Adaptive Color Gain for Vena Contracta Quantification in Valvular Regurgitation.

Severe valvular regurgitation can lead to pulmonary hypertension, atrial fibrillation and heart failure. Vena contracta width is used to estimate the severity of the regurgitation. Parameters affecting visualization of color Doppler have a significant impact on the measurement. We propose a data-driven method for automated adjustment of color gain based on the peak power of the color Doppler signal in the vicinity of the vena contracta. A linear regression model trained on the peak power was used to predict the orifice diameter. According to our study, the color gain should be set to about 6 dB above where color Doppler data completely disappears from the image. Based on our method, orifices with reference diameters of 4, 6.5 and 8.5 mm were estimated with relative diameter errors within 18%, 12% and 14%, respectively.

Methods for reverberation suppression utilizing dual frequency band imaging.

Reverberations impair the contrast resolution of diagnostic ultrasound images. Tissue harmonic imaging is a common method to reduce these artifacts, but does not remove all reverberations. Dual frequency band imaging (DBI), utilizing a low frequency pulse which manipulates propagation of the high frequency imaging pulse, has been proposed earlier for reverberation suppression. This article adds two different methods for reverberation suppression with DBI: the delay corrected subtraction (DCS) and the first order content weighting (FOCW) method. Both methods utilize the propagation delay of the imaging pulse of two transmissions with alternating manipulation pressure to extract information about its depth of first scattering. FOCW further utilizes this information to estimate the content of first order scattering in the received signal. Initial evaluation is presented where both methods are applied to simulated and in vivo data. Both methods yield visual and measurable substantial improvement in image contrast. Comparing DCS with FOCW, DCS produces sharper images and retains more details while FOCW achieves best suppression levels and, thus, highest image contrast. The measured improvement in contrast ranges from 8 to 27 dB for DCS and from 4 dB up to the dynamic range for FOCW.

Coherent plane wave compounding for very high frame rate ultrasonography of rapidly moving targets.

Coherent plane wave compounding is a promising technique for achieving very high frame rate imaging without compromising image quality or penetration. However, this approach relies on the hypothesis that the imaged object is not moving during the compounded scan sequence, which is not the case in cardiovascular imaging. This work investigates the effect of tissue motion on retrospective transmit focusing in coherent compounded plane wave imaging (PWI). Two compound scan sequences were studied based on a linear and alternating sequence of tilted plane waves, with different timing characteristics. Simulation studies revealed potentially severe degradations in the retrospective focusing process, where both radial and lateral resolution was reduced, lateral shifts of the imaged medium were introduced, and losses in signal-to-noise ratio (SNR) were inferred. For myocardial imaging, physiological tissue displacements were on the order of half a wavelength, leading to SNR losses up to 35 dB, and reductions of contrast by 40 dB. No significant difference was observed between the different tilt sequences. A motion compensation technique based on cross-correlation was introduced, which significantly recovered the losses in SNR and contrast for physiological tissue velocities. Worst case losses in SNR and contrast were recovered by 35 dB and 27-35 dB, respectively. The effects of motion were demonstrated in vivo when imaging a rat heart. Using PWI, very high frame rates up to 463 fps were achieved at high image quality, but a motion correction scheme was then required.

Nonlinear propagation acoustics of dual-frequency wide-band excitation pulses in a focused ultrasound system.

In this article, acoustic propagation effects of dual-frequency wide-band excitation pulses in a focused ultrasound system are demonstrated in vitro. A designed and manufactured dual-frequency band annular array capable of transmitting 0.9/7.5 MHz center frequency wide-band pulses was used for this purpose. The dual-frequency band annular array, has been designed using a bi-layer piezo-electric stack. Water tank measurements demonstrate the function of the array by activating the low- and high-frequency layers individually and simultaneously. The results show that the array works as intended. Activating the low- and high-frequency layers individually, results in less than -50 dB signal level from the high- and low-frequency layers respectively. Activating both layers simultaneously, produce a well defined dual-frequency pulse. The presence of the low-frequency pulse leads to compression, expansion, and a time delay of the high-frequency pulse. There is a phase shift between the low- and high-frequency pulse as it propagates from the array to the focus. This makes the latter described effects also dependent on the array configuration. By varying the low-frequency pressure, a shift of up to 0.5 MHz in center frequency of a 8.0 MHz transmitted high-frequency pulse is observed at the array focus. The results demonstrate the high propagation complexity of dual-frequency pulses.