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    • 专利摘要:
    In ultrasonic viscoelastic imaging, the shear wave velocity or other viscoelasticity parameter is measured by tracking at the ARFI focus or other high intensity location relative to the ARFI transmission. Rather than following the shear wave, the tissue response to the ARFI is measured. A profile of time displacements or a spectrum of it is measured at the location. By finding a scale of the resulting profile in sufficient correlation with a calibration profile, the shear wave velocity or other viscoelastic parameter can be estimated.
    公开号:FR3049845A1
    申请号:FR1752976
    申请日:2017-04-05
    公开日:2017-10-13
    发明作者:Liexiang Fan；Yassin Labyed
    申请人:Siemens Medical Solutions USA Inc；
    IPC主号:
    专利说明:

    BACKGROUND
    The present embodiments relate to medical diagnostic ultrasound. In particular, ultrasound is used to estimate a viscoelasticity parameter.
    Conventional shear wave velocity imaging uses an acoustic radiation force impulse (ARFI) or a push pulse to generate shear waves. Ultrasonic tracking at locations spaced laterally from the ARFI focus monitors the propagation of the shear wave away from the origin of the shear wave at the ARFI focus. Several factors affect the quality of shear wave velocity measurements, including the loss of a signal-to-noise ratio due to attenuation and spread of the shear wave, shear wave reflections at the level of the shear wave. tissue boundaries and heterogeneities, and movement artefacts due to the transmission of multiple excitation pulses to track and / or increase the size of the imaging region. In addition, long cooling times are required to stay within the mechanical index (MI) limits and thermal limits of the US Food and Drug Administration (FDA).
    BRIEF SUMMARY As an introduction, the preferred embodiments described below include a method, a system, a computer readable medium, and instructions for viscoelastic imaging with ultrasound. The shear wave velocity or other viscoelasticity parameter is measured by tracking at the ARFI focus or other high intensity location relative to the ARFI transmission. Rather than following the shear wave, the tissue response to the ARFI is measured. A profile of time displacements or a spectrum of these is measured at the location. By finding a scale of the resulting profile in sufficient correlation with a calibration profile, the shear wave velocity or other viscoelastic parameter can be estimated.
    In a first aspect, a method is proposed for viscoelastic imaging with an ultrasound scanner (ultrasound scanner for medical diagnosis). The ultrasound transducer transmits from a transducer an acoustic radiation force pulse as a transmission beam with a beam profile along a scan line. An ultrasound transducer beamformer measures displacements as a function of time within the beam profile along the scan line. At least some of the displacements respond to the acoustic radiation force pulse. An image processor generates a first profile from the displacements for a first location, calculates a scaling weight of the first profile with respect to a reference profile, and estimates a viscoelasticity characteristic based on the scale weighting. . A display generates an image of the viscoelasticity characteristic.
    According to the variants, the method may comprise one or more of the following steps or characteristics; the measurement comprises the measurement with collinear reception beams with the scanning line; - the measurement includes the measurement with simultaneous receiving beams along reception lines which are positioned at locations with intensities in a range of 3 dB below a peak intensity of the transmission beam inside. beam profile; the measurement comprises the measurement before the transmission of the acoustic radiation force pulse and a plurality of times after the transmission of the acoustic radiation force pulse; the measurement comprises measuring the movements while the fabric relaxes after the cessation of the acoustic radiation force pulse at a focal location of the acoustic radiation force pulse; the generation of the first profile comprises the generation of the first profile as a profile in the time domain of the displacements as a function of time; the generation of the first profile comprises the generation of a spectrum of displacements as a function of time; - the calculation of the scale weighting includes the scaling of an axis of the first profile to maximize a correlation with the reference profile; - Scale weight calculation includes scaling a moment or frequency of the first profile for different quantities, correlating the results of each scaling quantity with the reference profile , and the selection of the scaling with the greatest correlation; the calculation of the scale weighting comprises the calculation of a frequency-dependent scale weighting; - the estimate of the viscoelasticity characteristic includes the estimation of elasticity; the estimate of the viscoelasticity characteristic comprises estimating the shear wave velocity with the measurement being that of tissue relaxation from the acoustic radiation force pulse and not a shear wave; the estimate comprises the estimate as a function of the scale weighting and a known characteristic of a calibration phantom associated with the reference profile; the generation comprises the generation of the image with a pixel modulation, a graph, or an alphanumeric text for the viscoelasticity characteristic.
    In a second aspect, a system is proposed for viscoelastic imaging. A transmission beamformer is configured to transmit an acoustic push pulse to a focal region in a patient. A receive beam former is configured to output samples for the focal region of the patient. An image processor is configured to estimate the shear wave velocity at the focal region from the samples without tracking a shear wave in the patient. A display is configured to display the shear wave velocity.
    According to the variants, the system may comprise one or more of the following features - the acoustic push pulse comprises an acoustic radiation force pulse as a focused transmission beam at the focal region, and the samples are samples formed in beams from a tissue displacement tracking caused by the acoustic radiation force pulse at the focal region; the image processor is configured to generate displacements as a function of the tissue time at the focal region from the samples, to calculate a scale factor for the time or frequency of the displacements adjusted to a measurement of calibrating for a phantom, and estimating the shear wave velocity from the scale factor and a known velocity for the phantom; the image processor is configured to calculate the scale factor as a frequency-dependent scale factor and to estimate the frequency-dependent shear wave velocity from the frequency-dependent scale factor ; tracking, by a beamformer of the ultrasound system, displacements along an axis of excitation of an acoustic radiation force pulse in a tissue of a patient, displacements caused by the force impulse acoustic radiation; estimating, by an image processor of the ultrasound system, a viscoelasticity parameter from displacements along the axis and displacements with respect to a phantom with a known viscoelasticity value; and transmitting the viscoelasticity parameter.
