Biomedical subjects

James A Zagzebski

Publications and source records attributed to James A Zagzebski.

16 recordsLinked to original sources

PubMed2006

Frequency-dependent complex modulus of the uterus: preliminary results.

The frequency-dependent complex moduli of human uterine tissue have been characterized. Quantification of the modulus is required for developing uterine ultrasound elastography as a viable imaging modality for diagnosing and monitoring causes for abnormal uterine bleeding and enlargement, as well assessing the integrity of uterine and cervical tissue. The complex modulus was measured in samples from hysterectomies of 24 patients ranging in age from 31 to 79 years. Measurements were done under small compressions of either 1 or 2%, at low pre-compression values (either 1 or 2%), and over a frequency range of 0.1-100 Hz. Modulus values of cervical tissue monotonically increased from approximately 30-90 kPa over the frequency range. Normal uterine tissue possessed modulus values over the same range, while leiomyomas, or uterine fibroids, exhibited values ranging from approximately 60-220 kPa.

Adult↗

PubMed2006

Segmentation of elastographic images using a coarse-to-fine active contour model.

Delineation of radiofrequency-ablation-induced coagulation (thermal lesion) boundaries is an important clinical problem that is not well addressed by conventional imaging modalities. Elastography, which produces images of the local strain after small, externally applied compressions, can be used for visualization of thermal coagulations. This paper presents an automated segmentation approach for thermal coagulations on 3-D elastographic data to obtain both area and volume information rapidly. The approach consists of a coarse-to-fine method for active contour initialization and a gradient vector flow, active contour model for deformable contour optimization with the help of prior knowledge of the geometry of general thermal coagulations. The performance of the algorithm has been shown to be comparable to manual delineation of coagulations on elastograms by medical physicists (r = 0.99 for volumes of 36 radiofrequency-induced coagulations). Furthermore, the automatic algorithm applied to elastograms yielded results that agreed with manual delineation of coagulations on pathology images (r = 0.96 for the same 36 lesions). This algorithm has also been successfully applied on in vivo elastograms.

Algorithms↗

PubMed2006

Elastographic measurements of in-vivo radiofrequency ablation lesions of the kidney.

BACKGROUND AND PURPOSE: Elastography may prove useful for monitoring radiofrequency ablative (RFA) therapy because heat-ablated tissues are more elastic than untreated tissues. Herein, we report our initial evaluations of the reliability of elastography for delineating thermal-lesion boundaries at the time of RFA of porcine kidneys. MATERIALS AND METHODS: In-vivo RFA was performed on 20 kidneys from 10 40-kg female pigs. Elastography was performed at the time of surgery and after 48 hours. The imaging plane was perpendicular to the axis of the RF electrode so that the ablated region was around the center of the plane. Measurements of the sections representing the same image plane used for elastography were taken at pathologic examination and compared with the measurements obtained from the elastograms. RESULTS: We found a statistically significant correlation between elastography and pathology measurements with respect to the area and volume estimates (r = 0.9302 and r = 0.953, respectively). Overall, elastography slightly underestimated the lesion size, as judged by the digitalized pathologic images, a finding consistent with previous reports. CONCLUSION: We found a correlation between the area and volume estimates of thermal lesions that were based on elastographic images and the measurements from gross pathologic dimensions. A significant limitation of renal RFA is the inaccuracy of current imaging modalities to provide real-time monitoring, and elastography may prove to be reliable for delineating the resulting thermal lesions.

Animals↗

PubMed2006

Evaluation of acoustic wave propagation velocities in the ocular lens and vitreous tissues of pigs, dogs, and rabbits.

OBJECTIVE: To evaluate propagation velocity of acoustic waves through the lens and vitreous body of pigs, dogs, and rabbits and determine whether there were associations between acoustic wave speed and age, temperature, and time after enucleation. SAMPLE POPULATION: 9 pig, 40 dog, and 20 rabbit lenses and 16 pig, 17 dog, and 23 rabbit vitreous bodies. PROCEDURE: Acoustic wave velocities through the ocular structures were measured by use of the substitution technique. RESULTS: Mean sound wave velocities in lenses of pigs, dogs, and rabbits were 1,681, 1,707, and 1,731 m/s, respectively, at 36 degrees C. Mean sound wave velocities in the vitreous body of pigs, dogs, and rabbits were 1,535, 1,535, and 1,534 m/s, respectively, at 38 degrees C. The sound wave speed through the vitreous humor, but not the lens, increased linearly with temperature. An association between wave speed and age was observed in the rabbit tissues. Time after enucleation did not affect the velocity of sound in the lens or vitreous body. The sound wave speed conversion factors for lenses, calculated with respect to human ocular tissue at 36 degrees C, were 1.024, 1.040, and 1.055 for pig, dog, and rabbit lenses, respectively. CONCLUSIONS AND CLINICAL RELEVANCE: Conversion factors for the speed of sound through lens tissues are needed to avoid underestimation of the thickness of the lens and axial length of the eye in dogs during comparative A-mode ultrasound examinations. These findings are important for accurate calculation of intraocular lens power required to achieve emmetropia in veterinary patients after surgical lens extraction.

