Biomedical subjects

F S Foster

Publications and source records attributed to F S Foster.

At least 19 recordsLinked to original sources

PubMed1999

Quantifying tissue damage due to focused ultrasound heating observed by MRI.

Focused ultrasound heating of ex vivo bovine kidney and liver was monitored using magnetic resonance imaging (MRI) to investigate the quantitative relationship between time-dependent temperature elevations and altered contrast in MR images due to thermal coagulation. Proton resonance frequency shift MR thermometry was performed during heating at 10 sec intervals (single-slice fast spoiled GRASS [FSPGR], theta/TE/TR 30 degrees/11/39 msec, field of view 8 cm, 256 x 256, 3 mm slice thickness, 1 NEX); post-heating MR images were T1-weighted (3D-FSPGR, theta/TE/TR 60 degrees/25/200 msec, 1 mm slice thickness, 3 NEX). Analysis of the resulting temperature versus time data using the Arrhenius relationship and a simple binary discrimination model showed that thermal coagulation occurred with heating at approximately 54 degrees C for 10 sec in both tissues and could be predicted with approximately 625 microm spatial resolution. These results suggest that quantitative MR guidance of thermal coagulation therapy is feasible, and they provide information useful for designing future investigations in vivo.

Animals↗

PubMed1998

High-frequency Doppler ultrasound examination of blood flow in the anterior segment of the eye.

PURPOSE: To show that extending Doppler imaging into the high-frequency domain could allow detection and characterization of blood flow in small arterioles and capillaries. METHODS: A 40-MHz continuous wave Doppler system and a 60-MHz pulsed-wave Doppler system were constructed, tested, and used to examine the ciliary body region in two normal volunteers. RESULTS: Ciliary body circulation in the region of the great circle of the iris, which is undetectable by conventional 7.5-MHz duplex Doppler, was consistently and reproducibly detectable by high-frequency (40-MHz and 60-MHz) Doppler systems. CONCLUSION: High-frequency Doppler imaging may provide a unique new tool for the characterization and assessment of anterior segment ocular blood flow.

Anterior Eye Segment↗

PubMed1998

Use of microbubble ultrasound contrast agent to demonstrate the iris valve effect in human eye bank eyes.

PURPOSE: To demonstrate that the interface between the normal iris and the lens surface functions as a flap valve. METHOD: Microbubble ultrasound contrast agent was injected into the anterior and posterior chambers of human eye bank eyes and the distribution of contrast imaged with high-frequency ultrasound. RESULTS: Contrast agent did not enter the posterior chamber when injected into the anterior chamber, but contrast agent injected into the posterior chamber easily flowed into the anterior chamber. CONCLUSIONS: The iris-lens interface normally functions as a flap valve, preventing retrograde flow from the anterior to the posterior chamber. A temporary increase in anterior chamber pressure thus results in iris concavity in pigmentary dispersion syndrome.

Adult↗

PubMed1998

Ultrasound biomicroscopy. High-frequency ultrasound imaging of the eye at microscopic resolution.

UBM presents us with a new method of imaging the anterior segment of the eye at high resolution. Its strengths lie in its ability to produce cross-sections of the living eye at microscopic resolution without violating the integrity of the globe. UBM, although lacking the resolution of optical microscopy, gives us images in living eyes without affecting the internal relationships of the structures imaged. There are many other applications of this new imaging method. Examples of other uses include imaging adnexal pathology, assessing corneal changes with refractive surgery, the assessment of trauma, and determination of intraocular lens position.

Anatomy, Cross-Sectional↗

PubMed1998

Magnetic resonance imaging of ultrasonic fields.

A nuclear magnetic resonance imaging (MRI) method is described that allows noninvasive, quantitative mapping of medical ultrasound (US) fields in tissue. Application of a resonant magnetic field gradient operating at the US frequency permits detection of nanometer motions associated with ultrasound, and allows direct measurement of absolute pressure, intensity, and speed of sound. By altering gradient timing, the propagation of US fields in time and space can be observed; this enables tracking of US scattering phenomena in a tissue-equivalent medium. An experimental apparatus was constructed that combined a 515-kHz focused US transducer configured with its focus in the center of a small-bore oscillating gradient. This provided an oscillating gradient with a peak gradient strength of 0.40 T/m over a useable imaging volume of 61 cm3. When used in conjunction with 1.5-T clinical MRI system, this apparatus allowed the clear visualization of the focused US field within this volume and its propagation with time. Current limits of sensitivity indicate a noise equivalent sensitivity of 3.8 nm in displacement amplitude, 19 kPa in pressure amplitude and 12 mW/cm2 in acoustic intensity. These studies indicate that MRI can provide a new, noninvasive method for US exposimetry and the basic study of ultrasound biophysics in tissue.