    In a third aspect, a method is proposed for viscoelastic imaging with an ultrasound scanner (ultrasound scanner for medical diagnosis). An ultrasound beamformer tracks movements along an axis of excitation of an acoustic radiation force pulse in tissue of a patient. Displacements are caused by the acoustic radiation force pulse. An image processor of the ultrasound system estimates a parameter of viscoelasticity from displacements along the axis and displacements with respect to a phantom with a known value of viscoelasticity. The viscoelasticity parameter is transmitted. The estimation may include the correlation of displacements as a function of time or a spectrum of displacements as a function of time with a profile for the phantom with different scales of time or frequency, the selection of the scale among the different scales resulting in the greatest correlation, and the estimate of the viscoeiasticity parameter as a function of the known scale and viscoeiasticity value. Other aspects and advantages of the invention are discussed below in conjunction with the preferred embodiments.
    BRIEF DESCRIPTION OF THE DRAWINGS
    The components and figures are not necessarily to scale, the emphasis being rather on the illustration of the principles of the invention. In addition, in the figures, like reference numerals denote corresponding parts in the different views.
    Figure 1 is a flowchart of an embodiment of a method for viscoeasticity imaging with an ultrasound system; Fig. 2 is an exemplary image showing a beam profile of an ARFI transmission beam; Figure 3 shows an example of time domain motion patterns of a ghost mimicking a tissue in a patient and a reference phantom; Figure 4 shows examples of spectra for the profiles of Figure 3; Figure 5 shows the exemplary spectra of Figure 4 with the spectrum for the measured imitated fabric profile scaled for stronger correlation with the reference ghost spectrum; and Figure 6 is a block diagram of an embodiment of a system for viscoeiasticity imaging.
    DETAILED DESCRIPTION OF DRAWINGS AND EMBODIMENTS TODAY PREFERRED
    To estimate a shear wave velocity and / or other viscoelasticity parameters, ARFI induced displacements at a location along the excitation axis are measured. The optimal scaling factor for application to the spectrum of the time displacement profile to map a spectrum of the displacement profile from a well-characterized phantom swept using the same transmission-reception conditions as for the tissue of interest is found. The optimal scaling factor can be found by matching the temporal shift profiles rather than the spectra.
    In one embodiment, the shear wave velocity or other viscoelasticity parameter is estimated using displacements tracked along the ARFI thrust pulse excitation axis (1) in the tissue. and (2) in a well-characterized phantom imitating a scanned tissue using the same transmitting-receiving conditions as for the tissue of interest. Frequency domain or time domain analysis of the entire displacement profile, as opposed to time-peak analysis of displacement profiles, is used. The shear wave velocity is estimated by analyzing the displacement profile at a spatial location, as opposed to looking for the time-peaks ratio of the displacement profile over the depth. A calibrated ghost mimicking a tissue is used for reference, but numerical simulations of a wide range of shear wave velocities can be used for reference.
    Due to the measurement of tissue response at the focal location or within the beam profile of the push pulse, higher spatial resolution and signal-to-noise ratio result. There may also be a reduced necessary acoustic output due to a better signal-to-noise ratio and / or the need not to deal with shear wave attenuation, resulting in shorter cooling times . Since the shear wave is not tracked, there may be less susceptibility to motion artifacts due to shorter acquisition times.
    Figure 1 shows an embodiment of a flow chart of a method for viscoelastic imaging with an ultrasound scanner (ultrasound scanner for medical diagnosis). Rather than following a shear wave, tissue displacement of a patient directly caused by ARFI is followed. The scale of these displacements or of a frequency transformation of the displacements to correspond to a calibrated profile is found. Scale and viscoelasticity value for calibration are used to estimate the viscoelasticity value for the patient's tissue.
    The method is carried out by the ultrasound imaging system of Figure 6, the image processor 22, or a different system and / or processor. For example, the ultrasound imaging system 10 acquires samples to measure a displacement with the transmit and receive beam formers 12, 16 and the transducer 14, and the image processor 22 estimates the viscoelasticity parameter from some samples. The display 27 displays the estimated viscoelasticity parameter.
    The actions in Figure 1 are executed in the order shown (from top to bottom) or a different order. For example, the samples for a displacement are measured at action 32 before and after the execution of action 30.
    Additional, different or lesser actions than those shown in Figure 1 may be used. For example, action 42 is not executed. As another example, actions to scan and generate B-mode images or other ultrasound images are added. At action 30, the ultrasound system uses the transducer to apply strain to the tissue. For example, an ARFI focused at a region of interest or a point is transmitted. When the ARFI is applied to a focused area, a shear and / or longitudinal wave can be induced and propagated from that focused area. These generated waves are not measured. The ARFI forces the fabric. The fabric responds to the stress as it moves, which is the movement that is measured. With respect to an original location or a state of rest, the tissue is moved. At the focal region or other locations within the transmission beam. this displacement increases and then returns to zero, resulting in a temporal displacement profile. The tissue properties affect the time displacement caused by the ARFI. The pulse may be generated by a cyclic pulsed waveform of any number of cycles (eg, tens or hundreds of cycles). For example, an acoustic radiation force is transmitted as a pulse to apply strain to the tissue. The pulse wavefront propagates to the region of interest, causing movement of the tissue.
