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Objective: Two-dimensional (2D) photoacoustic (PA) imaging based on array transducers provide high spatial resolution in the lateral direction by adopting receive dynamic focusing. However, the quality of PA image is often deteriorated by poor elevational resolution which is achieved by an acoustic lens. To overcome this limitation, we present a three-dimensional (3D) image reconstruction method using a commercial one-dimensional (1D) array transducer., Methods: In the method, the elevational resolution is improved by applying synthetic aperture focusing (SAF) technique along the elevational direction. For this, a commercially available 1D array transducer with an acoustic lens is modeled and appropriate synthetic focusing delay that can minimize the effect of the acoustic lens is derived by mathematical analysis., Results: From the simulation and experiment results, it was demonstrated that the proposed method can enhance the image quality of PA imaging, i.e., elevational resolution and signal-to-noise ratio (SNR)., Conclusion: 3D PA images with improved elevational resolution were achieved using a clinical 1D array transducer., Significance: The presented method may be useful for clinical application such as detecting microcalcification, imaging of tumor vasculature and guidance of biopsy in real time.

Objective: Although plane wave imaging (PWI) with multiple plane waves (PWs) steered at different angles enables ultrafast three-dimensional (3-D) ultrasonic imaging, there is still a challenging tradeoff between image quality and frame rate. To address this challenge, we recently proposed the aperiodic PWI (APWI) with mathematical analysis and simulation study. In this paper, we demonstrate the feasibility of APWI and evaluate the performance with phantom and in vivo experiments., Methods: APWI with a concentric ring angle pattern (APWI-C) and APWI with a sunflower pattern (APWI-S) are evaluated. For experimental verification of the methods, the experimental results are compared with simulation results in terms of the spatial resolution and the mainlobe-to-sidelobe ratio. In addition, the performance of APWI is compared with that of conventional PWI by using a commercial phantom. To examine the potential for clinical use of APWI, a gallstone phantom study and an in vivo carotid artery experiment are also conducted., Results: In the phantom study, the APWI methods provide a contrast ratio approximately 2-3 dB higher than that of PWI. In a gallstone experiment, the proposed methods yield 3-D rendered stone images more similar to the real stones than PWI. In the in vivo carotid artery images, APWI reduces the clutter artifacts inside the artery., Conclusion: Phantom and in vivo studies show that the APWI enhances the contrast without compromising the spatial resolution and frame rate., Significance: This study experimentally demonstrates the feasibility and advantage of APWI for ultrafast 3-D ultrasonic imaging.

Objective: The ultrasound baseband in-phase/quadrature beamformer (IQBF) has been widely employed in medical ultrasound imaging to reduce the amount of channel data or to decrease the data rate of the beamforming process. The aim of this study is to assess the effect of the time and phase delay compensation accuracies on the IQBF and thereby to suggest the criteria for selecting the delay resolutions of the IQBF., Methods: Mathematical models of the gain loss (GL) and sidelobe level (SL) in closed form are suggested, and the relationships between the parameters (time and phase delay resolutions of the IQBF and the signal bandwidth) and the errors (GL and SL) are investigated. The performance of the IQBF is compared with that of the traditional radio-frequency beamformer (RFBF). Simulation and phantom and in vivo experimental results are shown to corroborate the theoretical analysis., Results and Conclusion: Theoretical analysis and simulation and experimental results show that a phase delay resolution with a quantization step of 2π/64 is sufficient for phase compensation and that a time delay resolution with a sampling rate of 4f 0 and 2f 0 in the IQBF is sufficient for data with a -6 dB bandwidth of 50% and 25%, respectively, for similar performance as the RFBF with a sampling rate of 16f 0 , where f 0 is the center frequency of the ultrasound signal., Significance: The suggested criteria have the potential to be used for designing an efficient IQBF satisfying the desired specifications and beamforming accuracy.

