The power spectrum can be calculated from the Fourier transform of the autocorrelation function, and it is shown that the autocorrelation function can be calculated for a sparse set of data where flow and B-mode emissions are interspaced. Both short deterministic sequences of emissions and full random sequences can be used. The dynamic range of the sparse sequence is reduced compared to a full sequence. Typically, a reduction of 20 dB is found when using 66% of the data compared to using all data. The theory of the method and examples from simulations of flow in arteries are presented. The audio signal can also be generated from the spectrogram. [ABSTRACT FROM AUTHOR]

In synthetic transmit aperture imaging only a few transducer elements are used in every transmission, which limits the signal-to-noise ratio (SNR). The penetration depth can be increased by using all transmitters in every transmission. In this paper, a method for exciting all transmitters in every transmission and separating them at the receiver is proposed. The coding is done by designing narrow-band linearly frequency modulated signals, which are approximately disjointed in the frequency domain and assigning one waveform to each transmitter. By designing a filterbank consisting of the matched filters corresponding to the excitation waveforms, the different transmitters can be decoded at the receiver. The matched filter of a specific waveform will allow information only from this wave-form to pass through, thereby separating it from the other waveforms. This means that all transmitters can be used in every transmission, and the information from the different transmitters can be separated instantaneously. Compared to traditional synthetic transmit aperture (STA) imaging, in which the different transmitters are excited sequentially, more energy is transmitted in every transmission, and a better signal-to-noise-ratio is attained. The method has been tested in simulation, in which the resolution and contrast was compared to a standard synthetic transmit aperture system with a single sinusoid excitation. The resolution and contrast was comparable for the two systems. The method also has been tested using the experimental ultrasound scanner RASMUS. The resolution was evaluated using a string phantom. The method was compared to a conventional STA using both sinusoidal excitation and linear frequency modulated (FM) signals as excitation. The system using the FM signals and the frequency division approach yielded the same performance concerning both axial (of ≈ 3 λ) and lateral resolution (of ≈ 4.5 λ). A SNR measurement showed an increase in SNR of 6.5 dB compared to the system using the conventional STA method and FM signal excitation. [ABSTRACT FROM AUTHOR]

Conventional ultrasound systems acquire ultrasound data sequentially one image line at a time. The architecture of these systems is therefore also sequential in nature and processes most of the data in a sequential pipeline. This often makes it difficult to implement radically different imaging strategies on the platforms and makes the scanners less accessible for research purposes. A system designed for imaging research flexibility is the prime concern. The possibility of sending out arbitrary signals and the storage of data from all transducer elements for 5 to 10 seconds allows clinical evaluation of synthetic aperture and 3D imaging. This paper describes a real-time system specifically designed for research purposes. The system can acquire multichannel data in real-time from multi-element ultrasound transducers, and can perform some real-time processing on the acquired data. The system is capable of performing real-time beamforming for conventional imaging methods using linear, phased, and convex arrays. Image acquisition modes can be intermixed, and this makes it possible to perform initial trials in a clinical environment with new imaging modalities for synthetic aperture imaging, 2D and 3D B-mode, and velocity imaging using advanced coded emissions. The system can be used with 128-element transducers and can excite 128 transducer elements and receive and sample data from 64 channels simultaneously at 40 MHz with 12-bit precision. Two-to-one multiplexing in receive can be used to cover 128 receive channels. Data can be beamformed in real time using the system's 80 signal processing units, or it can be stored directly in RAM. The system has 16 Gbytes RAM and can, thus, store more than 3.4 seconds of multichannel data. It is fully software programmable and its signal processing units can also be reconfigured under software control. The control of the system is done over a 100-Mbits/s Ethernet using C and Matlab. Programs for doing, e.g., B-mode imaging can be written directly in Matlab and executed on the system over the net from any workstation running Matlab. The overall system concept is presented along with its implementation and examples of B-mode and in vivo synthetic aperture flow imaging. [ABSTRACT FROM AUTHOR]