    Figure 2 shows an example of a beam profile for an ARFI transmission beam. The ARFI transmission beam is transmitted along a scan line. The transmission beam has a profile with respect to this scan line. The beam profile appears as a vertical column in this example of Figure 2. A center of the column includes a region 46 of greater intensity. This region 46 includes the focal location of the transmission beam. The transmission beam has a beam profile marked by locations of greater acoustic intensity. The acoustic intensity decreases with greater spacing laterally and / or in depth relative to the focal region. The region 46 or beam profile may be defined on the basis of a reduction amount with respect to a peak intensity, such as 3 dB, 6 dB, 10 dB, 20 dB or other attenuation amount. . Within the beam profile, a greater acoustic intensity is provided. Action 32 is performed while the tissue is subjected to and / or recovering from stress. For example, transmission and reception take place after application or change of the stress and before the tissue reaches a state of rest. For reference to determine a displacement amount, transmission and reception take place before the application of the ARFI and / or after the tissue has returned to a state of rest. In action 32, the system measures movements over time. The system uses a transmission beamformer to transmit a sequence of transmission beams. A plurality of ultrasonic signals are transmitted to the stress responsive tissue. The plurality of signals are transmitted in separate transmission events. A transmission event is a contiguous interval where transmissions take place without receiving echoes in response to transmission. During the transmission phase, there is no reception. When a sequence of transmission events is executed, a corresponding sequence of receive events is also executed at action 32. An echo system receive beamformer generates samples in response to each transmission event. A receive event is executed in response to each transmit event and before the next transmit event.
    For a transmission event, a transmission beam is formed. The pulses for forming the transmission beams are of any number of cycles. For example, 1 to 3 cycles are used. Any envelope, pulse type (e.g., unipolar, bipolar, or sinusoidal), or waveform may be used.
    The transducer receives ultrasound echoes in response to each transmission event. The transducer converts the echoes to reception signals, which are formed into ultrasonic data receiving beams representing one or more spatial / spatial locations. The system receives a sequence of receive signals, where receive beams are received in response to each of the transmission beams in the transmission sequence.
    The reception is interlaced with the transmission of the sequence. For each transmission event, a receive event occurs. The receiving event is a continuous interval for receiving echoes from the depth or depths of interest. The event takes place after the end of the transmission event. When the transducer has finished generating acoustic energy for a given transmission, the transducer is used to receive echoes in response. The transducer is then used to repeat another pair of transmitting and receiving events for the same spatial / spatial location (s), providing the interleaving (eg transmission, reception, transmission, reception, ...) to measure the tissue response over time.
    The measurement of tissue displacement is along an axis of excitation by the ARFI in the patient's tissue. For example, measurements are made for region 46, such as a focal location of the ARFI transmission. Rather than following outside region 46 for displacements caused by a shear wave moving laterally, the displacement directly caused by the ARFI at the focal location and / or other location in the intensity region 46 maximum acoustics is measured. Samples for measuring displacements are acquired over time as the tissue moves and within the beam profile along the scan line.
    The tissue response is detected at one or more depth (s) along one or more scan lines. Doppler or B-mode scanning can be used to measure tissue movement in response to stress. Ultrasound imaging is performed before, during and / or after the application of the ARFI constraint. Ultrasound data is received in response to ultrasound transmissions. Transmissions and receptions are performed for a single spatial location (for example, a focal point of the applied constraint), along a line, on an area, or on a volume. A sequence of transmissions and receptions are provided for each spatial location for a follow-up in time. By using multiple receive beam reception in response to each transmission trace, data or samples for a plurality of laterally spaced locations and / or depths within region 46 can be received (e). s simultaneously.
    In one embodiment, the receive beams for measuring a displacement are along the same scan line as the ARFI transmission beam. The transmit and receive beams for tracking are collinear with each other and with the ARFI transmission beam. In other embodiments, the receive beams are at a different angle, but intersect the transmission scan line where the motions are measured. In yet other embodiments, parallel receive pattern formation is used. Two or more receiving beams (e.g., 4) are formed in response to each transmission beam. The receiving beams are within region 46 but may be spaced apart from the transmission scan line, providing samples for a region around a location. Similarly, the depths for the samples used are within region 46 at one or more depth (s). Whether for just one location or for multiple locations laterally and / or axially, the samples are positioned at locations having an acoustic intensity in the ARFI transmission beam that is at least 3 dB of acoustic intensity location. peak in the ARFI transmission beam (eg focal depth location). For example, locations are in region 46. Locations outside the 3 dB intensity may be used.
    The data or samples formed in bundles are acquired while the fabric is moving. Some tissue samples at rest can be acquired. For example, samples are acquired prior to application of ARFI and after application of ARFI. Prior to application, the tissue may be in a state of rest or movement-free. Once the ARFI transmission takes place, the tissue is moved so that subsequent samples are those of the tissue in the displaced state until the tissue returns to a state of rest. The sampling takes place over any range of number of times, such as starting before or after the ARFI transmission beam and continuing any number of times after the end of the ARFI. Samples are acquired at a plurality of times.
    Samples are radio frequency (RF) or phase and quadrature (IQ) data output by a receive beamformer. In response to an acoustic energy transmission (for example a transmission beam), acoustic echoes strike elements of a transducer. The elements convert acoustic echoes into electrical signals. The receive beam former coherently adds the signals from different elements to determine the tissue response at particular sample locations. The output of the receiver beamformer is RF or IQ data.
    Displacements are measured from the samples. The ultrasound system determines a tissue movement. A tissue movement is detected as a displacement in one, two or three dimensions. A movement in response to the ARFI transmission beam can be detected. Tissue movement is detected at different times. The different times correspond to the different tracking scans (namely transmission and reception event pairs).
    A sample or reference samples are acquired with the tissue at rest and are used to determine displacement at other times. A tissue motion is detected by estimating a displacement relative to the reference tissue information. For example, the movement of tissue along one or more reception scan lines is determined. Displacement can be measured from tissue data, such as B-mode ultrasound data, but flow (eg, velocity) or IQ information prior to detection can be used.
