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Rationale and Objectives: The objective of this study was to evaluate and compare contrast-enhanced subharmonic and harmonic ultrasound as tools for characterizing solid renal masses and monitoring their response to cryoablation therapy., Materials and Methods: Sixteen patients undergoing percutaneous ablation of a renal mass provided informed consent to undergo ultrasound examinations the morning before and approximately 4 months after cryoablation. Ultrasound contrast parameters during pretreatment imaging were compared to biopsy results obtained during ablation (n = 13). Posttreatment changes were evaluated by a radiologist and compared to contrast-enhanced magnetic resonance imaging (MRI)/computed tomography (CT) follow-up., Results: All masses initially showed heterogeneous enhancement with both subharmonic and harmonic ultrasound. Early contrast washout in the mass relative to the cortex was observed in 6 of 9 malignant and 0 of 4 benign lesions in subharmonic mode and 8 of 9 malignant and 1 of 4 benign lesions in harmonic imaging. In cases where the lesion was adequately visualized at follow-up (n = 12), subharmonic and harmonic ultrasound showed accuracies of 83% and 75%, respectively, in predicting treatment outcome. Although harmonic imaging showed less overall error, no significant differences (P > .29) in ablation cavity volumes were observed between MRI/CT and either contrast-imaging mode., Conclusions: Subharmonic and harmonic contrast-enhanced ultrasound may be a safe and accurate imaging alternative for characterizing renal masses and evaluating their response to cryoablation therapy. Although subharmonic imaging was more accurate in detecting effective cryoablation, harmonic imaging was superior in quantifying ablation cavity volumes., (Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.)

Objective: The purpose of this article is to discuss and illustrate the use of contrast-enhanced transvaginal sonography for the early detection of ovarian cancer and suggest how this technique may best be used to distinguish benign from malignant ovarian masses., Conclusion: Microbubble-enhanced transvaginal sonography can enhance the evaluation of ovarian masses by early detection of tumor microvascularity.

Ultrasound elastography is a promising imaging technique that can assist in diagnosis of thyroid cancer. However, the complexity of the tissue movements under freehand compression requires the use of a parametric displacement model and a specific estimation method adapted to sub-pixel motion. Therefore, the aim of this study was to develop a motion estimation method for ultrasound elastography and test its performances compared to a classical block matching technique. The proposed method, referred to as Bilinear Deformable Block Matching (BDBM), uses a bilinear model with eight parameters for controlling the local mesh deformation. In addition, a technique of motion initialization based on a triangle scan of the images adapted to ultrasound elastography is proposed. The BDBM method includes an iterative multi-scale process. This iterative approach is shown to decrease the absolute error of the displacement estimation by a factor of 1.4 when passing from 1 to 2 iterations. The method was tested on simulated images and the results show that absolute displacement estimation error was reduced by a factor of 4 compared to classical block matching. We applied the BDBM method on three experimental sets of data. In the first data set, a phantom designed for ultrasound elastography was used. The two other sets of data involve the thyroid gland and were acquired using freehand tissue compression by ultrasound probe of a clinical ultrasound scanner modified for research. A similarity measurement based on local cross-correlation shows that, for experimental data, the BDBM method outperforms the usual block matching.