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Carotid artery non invasive elastography (NIVE) to detect early changes of cardiovascular diseases in overweight and obese children 颈动脉无创弹性成像(NIVE)检测超重和肥胖儿童心血管疾病的早期变化
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8925819
R. Jalbout, G. Cloutier, Marie-Hélène Roy-Cardinal, M. Henderson, E. Levy, C. Lapierre, G. Soulez, J. Dubois
Increased arterial stiffness is one of the first signs of atherosclerosis. The objective of this study was to use non-invasive elastography (NIVE) to detect early changes in vascular biomechanics associated with obesity in children. The NIVE algorithm also measured the intimamedia thickness (IMT) for comparison.NIVE was applied in 120 children, 60 with elevated body mass index (BMI) (≥ 85th percentile for age and sex) and 60 non-overweight (BMI < 85th percentile). Participants were randomly selected from a longitudinal cohort, evaluating consequences of obesity in healthy children with one obese parent. The carotid wall was automatically segmented and elastograms were computed to measure the cumulated axial strain (CAS), cumulated axial translation (CAT), and maximal shear strain (Max |SSE|); IMT was also computed from segmented contours. Elastogram features were compared between groups with multivariate analyses to control for age, sex, Tanner stage, blood pressure, and lowdensity lipoprotein cholesterol (LDL).After Bonferroni correction, CAT was significantly higher in the elevated BMI group (0.68 ± 0.24 mm vs. 0.52 ± 0.18 mm), p < 0.001. CAS/CAT was significantly lower in the elevated BMI group (9.54 ± 4.8 %/mm vs. 13.34 ± 6.46 %/mm), p = 0.001; the lower CAS/CAT ratio suggests stiffer arteries with less deformation for a similar translation.Before Bonferroni correction, IMT was significantly higher in the elevated BMI group (0.36 ± 0.05 mm vs. 0.32 ± 0.05 mm), p = 0.013. IMT statistical difference was no longer significant after Bonferroni correction.After Bonferroni correction, NIVE detected differences in CAT and CAS/CAT biomarkers in elevated BMI children, whereas IMT failed to show a difference. NIVE is a promising technique to monitor radiological biomarkers of subclinical atherosclerosis in the pediatric population.
动脉硬化增加是动脉粥样硬化的最初迹象之一。本研究的目的是使用无创弹性成像(NIVE)来检测儿童肥胖相关血管生物力学的早期变化。NIVE算法还测量了内膜厚度(IMT)进行比较。NIVE应用于120名儿童,其中60名体重指数(BMI)升高(年龄和性别≥85百分位数),60名非超重(BMI < 85百分位数)。参与者从纵向队列中随机选择,评估父母一方肥胖的健康儿童的肥胖后果。自动分割颈动脉壁,计算弹性图,测量累积轴向应变(CAS)、累积轴向平移(CAT)和最大剪切应变(Max |SSE|);IMT也从分割的轮廓计算。通过多变量分析比较各组之间的弹性图特征,以控制年龄、性别、Tanner分期、血压和低密度脂蛋白胆固醇(LDL)。经Bonferroni校正后,BMI升高组CAT显著升高(0.68±0.24 mm vs 0.52±0.18 mm), p < 0.001。BMI升高组CAS/CAT显著降低(9.54±4.8% /mm vs. 13.34±6.46% /mm), p = 0.001;较低的CAS/CAT比值表明动脉较硬,变形较少。Bonferroni矫正前,BMI升高组IMT显著增高(0.36±0.05 mm vs. 0.32±0.05 mm), p = 0.013。经Bonferroni校正后,IMT统计差异不再显著。在Bonferroni校正后,NIVE检测到BMI升高儿童的CAT和CAS/CAT生物标志物的差异,而IMT没有显示出差异。NIVE是一种很有前途的技术,用于监测儿童亚临床动脉粥样硬化的放射学生物标志物。
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引用次数: 0
4D Cardiac Activation Wave Mapping in In Vivo Swine Model using Acoustoelectric Imaging 利用声电成像技术在猪体内模型中绘制四维心脏激活波
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8926147
Alexander Alvarez, Cameron Wilhite, Chet Preston, Teodoro Trujillo, Alice McArthur, D. Mustacich, R. Witte
Though atrial fibrillation (AF) is a growing public health problem, electrical characterization of the disease with electrocardiography (ECG) is inadequate due to poor spatial resolution. The goal of this study was to investigate propagation of the cardiac activation wave in a healthy swine model using acoustoelectric cardiac imaging (ACI), a noninvasive mapping technology that combines ultrasound with electrical recording to overcome limitations with standard ECG. Real-time 4D ACI with a custom 2D 0.6 MHz matrix US array demonstrated conduction velocities of 2.21 m/s, validated with standard epicardial recording. ACI FWHM at a single timepoint, a measure related to the resolution of ACI in imaging the volume of activation at peak ECG signal, was 7.31 mm, 7.63 mm, and 6.23 mm in the depth, lateral, and elevational directions, respectively. SNR of ACI was 21dB at peak activation. ACI signals tracked through a 4D volume demonstrated appropriate propagation of the signal from base to apex and from endocardium to epicardium. This study demonstrated the potential for this technology to noninvasively map arrhythmias, such as AF, at high resolution.
