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D W Rickey

Publications and source records attributed to D W Rickey.

9 recordsLinked to original sources

Evaluation of an automated real-time spectral analysis technique.

An adaptive real-time Doppler peak-frequency tracing algorithm was evaluated in vitro and compared to manual peak-frequency traces. A computer-controlled pump was used to generate physiological flow waveforms in a vasculature-mimicking phantom. Spectral waveforms were obtained on an ATL HDI along with real-time estimates of diagnostic parameters, including maximum systolic, minimum diastolic, time-averaged peak frequencies and pulsatility and resistance indices. The effect of the signal-to-noise ratio on the measured parameters was investigated. The imprecision in the measured parameters was found to depend somewhat on the waveform shape; e.g., the imprecision in PI was 4.1% for a normal renal waveform and 8.5% for a waveform having reverse diastolic flow. The peak frequency envelopes of the same waveform data were traced manually by nine operators, and the resulting diagnostic parameters were compared to ones obtained from automated peak-frequency traces of the same waveform data. The agreement between parameters measured by the automated routine and those measured manually was found to depend somewhat on the waveform shape; e.g., the bias in the PI was 1.3% for a renal waveform lacking diastolic flow, and 12% for a waveform with reverse diastolic flow. The between-observer variations in the manual measurements ranged from 0.8% up to 9.4%. The overall variations associated with the automated traces were found to be smaller than or equal to those of the manual traces.

Algorithms

A Doppler ultrasound clutter phantom.

We describe two variations of a phantom designed to evaluate the wall filters implemented on colour and spectral Doppler instruments. Both variations use an acoustic beam splitter to place the same Doppler sample volume within a motor-driven clutter belt and a flow source, which is either a second belt (dual-belt phantom) or a vascular phantom (belt/vascular phantom). We used the dual-belt phantom to evaluate the effects of the clutter belt velocity, flow belt velocity and clutter-to-flow power ratio on the reported colour Doppler shifts. The results show that the choice of wall filter, as well as the amplitudes and velocities of the clutter and flow components, affect the measured Doppler shifts. Results obtained with the belt/vascular phantom show that colour Doppler shifts due to the moving fluid depend strongly on the clutter velocity and choice of wall filter. However, only a small dependence on Doppler signal strength was observed.

Blood Flow Velocity

Quantitative investigation of in vitro flow using three-dimensional colour Doppler ultrasound.

A quantitative in vitro flow study was performed by using a three-dimensional colour Doppler imaging system. This system was based on a clinical ultrasound instrument with its transducer mounted on a motor-driven translation stage. A vascular and tissue-mimicking phantom containing two wall-less vessels, one normal and another stenotic, was used to quantify the measurement accuracy of the flow velocity and the flow field. Steady state flows, having Reynolds numbers ranging between 460 and 1300, were generated by a computer-controlled positive displacement pump. Effects of the parameter settings of the ultrasound instrument on results of the estimation of flow field were also studied. Experimental results show that our three-dimensional colour Doppler system's velocity accuracy was better than 7% of the Nyquist velocity and its spatial accuracy was better than 0.5 mm. The system showed a good correlation (r = 0.999) between the estimated and the true mean flow velocity, and a good correlation (r = 0.998) between the estimated maximum and the true mean flow velocity. This study is our first step toward validating the measurement of the three-dimensional velocity and wall shear stress distributions by using three-dimensional colour Doppler ultrasound

Blood Flow Velocity

A wall-less vessel phantom for Doppler ultrasound studies.

Doppler ultrasound flow measurement techniques are often validated using phantoms that simulate the vasculature, surrounding tissue and blood. Many researchers use rubber tubing to mimic blood vessels because of the realistic acoustic impedance, robust physical properties and wide range of available sizes. However, rubber tubing has a very high acoustic attenuation, which may introduce artefacts into the Doppler measurements. We describe the construction of a wall-less vessel phantom that eliminates the highly attenuating wall and reduces impedance mismatches between the vessel lumen and tissue mimic. An agar-based tissue mimic and a blood mimic are described and their acoustic attenuation coefficients and velocities are characterised. The high attenuation of the latex rubber tubing resulted in pronounced shadowing in B-mode images; however, an image of a wall-less vessel phantom did not show any shadowing. We show that the effects of the highly attenuating latex rubber vessels on Doppler amplitude spectra depend on the vessel diameter and ultrasound beam width. In this study, only small differences were observed in spectra obtained from 0.6 cm inside diameter thin-wall latex, thick-wall latex and wall-less vessel phantoms. However, a computer model predicted that the spectrum obtained from a 0.3-cm inside diameter latex-wall vessel would be significantly different than the spectrum obtained from a wall-less vessel phantom, thus resulting in an overestimation of the average fluid velocity. These results suggest that care must be taken to ensure that the Doppler measurements are not distorted by the highly attenuating wall material. In addition, the results show that a wall-less vessel phantom is preferable when measuring flow in small vessels.