Agar↗

PubMed1998

Ultrasonic and viscoelastic properties of skin under transverse mechanical stress in vitro.

Ultrasound properties of rabbit and human skin tissues under transverse stress have been studied in vitro over the frequency range from 15 MHz to 40 MHz. B-scan images show significant increases in average dermal grey-scale levels for increasing strain. Quantitative measurements show that ultrasound attenuation coefficients decrease significantly with increasing strain. A linear decrease of 0.109 dB/mm/strain% in rabbit skin and 0.069 dB/mm/strain% in human breast reduction skin was observed at 30 MHz. Experimental results show that backscattering coefficients only exhibit minor variation with strain. The speed of sound in human skin appears to be age-dependent. The viscoelastic and mechanical properties of skin, including stress relaxation, creep and Young's modulus as a function of strain were also studied.

Animals↗

PubMed1997

Ultrasound biomicroscopic imaging of the anterior aspect of peripheral choroidal melanomas.

PURPOSE: To correlate ultrasound biomicroscopic features of the anterior aspect of peripheral choroidal melanoma with respect to histopathology. METHODS: We examined 17 eyes of 17 patients who had clinically diagnosed peripheral choroidal melanomas that approached the ora serrata or extended into the ciliary body and who had been assessed with ultrasound biomicroscopy before enucleation. Comparisons were made between anterior tumor margins imaged by ultrasound biomicroscopy and histopathologic specimens. Anatomic features noted on ultrasound biomicroscopy before enucleation were correlated with enucleation specimens, including supraciliary effusion, rotation of the ciliary body, angle involvement, and internal reflectivity patterns. Anterior tumor margin position was determined with reference to the scleral spur. RESULTS: Mean distances from the anterior tumor margin to the scleral spur were 1.47 mm on ultrasound biomicroscopy and 1.65 mm on pathologic examination. This difference was not statistically significant (P = .325). Tumor features evident on ultrasound biomicroscopy were also seen on pathologic examination: supraciliary choroidal effusions in seven of seven, ciliary body rotation in seven of eight, and angle involvement in seven of eight. All tumors were mixed-cell melanomas, and 12 of 17 (70%) demonstrated homogeneous ultrasound biomicroscopic internal reflectivity. Irregular internal reflectivity was seen in five of 17 tumors (29%) and was related to prominent internal vascularity on pathology in three of five. CONCLUSIONS: Ultrasound biomicroscopy is an accurate imaging technique for the in vivo assessment of anterior tumor margins of peripheral choroidal melanomas and can provide detailed imaging of the tumor's interface with the ciliary body.

Anterior Eye Segment↗

PubMed1997

Supraciliary effusions and ciliary body thickening after scleral buckling procedures.

PURPOSE: The purpose of the study was to use ultrasound biomicroscopy to identify and quantity changes in anterior segment parameters after scleral buckling procedures. METHODS: Ultrasound biomicroscopy was used to examine 15 patients with retinal detachment within 1 week before and after surgery. Quantitative measurements were performed of anterior chamber depth, supraciliary effusion depth, ciliary body thickness, and angle opening. RESULTS: Supraciliary fluid was present after surgery in 12 patients (80%). Average supraciliary fluid depth was 0.16 +/- 0.13 mm. Ciliary body thickness measurements at a point 2-mm posterior to the scleral spur increased after surgery in all patients an average of 0.15 +/- 0.10 mm. There was a strong correlation between ciliary fluid levels and change in ciliary body thickness (r = 0.742, P < 0.01). Anterior chamber depth decreased after surgery in 14 patients (93%). A decrease of angle opening of greater than 5 degrees was noted in 11 patients (73%). In all of these 11 patients, the ciliary body and iris root were considered to be rotated anteriorly. Six (55%) of 11 of these patients showed anterior bowing of the iris, indicating pupillary block. Complete angle closure occurred over one to three quadrants in three patients, but none of these patients had complete angle closure or glaucoma. CONCLUSIONS: Supraciliary effusions and ciliary body thickening are common after scleral buckling procedures and can produce conditions conducive to angle closure. Angle narrowing occurs through a combination of direct anterior iris rotation and induced pupillary block.

Anterior Chamber↗

PubMed1997

Tissue equivalent vessel phantoms for intravascular ultrasound.