    A correlation, a cross-correlation, a minimum sum of absolute differences or other similarity measure is used to determine the displacement between sweeps (for example between the reference and the current). Data representing spatial locations around a measurement location are correlated with the reference data. For each depth or spatial location, a correlation over a plurality of depths or spatial locations is performed. The spatial shift with the highest or sufficient correlation at a given time indicates the amount of displacement. For each location, the displacement as a function of time is determined.
    A two or three dimensional displacement in space can be used. A one-dimensional displacement along a different direction of the scan lines or beams may be used.
    Measurements are performed for any number of scan lines. For example, four receive beams are formed in response to each transmission. For each depth, the displacements with respect to different reception beams may be combined, as averaged. In other embodiments, a single receive beam or other numbers of receive beams are formed in response to each transmission.
    After transmitting the acoustic force to generate the shear wave, B-mode transmissions and receptions are performed repetitively along any number of scan lines within the region 46. Some of the ultrasonic data , such as at the beginning or the end of the repetitions, may not be a response to tissue displacement, and are therefore similar to the reference. Each repetition monitors a same region or same locations to determine a tissue response for those locations. By repeating the transmission of the ultrasonic pulses and the reception of the ultrasound echoes in time, the displacements in the time are determined. The measurement is repeated. The repetition concerns different transmission and reception events. Any number of M repeats may be used, such as a repetition of about 50 to 100 times. The repetitions take place as frequently as possible while the fabric recovers from the stress, but without interfering with the reception. The tissue temporal displacement profile is obtained by repeatedly transmitting and receiving signals from the same target area, similarly to the Doppler method.
    Figure 3 shows an example of a displacement profile 52. Instead of using absolute displacement, Figure 3 shows an incremental displacement between pairs of successive moments. The fabric continues to move as long as the incremental movement is positive, and begins to relax when the incremental movement becomes negative. The true or absolute displacement, which is the integral of the incremental displacement, can be used in other embodiments.
    Displacement is measured from a phantom for Figure 3, but would be measured from a sampled tissue of a patient. Moment 0 is the moment of the ARFI transmission beam. Moments -2.0 to 0.0 milliseconds (s) are displacements measured at a focal region of the ARFI transmission beam before transmission. Moments 0.1 to 8.0 milliseconds (s) are displacements measured at a focal region of the ARFI transmission beam after transmission. The tissue in the region 46 is generally displaced by ARFI rather than a shear or longitudinal wave generated by the ARFI transmission beam. This displacement is around 0 before the ARFI transmission beam, then increases to about 0.3 pm in a fraction of a millisecond, then returns to and goes through the rest state during the moments 0.4 to 1 , 5 milliseconds. After 1.5 milliseconds, the movement progresses to the state of rest.
    Figure 3 also shows a displacement profile 50 for a phantom. Using the same ARFI transmission beam and the same measurement (eg, same transmission and reception tracking events), the displacement profile for a phantom with known elasticity is measured. For example, the displacement profile 50 of Figure 3 is that of a 5 kPa phantom with a shear rate of 1.25 m / s. Other calibration sources may be used, such as living or dead tissue with known shear rate.
    The displacement profile or a spectrum of the displacement profile used for calibration can be measured by the ultrasound system or can be measured by a different ultrasound system. This calibration profile is stored in the system.
    Referring again to FIG. 1, an ultrasound image processor estimates a viscoelasticity parameter from the action displacements 36. Displacements measured over time for one or more location (s) along the axis represented by the ARFI region 46 are used. Displacements from the phantom with the known viscoelasticity value are also used. Displacement profiles 50 and 52 of Figure 3 are an example of the displacements used to estimate the viscoelasticity parameter. Displacements are for a focal location of the ARFI transmission beam, but may be for other locations within region 46. When trips are provided for multiple locations within region 46, the trips for the same moments can be averaged.
    Actions 38 and 40 are an example for estimating the viscoelastic parameter at action 36. Additional, different or fewer actions may be provided to estimate from displacements. In action 38, the image processor generates a profile. The profile is generated from the trips for a given location or region. The profile is a graph, a collection of measurements and / or a curve adjusted to the measurements. The profile is a measure of amplitude along one axis and time or frequency along another axis.
    In one embodiment, the profile is a profile in the time domain. Displacements as a function of time are used. For example, the curve 52 and / or the displacements as a function of time in Figure 3 are used. The amplitude of displacement as a function of time is generated.
    In another embodiment, the profile is a spectrum. An amplitude spectrum of displacements as a function of time is generated. Displacements as a function of time are transformed in the frequency domain. The ultrasound system or a transform processor applies a Fourier transform (eg fast Fourier transform) or other transform to the displacements. The transform results in a spectrum for replacement. When displacement profiles are provided for multiple locations, the displacements for each moment are averaged, or the spectra from the transforms for each location are averaged.
    When the transform is applied to generate a profile, a transform is also used for the calibration source. Figure 4 shows an example. Displacement profiles 50, 52 of Figure 3 are transformed. The resulting spectrum 56 for tissue displacements (ghost imitating tissue in this case) is shown with the spectrum 54 resulting from the calibration source (another ghost in this case). In Figure 4, the spectra 54, 56 are normalized. For example, the amplitudes are divided by the maximum amplitude. In other embodiments, the nomenclature is not used. Since the phantom is stiffer than the tissue (for example 5 kPa vs 10 kPa in this example), spectrum 54 for the calibration phantom at a wider bandwidth. The spectrum for calibration may have a narrow bandwidth. In action 40 of Figure 1, the image processor calculates a scaling weight of the profile 52, 56 of the tissue relative to the reference profile 50, 54. Scaling weighting is an adjusting scaling factor. an axis, such as the time or frequency axis. The profile 52, 56 is stretched or narrowed uniformly in time or frequency. The x-axis is re-scaled, and scaling indicates the magnitude of the change or scaling.
