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Surface Compression Alters in Vivo VisR Stiffness, Viscosity, and Anisotropy Measurements in Human Breast 表面压缩改变人体乳房的体内VisR刚度、粘度和各向异性测量
IF 2.9 Pub Date : 2025-11-11 DOI: 10.1109/OJUFFC.2025.3631426
Anna V. Phillips;Cherie M. Kuzmiak;Doreen Steed;Caterina M. Gallippi
Viscoelastic response (VisR) ultrasound has been developed by our group to interrogate tissue stiffness and viscosity. VisR has several potential advantages for breast cancer diagnostic imaging such being non-invasive and low-cost. Because ultrasound can penetrate dense breasts more effectively than mammograms, it may improve the detection of malignant masses in women with dense breasts. VisR-based estimates of stiffness, viscosity, and anisotropy have been shown in our preliminary studies to discriminate malignant and benign breast lesions. However, a potential limitation of VisR could be dependence on tissue pre-loading from applied surface compression by the practitioner. We conducted an IRB-approved clinical study of 20 women with no known breast pathologies to assess the impact of compression on VisR measurements of peak displacement (PD), relative elasticity (RE), relative viscosity (RV), and degree of anisotropy (DoA). Participants were between the ages of 30-90, and 10/20 had mammographically dense breasts. We found that surface compression significantly affected measurements of PD, RE, and RV in breast tissue, in vivo. In particular, in women with dense breasts, stiffness (via PD and RE) increased significantly with applied compression. DoA of PD, RE, and RV increased, decreased, or stayed the same with compression. No significant difference was found in DoA with compression between the breast density groups. Based on these findings, we recommend that surface compression be standardized and monitored when using VisR for clinical breast imaging, especially in women with dense breasts. Further studies are needed to identify an optimal strain range for VisR measurement repeatability.
粘弹性响应(VisR)超声是本课题组开发的用于询问组织刚度和粘度的超声。VisR在乳腺癌诊断成像方面有几个潜在的优势,如无创和低成本。由于超声能比乳房x光检查更有效地穿透致密的乳房,它可以提高致密乳房女性恶性肿块的检出率。在我们的初步研究中,基于visr的刚度、粘度和各向异性的估计已被证明可以区分乳腺的恶性和良性病变。然而,VisR的一个潜在限制可能是依赖于医生施加的表面压缩的组织预负荷。我们进行了一项经irb批准的临床研究,对20名没有已知乳房病变的女性进行了临床研究,以评估压缩对峰值位移(PD)、相对弹性(RE)、相对粘度(RV)和各向异性程度(DoA)的VisR测量的影响。参与者的年龄在30-90岁之间,其中10/20患有乳房x光检查显示的致密乳房。我们发现,表面压缩显著影响体内乳腺组织PD、RE和RV的测量。特别是,在乳房致密的女性中,施加压迫时僵硬度(通过PD和RE)显著增加。PD、RE、RV的DoA随压缩增大、减小或保持不变。乳腺密度组间受压DoA无显著差异。基于这些发现,我们建议在使用VisR进行临床乳房成像时,特别是在乳房致密的女性中,对表面压缩进行标准化和监测。需要进一步的研究来确定VisR测量重复性的最佳应变范围。
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引用次数: 0
Ultrasonic Guided Wave Transducers and Electronic System Design for Structural Health Monitoring 用于结构健康监测的超声导波换能器和电子系统设计
IF 2.9 Pub Date : 2025-11-07 DOI: 10.1109/OJUFFC.2025.3630590
Lorenzo Capineri
The design of electronic systems for ultrasonic guided wave structural health monitoring requires a dedicated electronic front-end considering the peculiarities of this application field. The characteristics of ultrasonic guided wave piezoelectric transducers are first decided based on the operating environment, the material of the structures and their dimensions, as well as the definition of connections and diagnostics of the transducers. Another specific feature of electronic design is for systems operating both in passive mode for impact detection and in active mode for damage detection and positioning. These two operating modes correspond to different analog electronic chains because the received signals have different amplitude levels and frequency spectrum. The paper will review the main building blocks of the electronic system with a focus on analog front-end electronic circuits and propose a new modular architecture for the electronics to address different SHM scenarios.