Aging↗

PubMed2006

Initial clinical experience imaging scatterer size and strain in thyroid nodules.

OBJECTIVE: This article describes a new research ultrasound scanner that can be programmed to produce elastograms and backscatter parametric images in real time. Its performance was evaluated in a clinical setting. METHODS: Radio frequency data were acquired from 13 patients with thyroid nodules and from 4 normal thyroids, along with reference phantom data. Scatterer size was deduced by measuring the backscatter versus frequency and fitting data to a model. Strain was obtained by a cross-correlation method, comparing precompression and postcompression radio frequency signals. Scatterer size contrast was defined as the observed contrast between the "normal" and "abnormal" tissue in the same gland or, when considering diffuse conditions, by comparing with normal values. Strain contrast was estimated if abnormal and normal tissue was captured in the same palpation, that is, excluding diffuse disease, which was the case for 9 subjects. RESULTS: On scatterer size images, 4 nodules exhibited positive contrast versus the adjacent normal parenchyma, indicating larger scatterers. Five nodules were isoechoic, and 4 had negative contrast. Four nodules exhibited positive strain contrast, indicating that they were softer than the normal parenchyma. Two nodules had the same brightness, and 3 were darker than the background thyroid tissue on strain images. CONCLUSIONS: Contrast was observed between nodules and thyroid parenchymal tissue for both types of parametric images. Further work is needed to determine whether the diagnostic importance of these parameters in characterizing thyroid nodules might be worthwhile. Both modes must be of a sufficient frame rate to provide real-time feedback to operators, which will require further work.

Adult↗

PubMed2005

Correlation of RF signals during angular compounding.

A theoretical analysis of the correlation between radio-frequency (RF) echo signal data acquired from the same location but at different angles is presented. The accuracy of the theoretical results is verified with computer simulations. Refinements to previous analyses of the correlation of RF signals originating from the same spatial location at different angular positions are made. We extend the analysis to study correlation of RF signals coming from different spatial locations and eventually correlation of RF signal segments that intersect at the same spatial location. The theory predicts a faster decorrelation with a change in the insonification angle for longer RF echo signal segments. As the RF signal segment becomes shorter, the decorrelation rate with angle is slower and approaches the limit corresponding to the correlation of RF signals originating from the same spatial location. Theoretical results provide a clear understanding of angular compounding techniques used to improve the signal-to-noise ratio in ultrasonic parametric imaging and in elastography.

Algorithms↗

PubMed2005

Optimization of angular and frequency compounding in ultrasonic attenuation estimations.

Previous reports have shown that the variance in ultrasound attenuation measurements is reduced when spatial and frequency compounding were applied in data acquisition and analysis. This paper investigates factors affecting the efficiency of compound attenuation imaging methods. A theoretical expression is derived that predicts the correlation between attenuation versus frequency slope (beta) estimates as a function of the increment between measurement frequencies (deltaf ) and the angular separation between beam lines (Delta (theta)). Theoretical results are compared with those from attenuation measurements on tissue-mimicking phantoms and from simulation data. Both predictions and measurement results show that the correlation between beta estimates as a function of (Delta f ) is independent of the length of the radio frequency (rf) data segment over which beta is derived. However, it decreases with an increase in the length of the data segment used in power spectra estimates. In contrast, the correlation between beta estimates as a function of delta(theta) decreases when the rf data segment length is longer or the frequency of the signal is higher. O 2005 Acoustical Society of America.

Acoustics↗

PubMed2004

Simulation study of effects of speed of sound and attenuation on ultrasound lateral resolution.

Experiments have shown that the lateral profile of a point target measured with a clinical ultrasound scanner is wider when the target is embedded in a urethane phantom than when it is in a traditional gel phantom. The behavior has been attributed to the low speed of sound in the urethane material, with the possibility that some of the broadening is caused by increased attenuation in this material. In this paper we apply a computer simulation model to study this behavior. Lateral beam profiles modeled for targets within a medium having a speed of sound and an attenuation matching that of urethane are compared with profiles for targets in a water-based gel. Simulations yield results that agree qualitatively with published experimental results. The lateral profile broadening in urethane is caused by the 6 % mismatch between speed of sound in this material and the speed of sound assumed in the receive focusing and beam forming. Attenuation plays a lesser role than the mismatch of the speed of sound.