    In Figures 3 and 4, the contents in size and time or frequency profiles 50 to 56 are different. Since the same ARFI and the same measurement operations in transmission and reception are used, the difference is due to differences in the scanned material. The differences in the scanned material can be quantified or represented by a shear rate and / or elasticity. By determining a quantity of difference, the shear rate and / or the elasticity can / can be estimated.
    The shear wave velocity and / or the elasticity are / are estimated at action 36 by finding in action 40 the optimal scaling factor of the profile 52, 56 of the fabric on the profile 50, 54 of the phantom or other calibration tissue. The temporal optimal scaling factor for the tissue axis displacement profile 52 or the frequency scale factor of the tissue spectrum 56 to match the calibration profile is found.
    To find the optimal scaling factor, a correlation of the profile 52, 56 of the fabric as scaled on the profile 50, 54 of the calibration source is calculated. The x-axis (time or frequency) is set to edielle to maximize the correlation. The x-axis is scaled for different quantities and scaling results are correlated, providing a correlation measure for each scaling amount. Scaling and correlation are repeated to find the optimal scaling factor.
    Similarity measures other than a correlation may be used. Any search pattern to identify the maximum may be used. In other embodiments, sufficient correlation (e.g., above threshold) is found rather than the maximum.
    Figure 5 shows an example of finding the scaling factor, c, using the spectra 54, 56 of Figure 4. The normalized spectrum 54 of the reference and the scaled normalized spectrum of the sample 56 imitated fabric are matched. For example, the spectrum 56 of Figure 4 is scaled to 1.36 to match, resulting in the overlap and the corresponding larger and / or larger correlation shown in Figure 5.
    The scaling resulting in the largest or most sufficient match or correlation is selected. After determining the amount of similarity of the spectrum 56 subjected to different scaling, the scaling with the largest correlation is identified. This scaling factor is saved or used to estimate the viscoelastic characteristics of the sampled tissue.
    Using the spectra as the profiles, Ase (f) is the displacement spectrum of the tissue sampled on the axis (for example in region 46). Aref (f) is the displacement spectrum of the reference or calibration source. Since the transmission-reception conditions for the tissue and the reference or calibration are the same, then AréKf) = Aécn (f) · The scaling or weighting factor, c, is equal to the ratio of the shear wave velocity of the reference or calibration source, Vref, on the shear wave velocity of the sampled tissue, Vech: c = Vref / Vsef.
    The image processor estimates the viscoelasticity characteristic on the basis of scale weighting, c. Given that the shear wave velocity of the reference or calibration source is known and that the scaling factor, c, is measured for the tissue sample, the shear wave velocity for the tissue sample is calculated. In the example of Figure 5, the scaling factor is 1.36 and the known or calibrated shear wave velocity is 1.25 m / s. as a result, the shear wave velocity for the sampled tissue is 1.7 m / s.
    In the example of Figures 3 to 5, the sampled fabric is imitated as a 10kPa phantom and the reference or calibration source is a 5kPa phantom. In another example where the sampled fabric is imitated as a 20 kPa phantom, c is measured as 2.8, resulting in Vecn = 2.6 m / s. In yet another example where the sampled tissue is imitated as a 40 kPa phantom, c is measured as 2.72, resulting in V ec = 3.4 m / s. As expected, the speed in ghosts at the highest kPa is higher. Other parameters or viscoelasticity characteristics can be estimated. For example, the known relationship of shear wave velocity to elasticity is used to determine elasticity. G = E / 3 = Vs * where G is the shear modulus, E is the Young's modulus, and Vs is the shear wave velocity.
    Using profiles as time domain displacements, the same calculations are used. The scaling factor is determined by correlation and used to calculate the shear wave velocity for the sampled tissue.
    By measuring tissue displacement, such as during tissue relaxation after being forced to move by the ARFI, the viscoelasticity parameter is estimated. The measurement is that of the displacement directly caused by the ARFI rather than that of a shear or longitudinal wave generated by the ARFI. As a result, the measurement is performed at the focal point of the ARFI transmission or at other locations in the upper acoustic intensity region 46 of the ARFI transmission beam. This results in a higher signal-to-noise ratio and / or less acoustic energy being used compared to measuring the shear rate by tracking a shear wave at laterally spaced locations.
    In another embodiment, the frequency-dependent scaling weighting is calculated. Rather than a single scaling factor for uniform scaling, a frequency-dependent scaling factor is found. A time-dependent scaling factor can be used. The viscosity of the fabric can make the speed at different frequencies different. The offset in a given frequency to match the normalized amplitudes of the spectral profiles 54, 56 is found for any frequency or frequencies. Scaling variation as a function of the frequency or offset itself for a given frequency is used as the scaling factor. The scaling factor may vary linearly with frequency, implying that the shear wave velocity varies linearly with the frequency and allows slope and / or intercept estimation as a function of frequency. A separate scaling factor can be determined for each frequency. A shear wave velocity as a function of the frequency can be determined. The variation of the velocity with respect to the frequency can be used to calculate other viscoelasticity parameters. At action 42, the image processor, a display, a communications interface, or other device transmits the viscoelasticity parameter. The transmission takes place from and / or inside the ultrasound system. Transmission is to another device, such as a memory, a display, a network, a server, a workstation, a patient record database, and / or an image archive server. of communications. The viscoelasticity parameter is transmitted as data or embedded in an image.
    In one embodiment, the transmission is to a display. A value that is a function of the viscoelasticity parameter is displayed. The value is displayed as alphanumeric text. The value is the viscoelasticity parameter itself (eg shear wave velocity) and / or is derived from the viscoelasticity parameter. In different or additional embodiments, the value is included as part of a graph, such as displaying the viscoelasticity parameter as a function of frequency or location.