超声导波结构健康监测电子系统的设计考虑到该应用领域的特殊性,需要一个专用的电子前端。超声波导波压电换能器的特性首先根据工作环境、结构材料及其尺寸、换能器的连接定义和诊断来确定。电子设计的另一个具体特点是,系统既可以在被动模式下进行冲击检测,也可以在主动模式下进行损伤检测和定位。由于接收到的信号具有不同的幅度级和频谱,这两种工作模式对应于不同的模拟电子链。本文将回顾电子系统的主要构建模块,重点关注模拟前端电子电路,并提出一种新的电子模块体系结构,以解决不同的SHM场景。
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引用次数: 0
A Technique to Track Scatterers for Continuous High-Speed Plane-Wave Ultrasound Simulations Based on a Fluid Domain Model 基于流体域模型的连续高速平面波超声仿真散射体跟踪技术
IF 2.9 Pub Date : 2025-10-07 DOI: 10.1109/OJUFFC.2025.3618637
Jeffrey A. Ketterling;Geraldi Wahyulaksana;Marisa S. Bazzi;Hadi Wiputra
Ultrasound simulations of blood flow are useful to evaluate or optimize new transmit schemes, transducer geometries, or post processing methods such as vector flow. In cases of complex flow, a flow domain model (FDM) is often used to define the time history of the velocity field. Scatterers representing blood cells are seeded in the flow field and their positions are updated each time step after spatial and temporal interpolation of the FDM velocity field. At each time step, the scatterers are passed to an ultrasound simulator to generate synthetic ultrasound backscatter data. Here, a technique is described to continuously track, without temporal discontinuities, a stable concentration of scatterers representing complex flow with reverse, rotational, out-of-plane and/or helical features. The unique aspects of the tracking approach are 1) refresh zones at the input and output flow ports that randomly reseed scatterers each time step, 2) a stagnation threshold to remove low velocity orphaned scatterers near the boundary of the flow field, and 3) continuous tracking of particles in the full flow volume. The method can be adapted to any FDM, ultrasound simulator, transducer, or transmission scheme. To demonstrate the overall pipeline, we use the results of a prior fluid structure interaction (FSI) model of a mouse aorta to generate a continuous high-speed, plane-wave ultrasound simulation over 4 cardiac cycles with a 15-MHz linear array. The data were processed to produce vector flow to validate that the ultrasound vector-flow field was consistent with the FSI velocity field.
血流的超声模拟对于评估或优化新的传输方案、换能器几何形状或后处理方法(如矢量流)非常有用。在复杂流动情况下,通常采用流域模型(FDM)来定义速度场的时程。在流场中植入代表血细胞的散射体,对FDM速度场进行时空插值后,每个时间步更新散射体的位置。在每个时间步,散射体被传递到超声模拟器以生成合成超声后向散射数据。在这里,描述了一种技术,可以连续跟踪,没有时间间断,稳定的散射体浓度,代表具有反转,旋转,面外和/或螺旋特征的复杂流动。跟踪方法的独特之处在于:1)输入和输出流端口的刷新区,每个时间步随机重新播种散射体;2)停滞阈值,以去除流场边界附近的低速孤立散射体;3)在整个流体积中连续跟踪颗粒。该方法可适用于任何FDM、超声模拟器、换能器或传输方案。为了演示整个管道,我们使用小鼠主动脉的先验流体结构相互作用(FSI)模型的结果,使用15 mhz线性阵列在4个心动周期内生成连续高速平面波超声模拟。对数据进行处理生成矢量流,验证超声矢量流场与FSI速度场的一致性。
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引用次数: 0
Evaluating the Effect of Drug Loading on the Acoustic Response of Nanobubbles in Stable and Inertial Cavitation Regimes 稳态空化和惯性空化条件下药物负载对纳米气泡声响应的影响
IF 2.9 Pub Date : 2025-10-07 DOI: 10.1109/OJUFFC.2025.3618629
Muhammad Saad Khan;Victoria Bulycheva;Charlotte Ferworn;Omar Falou;Eric M. Strohm;Pinunta Nittayacharn;Elizabeth Berndl;Raffi Karshafian;Agata A. Exner;Michael C. Kolios