A compact medical ultrasound beamformer architecture that uses oversampled 1-bit analog-to-digital (A/D) converters is presented. Sparse sample processing is used, as the echo signal for the image lines is reconstructed in 512 equidistant focal points along the line through its in-phase and quadrature components. That information is sufficient for presenting a B-mode image and creating a color flow map. The high sampling rate provides the necessary delay resolution for the focusing. The low channel data width (1-bit) makes it possible to construct a compact beamformer logic. The signal reconstruction is done using finite impulse reponse (FIR) filters, applied on selected bit sequences of the delta-sigma modulator output stream. The approach allows for a multichannel beamformer to fit in a single field programmable gate array (FPGA) device. A 32-channel beamformer is estimated to occupy 50% of the available logic resources in a commercially available midrange FPGA, and to be able to operate at 129 MHz. Simulation of the architecture at 140 MHz provides images with a dynamic range approaching 60 dB for an excitation frequency of 3 MHz. [ABSTRACT FROM AUTHOR]

This paper, the last from a series of three papers on the application of coded excitation signals in medical ultrasound, investigates the possibility of increasing the frame rate in ultrasound imaging by using modulated excitation signals. Linear array-coded imaging and sparse synthetic transmit aperture imaging are considered, and the trade-offs between frame rate, image quality, and SNR are discussed. It is shown that FM codes can be used to increase the frame rate by a factor of two without a degradation in image quality and by a factor of 5, if a slight decrease in image quality can be accepted. The use of synthetic transmit aperture imaging is also considered, and it is here shown that Hadamard spatial encoding in transmit with FM emission signals can be used to increase the frame rate by 12 to 25 times with either a slight or no reduction in signal-to-noise ratio and image quality. By using these techniques a complete ultrasound-phased array image can be created using only two emissions. [ABSTRACT FROM AUTHOR]

In the first paper, the superiority of linear FM signals was shown in terms of signal-to-noise ratio and robustness to tissue attenuation. This second paper in the series of three papers oil the application of coded excitation signals in medical ultrasound presents design methods of linear FM signals and mismatched filters, in order to meet the higher demands on resolution in ultrasound imaging. It is shown that for the sinai1 time-bandwidth (TB) products available in ultrasound, the rectangular spectrum approximation is not valid, which reduces the effectiveness of weighting. Additionally, the distant range sidelobes are associated with the ripples of the spectrum amplitude and, thus, cannot be removed by weighting. Ripple reduction is achieved through amplitude or phase predistortion of the transmitted signals. Mismatched filters are designed to efficiently use tile available bandwidth and at the same time to be insensitive to the transducer's impulse response. With these techniques temporal sidelobes are kept below 60 to 100 dB, image contrast is improved by reducing the energy within the sidelobe region, and axial resolution is preserved. The method is evaluated first for resolution performance and axial sidelobes through simulations with the program Field II. A coded excitation ultrasound imaging system based on a commercial scanner and a 4 MHz probe driven by coded sequences is presented and used for the clinical evaluation of the coded excitation/compression scheme. The clinical images show a significant improvement in penetration depth and contrast while they preserve both axial and lateral resolution. At the maximum acquisition depth of 15 cm, there is an improvement of more than 10 dB in the signal-to-noise ratio of the images. The paper also presents acquired images using complementary Golay codes, that show the deleterious effects of attenuation on binary codes when processed with a matched filter, also confirmed by presented simulated images. [ABSTRACT FROM AUTHOR]

This paper, the first from a series of three papers on the application of coded excitation signals in medical ultrasound, discusses the basic principles and ultrasound-related problems of pulse compression. The concepts of signal modulation and matched filtering are given, and a simple model of attenuation relates the matched filter response with the ambiguity function, known from radar. Based on this analysis and the properties of the ambiguity function, the selection of coded waveforms suitable for ultrasound imaging is discussed. It is shown that linear frequency modulation (FM) signals have the best and most robust features for ultrasound imaging. Other coded signals such as nonlinear FM and binary complementary Golay codes also have been considered and characterized in terms of signal-to-noise ratio (SNR) and sensitivity to frequency shifts. Using the simulation program Field II, it is found that in the case of linear FM signals, a SNR improvement of 12 to 18 dB can be expected for large imaging depths in attenuating media, without any depth-dependent filter compensation. In contrast, nonlinear FM modulation and binary codes are shown to give a SNR improvement of only 4 to 9 dB when processed with a matched filter. Other issues, such as depth-dependent matched filtering and use of filters other than the matched filter (inverse and Wiener filters) also are addressed. [ABSTRACT FROM AUTHOR]