Algorithms↗

PubMed2004

Elastographic versus x-ray CT imaging of radio frequency ablation coagulations: an in vitro study.

Techniques to image elasticity parameters (i.e., elastography) have recently become of great interest to researchers. In this paper we use conventional ultrasound elastography and x-ray CT to image radio frequency (RF) ablation sites of excised canine liver enclosed in gelatin. Thermal coagulations of different sizes were produced by applying the RF procedure for various times and end point temperatures. Dimensions, areas and volumes computed from CT and elastography were compared with those on whole mount pathology specimens. Ultrasound elastography exhibited high contrast for the thermal coagulations and performed better than CT. The correlation between pathology and elastography for this sample set of 40 thermal coagulations (r = 0.94 for volume estimation, r = 0.87 for area estimation) is better than the correlation between pathology and CT (r = 0.89 for volume estimation, r = 0.82 for area estimation).

Animals↗

PubMed2004

Impact of gas bubbles generated during interstitial ablation on elastographic depiction of in vitro thermal lesions.

OBJECTIVE: Artifacts from gas bubble formation during radio frequency ablation along with the poor intrinsic contrast between normal and treated regions (zone of necrosis) are considerable problems for the visualization of the necrotic region on conventional sonography. Sonographic elastography is very effective for visualizing the zone of necrosis, but it uses the same echo signals to estimate strain as those used to form gray scale images. Thus, the impact of gas bubbles on strain images or elastograms must be investigated. METHODS: Radio frequency ablation was performed in vitro on liver tissue samples, approximately 40 x 40 x 20 mm, encased in 80-mm cubed gelatin phantoms. Elastograms generated at different instants during the ablation procedures were obtained on a real-time scanner with a 5-MHz linear array. Sequences of elastograms illustrate the growth of the thermal lesion. RESULTS: Degradation of the distal boundary of the thermal lesion was observed. The degradation was confined to the lower-fifth quadrant of the thermal lesion. However, accurate estimates of lesion areas could still be obtained by extrapolation of the thermal lesion boundary. CONCLUSIONS: Elastograms of thermal lesions in vitro can be obtained during radio frequency ablation. Some loss of thermal lesion boundary information on strain images was observed in regions where attenuation due to gas bubbles reduced the signal-noise ratio of the echo signals.

Animals↗

PubMed2004

Noise reduction using spatial-angular compounding for elastography.

Ultrasound elastography has developed into an imaging modality suitable for detection and diagnosis of cancers in the breast, prostate, and thyroid and for monitoring ablative therapies in the liver, kidneys, and other sites. In this article, a new approach is described that enables the reduction of noise artifacts in elastography without a significant reduction in either the contrast or spatial resolution. The technique uses angular-weighted compounding of local angular strains estimated from echo signals scanned at different insonification angles. Strain estimated along angular insonification directions can be separated into strain tensor components along the axial (direction of compression) and lateral directions. The mechanical stimulus is applied only along one direction. Angular-weighting factors are derived from the relationship between the axial and lateral strains under the assumption of tissue incompressibility. Experimental results using a uniformly elastic, tissue-mimicking phantom demonstrate the improvement in the signal-to-noise ratio obtained with angular-weighted compounding. Variation in the signal-to-noise ratio obtained using different angular increments also is investigated. Elastograms obtained from an inclusion phantom also demonstrate the improvement in contrast detail resolution obtained using spatial-angular compounding.

Algorithms↗

PubMed2004

Improved parametric imaging of scatterer size estimates using angular compounding.

The feasibility of estimating and imaging scatterer size using backscattered ultrasound signals and spectral analysis techniques was demonstrated previously. In many cases, size estimation, although computationally intensive, has proven to be useful for monitoring, diagnosing, and studying disease. However, a difficulty that is encountered in imaging scatterer size is the large estimator variance caused by statistical fluctuations in echo signals from random media. This paper presents an approach for reducing these statistical uncertainties. Multiple scatterer size estimates are generated for each image pixel using data acquired from several different directions. These estimates are subsequently compounded to yield a single estimate that has a reduced variance. In this feasibility study, compounding was achieved by translating a sectored-array transducer in a direction parallel to the acquired image plane. Angular compounding improved the signal-to-noise ratio (SNR) in scatterer size images. The improvement is proportional to the square root of the effective number of statistically independent views available for each image pixel.

Algorithms↗

PubMed2003

Ultrasound attenuation imaging using compound acquisition and processing.