Nanobubbles (NBs) have been investigated as ultrasound contrast agents and drug delivery carriers in medical applications. Previous studies have reported the efficacy of NBs in imaging and therapy. However, ultrasound (US) exposure parameters for stable and inertial cavitation of NBs need to be investigated. This study examines passive cavitation detection of ultrasound signatures from two types of NBs across three pressure ranges using passive cavitation detection (PCD), aiming to investigate their cavitation behaviour with and without the inclusion of the chemotherapeutic drug, Doxorubicin (HDox). We compared the power spectral density (PSD) of non-drug loaded Propylene-Glycol Glycerol (PGG) NBs and HDox NBs under 300 kPa, 600 kPa, and 900 kPa pressures at 1 MHz fundamental frequency and 1% duty cycle. Our results indicate that NBs exhibit stable cavitation at 300 kPa, while a mix of inertial and stable cavitation occur at 600 and 900 kPa. The loading of NBs with HDox affects their acoustic activity. HDox NBs exhibit higher acoustic activity at 300 kPa, but their PCD signal profile becomes similar to PGG NBs at 600 kPa and 900 kPa. A numerical model was used to gain additional insight into some of the characteristics of the NB power spectra observed. Our simulations indicate that nonlinear bubble oscillations are characterized by distinctly pronounced harmonics, particularly the third harmonic, with this effect being even more prominent in smaller bubbles and lower ultrasound amplitudes. These findings will help determine ultrasound pulse parameters in imaging and therapeutic applications.
纳米气泡(NBs)作为超声造影剂和药物传递载体在医学上的应用已被研究。先前的研究报道了NBs在成像和治疗方面的疗效。然而,需要对NBs稳定空化和惯性空化的超声暴露参数进行研究。本研究使用被动空化检测(PCD)对两种NBs在三个压力范围内的超声特征进行被动空化检测,旨在研究它们在包含化疗药物阿霉素(HDox)和不包含化疗药物的情况下的空化行为。我们比较了在1 MHz基频和1%占空比下,在300 kPa、600 kPa和900 kPa压力下,非载药丙二醇甘油(PGG) NBs和HDox NBs的功率谱密度(PSD)。结果表明,NBs在300 kPa时表现出稳定空化,而在600和900 kPa时则出现惯性空化和稳定空化的混合现象。负载HDox的NBs会影响其声活性。HDox NBs在300 kPa时表现出更高的声活性,但其PCD信号分布在600 kPa和900 kPa时与PGG NBs相似。一个数值模型被用来对观测到的NB功率谱的一些特征获得更多的了解。我们的模拟表明,非线性气泡振荡的特征是明显明显的谐波,特别是三次谐波,这种影响在较小的气泡和较低的超声振幅中更加突出。这些发现将有助于确定成像和治疗应用中的超声脉冲参数。
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引用次数: 0
Robotic Compounding for Whole-Brain Non-Invasive 3D Ultrasound Localization Microscopy 全脑无创三维超声定位显微镜的机器人复合
IF 2.9 Pub Date : 2025-10-03 DOI: 10.1109/OJUFFC.2025.3617425
Hatim Belgharbi;Francisco Santibanez;Paul A. Dayton;Gianmarco F. Pinton
3D ultrasound localization microscopy (ULM) allows the extraction of anatomical and functional representations of vascular networks with a spatial resolution beyond the diffraction limit ( $sim lambda $ /10) by localizing injected microbubble (MB) contrast agents and tracking their positions over time. To advance this technology towards clinical diagnostics, the ability to obtain a large field of view (FOV) becomes a pressing necessity. One solution for large FOV imaging is automated stitching/compounding of multiple volume acquisitions. This is challenging for full-brain imaging, as the acquisition of images through the skull requires parallel positioning of the transducer surface relative to the skull to optimize ultrasound transmission. Herein, we demonstrate an automated positioning system that relies on predefined optimized orientations, enabling fast acquisition and positioning for rapid full-brain imaging. As an example of expanded FOV application, we achieved non-invasive full-brain imaging of an 8-week-old rat by collecting data across 11 transducer positions. To ensure optimal acoustic penetration through the intact skull, the transducer orientation was robotically positioned. We compared this approach with pure transducer