虽然心房颤动(AF)是一个日益严重的公共卫生问题,但由于空间分辨率差,用心电图(ECG)对该疾病的电表征是不充分的。本研究的目的是利用心脏声电成像(ACI)研究健康猪模型中心脏激活波的传播,ACI是一种无创测绘技术,将超声和电记录结合起来,克服了标准心电图的局限性。使用定制2D 0.6 MHz矩阵US阵列的实时4D ACI显示传导速度为2.21 m/s,并通过标准心外膜记录进行验证。单个时间点的ACI FWHM(与ACI成像峰值心电信号激活体积的分辨率相关的指标)在深度、侧向和仰角方向分别为7.31 mm、7.63 mm和6.23 mm。ACI在峰值激活时信噪比为21dB。通过4D体积跟踪ACI信号显示信号从基底到心尖和从心内膜到心外膜的适当传播。这项研究证明了该技术在无创地绘制心律失常(如房颤)的高分辨率地图方面的潜力。
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引用次数: 4
Acousto-Optic Modulation of Water in a Microfluidic Channel Using Planar Fresnel Type GHz Ultrasonic Transducer 平面菲涅耳型GHz超声换能器对微流控通道中水的声光调制
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8925614
Adarsh Ravi, M. Abdelmejeed, J. Kuo, A. Lal
Acousto-optic modulation at GHz frequencies is demonstrated in water in a microfluidic channel. The photoelastic effect in water is induced by a silicon based GHz bulk acoustic wave aluminum nitride transducer placed in a Fresnel lens configuration. The planar GHz ultrasonic transducer is fabricated with a CMOS compatible process with no thin-film release step enabling easier integration with CMOS and microfluidics. A UHF vibrometer which is sensitive to changes in the refractive index along the laser path is used to measure the peak surface displacement. The peak refractive index change was determined to be O(10-6), when 1.08GHz RF drive voltages between 1Vp and 5Vp were applied to the focusing transducer. Peak phase modulation of 6mrad was determined from the experimental results for 5Vp RF drive signal. The total modulator area of such a system is 0.086 mm2. This result provides a framework to implement CMOS integrated acousto-optic modulator arrays.
声光调制在GHz频率被证明在水的微流体通道。采用菲涅耳透镜结构的硅基千兆赫体声波氮化铝换能器诱导水中的光弹性效应。平面GHz超声波换能器是用CMOS兼容工艺制造的,没有薄膜释放步骤,可以更容易地与CMOS和微流体集成。利用对激光折射率变化敏感的超高频测振仪测量表面位移峰值。在1Vp ~ 5Vp之间施加1.08GHz射频驱动电压时,聚焦换能器的折射率变化峰值为0(10-6)。根据5Vp射频驱动信号的实验结果,确定了6mrad的峰值相位调制。该系统的总调制器面积为0.086 mm2。该结果为实现CMOS集成声光调制器阵列提供了一个框架。
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引用次数: 0
A Novel Mathematical Model for Transit-time Ultrasonic Flow Measurement 一种新的跨时超声流量测量数学模型
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8925693
L. Kang, A. Feeney, W. Somerset, Ri-liang Su, D. Lines, S. Ramadas, S. Dixon
The calculation of the averaged flow velocity along an ultrasonic path is the core step in ultrasonic transit-time flow measurement. The conventional model for calculating the path-averaged velocity does not consider the influence of the flow velocity on the propagation direction of the ultrasonic wave and can introduce error when the sound speed is not much greater than the flow velocity. To solve this problem, a new mathematical model covering the influence of the flow velocity is proposed. It has been found that the same mathematical expressions of the path-averaged flow velocity, as a function of the absolute time-of-flight (ToFs) of ultrasonic waves travelling upstream and downstream, can be derived based on either of the models. However, the expressions as a function of the time difference (the relative ToF) between the ultrasonic waves travelling upstream and downstream derived by the two models are completely different. Flow tests are conducted in a calibrated flow rig utilising air as flowing medium. Experimental results demonstrate that the path-averaged flow velocities, calculated using either the relative or the absolute ToFs based on the new model, are much more consistent and stable, whereas those calculated based on the conventional model have shown evident and increasing discrepancy when the flow velocity exceeds 15 m/s. When the flow velocity is around 39.45 m/s, the discrepancy is as high as 0.38 m/s. As the relative ToF can be more accurately, reliably and conveniently measured in real applications, the proposed mathematical model has a great potential for the increase of the accuracy of the ultrasonic transit-time flowmeters, especially for the applications such as the measurement of fluids with high flow velocities.