Sparse arrays have been studied mainly to reduce the large numbers of elements in 2-D arrays. However, they can also provide an effective means of miniaturizing ultrasound 1-D array systems for point-of-care applications. Although a variety of sparse array design strategies have been proposed, designing an optimum sparse array to simultaneously satisfy the system specification requirements and performance criteria remains a challenge. This article presents an analytical approach for the design of an optimum pair of periodic sparse arrays (PSAs), one for transmission and the other for reception. The approach is based on three newly derived theorems that describe the most important properties of the two PSAs forming the sparse array pair and their relationship pertaining to the overall beam pattern. The proposed approach can be used to design 1-D sparse array pairs with arbitrary sparseness factors while meeting given performance criteria. The computer simulation verified that the spatial resolution of a 64-element phased array can be obtained with a PSA pair consisting of transmit and receive sparse arrays, of which the number of elements is reduced to 32 and 22, respectively.

Three-dimensional plane wave imaging (PWI) with a 2-D array has been studied for ultrafast volumetric imaging in medical ultrasound. Compared to 2-D PWI, 3-D PWI requires the transmission of an increased number of plane waves (PWs) to scan a volume of interest and achieve transmit dynamic focusing in both the lateral and elevational directions. To reduce the number of PW angles for a given 2-D angular range by mitigating the grating lobe level, we propose two aperiodic patterns of PW angles: concentric rings with a uniform radial interval and the well-known sunflower pattern. Both patterns are validated to provide uniform angle distributions without regular periodicity, and thereby reduce the grating lobe level compared to a periodic angle distribution with the same number of PW angles. Simulation studies show that the aperiodic patterns enhance the contrast of B-mode images by approximately 3-6 dB over all depths. This enhancement implies that the aperiodic angle sets can increase the volume rate by approximately 2-6 times compared to the periodic angle set at the same contrast and spatial resolution.

In medical ultrasound imaging, lateral resolution is limited when using a fixed transmit focusing. Various synthetic aperture (SA) techniques, in which two-way dynamic focusing is enabled by utilizing prebeamformed radio-frequency (RF) data have been proposed for improving the spatial resolution. However, SA methods were not extensively evaluated in terms of their clinical performance. In this paper, a phantom and an in vivo evaluation of the SA method with bidirectional pixel-based focusing (BiPBF) is presented in comparison with the conventional beamforming. The performance of the proposed SA-BiPBF was assessed with a blind study and the established breast imaging-reporting and data system (BI-RADS), in addition to measuring contrast-to-noise ratio (CNR) and signal-to-noise ratio (SNR). Prebeamformed RF data were acquired from a tissue mimicking phantom (Model 040, CIRS Inc., Norfolk, VA, USA) and from patients with breast lesions by using a commercial ultrasound scanning system with a linear array transducer equipped with a research package and parallel data acquisition system (SonixTouch, SonixDAQ, and L14-5/38, Ultrasonix Corp., Canada). In phantom and in vivo experiments, a default setting of a breast preset was applied (e.g., the center frequency of 10 MHz and acoustic output of MI = 0.66). In phantom experiment, the SA-BiPBF method showed higher CNR and SNR values compared to the conventional method (3.4 and 23.9 dB versus 3.1 and 15.8 dB, respectively). In addition, the lateral resolution and penetration depth were increased by 95.4% and 40.3%, respectively. Consistent with the phantom experiment, in the in vivo experiment with ten patients, the CNR value for the SA method was 3.3 ± 0.5 compared to 2.8 ± 0.8 for the conventional method. Similarly, the SNR values with the SA-BiPBF and conventional methods were 34.0 ± 3.6 and 27.2 ± 3.4 dB, respectively. From the experiments, it was shown in side-by-side comparisons that the image quality of the SA-BiPBF method was considerably improved in both phantom and in vivo breast images. However, the SA-BiPBF image showed different features compared to the conventional one in the in vivo experiments. These features are resulting from the increased image quality of the SA-BiPBF method but are not always perceived as improvements by the radiologists.