Acoustics

Three-dimensional colour Doppler imaging.

We have developed a system to acquire in vivo three-dimensional (3D) colour velocity images of peripheral vasculature. A clinical ultrasound system was modified by mounting the transducer on a motor-driven translation stage, allowing planar ultrasound images to be acquired along a 37 mm long stroke. A 3D velocity image is acquired by digitizing, in synchrony with the cardiac cycle, successive video images as the transducer is moved over the skin surface. 3D images require about 1 min to acquire and 10 min to reconstruct before being viewed interactively. Image acquisition at several points in the cardiac cycle permits a cine-type reconstructed image. Geometrical, temporal and velocity accuracy of the acquisition and reconstruction have been quantified and found not to degrade the image.

Adult

A velocity evaluation phantom for colour and pulsed Doppler instruments.

We describe a phantom designed to evaluate the velocity measurements made with colour and pulsed Doppler instruments. Using a belt to translate a large volume of semi-rigid material through the entire Doppler sample volume eliminates many of the problems associated with flow and string phantoms. A servo-motor with feedback circuitry ensures accurate control of the belt velocity with an uncertainty in the mean velocity of 0.14%. The phantom provides velocities with typical variations of 0.07 cm/s. We have demonstrated the usefulness of this phantom by evaluating the linearity and accuracy of three pulsed Doppler instruments over belt velocities ranging from 0 to 80 cm/s. In addition, the measurements show the effects of the wall filter at low belt velocities. Using this phantom, we have quantified the accuracy, linearity and precision of the velocity measurements made by three colour Doppler instruments. The results also show regions where the colour instruments are aliased and where the wall filter dominates.

Calibration

Computer-controlled positive displacement pump for physiological flow simulation.

A computer-controlled pump for use both in the study of vascular haemodynamics and in the calibration of clinical devices which measure blood flow is designed. The novel design of this pump incorporates two rack-mounted pistons, driven into opposing cylinders by a micro-stepping motor. This approach allows the production of nearly uninterrupted steady flow, as well as a variety of pulsatile waveforms, including waveforms with reverse flow. The capabilities of this pump to produce steady flow from 0.1 to 60 ml s-1, as well as sinusoidal flow and physiological flow, such as that found in the common femoral and common carotid arteries are demonstrated. Cycle-to-cycle reproducibility is very good, with an average variation of 0.1 ml s-1 over thousands of cycles.

Arteries

Computer-controlled flow simulator for MR flow studies.

A novel computer-controlled flow simulator for use in magnetic resonance (MR) flow experiments was evaluated. The accuracy in constant-flow mode was better than 1%. The accuracy in pulsatile-flow mode was found to be dependent on the interconnecting tubing. The short-term and long-term reproducibilities of pulsatile waveforms were less than or equal to 0.4 mL/sec (1 standard deviation). Increased response times due to the lengths of tubing required in MR flow experiments were surmounted by using a modified tubing configuration and precompensated waveforms. Piston reversal was found not to cause major difficulties in MR flow experiments.

Blood Circulation

A geometrically accurate vascular phantom for comparative studies of x-ray, ultrasound, and magnetic resonance vascular imaging: construction and geometrical verification.

A technique for producing accurate models of vascular segments for use in experiments that assess vessel geometry and flow has been developed and evaluated. The models are compatible with x-ray, ultrasound, and magnetic resonance (MR) imaging systems. In this paper, a model of the human carotid artery bifurcation, is evaluated that has been built using this technique. The phantom consists of a thin-walled polyester-resin replica of the bifurcation through which a blood-mimicking fluid may be circulated. The phantom is surrounded by an agar tissue-mimicking material and a series of fiducial markers. The blood- and tissue-mimicking materials have x-ray, ultrasound, and MR properties similar to blood and tissue; fiducial markers provide a means of aligning images acquired by different modalities. The root-mean-square difference between the inner wall geometry of the constructed model and the desired dimensions was 0.33 mm. Static images were successfully acquired using x-ray, ultrasound, and MR imaging systems, and are free of significant artifacts. Flow images acquired with ultrasound and MR agree qualitatively with each other, and with previously published flow patterns. Volume-flow measurements obtained with ultrasound and MR were within 4.4% of the actual values.

Carotid Arteries