超声传输时流量测量的核心步骤是计算超声路径上的平均流速。传统的路径平均速度计算模型没有考虑流速对超声波传播方向的影响,在声速不大于流速的情况下会引入误差。为了解决这一问题,提出了一种新的包含流速影响的数学模型。研究发现,在这两种模型的基础上,可以推导出相同的路径平均流速的数学表达式,即超声波在上游和下游传播的绝对飞行时间的函数。但是,两种模型得到的超声波上下行时差(相对ToF)的函数表达式是完全不同的。流动试验是在一个校准的流动装置中进行的,利用空气作为流动介质。实验结果表明,基于新模型的相对tof和绝对tof计算的路径平均流速更加一致和稳定,而当流速超过15 m/s时,基于常规模型计算的路径平均流速差异明显且越来越大。当流速在39.45 m/s左右时,差异高达0.38 m/s。由于在实际应用中可以更加准确、可靠和方便地测量相对ToF,因此所提出的数学模型对于提高超声波透射时间流量计的精度,特别是在测量高流速流体等应用中具有很大的潜力。
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引用次数: 0
3D+t Vector Flow Imaging with Transverse Oscillations and Doppler Estimator 三维+t矢量流成像与横向振荡和多普勒估计
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8926165
F. Varray, Sébastien Salles, L. Petrusca, H. Liebgott
Blood flow evaluation with ultrasound is an extremely usefull tool in the clinics in many different situations. The evaluation of the real 2D or 3D flow direction and amplitude remains an unsolved issue and a challenge to access to the full and correct flow characteristic. In this paper, an advanced 3D ultrasound system is used to estimate the 3D blood flow in an home made phantom with a laminar flow. After the acquisitions, the 3D processing of the beamformed volumes allow the creation of transverse oscillations and motion estimation in several direction to create a complex vector flow map in 3D. The obtained streamlines are coherent through the cycle and the qualitative evaluation of the flow is possible, even in direction perpendicular to the US beam axis. The proposed setup and method must be evaluated more deeply in more complex geometries, but this work demonstrates the feasibility to use such advanced system in 3D+t flow evaluation.
在许多不同的情况下,超声血流评估是一种非常有用的工具。真实的二维或三维流动方向和幅度的评估仍然是一个未解决的问题,也是获得完整和正确的流动特性的挑战。本文采用一种先进的三维超声系统对自制的层流模型进行三维血流测量。采集数据后,对波束形成体进行三维处理,可以在多个方向上创建横向振荡和运动估计,从而创建复杂的三维矢量流图。获得的流线在整个循环中是一致的,并且可以对流动进行定性评估,甚至在垂直于US束轴的方向上也是如此。所提出的设置和方法必须在更复杂的几何形状中进行更深入的评估,但这项工作证明了在3D+t流动评估中使用这种先进系统的可行性。
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引用次数: 3
Non-linear-wave-based excitation of waves on a membrane 膜上波的非线性波基激发
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8925954
Jesse Heikkilä, E. Lampsijärvi, Antti Kontiola, A. Salmi, E. Hæggström
Non-linear acoustic waves were used to excite propagating waves on a curved biological membrane. A non-contact method was used to measure the displacement of the membrane at the pickup point. The frequency content, time-of-flight, and amplitude of the wave travelling across the membrane at the measurement location were studied as a function of incidence angle of the shockwave for different pressures inside a vessel bounded by the membrane. Detecting the peak frequency of the pickup signal provided the most accurate estimate of the pressure inside the vessel.