    In another embodiment, the value is a portion of an image spatially representing the viscoelasticity parameter. For example, the shear wave velocity is measured at two or more different locations. Actions 32 to 40 are repeated for more than one location in region 46. In response to an ARFI transmission, tissue displacements at different locations in the transmission beam profile of the ARFI transmission are measured and used to estimate a range. shear wave velocity specific to a location. As an alternative or additionally, actions 30 to 40 are repeated for different regions 46. The ARFI transmission is repeated for different tissue locations. For each ARFI transmission beam, displacements are measured for one or more locations. The values of the shear wave velocity for the different locations modulate the color, brightness and / or shade of the image. Different pixels in the image show the corresponding values of viscoelasticity through this modulation.
    The value is displayed alone or with another image. For example, a B-mode or other image is provided with the value or values representing the relationship. When the viscoelasticity characteristic is measured for multiple locations, a color or other modulation in a region of interest in the B-mode image is displayed. When the viscoelasticity characteristic is measured for one or more locations, alphanumeric text showing the value or values is provided as an annotation or overlay on the B-mode image.
    Figure 6 shows an embodiment of a medical system for viscoelastic imaging. The medical system 10 implements the method of Figure 1 or another method. The medical system 10 is an ultrasound system using tissue displacement measurements due to ARFI rather than an ARFI induced shear or longitudinal wave. By scaling measured movements in the time or frequency domain and correlating with a calibrated measurement, a value for a viscoelasticity characteristic is estimated for a diagnostic use by a physician.
    The medical system 10 includes a transmission beamformer 12, a transducer 14, a reception beamformer 16, an image processor 22, a memory 28, and a display 27. Additional, different, or fewer components may to be provided. For example, the medical system 10 includes a mode B or other detector. As another example, the image processor 22, the memory 28 and / or the display 27 are provided without the front components, such as the transmit and receive beam formers 12, 16. In yet another example, a user interface including a user input (e.g. a mouse, a trackball, a keyboard, buttons, knobs, sliders, and / or a touchpad) is provided for an indication to the user of the a region of interest on an image.
    In one embodiment, the medical system 10 is an ultrasound system for medical diagnosis. In another embodiment, the system 10 is a computer or a workstation.
    Transducer 14 is a network of a plurality of elements. The elements are piezoelectric or capacitive membrane elements. The network is configured as a one-dimensional network, a two-dimensional network, a 1.5D network, a 1.25D network, a 1.75D network, a ring network, a multidimensional network, a clover network, combinations of these, or any other network known today or developed later. The transducer elements transduce between acoustic and electrical energy. The transducer 14 connects with the transmission beamformer 12 and the receive beamformer 16 via a transmit / receive switch, but separate connections may be used in other embodiments.
    The transmit and receive beam formers 12, 16 are a beamformer for scanning with the transducer 14. The transmission beamformer 12, using the transducer 14, transmits one or more beams (x) into a patient. Vector®, sectoral, linear or other scanning formats can be used.
    The transmission beam generator 12 is a processor, a delay device, a filter, a waveform generator, a memory, a phase rotator, a digital to analog converter, an amplifier, combinations thereof or any other transmission beam former components known today or developed later. In one embodiment, the transmission beamformer 12 generates envelope samples. Using filtering, delays, phase rotation, digital-to-analog conversion and amplification, the desired transmission waveform is generated. Other waveform generators may be used, such as switching impellers or waveform memories.
    The transmission beamformer 12 is configured as a plurality of channels for generating electrical signals of a transmission waveform for each element of a transmission aperture on the transducer 14. The waveforms are unipolar, bipolar, stepped, sinusoidal or other waveforms of a desired center frequency or frequency band with a single, multiple or fractional cycle number. The waveforms have a delay and / or relative phasing (s) and amplitude to focus the acoustic energy. The transmission beamformer 12 includes a controller for modifying an aperture (for example the number of active elements), an apodization profile (eg type or center of mass) on the plurality of channels, a delay profile on the plurality of channels, a phase profile on the plurality of channels, a center frequency, a frequency band, a waveform shape, a number of cycles and / or combinations thereof. Transmission beam origin, orientation, and focus are generated based on these beamforming parameters.
    The transmission beamformer 12 generates a transmission beam for the ARFI and for measuring resulting displacements. The transmission beams are formed at different levels of energy or amplitude. Amplifiers for each channel and / or an aperture size control the amplitude of the transmitted beam. Transmission beams for moving tissue may have larger amplitudes than for imaging or tissue displacement measurement. Alternatively or additionally, the number of cycles in the pulse or waveform used to generate ARFI is greater than for a follow-up (eg 100 or more cycles for ARFI and 1 to 6 cycles for follow-up).
    The ARFI transmission beam is transmitted as an acoustic push pulse. The transmission beam is focused on a location, causing increased acoustic intensity at the location and locations surrounding it along a scan line. Similarly, transmission beams for measuring the displacement of focal-replacement tissue or at sites of increased intensity of the ARFI transmission are generated along the same scan line and / or at the same locations.
    The receiver beamformer 16 is a preamplifier, a filter, a phase rotator, a delay device, an adder, a baseband filter, a processor, buffers, a memory, combinations thereof or other beamformer components known today or later developed. The receiver beamformer 16 is configured into a plurality of channels for receiving electrical signals representing echoes or acoustic energy impinging on the transducer 14. A channel of each of the receiving aperture elements within the transducer 14 is provided. connects to an amplifier and / or a delay device. An analog to digital converter digitizes the amplified echo signal. The received radio frequency digital data is demodulated at a baseband frequency. Any reception delays, such as dynamic reception delays and / or phase rotations, are then applied by the amplifier and / or the delay device. A digital or analog summator combines data from different channels of the receive aperture to form one or a plurality of receiving beams (x). The summator is a single summator or a cascading summoner. In one embodiment, the beamforming summator is configured to add in-phase and quadrature channel data in a complex manner such that phase information is retained for the formed beam. In other embodiments, the receive beamformer adds radio frequency data. Other reception beam formers can be used.