A tissue equivalent arterial vessel phantom has been developed for use in intravascular ultrasound imaging studies. The phantom material is constructed from a cross-linked gelatin matrix to which amorphous silica scattering particles are added. The ultrasonic properties (speed of sound, frequency-dependent attenuation coefficient and frequency-dependent backscatter coefficient) of the phantom material have been characterized at 42 MHz and correspond well with in vitro measurements of excised human arterial tissue. The mechanical properties of the cast vessel phantoms are controlled by varying the concentration of gelatin used in the matrix. Experimentally measured values of the circumferential Young's elastic modulus of hard and soft vessel phantoms agree well with values reported in the literature for human and canine arterial tissue for transmural pressures up to 100 mmHg. The phantoms are therefore suitable models for use in the development of new applications of intravascular ultrasound imaging, such as the assessment regional arterial elasticity.

Acoustics↗

PubMed1997

A high-frequency pulsed-wave Doppler ultrasound system for the detection and imaging of blood flow in the microcirculation.

Previous work with a 40-MHz continuous-wave Doppler ultrasound system has demonstrated the potential of high-frequency Doppler ultrasound (HFD), operating in the frequency range 20-200 MHz, to detect blood flow in the microcirculation. This paper describes a directional, pulsed-wave high-frequency Doppler ultrasound (PW HFD) system that was designed and constructed further to investigate this potential. The PW HFD system electronics have a dynamic range of > 80 dB, a noise floor of 250 nV, a directional isolation of 45 dB and operate over the frequency range 1-200 MHz. The system is tested using a focused PVDF transducer that is tuned for maximum sensitivity at 50 MHz, has a -6 dB lateral beamwidth of 70 microns and -6 dB depth-of-focus of 0.90 mm. This permits the practical use of sample volumes with dimensions 70 microns laterally by 90-900 microns axially. The PW HFD system can operate in duplex mode by either sharing the Doppler transducer or using a second PVDF transducer for imaging. Tests with string and capillary flow phantoms demonstrate that the PW HFD system is capable of detecting velocities on the order of the blood velocities found in the capillaries (0.5 mm/s) and arterioles (5 mm/s) with suitable velocity (30-300 microns/s) and temporal (15-100 ms) resolutions. In vivo measurements demonstrate that PW HFD can detect and measure blood velocities of less than 5 mm/s in arterioles and venules with diameters as small as 20 microns and 35 microns, respectively, using a sample volume of only 70 microns laterally by 150 microns axially. Preliminary experiments with high-frequency colour Doppler (HFCD) and high-frequency power Doppler (HFPD) imaging are also presented.

Animals↗

PubMed1997

Ultrasonic measurement of differential displacement and strain in a vascular model.

The potential in intravascular ultrasound imaging for characterizing regional arterial elasticity was examined in an experimental tissue-equivalent vessel model. Differential intrawall displacement measurement, the first step in regional elasticity determination, was investigated using a crosscorrelation tracking algorithm. Calibration studies showed that tracking accuracy varied significantly with tracking direction (axial versus lateral) and position in the field of the transducer. Midfield geometric error in the axial direction for a nominal displacement of 100 microns was 5.5 microns whereas the corresponding error in the lateral direction was 31.7 microns. Displacement was tracked in serial intravascular images of vessel phantoms acquired during stepwise pressurization experiments from 0-250 mmHg. Two-dimensional grey scale maps of axial, lateral and net intrawall displacement components over the full pressurization range were generated. Displacement profiles demonstrated successful detection of differential radial displacement and good correlation with theoretical profiles (root mean square difference 3%). The corresponding experimental strain profiles were significantly noisier (root mean square difference 76%) due to small fluctuations in the displacement data. This work demonstrates that, with further refinement, regional strain mapping in vessel walls with intravascular ultrasound imaging is feasible. Mechanical characterization of arteries may provide a new tool to aid and treating atherosclerotic lesions.

Algorithms↗

PubMed1997

High-frequency intracoronary ultrasound imaging.

Intravascular ultrasound is playing an increasingly important role in the clinical management of coronary interventions. In the past few years the technology for intracoronary ultrasound, in response to clinical pressure, has moved towards lower profile probes with improved handling. While new catheter designs are markedly improved on their predecessors, image quality has not seen significant gains due to the primitive nature of the ultrasound transducer designs. In this article, the potential for improving image quality by increasing the frequency and focusing the ultrasound beam is explored. Basic aspects of transducer implementation are discussed and the acoustic properties of vascular tissues and blood are reviewed. A variety of instruments are used to image coronary and femoral arteries at frequencies ranging from 40 to 200 MHz. These studies serve to illustrate the trade-offs in the development of high frequency IVUS systems. There would appear to be no fundamental reason why frequencies in excess of 50 MHz could not be implemented. Studies using prototype IVUS instruments in the 50 MHz range demonstrate significant improvements in image quality.