利用非线性声波激发弯曲生物膜上的传播波。采用非接触法测量膜在拾取点的位移。研究了在以膜为界的容器内不同压力下,在测量位置穿过膜的波的频率含量、飞行时间和振幅与冲击波入射角的关系。通过检测拾取信号的峰值频率,可以最准确地估计容器内的压力。
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引用次数: 1
Ultrasound Transmission through a Flexible Printed Circuit Board Bonded to the Front Side of a Capacitive Micromachined Ultrasonic Transducer Array: Feasibility Study 电容式微机械超声换能器阵列前端粘接柔性印刷电路板的超声传输:可行性研究
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8926143
C. Seok, Ziad Ali, F. Y. Yamaner, Ömer Oralkan
Interconnecting the inner elements of a densely populated ultrasonic transducer array with electronics poses a great challenge when pads are located in the inner area such that they are not easily accessible or wire bonding is not a viable solution. To tackle that challenge, we propose the technique of front-side flip-chip bonding capacitive micromachined ultrasonic transducer (CMUT) arrays to flexible printed circuit boards (FPCBs). As the propagation through the flex material can cause signal attenuation, we measured the pressure reduction for a reference transducer and an experimental CMUT and observed that the reference underwent a 19% pressure reduction while the experimental CMUT experienced a 33% pressure reduction after transmission through the flex. We argue that the difference can be partly attributed to inappropriate underfill in the interface between the CMUT and the FPCB. The proposed packaging approach can potentially provide a versatile interconnecting scheme for densely populated small transducers required in applications such as ultrasound neuromodulation.
当衬垫位于内部区域时,将密集的超声波换能器阵列的内部元件与电子元件互连是一个巨大的挑战,因此它们不容易接近或电线粘合不是一个可行的解决方案。为了解决这一挑战,我们提出了将电容式微机械超声换能器(CMUT)阵列与柔性印刷电路板(fpcb)结合的前侧倒装芯片技术。由于通过挠性材料的传播会导致信号衰减,我们测量了参考传感器和实验CMUT的压力降低,观察到参考传感器通过挠性材料后压力降低19%,而实验CMUT通过挠性材料后压力降低33%。我们认为,这种差异可以部分归因于CMUT和FPCB之间界面的不适当的下填充。所提出的封装方法可以潜在地为超声波神经调节等应用中所需的密集的小型换能器提供通用的互连方案。
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引用次数: 0
Effects of Acoustic Nonlinearities on the Estimation of Attenuation from Ultrasonic Backscatter 声学非线性对超声后向散射衰减估计的影响
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8925571
Andres Coila, M. Oelze
The attenuation coefficient (AC) has demonstrated the ability to classify tissue state. Linear acoustic propagation is assumed when estimating the AC using spectral-based methods from the ultrasonic backscatter. However, the effects of acoustic nonlinearities can distort the backscattered power spectra versus depth. The distortion of the power spectra could result in a bias in the estimation of the AC. The goal of the study was to quantify the effects of nonlinear distortion on the estimation of AC from ultrasonic backscatter using spectral methods. We computed the AC from backscattered signals using the spectral log difference method and a reference phantom to account for diffraction effects. Computational simulations and experiments in phantoms were performed. In the experiments, three tissue-mimicking phantoms, named A, B and C having estimated AC values of 0.60, 0.90, and 0.20 dB/cm/MHz, respectively, and B/A ≈ 6.6 for each phantom were scanned using a single-element focused transducer (f/2) having a 0.5" diameter and 5-MHz center frequency. The phantoms were scanned using six excitation levels from a high-power (HP) pulsing apparatus (RAM-5000, Ritec, USA). The AC was estimated from phantom A using either phantom B (high attenuation) or phantom C (low attenuation) as the reference. The AC was estimated at each excitation level over the analysis bandwidth (− 6-dB criterion) to determine the effects of acoustic nonlinearity on estimation of AC. The presence of nonlinear distortion can be quantified through the Gol’dberg number, which is inversely proportional to the product of the nonlinearity coefficient and attenuation. We hypothesized that because the B/A values were approximately the same for each phantom, the effects of nonlinear distortion would be more pronounced when using phantom C, which had much lower attenuation. Specifically, increased excess attenuation due to transfer of energy from the fundamental to the harmonics would be observed more in phantom C. The AC estimate increased from 0.57 to 0.67 dB/cm/MHz as the excitation levels increased from level one to six when using phantom B as a reference. In contrast, when using phantom C as reference, the estimated AC slope of phantom A decreased from 0.57 to 0.43 dB/cm/MHz as the excitation levels increased from level one to six. Therefore, use of a reference with different attenuation resulted in increased bias of AC estimates due to nonlinear distortion being this deviation larger when using low attenuating media.