translation. Additionally, we acquired whole-brain vasculature images from 4-week-old rats using 24 100-second scans of optimized transducer positions, comparing these results to a single-position 2400-second scan. Automated robotic compounding enabled the acquisition of full-brain vascular information while minimizing acquisition dead time. Optimized transducer angles enhanced the vascular network visualization across the brain, including challenging areas such as the cerebellum (10x improvement) and hindbrain (3.5x improvement). Moreover, our multi-position acquisition method allowed us to capture approximately four times more vascular volume transcranially, covering the entire rat brain, compared to the ~1 cm3 typically obtained with single-position acquisitions using the same transducer. This work demonstrates the benefit of automated robot-assisted multi-angle/multi-position acquisitions in ULM to acquire a volumetric field of view larger than otherwise possible with a single position acquisition, especially those through the skull.
3D超声定位显微镜(ULM)可以通过定位注入的微泡(MB)造影剂并随时间跟踪其位置,以超过衍射极限的空间分辨率($sim lambda $ /10)提取血管网络的解剖和功能表征。为了将这项技术推向临床诊断,获得大视场(FOV)的能力成为迫切需要。大视场成像的一个解决方案是自动拼接/复合多个体积采集。这对于全脑成像来说是一个挑战,因为通过颅骨获取图像需要将换能器表面相对于颅骨平行定位,以优化超声传输。在此,我们展示了一个自动定位系统,该系统依赖于预定义的优化方向,能够快速获取和定位快速全脑成像。作为扩展视场应用的一个例子,我们通过收集11个换能器位置的数据,实现了一只8周大鼠的非侵入性全脑成像。为了确保最佳的声音穿透完整的颅骨,换能器的方向是机器人定位的。我们将这种方法与纯换能器翻译进行了比较。此外,我们通过24次100秒的优化换能器位置扫描获得了4周龄大鼠的全脑血管图像,并将这些结果与单次2400秒的扫描结果进行了比较。自动化的机器人合成使全脑血管信息的采集成为可能,同时最大限度地减少采集死时间。优化的换能器角度增强了整个大脑的血管网络可视化,包括小脑(改善10倍)和后脑(改善3.5倍)等具有挑战性的区域。此外,我们的多位置采集方法使我们能够捕获大约四倍多的血管体积,覆盖整个大鼠脑,而使用相同换能器的单位置采集通常获得1 cm3。这项工作证明了在ULM中,自动化机器人辅助的多角度/多位置采集的好处,它可以获得比单一位置采集更大的体积视野,特别是通过头骨的位置采集。
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引用次数: 0
Double Profile Intersection (DoPIo) Ultrasound With Acoustic Radiation Force Tilting Interrogates Young’s Modulus in Transversely Isotropic Media: An In Silico Study 双剖面交叉超声与声辐射力倾斜询问杨氏模量在横向各向同性介质:一个在硅研究
IF 2.9 Pub Date : 2025-09-23 DOI: 10.1109/OJUFFC.2025.3613275
Sabiq Muhtadi;Keita A. Yokoyama;Caterina M. Gallippi
This study evaluates the potential for interrogating the Young’s elastic moduli in anisotropic media, including tissue, using Double Profile Intersection (DoPIo) ultrasound. DoPIo is an on-axis acoustic radiation force (ARF)-based elasticity imaging method that quantifies shear elasticity without relying on shear wave propagation. It is hypothesized that by applying a range of ARF excitations that are not perpendicular to the axis of symmetry (AoS) of transversely isotropic (TI) materials and monitoring the resultant variation in DoPIo-measured elasticity versus excitation angle, the Young’s elastic modulus may be interrogated in addition to the shear elastic modulus. The hypothesis was tested in silico, and results suggested that while DoPIo outcomes measured at normal (90°) ARF-AoS incidence were related to the shear elastic modulus alone, variation in DoPIo-derived elasticity over ARF-AoS incidence angle (defined as $Delta textit {Elasticity}$ ) exhibited a strong linear correlation with the longitudinal Young’s modulus ( ${E}_{L}$ ). The results suggest that ${E}_{L}$ evaluated by the rate of change of $Delta textit {Elasticity}$ with ARF-AoS incidence angle may serve as a novel biomarker for characterizing elastically anisotropic tissues such as kidney, skeletal muscle, and breast.
