离体牛肝脏热消融后超声散射的变化。

Nicholas Rubert, Tomy Varghese
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摘要

热消融是一种微创肿瘤治疗方法,已迅速获得临床认可。众所周知,热消融增加了组织的声衰减和剪切模量。在这项工作中,我们研究了热消融后肝组织中散射体空间分布的变化。肝组织内的声散射体经常被建模为伪周期。伪周期散射体的位置沿波束尺寸呈伽玛分布,用平均散射体间距(MSS)表征。先前的研究表明,弥漫性肝病(如脂肪变性进展为肝硬化)会导致MSS发生显著变化。然而,关于热消融后MSS变化的报道相对较少。在这项研究中,我们通过检测使用汤姆逊的多锥度方法计算的光谱相干函数的局部最大值来估计离体牛肝脏的MSS。我们检查了从5只正常牛肝脏中记录的大量不相关的感兴趣区域(每只动物约300张图像)。我们还检查了热凝后5只牛肝脏的大量ROI。所有牛肝脏均在动物献祭后立即从商业肉类生产设施获得,并在12小时内成像。在80°C盐水浴中加热肝脏45分钟,诱导热凝。对于正常的未加热肝脏,估计MSS约为1.5 mm。热消融后,在热凝固组织中获得约0.5 mm的MSS。通常,估计肝组织中MSS的研究提供了一个不考虑组织状态的MSS估计。作者很少提出他们的MSS估计算法将产生什么,如果它被应用于组织更好地建模为一个集合均匀,随机分布的散射体缺乏周期性。在这项研究中,我们发现热凝聚导致周期性的丧失。0.5 mm的MSS对应于基于谱相干的MSS算法在面对均匀随机分布的散射体产生的信号时所产生的值。
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Alterations in Ultrasound Scattering Following Thermal Ablation in ex vivo Bovine Liver.

Thermal ablation is a minimally invasive cancer treatment which has been rapidly gaining clinical acceptance. It is well known that thermal ablation increases the acoustic attenuation and shear modulus of tissue. In this work, we examine changes to the spatial distribution of scatterers in liver tissue following thermal ablation. Acoustic scatterers within liver tissue have frequently been modeled as pseudo-periodic. The positions of pseudo-periodic scatterers have been Gamma distributed along the beam dimension, and these scatterers are characterized by their mean scatterer spacing (MSS). Prior work have demonstrated significant changes in MSS due to diffuse liver disease, such as steatosis progressing to cirrhosis. However, relatively few results have been reported regarding changes in MSS following thermal ablation. In this study, we estimated MSS in ex vivo bovine liver by detecting local maxima in spectral coherence functions calculated using Thomson's multi-taper method. We examined a large number of uncorrelated regions of interest recorded from five normal bovine livers (~300 images from each animal). We also examined a large number of ROI's from five bovine livers following thermal coagulation. All bovine livers were obtained from a commercial meat production facility immediately following animal sacrifice and imaged within 12 hours. Thermal coagulation was induced by heating liver in saline water baths at 80° C for 45 minutes. For normal, unheated liver an MSS of approximately 1.5 mm was estimated. Following thermal ablation, an MSS of approximately 0.5 mm in thermally coagulated tissue was obtained. Frequently, studies estimating MSS in liver tissue provide an MSS estimate regardless of the state of tissue. Authors rarely present what their MSS estimation algorithm would produce if it were applied to tissue which is better modeled as a collection of uniformly, randomly distributed scatterers lacking periodicity. In this study, we found that thermal coagulation results in a loss of periodicity. The MSS of 0.5 mm corresponds to the value that a spectral coherence-based MSS algorithm would produce if presented with a signal that was generated from uniform, randomly distributed scatterers.

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