衰减系数(AC)已被证明具有区分组织状态的能力。利用基于频谱的方法从超声后向散射估计交流时,假设声传播是线性的。然而,声学非线性的影响会使后向散射功率谱随深度的变化发生扭曲。功率谱的畸变可能导致估计交流的偏差。本研究的目的是量化非线性畸变对使用光谱方法估计超声波后向散射交流的影响。我们使用谱对数差分法和参考模体来计算背散射信号的交流,以考虑衍射效应。进行了模拟计算和模型实验。在实验中,使用直径为0.5英寸、中心频率为5 MHz的单元件聚焦换能器(f/2)扫描三个组织模拟模型,分别命名为A、B和C,其估计交流值分别为0.60、0.90和0.20 dB/cm/MHz,每个模型的B/A≈6.6。使用高功率(HP)脉冲装置(RAM-5000, Ritec, USA)的六个激励水平扫描这些幻影。使用模体B(高衰减)或模体C(低衰减)作为参考,从模体A估计交流。在分析带宽(- 6 db标准)上估计每个激励水平上的交流,以确定声学非线性对交流估计的影响。非线性失真的存在可以通过Gol 'dberg数来量化,该数字与非线性系数和衰减的乘积成反比。我们假设,因为每个幻像的B/A值大致相同,所以当使用衰减低得多的幻像C时,非线性失真的影响会更加明显。具体来说,由于能量从基波转移到谐波而增加的过量衰减将在模体c中观察到更多。当使用模体B作为参考时,随着激励水平从一级增加到六级,交流估计从0.57增加到0.67 dB/cm/MHz。相比之下,当以模体C为参考时,随着激励水平从1级增加到6级,模体A的估计交流斜率从0.57 dB/cm/MHz下降到0.43 dB/cm/MHz。因此,使用具有不同衰减的参考会导致交流估计的偏差增加,因为当使用低衰减介质时,非线性失真的偏差更大。
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引用次数: 0
Ultrasonic Wave Mixing for Nonlinear Ultrasonics in a Microfluidic Capillary 微流控毛细管中非线性超声的混合
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8926164
A. Demčenko, C. Witte, J. Reboud, J. Cooper
In this study we show that nonlinear ultrasonics, based on nonlinear wave mixing, can enable the measurement of the interactions between acoustic waves and a microliter liquid sample in a glass capillary microchannel. This has the potential to deliver new techniques with a high sensitivity to acoustic material properties.
在这项研究中,我们展示了基于非线性波混合的非线性超声,可以测量声波与玻璃毛细管微通道中微升液体样品之间的相互作用。这有可能带来对声学材料特性具有高灵敏度的新技术。
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引用次数: 1
Correlation between Red Blood Cell Aggregation and Blood Glucose Level 红细胞聚集与血糖水平的相关性
Pub Date : 2019-10-01 DOI: 10.1109/ULTSYM.2019.8926267
Akiyo Fukase, Kanta Nagasawa, Shohei Mori, M. Arakawa, S. Yashiro, Yasushi Ishigaki, H. Kanai
High blood glucose level (BGL) is related to the high viscosity of blood. Red blood cells (RBCs) tend to gather each other in the condition of high viscosity. Backscattered echoes become high as RBCs aggregate. Therefore, the intensity of backscattered echo is anticipated to be high as the BGL increases. In the present study, we investigated the relationship between RBC aggregations by ultrasound and the BGL for the development of non-invasive BGL measurement methods. Ultrasonic backscattering echoes for dorsal hand vein and BGLs were repeatedly measured from fasting to 190 min after injecting 40-g glucose for a healthy subject. The brightness of the B-mode image increased as the BGL increased. The brightnesses of B-mode image and the BGLs after 160-190 min were less than those at fasting. The relationship between the brightness of the B-mode image and BGL was almost linear, although the hysteresis characteristic was observed. This is because multiple factors other than BGL are closely related to the RBC aggregations.
高血糖水平(BGL)与血液的高粘度有关。在高黏度的条件下,红细胞容易相互聚集。当红细胞聚集时,后向散射回波变高。因此,预计后向散射回波强度会随着BGL的增大而增大。在本研究中,我们研究了超声RBC聚集与BGL之间的关系,以开发无创BGL测量方法。健康受试者注射40 g葡萄糖后,从禁食至190 min,反复测量手背静脉和bgl的超声后向散射回波。b模式图像的亮度随BGL的增大而增大。160 ~ 190 min后b模式图像和bgl亮度均低于禁食时。b模图像的亮度与BGL之间的关系几乎是线性的,尽管存在滞后特性。这是因为除BGL外,还有多种因素与RBC聚集密切相关。
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引用次数: 2
期刊
2019 IEEE International Ultrasonics Symposium (IUS)
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