A method for flow estimation using synthetic aperture imaging and focusing along the flow direction is presented. The method can find the correct velocity magnitude for any flow angle, and full color flow images can be measured using only 32 to 128 pulse emissions. The approach uses spherical wave emissions with a number of defocused elements and a linear frequency-modulated pulse (chirp) to improve the signal-to-noise ratio. The received signals are dynamically focused along the flow direction and these signals are used in a cross-correlation estimator for finding the velocity magnitude. The flow angle is manually determined from the B-mode image. The approach can be used for both tissue and blood velocity determination. The approach was investigated using both simulations and a flow system with a laminar flow. The flow profile was measured with a commercial 7.5 MHz linear array transducer. A plastic tube with an internal diameter of 17 mm was used with an EcoWatt 1 pump generating a laminar, stationary flow. The velocity profile was measured for flow angles of 90 and 60 degrees. The RASMUS research scanner was used for acquiring radio frequency (RF) data from 128 elements of the array, using 8 emissions with 11 elements in each emission. A 20-μs chirp was used during emission. The RF data were subsequently beamformed off-line and stationary echo canceling was performed. The 60-degree flow with a peak velocity of 0.15 m/s was determined using 16 groups of 8 emissions, and the relative standard deviation was 0.36% (0.65 mm/s). Using the same setup for purely transverse flow gave a standard deviation of 1.2% (2.1 mm/s). Variation of the different parameters revealed the sensitivity to number of lines, angle deviations, length of correlation interval, and sampling interval. An in vivo image of the carotid artery and jugular vein of a healthy 29-year-old volunteer was acquired. A full color flow image using only 128 emissions could be made with a high-velocity precision. [ABSTRACT FROM AUTHOR]

The aspect of correlation among the blood velocities in time and space has not received much attention in previous blood velocity estimators. The theory of fluid mechanics predicts this property of the blood flow. Additionally, most estimators based on a cross-correlation analysis are limited on the maximum velocity detectable. This is due to the occurrence of multiple peaks in the cross correlation function. In this study a new estimator (CMLE), which is based on correlation (C) properties inherited from fluid flow and maximum likelihood estimation (MLE), is derived and evaluated on a set of simulated and in vivo data from the carotid artery. The estimator is meant for two-dimensional (2-D) color flow imaging. The resulting mathematical relation for the estimator consists of two terms. The first term performs a cross-correlation analysis on the signal segment in the radio frequency (RF)-data under investigation. The flow physic properties are exploited in the second term, as the range of velocity values investigated in the cross-correlation analysis are compared to the velocity estimates in the temporal and spatial neighborhood of the signal segment under investigation. The new estimator has been compared to the cross-correlation (CC) estimator and the previously developed maximum likelihood estimator (MLE). The results show that the CMLE can handle a larger velocity search range and is capable of estimating even low velocity levels from tissue motion. The CC and the MLE produce incorrect velocity estimates due to the multiple peaks, when the velocity search range is increased above the maximum detectable velocity. The root-mean square error (RMS) on the velocity estimates for the simulated data is on the order of 7 cm/s (14%) for the CMLE, and it is comparable to the RMS for the CC and the MLE. When the velocity search range is set to twice the limit of the CC and the MLE, the number of incorrect velocity estimates are 0, 19.1, and 7.2% for the CMLE, CC, and MLE, respectively. The ability to handle a larger search range and estimating low velocity levels was confirmed on in vivo data. [ABSTRACT FROM AUTHOR]

A new method for directional velocity estimation is investigated through a number of flow rig measurements. The method uses beam-formation along the flow direction to generate data, where the correct velocity magnitude can directly be estimated from the shift in position of the received consecutive signals. The shift is found by cross-correlating the beam-formed lines. The approach can find the velocity in any direction, including transverse to the traditionally emitted ultrasound beam. The method is investigated using a flow rig with a peak velocity of 0.15 m/s. A 7-MHz linear array transducer is used together with a dedicated sampling system to acquire signals from 64 transducer elements simultaneously. A technique for obtaining 128-element data using multiplexing is also presented. The data is beamformed off-line on a PC. A relative standard deviation of 1.4% can be obtained for a beam-to-flow angle of 45° and 4.3% at 90°. Color flow images are displayed showing that the correct velocity magnitude can be obtained with the method for beam-to-flow angles of 60 and 90° with an accuracy of 3 to 4%. [ABSTRACT FROM AUTHOR]