    The receive beamformer 16 is configured to form receive beams in response to the transmission beams. For example, the receive beamformer 16 receives one, two, or more receive beams (x) in response to each transmission beam for measurement. Phase rotators, delay devices and / or summators may be repeated for parallel receive beam formation. One or more of the parallel receive beam formers may share portions of channels, such as sharing an initial amplification. The receiving beams are collinear, parallel and offset or not parallel to the corresponding transmission beams.
    The receive beamformer 16 is configured to output samples for a single location or multiple locations in a patient. The receive beamformer 16 outputs samples representing the location (s) in the higher intensity region 46 of the ARFI transmission beam. The samples are on the axis, such as at one or more depths near the ARFI scan line or locations in the higher intensity region 46 along the ARFI scan line. When the locations are with respect to the ARFI transmission beam, echo samples of the ARFI transmission beam are not formed. The samples are those of transmission beam echoes to measure tissue displacement.
    Once the channel data is formed into beams or in any combination to represent one or more locations along the scan line 11, the data is converted from the channel domain to the image data domain. . By repeating the transmission and reception operations, samples representing the location in time are acquired. Bundle samples for measuring tissue displacement caused by ARFI at the focal region are output.
    The image processor 22 is a digital signal processor, a general processor, a specific application integrated circuit (ASIC), a field programmable gate array (FPGA), a control processor, a digital circuitry, a set of analog circuits, a graphics processing unit, combinations thereof, or other device known today or subsequently developed for measuring displacements from beamformed samples and estimating a shear wave velocity or other viscoelasticity parameter from the displacements. The image processor 22 is configured by hardware, firmware and / or software, as operating according to an instruction provided in the memory 28 or a different memory. In one embodiment, the image processor 22 is a digital signal processor, an ASIC or FPGA specifically for applying a Fourier transform, and another device (e.g., a calculator or processor) for computing the parameter of viscoelasticity. In other embodiments, the image processor 22 is a programmable device that performs both the transform and the calculation.
    In one embodiment, the image processor 22 is configured to estimate a shear wave velocity at the focal region of the ARFI transmission beam from the samples representing the focal region. This estimate is based on tissue displacement caused by ARFI, not the induced shear wave. Without tracking a shear wave in the patient, the image processor 22 estimates the shear wave velocity from shifts in the ARFI focal region or higher intensity region.
    The image processor 22 generates displacements from the beam samples. Using a correlation or other similarity measure, the amount of tissue displacement at the location relative to a reference scan of the tissue is determined. The displacement is determined for each of a plurality of elements, giving a displacement profile. The image processor 22 may apply a Fourier transform to convert the displacement profile (displacement as a function of time) into a spectrum.
    Using the displacement profile or the spectrum, the image processor 22 calculates a scaling factor for the time or frequency of the displacements. Different scaling factors are applied to the profile from the samples. The resulting curves are fitted to a curve or measurements of a calibration source, such as a phantom. The scaling factor resulting in sufficient or greatest correlation is selected. In other embodiments, the image processor 22 calculates a frequency-dependent scaling factor.
    The image processor 22 is configured to estimate the shear wave velocity from the scaling factor and a known velocity for the phantom or other calibration source. The sampled tissue velocity ratio and calibration is equal to the scaling factor, so that the scaling factor measured and the known velocity for calibration are used to calculate the velocity of the sampler. shear wave of the sampled tissue. In other embodiments, the shear wave velocity from a frequency dependent scaling factor is estimated. Shear wave velocities at different frequencies can be estimated.
    Samples or other ultrasound data can be used to generate an image. A B-mode detector, a flux estimator (e.g., a Doppler processor), or other detector may be provided to detect characteristics from the samples formed into receiving beams. A B mode detector detects the intensity or power of acoustic backscatter. A flow estimator detects the velocity, energy, or variance of moving objects (eg, tissue or fluid). The detection may be used to generate an image from which a region of interest for a viscoelasticity parameter measurement is selected.
    The detector, the estimator and / or the image processor 22 are / are configured to generate an image. The image includes the viscoelasticity parameter. For example, a plot of shear wave velocity by location or as a function of frequency is generated as an image. As another example, an alphanumeric text is generated as an image, such as "shear wave velocity = 3.4 m / s". In other embodiments, the viscoelasticity value is provided as an annotation on an image of the patient, such as on a B-mode image. In yet other embodiments, one or more pixels corresponding to locations to which the viscoelasticity parameter is estimated is / are modulated, such as with a color, to show the value or values of the viscoelasticity parameter.
    The memory 28 is a random access video memory, a random access memory, a removable medium (for example a diskette or a compact disk), a hard disk, a database, or other memory device for storing data. The memory 28 is used by the image processor 22 to store samples, displacements, a spectrum, correlation results, a scaling factor, a calibration profile (for example displacements as a function time or a spectrum thereof), a known viscoelasticity parameter, and / or an estimated viscoelasticity parameter.