Animals↗

PubMed1996

Ultrasound backscatter microscope analysis of mouse melanoma progression.

The incidence and mortality rate of cutaneous melanoma continue to increase throughout the world, making the study of melanoma biology an important area of current research. While recent breakthroughs in transgenic mouse technology have led to promising mouse skin models of melanoma, there is presently no technique available for quantitatively studying subsurface melanoma progression, in vivo. We demonstrate the first application of an imaging method called ultrasound backscatter microscopy (UBM) for imaging early murine melanomas with spatial resolution of 30 microns axial and 60 microns lateral. Murine B16 F10 melanomas have been imaged from their earliest detection, over several days, until they are 2 to 5 mm in diameter. Melanoma dimensions measured by UBM were found to be in excellent agreement with those determined histopathologically on the excised tumours. The relative rms errors in UBM-determined melanoma height and width were found to be 8.7% and 4.2%, respectively. The mean rate of increase in tumour height of early murine melanoma was found to be 0.37 +/- 0.06 mm/day. Computer-generated volumetric renderings of melanomas have been produced from three-dimensional image data, allowing quantitative comparisons of tumour volumes to be made. Using a priori assumptions of ellipsoid tumour shape, the relative error in UBM-determined volume was shown to be less than 17%. These results should be of considerable interest to investigators studying melanoma biology using mouse skin models, and have implications in the use of high frequency ultrasound imaging for the clinical assessment of cutaneous melanoma.

Animals↗

PubMed1996

A high-frequency continuous-wave Doppler ultrasound system for the detection of blood flow in the microcirculation.

Basic ultrasound physics and several clinical and experimental observations suggest that high-frequency Doppler ultrasound (HFD) operating in the frequency range 20-100 MHz holds the promise of detecting blood flow in the microcirculation. This article describes a directional, continuous-wave (CW), 1- to 200-MHz Doppler ultrasound system. The system electronics have a dynamic range of 100 dB, a noise floor of 10 nV and a directional isolation of 50 dB. The development of a 40-MHz Doppler transducer composed of two, 81-micron-thick, lithium niobate crystals that have been air-backed and transmission-line tuned for maximum sensitivity is described. This device is used to test the CW Doppler system using string and capillary phantoms and in vivo tissue. We show that HFD can detect and measure velocities on the order of the blood velocities found in the capillaries (1 mm/s) and arterioles (5 mm/s) with suitable velocity (50-500 microns/s) and temporal (20-250 ms) resolutions. In vivo measurements demonstrate that HFD is sensitive to the detection of blood flow in small vessels.

Arterioles↗

PubMed1996

High frequency 40-MHz ultrasound. A possible noninvasive method for the assessment of the boundary of basal cell carcinomas.

BACKGROUND: Ultrasound imaging systems operating close to 20 MHz in frequency have been used to image skin tumors. Ultrasound imaging at 20 MHz has been used to determine the boundaries of basal cell carcinomas (BCCs). An inherent shortcoming of imaging systems operating at these frequencies is their limited resolution. OBJECTIVE: We investigated whether 40-MHz ultrasound imaging could provide higher resolution compared with the lower frequency systems and thus be a superior, noninvasive method of assessing the boundaries of BCCs. METHODS: Nine BCCs from six individuals were examined clinically and ultrasonographically, and then biopsied to confirm diagnosis. The depth of BCCs measured on histological sections was compared with the corresponding value obtained using ultrasound. For this study we required a nonsurgical, nondestructive means of treating BCCs that would allow repeated ultrasound imaging, and therefore topical 5-flurouracil (5-FU) was chosen. Following 5-FU therapy a biopsy was obtained from the site of the treated BCC after ultrasound imaging had been performed. Clinical, ultrasonic and histopathologic evaluation of each BCC was carried out independently by different individuals. At the end of the study all the BCC sites were treated surgically be electrodesiccation and curettage or completely excised. RESULTS: High resolution ultrasound images of BCCs were obtained with agreement between histology and ultrasound findings in all none lesions prior to therapy and in eight of none lesions posttherapy. There was a significant correlation between the depth of BCCs measured histologically and using ultrasound (P = 0.0004, r = 0.92). CONCLUSIONS: This study suggests that 40-MHz ultrasound may provide an estimate of the boundary of a BCC in vivo. High frequency 40-MHz ultrasound imaging may be an adjunct to clinical and histologic evaluation but does not replace the need to obtain tissue for microscopic examination.