A method that combines both spatial and frequency compounding is described for measuring attenuation in tissue. The technique applies a reference phantom to account for imaging system dependencies of echo signals. Emphasis is given to local attenuation estimates, to reduce the variance of the attenuation measurements over small regions of interest (ROI) and to enable coarse attenuation imaging. Experiments using a uniform phantom show that the standard deviation of local attenuation estimates within a ROI drops when greater degrees of compounding are applied. Attenuation images of a specially designed phantom containing inclusions with attenuation contrast illustrate the accuracy and precision of the technique.

Phantoms, Imaging↗

PubMed2003

Elastographic measurement of the area and volume of thermal lesions resulting from radiofrequency ablation: pathologic correlation.

OBJECTIVE: Elastography is a promising tool for visualizing the zone of necrosis in liver tissue resulting from radiofrequency tumor ablation. Because heat-ablated tissues are stiffer than normal untreated tissue, elastography may prove useful for following up patients who undergo radiofrequency ablative therapy. We sought to report the initial evaluations of the reliability of elastography for delineating thermal lesion boundaries in liver tissue by comparing lesion dimensions determined by elastography with the findings at whole-mount pathology. MATERIALS AND METHODS: Radiofrequency ablation was performed in vitro on liver tissue specimens encased in gelatin phantoms. The imaging plane for elastography was perpendicular to the axis of the radiofrequency electrode so that the ablated region was around the center of the plane. To obtain three-dimensional visualization of thermal lesions, we reconstructed the lesions from multiple elastograms by linearly translating the elastographic scanning plane. Pathology photographs were obtained in the same image plane used for elastography by slicing through the gelatin and tissue phantom using external markers. We used digitized gross pathology photographs obtained at a specified slice thickness to compute the areas and volumes of the lesions. These measurements were then compared to the measurements obtained from the elastograms. RESULTS: In a sample of 40 thermal lesions, we obtained a correlation between in vitro elastographic and pathologic measurements of r = 0.9371 (p < 0.00001) for area estimates and r = 0.979 (p < 0.00001) for volume estimates. CONCLUSION: We found excellent correlation between the measurements of the dimensions, areas, and volumes of thermal lesions that were based on elastographic images and the measurements that were based on digitized pathologic images. When compared with digitized pathologic measurements, elastographic measurements showed a tendency to slightly underestimate both the areas and volumes of lesions. Nevertheless, elastography is a reliable technique for delineating thermal lesions resulting from radiofrequency ablation.

Animals↗

PubMedDate not supplied

Quantitative contrast harmonic ultrasound imaging of normal canine liver.

Eight adult dogs with no evidence of liver disease, weighing between 8 and 25 kg were imaged after injection of a microbubble contrast medium using harmonic ultrasound imaging. All dogs received three separate bolus contrast injections, and six dogs also received three separate constant rate infusions each. Time/Mean Pixel Value curves were generated for selected regions of the liver. Upslope, downslope, baseline, peak, change, and time to peak were calculated. For bolus injection (averaging all subjects), upslope was 3.85 +/- 1.50 Mean Pixel Values/s, downslope was -0.71 +/- 0.30 Mean Pixel Values/s, baseline was 72.38 +/- 17.82 Mean Pixel Values, peak was 120.26 +/- 17.44 Mean Pixel Value, change from baseline to peak was 47.88 +/- 6.92 Mean Pixel Values, time to peak (from injection) was 22.88 +/- 6.79 s, and time to peak (from first upslope) was 13.88 +/- 1.55 s. Data acquisition and analysis from constant rate infusions was more cumbersome than for bolus, and results were less repeatable. There were significant differences (p < .005) in upslope, downslope, peak values, and time to peak between the two methods. These baseline data may prove useful in the evaluation of dogs with diffuse hepatic disease.

Animals↗

PubMedDate not supplied

The effect of body wall on video signal analysis measurements.

Rectangular body wall specimens were extracted from 16 juvenile swine and 9 adult beagle hounds after euthanasia. The body wall specimen included the epidermis to parietal membrane, with falciform fat removed. Ten images of a reference phantom with known attenuation and 10 additional images of the phantom with the specimen placed between the transducer and phantom surface were collected with a 5-MHz ultrasound system and computer with frame grabber board. Mean pixel values were converted to relative echogenicities. Echogenicity versus depth yielded an estimate of attenuation. An unpaired t test was applied to compare reference attenuation values with and without body wall, and a Pearson correlation was applied to body wall parameters versus measured attenuation through body wall. Measured attenuation through body wall increased significantly in dogs (P = 0.0016) and swine (P < 0.0001) when compared with phantom material alone. Increased attenuation positively correlated to body wall thickness (r = 0.6442) and mean gray level within body wall (r = 0.5069) for swine but not in canine. The presence of body wall in images used for video signal analysis significantly increases the measured attenuation in a phantom. This increase does not correlate with a measurable body wall parameter in dogs.

Abdomen↗