A new method for acquiring flow images using synthetic aperture techniques in medical ultrasound is presented. The new approach makes it possible to have a continuous acquisition of flow data throughout the whole image simultaneously, and this can significantly improve blood velocity estimation. Any type of filter can be used for discrimination between tissue and blood flow without initialization, and the number of lines used for velocity estimation is limited only by the nonstationarity of the flow. The new approach is investigated through both simulations and measurements. A flow rig is used for generating a parabolic laminar flow, and a research scanner is used for acquiring RF data from individual transducer elements. A reference profile is calculated from a mass flow meter. The parabolic velocity profile is estimated using the new approach with a relative standard deviation of 2.2% and a mean relative bias of 3.4% using 24 pulse emissions at a flow angle of 45 degrees. The 24 emissions can be used for making a full-color flow map image. An in-vivo image of flow in the carotid artery for a 29-year-old male also is presented. The full image is acquired using 24 emissions. [ABSTRACT FROM AUTHOR]

Medical ultrasound imaging can be simulated realistically using linear acoustics. One of the most powerful approaches is to employ spatial impulse responses. Hereby both emitted fields and pulse-echo responses from point scatterers can be determined. Also any kind of dynamic focusing and apodization can be incorporated, as has been done in the Field II simulation program. Here the transducer is modeled through a set of either rectangles, triangles, or bounding lines, so that any geometry can be simulated. The response from the transducer is found by summing the spatial impulse responses from the individual elements. One of the problems in using spatial impulse responses is the abrupt changes in the responses due to the sharp transducer boundaries. Sampling the responses directly therefore have to be done at very high sampling frequencies to keep the shape and energy of the response. The high sampling frequency is unnecessary in the final signals, since the transducers used in medical ultrasound are band limited. Approaches to reduce the sampling frequency are, thus, needed to make efficient simulation programs. Field II uses time integration of the spatial impulse responses using a continuous rather than discrete time-axis. This preserves the energy in the responses and makes it possible to make sub-sample interval delays for focusing. The paper discusses the consequence of the integration for the rectangular elements that uses an approximative calculation of the spatial impulse responses. Data for the accuracy as a function of sampling frequency is given, and it is shown how a sampling frequency of 100 MHz gives similar results to using 2 GHz sampling of the analytic solution for rectangular elements. The spatial impulse responses for the triangular and bounding line elements are found analytically, and an iterative integration routine has to be used. The Romberg integration routine is used, and the accuracy versus sampling frequency for bounding line is shown... [ABSTRACT FROM AUTHOR]

In vivo monitoring of the microvasculature is relevant since diseases such as diabetes, ischemia, or cancer cause microvascular impairment. Super-resolution ultrasound imaging allows in vivo examination of the microvasculature by detecting and tracking sparsely distributed intravascular microbubbles over a minute-long period. The ability to create detailed images of the renal vasculature of Sprague-Dawley rats using a modified clinical ultrasound platform was investigated in this study. Additionally, we hypothesized that early ischemic damage to the renal microcirculation could be visualized. After a baseline scan of the exposed kidney, 10 rats underwent clamping of the renal vein (n = 5) or artery (n = 5) for 45 min. The kidneys were rescanned at the onset of clamp release and after 60 min of reperfusion. Using a processing pipeline for tissue motion compensation and microbubble tracking, super-resolution images with a very high level of detail were constructed. Image filtration allowed further characterization of the vasculature by isolating specific vessels such as the ascending vasa recta with a 15–20 μm diameter. Using the super-resolution images alone, it was only possible for six assessors to consistently distinguish the healthy renal microvasculature from the microvasculature at the onset of vein clamp release. Future studies will aim at attaining quantitative estimations of alterations in the renal microvascular blood flow using super-resolution ultrasound imaging. [ABSTRACT FROM AUTHOR]