Aged↗

PubMed1996

Accommodation and iridotomy in the pigment dispersion syndrome.

BACKGROUND AND OBJECTIVE: Iris concavity has been noted in pigment dispersion syndrome, and could have a role in producing iris-zonule contact. Iris concavity is most likely caused by a relative increase in anterior chamber pressure. The method by which this occurs remains speculative. The authors used ultrasound biomicroscopy to examine the role of accommodation in producing iris concavity and to document changes that occur following iridotomy. PATIENTS AND METHODS: Thirteen patients with clinically diagnosed pigmentary dispersion and pigmentary glaucoma underwent accommodation studies while being continuously imaged with ultrasound biomicroscopy. Anterior chamber depths were measured and iris configuration noted on distance and near fixation. These studies were repeated in 6 patients following laser iridotomy. RESULTS: All patients showed a decrease in anterior chamber depth with accommodation. Ten patients had a planar iris configuration on distance fixation and 3 concave. Eleven of 13 patients showed increased concavity of the iris on near fixation as compared with distance fixation. Following iridotomy in 6 patients, the iris showed a planar configuration that remained unchanged on near fixation. CONCLUSION: Accommodation increases iris concavity in some patients with pigment dispersion syndrome. The most likely explanation is an accommodation-induced relative increase in anterior chamber pressure secondary to anterior movement of the lens surface. Iridotomy prevents change in the iris profile with accommodation.

Accommodation, Ocular↗

PubMed1996

Diagnosis of traumatic cyclodialysis by ultrasound biomicroscopy.

BACKGROUND AND OBJECTIVE: To evaluate the ability of high-frequency ultrasound biomicroscopy to diagnose traumatic cyclodialyses not evident on clinical examination. PATIENTS AND METHODS: Six eyes to six patients with posttraumatic hypotony and/or shallow anterior chamber and suspected cyclodialysis clefts were examined with slit-lamp biomicroscopy, gonioscopy, B-scan ultrasonography, and ultrasound biomicroscopy. Ultrasound biomicroscopy provided high resolution of cross-sectional images of the anterior chamber angle, posterior chamber, and anterior uveal tissue. RESULTS: Ultrasound biomicroscopy confirmed the disinsertion of the ciliary body from the scleral spur and associated ciliary body detachment in all eyes. Gonioscopy failed to demonstrate a cyclodialysis cleft in five eyes because of hyphema (two eyes) and abnormal iris architecture (related to trauma) precluding visualization of the angle recess (three eyes). Using information from ultrasound biomicroscopy imagining, one patient underwent a ciliary body reattachment procedure and repair of the cyclodialysis cleft. CONCLUSION: Ultrasound biomicroscopy is a noninvasive method that can accurately diagnose the presence of traumatic cyclodialyses and can aid in surgical management. It is particularly useful in the presence of hazy media, hypotony, and/or abnormal anterior segment anatomy.

Adolescent↗

PubMed1996

The use of high-frequency ultrasound as a method of assessing the severity of a plaque of psoriasis.

BACKGROUND AND DESIGN: Ultrasound imaging, while initially developed to visualize internal organs, is now being applied to image the skin. In this preliminary study, we used a high-frequency, 40-MHz ultrasound imaging system to provide high-resolution images in psoriasis and examined the relationship between clinical and ultrasound ratings in plaque-type psoriasis. The ultrasound image of a psoriatic plaque demonstrates a superficial echogenic band (band A), followed by a nonchogenic band (band B), and a deeper echogenic band (band C). RESULTS: In psoriatic plaques (N = 145), the severity of the psoriasis as assessed according to the degree of scaling, erythema, and thickness (SET score) correlated best with the width of band B (P < .001, r = 0.86) and less well with the width of bands A (P < .001, r = 0.59) and C (P < .001, r = 0.44). For the treated psoriatic plaques (n = 64), for which paired readings were available before and after therapy, changes in the SET scores correlated best with the change in the width of band B (P < .001, r = 0.96) and less well with the change in the width of bands A (P < .001, r = 0.61) and C (P < .001, r = 0.45). Ultrasound analyses and clinical evaluation were performed by independent raters. CONCLUSIONS: The data suggest that high-frequency ultrasound imaging may prove to be a noninvasive technique that can be used as an adjunct to the clinical evaluation of the lesional severity of psoriatic plaques.

Female↗