    The instructions for implementing the processes, methods and / or techniques discussed herein are provided on the computer readable storage medium or the memories, such as cache, buffer, RAM, removable media, disk or a computer-readable storage medium as represented by the memory 28. A computer-readable storage medium includes various types of volatile and nonvolatile storage media. The functions, actions, or tasks illustrated in the figures or described herein are performed in response to one or more instruction sets stored in or on a computer readable storage medium. Functions, actions, or tasks are independent of the particular type of instruction set, storage medium, processor, or processing strategy, and can be implemented by software, hardware, integrated circuits, firmware, a microcode and the like, operating alone or in combination. Similarly, processing strategies may include multiprocessing, multitasking or parallel processing, and the like. In one embodiment, the instructions are stored on a removable media device for playback by local or remote systems. In other embodiments, the instructions are stored at a remote location for transfer over a computer network or over telephone lines. In still other embodiments, the instructions are stored in a given computer, CPU, graphics unit, or system. The display 27 is a cathode ray tube display, an LCD display, a plasma display, a projector, a monitor, a printer, a touch screen or other device known today or developed later. The display 27 receives the RGB colors, other color values, or other values and outputs an image. The image can be a grayscale image or a color image. The image displays information that is a function of the viscoelasticity parameter, such as showing a shear wave velocity. An alphanumeric representation, graph, annotation or other representation of the viscoelasticity parameter or values derived from the viscoelasticity parameter is displayed in an image on the display 27. The image may or may not further represent the region of the patient scanned by the beam formers 12, 16 and the transducer 14.
    If the invention has been described above with reference to various embodiments, it should be understood that many changes and modifications can be made without departing from the scope of the invention. It is therefore intended that the foregoing detailed description be considered illustrative rather than limiting, and that it is understood that the following claims, including all equivalents, are intended to define the spirit and scope of this invention.
    权利要求:
    Claims (16)
    [1" id="c-fr-0001]
    claims
    A method of viscoelastic imaging with an ultrasound system, the method comprising: transmitting from a transducer an acoustic radiation force pulse by the ultrasound system as a transmission beam with a beam profile along the a scan line; measuring, by an ultrasound beam receiving beamformer, displacements as a function of time within the beam profile along the scan line, at least some of the movements responding to the radiation force pulse acoustic ; generating, by an image processor, a first profile from the displacements for a first location; calculating, by the image processor, a scale weighting of the first profile with respect to a reference profile; estimating, by the image processor, a viscoelasticity characteristic based on scaling weighting; and generating on a display an image of the viscoelasticity feature.
    [2" id="c-fr-0002]
    The method of claim 1 wherein the measurement comprises measuring with colinear receiving beams with the scan line.
    [3" id="c-fr-0003]
    The method of claim 1 wherein the measurement comprises the measurement with simultaneous reception beams along reception lines which are positioned at locations with intensities in a range of 3 dB below a peak intensity. transmission beam inside the beam profile.
    [4" id="c-fr-0004]
    The method of claim 1 wherein the measurement comprises measuring before transmitting the acoustic radiation force pulse and a plurality of times after transmission of the acoustic radiation force pulse.
    [5" id="c-fr-0005]
    The method of claim 1 wherein the measurement comprises measuring the displacements as the tissue relaxes after the cessation of the acoustic radiation force pulse at a focal location of the acoustic radiation force pulse.
    [6" id="c-fr-0006]
    The method of claim 1 wherein generating the first profile comprises generating the first profile as a time domain profile of the displacements as a function of time.
    [7" id="c-fr-0007]
    7. The method of claim 1 wherein the generation of the first profile comprises generating a spectrum of displacements as a function of time.
    [8" id="c-fr-0008]
    The method of claim 1 wherein calculating the scale weighting comprises scaling an axis of the first profile to maximize a correlation with the reference profile.
    [9" id="c-fr-0009]
    The method of claim 1 wherein the scaling weight calculation comprises scaling a time or frequency of the first profile for different quantities, correlating results of each amount of update. the scale with the reference profile, and the selection of the scaling with the greatest correlation.
    [10" id="c-fr-0010]
    The method of claim 1 wherein calculating the scale weighting comprises calculating a frequency dependent scaling weighting.
    [11" id="c-fr-0011]
    The method of claim 1 wherein the estimate of the viscoelasticity characteristic comprises the estimation of the elasticity.
    [12" id="c-fr-0012]
    The method of claim 1 wherein the estimate of the viscoelasticity characteristic comprises estimating the shear wave velocity with the measure being that of the tissue relaxation from the acoustic radiation force pulse and not of a shear wave.
    [13" id="c-fr-0013]
    The method of claim 1 wherein the estimate comprises the estimate as a function of scale weighting and a known characteristic of a calibration phantom associated with the reference profile.
    [14" id="c-fr-0014]
    The method of claim 1 wherein the generating comprises generating the image with a pixel modulation, a graph, or an alphanumeric text for the viscoelasticity feature.
    [15" id="c-fr-0015]
    15. System for viscoelastic imaging, the system comprising; a transmission beamformer configured to transmit an acoustic boost pulse to a focal region in a patient, the acoustic boost pulse comprising an acoustic radiation force pulse as a focused transmission beam at the focal region ; a receive beam former configured to output samples for the focal region of the patient, the samples being beam samples from a tissue displacement tracking caused by the acoustic radiation force pulse at the the focal region; an image processor configured to estimate the shear wave velocity at the focal region from the samples without tracking a shear wave in the patient, the image processor being configured to generate shifts as a focal length tissue time function from the samples, to compute a scale factor for the time or frequency of the movements adjusted to a calibration measurement for a phantom, and to estimate the wave velocity of shearing from the scale factor and a known speed for the phantom; and a display configured to display the shear wave velocity.
    [16" id="c-fr-0016]
    The system of claim 15 wherein the image processor is configured to calculate the scale factor as a frequency-dependent scaling factor and to estimate the frequency-dependent shear wave velocity from the Frequency dependent scaling factor.
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    US15/094,883|US10376233B2|2016-04-08|2016-04-08|Diffraction source compensation in medical diagnostic ultrasound viscoelastic imaging|
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