本研究评估了利用双剖面交叉(DoPIo)超声在各向异性介质(包括组织)中询问杨氏弹性模量的潜力。DoPIo是一种基于轴向声辐射力(ARF)的弹性成像方法,它可以量化剪切弹性,而不依赖于剪切波的传播。假设通过施加不垂直于横向各向同性(TI)材料对称轴(AoS)的一系列ARF激励,并监测dopio测量的弹性随激发角的变化,除了可以询问剪切弹性模量外,还可以询问杨氏弹性模量。该假设在计算机上进行了验证,结果表明,虽然在正常(90°)ARF-AoS入射角处测量的DoPIo结果仅与剪切弹性模量相关,但DoPIo衍生弹性随ARF-AoS入射角(定义为$Delta textit {elasticity}$)的变化与纵向杨氏模量(${E}_{L}$)具有很强的线性相关性。结果表明,由$Delta textit {Elasticity}$随ARF-AoS入射角的变化率评估的${E}_{L}$可以作为表征肾、骨骼肌和乳腺等弹性各向异性组织的新生物标志物。
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引用次数: 0
Investigation of Real-Time Capabilities of the Qualcomm Snapdragon 8 for a Fourier-Based Imaging Algorithm 高通骁龙8基于傅里叶成像算法的实时性能研究
IF 2.9 Pub Date : 2025-09-23 DOI: 10.1109/OJUFFC.2025.3613273
Franz Richter;Edgar Manfred Gustav Dorausch;Cornelius Kühnöl;Pascal Stöver;Omid Chaghaneh;Julian Kober;Tönnis Trittler;Paul-Henry Koop;Klaus Knobloch;Jochen Hampe;Gerhard Fettweis;Moritz Herzog;Richard Nauber
Point-of-Care Ultrasound (PoCUS) devices have the potential to enable safe, fast and cost-efficient medical imaging, which can democratize access to medical diagnostics. However, achieving high image quality and real-time performance despite the significant resource constraints of mobile devices is essential for clinical adoption. Fourier-Based Imaging (FBI) is emerging as an alternative to the simple and well established delay-and-sum (DAS) beamforming, as it promises improved image quality albeit higher computational effort. This work investigates an efficient implementation of FBI and evaluates the performance on a Qualcomm Snapdragon 8 system-on-chip (SoC) CPU and GPU using a synthetic radiofrequency (RF) ultrasound dataset. CPU profiling identified the real-to-complex (r2c) Fast Fourier Transform (FFT) as a primary bottleneck, with optimizations reducing runtime from 2993 ms to 892 ms per frame. GPU acceleration via the clFFT library and a custom OpenCL kernel for k-space processing, enhanced through kernel fusion, constant memory usage, and instruction-level tuning, further reduced runtime to 388 ms, a 2.86x speed-up over the optimized CPU version. Although 30 fps real-time performance was not reached under these imaging parameters (2.58 fps), reducing the number of transmitters increased throughput to approximately 6 fps at the expense of image fidelity. These results demonstrate the mobile GPU’s potential for FBI and suggest that real-time execution on next-generation SoCs is within reach.