We present a cost-effective portable ultrasound system based on a single field-programmable gate array (FPGA) for point-of-care applications. In the portable ultrasound system developed, all the ultrasound signal and image processing modules, including an effective 32-channel receive beamformer with pseudo-dynamic focusing, are embedded in an FPGA chip. For overall system control, a mobile processor running Linux at 667 MHz is used. The scan-converted ultrasound image data from the FPGA are directly transferred to the system controller via external direct memory access without a video processing unit. The potable ultrasound system developed can provide real-time B-mode imaging with a maximum frame rate of 30, and it has a battery life of approximately 1.5 h. These results indicate that the single FPGA-based portable ultrasound system developed is able to meet the processing requirements in medical ultrasound imaging while providing improved flexibility for adapting to emerging POC applications.

In ultrasound exams of obese patients and the breast, the spatial and contrast resolutions of ultrasound images are severely deteriorated when a constant sound speed corresponding to soft tissue is used in receive dynamic beamformation. This degradation is due to the defocusing of the ultrasound beam because of the disparity in sound speed between soft tissue and fatty layers. To minimize the degradation, this paper proposes a new method of estimating an optimal sound speed that can be used to achieve the best beamforming performance in a region of interest (ROI). The proposed method employs a new focusing quality factor (FQF) as an indicator of how well the focusing is conducted with a given sound speed. The FQF is closely associated with the degree of edge conspicuity, which can be obtained using the proposed modified nonlinear anisotropic diffusion (MNAD) technique. To calculate FQF, ultrasound images are formed with different sound speeds ranging from 1400 to 1600 m/s and, subsequently, the ROI is chosen. In the ROI, the degrees of edge conspicuity (i.e., FQF) are calculated. The sound speed can be considered an optimal one for the ROI if it is used to construct the image that provides the maximum FQF. The performances of the proposed method were evaluated through simulation and in vitro experiments with a tissue-mimicking phantom. The performance was also compared with that of the conventional image-based method employed in a commercial ultrasound imaging system. The experimental results demonstrated that the proposed method is capable of estimating an optimal sound speed with an error of 10 m/s regardless of whether strong targets are included in the ROI or not. On the other hand, the conventional image-based method generated an estimation error of 60 m/s maximally in the case in which there were no strong targets in ROI. This indicates that the proposed method is a useful tool to improve ultrasound image quality for clinical applications, especially for ultrasound exams of obese patients and the breast.

In this paper, a new compounded direct pixel beamforming (CDPB) method is presented to remove blurring artifacts introduced by ultrasound scan conversion. In CDPB, receive focusing is directly performed on each display pixel in Cartesian coordinates using the raw RF data from adjacent transmit firings so that artifacts from the scan conversion can be removed. In addition, the energy variations resulting from the distance between the transmit scanline and display pixel are compensated by utilizing the gain factor obtained from the ultrasound beam pattern. The proposed CDPB method was evaluated using simulation and in vivo liver data acquired by a commercial ultrasound machine equipped with a research package. The experimental results showed that the proposed CDPB method improved the information entropy contrast (IEC) by 23.6% compared with the conventional scan conversion method and it reduced the blocking artifacts factor (BAF) by 16.4% over the direct pixel-based focusing method. These results indicate the proposed new direct pixel beamforming method could be used to enhance image quality in medical ultrasound imaging.

Spatial resolution of an ultrasound image is limited by diffraction of ultrasound as it propagates along the axial direction. This paper proposes a method for reducing the diffraction spreading effect of ultrasound by using a synthetic aperture focusing (SAF) method that uses plane waves instead of spherical waves. The new method performs data acquisition and beamforming in the same manner as conventional SAF methods. The main difference is that all array elements are used on each firing to generate a plane wave, the traveling angle of which varies with the position of a receive subaperture. On reception, each scan line is formed by synthesizing RF samples acquired by relevant receive subapertures with delays to force the plane waves to meet at each imaging point. Theoretical analysis and computer simulation with infinite transmit aperture show that the proposed method is capable of suppressing the diffraction of ultrasound and especially causing the lateral beam width to remain unchanged beyond a certain depth determined by the size of a receive subaperture and the maximum traveling angle of plane waves. It is demonstrated that the proposed method is realizable using a linear array transducer. It is also shown that the lateral radiation pattern produced by the proposed method has smaller beam width than that using conventional SAF methods in the region of interest because it suppresses the diffraction of ultrasound.