Fundamental mechanical limitations on the visualization of elasticity contrast in elastography.

Elastography is a new ultrasonic imaging technique that produces images (elastograms) of the elastic properties of complaint tissue. To determine the Young's modulus it is necessary to measure or estimate any five of seven relevant variables. In elastography, the measured quantity is the normal strain component in the direction of the applied load, and the three normal components of stress may be estimated using the modified Love's analytical models while assuming a value close to 0.5 (incompressible) for Poisson's ratio. The distribution of Young's moduli can thus be computed and displayed in the form of two-dimensional images called elastrograms. The analytical models used for the estimation of the three normal components of stress assume that the target is semi-infinite and homogeneous in composition. The objective of this article is to determine some of the errors associated with the assumption of homogeneity of the target. Experiments using computer simulations were performed to study the efficiency with which elastograms display the contrast in the Young's modulus of a lesion or target, with respect to its background under certain conditions. It was observed (using the definition of contrast-transfer efficiency of elastography as the ratio of the elasticity contrast as measured from an elastogram, to the true contrast) that elastograms were consistently efficient in quantitatively depicting the elasticity contrast of hard lesions; however, they showed suboptimal contrast-transfer efficiency in cases of soft lesions in a hard background. In general, elastograms are efficient in displaying the elasticity contrast of hard or soft lesions which have a low contrast level with respect to the surroundings, irrespective of their size and location.

Ultrasonic imaging of the stress distribution in elastic media due to an external compressor.

We describe an experimental ultrasonic method capable of imaging the two-dimensional distribution of longitudinal stress in an elastic, tissue-like material due to an external compressor of arbitrary size or shape and boundary conditions. The method involves the use of a compressor and an opposing ultrasonic transducer. Local strains are derived from the ultrasonic backscatter signals before and after compression using cross correlation analysis. The strain distribution is converted to a stress map by assuming a linear stress-strain relationship. The technique is useful for quantifying the corrections that must be made to images of the elastic modulus of tissue (elastograms) due to the effects of compressor size and shape, depth and boundary conditions. It is also useful for experimental modeling of stress distributions in elastic media.

Elastography of beef muscle.

Elastography, a technique that uses ultrasonic pulses to track the internal displacements of small tissue elements in response to an externally applied stress, has been applied to beef muscle. Beef longissimus (1 day post mortem) and semimembranosus (5 days post mortem) muscles were obtained from A maturity beef carcasses. Samples were vacuum-packaged and frozen to -20°C. For elastography measurements, muscles were equilibrated to a constant temperature (30° C± 0·5) in a water tank. Custom transmitters and receivers were used in conjunction with a 2·25 MHz medical transducer. The transducer was driven by a 286 PC, and the radio-frequency echoes digitized at 50 MHz and 8 bits. The pre- and post- compression echo trains (A-lines) were subjected to cross-correlation analysis. Visual interpretation of beef elastograms demonstrate circular areas of relatively inelastic tissues and smaller, banding areas of elastic tissues in the cross-section of beef longissimus muscle. The dark inelastic areas from the elastograms may be related to myofibrilar areas from the same muscle sections; the light, elastic band areas from the elastograms may be related to perimysiaal connective tissue or intramuscular fat. Fatty septa and a calcified abscess could be easily identified on the elastogram. These preliminary results demonstrate that elastography may have potential as a non-intrusive method of visualizing tissue components of beef muscle.

Elastography: elasticity imaging using ultrasound with application to muscle and breast in vivo.

Changes in tissue elasticity are generally correlated with its pathological state. In many cases, despite the difference in elasticity, the small size of a lesion or its location deep in the body preclude its detection by palpation. In general, such a lesion may or may not possess echogenic properties that would make it ultrasonically detectable. Elastography is an ultrasonic method for imaging the elasticity of compliant tissues. The method estimates the local longitudinal strain of tissue elements by ultrasonically assessing the one dimensional local displacements. This information can be combined with first order theoretical estimates of the local stress to yield a quantitative measure of the local elastic properties of tissue. The elasticity information is displayed in the form of a gray scale image called an elastogram. An experimental system for elastography in phantoms based on a single element transducer has been described previously [1]. Here we introduce a new elastography system based on a linear array transducer that is suitable for in vivo scanning. We describe tissue mimicking phantom experiments and preliminary in vivo breast and muscle elastograms confirming the feasibility of performing elastography in vivo. An elastogram of a breast containing an 8 mm palpable cancer nodule clearly shows the lesion. Elastograms and their corresponding sonograms show some similarities and differences in the depiction of tissue structures.

Axial stress distributions between coaxial compressors in elastography: an analytical model.

We describe an analytical model to study the behavior of stress along the compression axis for different configurations of opposing circular compressors, as applied to elastography. The method is based on a hypothesis that the axial stress at any point on the axis is the superposition of the individual components of the stresses derived from the boundary conditions at either end. The determination of the axial stress behavior according to the model permits the correction of certain elastograms for depth-dependent stress. Experimental results have been presented to corroborate the model.

Elastography: a quantitative method for imaging the elasticity of biological tissues.

We describe a new method for quantitative imaging of strain and elastic modulus distributions in soft tissues. The method is based on external tissue compression, with subsequent computation of the strain profile along the transducer axis, which is derived from cross-correlation analysis of pre- and post-compression A-line pairs. The strain profile can then be converted to an elastic modulus profile by measuring the stresses applied by the compressing device and applying certain corrections for the nonuniform stress field. We report initial results of several phantom and excised animal tissue experiments which demonstrate the ability of this technique to quantitatively image strain and elastic modulus distributions with good resolution, sensitivity and with diminished speckle. We discuss several potential clinical uses of this technique.