医疗点超声(PoCUS)设备有可能实现安全、快速和经济高效的医学成像,从而使医疗诊断大众化。然而,尽管移动设备的资源限制很大,但实现高图像质量和实时性能对于临床应用至关重要。基于傅里叶的成像(FBI)作为一种简单且成熟的延迟和(DAS)波束形成的替代方案正在兴起,因为它有望改善图像质量,尽管需要更高的计算工作量。本研究研究了FBI的有效实现,并使用合成射频(RF)超声数据集评估了高通骁龙8片上系统(SoC) CPU和GPU的性能。CPU分析将实到复杂(r2c)快速傅立叶变换(FFT)识别为主要瓶颈,优化将每帧运行时间从2993毫秒减少到892毫秒。通过clFFT库和用于k空间处理的自定义OpenCL内核进行GPU加速,通过内核融合、恒定内存使用和指令级调优得到增强,进一步将运行时间减少到388毫秒,比优化的CPU版本加速2.86倍。虽然在这些成像参数(2.58 fps)下无法达到30 fps的实时性能,但减少发射机的数量会以牺牲图像保真度为代价将吞吐量提高到约6 fps。这些结果证明了移动GPU对FBI的潜力,并表明下一代soc的实时执行是可以实现的。
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引用次数: 0
Comparison of Filtering Methods for Calculating ARFI log(VoA) to Delineate Carotid Plaque Features, In Vivo 计算ARFI日志(VoA)以描绘颈动脉斑块特征的过滤方法的比较,在体内
IF 2.9 Pub Date : 2025-09-12 DOI: 10.1109/OJUFFC.2025.3609675
Shureed Qazi;Keerthi S. Anand;Jonathon W. Homeister;Mark A. Farber;Caterina M. Gallippi
Carotid atherosclerosis is a major cause of ischemic stroke, and the ability to non-invasively assess plaque composition and structure is critical to effective stroke risk assessment. Carotid plaque components are delineated noninvasively by Acoustic Radiation Force Impulse (ARFI)-derived Variance of Acceleration, evaluated as its decadic log (log(VoA)). To date, this log(VoA) parameter has been calculated by isolating the variance in ARFI-induced displacement profiles using the second-order time derivative (SOTD), a high-pass filtering operation. The purpose of this study was to compare the performance of the SOTD filter to various other filtering methods in application to delineating human carotid plaque components, in vivo. Specifically, the SOTD filter was compared to Principal Component Analysis (PCA), Finite Impulse Response (FIR), Infinite Impulse Response (IIR), and mean-center spatial (MCS) filters. Filter performances were evaluated in terms of the resulting log(VoA) generalized contrast-to-noise ratio (gCNR) for distinguishing plaque features in human carotid plaques, in vivo, which were validated by spatially aligned histology. Results indicated that the SOTD filter consistently provided the highest gCNR for most plaque components, whereas the performances yielded by the other filters were more variable. The study demonstrated that the SOTD filter remains the preferred method for log(VoA) calculation due to its effectiveness for delineating carotid plaque features.
颈动脉粥样硬化是缺血性卒中的主要原因,无创评估斑块组成和结构的能力对于有效评估卒中风险至关重要。颈动脉斑块成分通过声辐射力脉冲(ARFI)衍生的加速度方差无创描绘,以其十进对数(log(VoA))进行评估。迄今为止,该测井(VoA)参数是通过使用二阶时间导数(SOTD)(一种高通滤波操作)隔离arfi引起的位移剖面的方差来计算的。本研究的目的是比较SOTD滤波器在体内与其他各种滤波方法在描绘人体颈动脉斑块成分方面的性能。具体来说,SOTD滤波器与主成分分析(PCA)、有限脉冲响应(FIR)、无限脉冲响应(IIR)和平均中心空间(MCS)滤波器进行了比较。根据所得的对数(VoA)广义对比噪声比(gCNR)来评估过滤器的性能,以区分人颈动脉斑块的斑块特征,在体内,这是通过空间排列组织学验证的。结果表明,SOTD过滤器始终为大多数斑块成分提供最高的gCNR,而其他过滤器的性能变化较大。该研究表明,SOTD滤波器仍然是对数(VoA)计算的首选方法,因为它可以有效地描绘颈动脉斑块特征。
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引用次数: 0
Photo-Mediated Ultrasound Therapy (PUT) for the Treatment of Deep Cutaneous Vasculature 光介导超声疗法(PUT)治疗皮肤深部血管
IF 2.9 Pub Date : 2025-09-02 DOI: 10.1109/OJUFFC.2025.3604391
Mingyang Wang;Jeffrey S. Orringer;Yannis M. Paulus;Xinmai Yang;Xueding Wang
Traditionally, pulsed dye laser (PDL) therapy has been used to treat cutaneous blood vessels in patients with port-wine stain (PWS) birthmarks. PDL therapy, however, has limited treatment depth, and frequently results in suboptimal therapeutic outcomes when used to treat deep cutaneous blood vessels. We have developed photo-mediated ultrasound therapy (PUT), a hybrid cavitation-based anti-vascular technology combining nanosecond light pulses with ultrasound bursts and demonstrated its great potential in treating deep cutaneous vessels. This study explored the feasibility of PUT as an alternative to traditional PDL therapy for deep cutaneous vascular treatment in a clinically relevant chicken wattle model. PUT was employed to induce cavitation in blood vessels by using different light fluence and ultrasound pressure combinations. Theoretical modeling and in vitro experiments were first conducted to validate and optimize parameters for PUT treatment targeting deep vasculature. PUT treatments were then performed in a chicken wattle model using an experimental setup, and outcomes were assessed by using polarized dermoscope, optical coherence tomography angiography (OCT-A) imaging, and histopathological analyses. The results demonstrated that PUT can effectively penetrate the entire thickness of chicken wattle tissue, which is about 3 mm, and significantly reduce blood vessel density by 45.20% with a light fluence 10–100 times less than the fluence used in traditional PDL therapy. OCT-A imaging showed that local blood perfusion was significantly reduced, and the reduced blood perfusion persisted for at least 7 days post-treatment in the treated areas. Histopathological analyses based on H&E, CD31, and Russell-Movat Pentachrome (RMP) stains confirmed effective and selective vascular damage through the entire thickness of chicken wattle without causing collateral thermal damage. In conclusion, PUT can effectively eliminate blood vessels with a treatment depth up to 3 mm whereas the 3 mm treatment depth demonstrated in this study was only limited by the chicken wattle model. By leveraging the deep tissue penetration of ultrasound and the flexibility in treatment parameter selection, PUT can effectively treat deep cutaneous vasculature using reduced light fluence and thereby minimize collateral damage in skin tissues. Thus, PUT holds great potential for treatment of cutaneous vascular anomalies such as PWS.
传统上,脉冲染料激光(PDL)疗法已被用于治疗葡萄酒斑(PWS)胎记患者的皮肤血管。然而,PDL治疗的治疗深度有限,当用于治疗皮肤深部血管时,经常导致治疗效果不理想。我们开发了光介导超声治疗(PUT),这是一种基于空泡的混合抗血管技术,将纳秒光脉冲与超声脉冲相结合,在治疗皮肤深部血管方面显示出巨大的潜力。本研究在临床相关的鸡肋模型上探讨了PUT替代传统PDL治疗深层皮肤血管的可行性。PUT采用不同的光通量和超声压力组合诱导血管空化。首先进行了理论建模和体外实验,以验证和优化针对深部血管的PUT治疗参数。然后使用实验装置在鸡肋模型中进行PUT治疗,并通过偏振皮肤镜、光学相干断层扫描血管造影(OCT-A)成像和组织病理学分析来评估结果。结果表明,PUT可以有效穿透鸡骨肉组织的整个厚度(约3 mm),并显著降低45.20%的血管密度,其光通量比传统PDL治疗的光通量小10-100倍。OCT-A成像显示局部血流灌注明显减少,且治疗后至少持续7天。基于H&E、CD31和russel - movat五色体(RMP)染色的组织病理学分析证实,鸡肋整个厚度的血管都受到了有效和选择性的损伤,而没有引起附带的热损伤。综上所述,PUT可以有效消除治疗深度达3mm的血管,而本研究显示的3mm治疗深度仅受鸡冠模型的限制。利用超声对深层组织的穿透性和治疗参数选择的灵活性,PUT可以利用较少的光通量有效地治疗深层皮肤血管,从而最大限度地减少皮肤组织的附带损伤。因此,PUT在治疗PWS等皮肤血管异常方面具有很大的潜力。
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引用次数: 0
Cross Amplitude Modulation and Compound Amplitude Modulation for Nonlinear Contrast-Enhanced Ultrasound Imaging of Nanobubbles 纳米气泡非线性超声成像的交叉调幅和复合调幅
IF 2.9 Pub Date : 2025-08-29 DOI: 10.1109/OJUFFC.2025.3603792
Yu Weng;Luke Coulter;Muhammad Saad Khan;Eno Hysi;Agata A. Exner;Michael C. Kolios
In nonlinear contrast-enhanced ultrasound (CEUS) imaging, nanobubbles (NBs) offer a promising alternative for enhanced visualization of microvascular structures and molecular imaging. This study explores two amplitude-modulated (AM) techniques—cross amplitude modulation (xAM) and compound amplitude modulation (cAM)—to enhance the capabilities of NB-mediated CEUS imaging. Both methods were tested on the Vevo F2 ultrasound imaging system (Fujifilm VisualSonics Inc.) using the Vevo Advanced Data Acquisition (VADA) mode, allowing full customization of pulse sequences. The xAM technique utilized a three-event pulse sequence that transmits cross-propagating plane-wave beams from dual apertures. This method isolated nonlinear scattered waves from NBs, reducing background noise and enhancing image quality. In contrast, cAM achieved a high frame rate of 706 Hz, a valuable feature for tracking the NB vascular flow dynamics. cAM combined plane-wave compounding with amplitude modulation, transmitting two events (half- and full-amplitude), achieving high frame rates for velocity imaging at the expense of image quality. NBs at a concentration of $10^{9}$ NBs/mL, intended to mimic estimated in vivo post-injection concentrations, were injected into custom-built tissue-mimicking vessel phantoms. Experiments demonstrated that xAM significantly improved the contrast-to-noise ratio (CNR) and contrast-to-tissue ratio (CTR) by over 10 times compared to B-mode imaging, especially at larger steering angles. Conversely, cAM’s CNR and CTR were at least 50% lower than that of xAM, but it achieved a frame rate over 100 times faster than xAM. These results suggest xAM can enhance imaging clarity, while cAM offers high frame rates for velocity imaging, providing an imaging framework for preclinical and clinical applications.
在非线性超声造影(CEUS)成像中,纳米气泡(NBs)为增强微血管结构的可视化和分子成像提供了一种有前途的选择。本研究探讨了两种调幅(AM)技术——交叉调幅(xAM)和复合调幅(cAM)——以增强nb介导的超声造影成像能力。两种方法都在Vevo F2超声成像系统(Fujifilm VisualSonics Inc.)上进行了测试,使用Vevo高级数据采集(VADA)模式,允许完全定制脉冲序列。xAM技术利用三事件脉冲序列,从双孔传输交叉传播的平面波光束。该方法隔离了NBs的非线性散射波,降低了背景噪声,提高了图像质量。相比之下,cAM实现了706 Hz的高帧率,这是跟踪NB血管流动动力学的一个有价值的特征。cAM将平面波复合与振幅调制相结合,传输两个事件(半振幅和全振幅),以牺牲图像质量为代价实现高速成像的高帧率。NBs浓度为$10^ bbb $ NBs/mL,旨在模拟体内注射后的估计浓度,将其注射到定制的模拟组织的血管模型中。实验表明,与b模式成像相比,xAM显着提高了噪比(CNR)和组织对比度(CTR)超过10倍,特别是在较大的转向角度下。相反,cAM的CNR和CTR比xAM至少低50%,但它实现的帧率比xAM快100倍以上。这些结果表明,xAM可以提高成像清晰度,而cAM为速度成像提供了高帧率,为临床前和临床应用提供了成像框架。
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引用次数: 0
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IEEE open journal of ultrasonics, ferroelectrics, and frequency control
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