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Biomedical subjects

R C Waag

Publications and source records attributed to R C Waag.

At least 37 records · Page 2Linked to original sources

Measurements of ultrasonic pulse arrival time differences produced by abdominal wall specimens.

The influence of propagation medium inhomogeneities on pulsatile ultrasonic fields has been investigated experimentally. The study employed a special curved transducer to produce a hemispherical wave pulse and a linear array to measure the resulting field along a line in a plane. Translation of the array in the elevation direction yielded data over a two-dimensional aperture. Time delay across the aperture was calculated by adding delay differences obtained by cross-correlating signals on adjacent elements and noting the position of the cross-correlation peaks. Received waveforms were shifted an amount given by the difference between the actual arrival time and a calculated geometric delay to isolate arrival time differences due to propagation path inhomogeneities. Waveform and time delay difference plots as well as histograms and statistics derived from them for propagation through a water path and for propagation through five specimens of human abdominal wall indicate that arrival time fluctuations in the presence of human abdominal wall specimens are significantly greater than for a water path and that degradation in focusing through human abdominal wall can be expected in ultrasonic imaging systems that operate in the low megahertz range and employ a relatively large aperture.

Abdominal Muscles↗

Characterization of measurement system effects in ultrasonic scattering experiments.

A general model is developed to characterize the effect of an ultrasonic measurement system on the experimental determination of ultrasonic scattering as a function of angle and frequency. The model includes arbitrary emitter beams and detector apertures as angular spectra of plane waves. Arbitrary emitted pulses and detector time gates are incorporated through frequency spectra of temporal harmonics. A transformation of variables is employed to express the spectrum of the measured pressure as a product in wave space of a system function and the Fourier transform of the medium variations. The mean-square value of the measured pressure spectrum is similarly expressed as a product of the squared magnitude of the system function and the power spectrum of the medium variations. The measured quantities are shown to become scaled values of intrinsic scattering characteristics when the system function weight is concentrated relative to the medium characteristics in wave space. The assumption of an indefinitely long detector gate is used to represent the system function as a product in which one factor is a beam function dependent on spatial frequency and the other factors are dependent on temporal frequency. Beam-function calculations as well as calculations of second moments and overall beam weight are made for identical Gaussian-shaped emitter and detector apertures to illustrate the blurring and weighting effects of measurement system beam patterns as a function of scattering angle. The moment calculations are shown to identify circumstances when the medium variation function can be factored out from under the integral and the measurement represented as a simple product of the medium properties and a measurement system weight. The results may be used to design scattering experiments in which degradations due to system effects are within acceptable limits.

Computer Simulation↗

Estimates of wave front distortion from measurements of scattering by model random media and calf liver.

An expression based on a perturbation method is employed to estimate the correlation of path length difference in a plane normal to the direction of wave propagation from measurements of ultrasonic scattering by model random media and calf liver. The expression gives the correlation function of path length difference in terms of an integral of the correlation function of the medium variations or an equivalent integral of the power spectrum of medium variations, both for a scattering angle of zero degrees. Power spectra derived from measurements of average differential scattering cross section over a spatial-frequency window are used to fit analytic functions that extend over all spatial frequencies. The results for the windowed and unwindowed data yield correlation functions and corresponding power spectra that are used to estimate the correlation function of path length difference. The results suggest that the correlation length in calf liver is less than 100 microns and that a root-mean-square path length variation of about 20 microns results from propagation through a 100-mm calf liver path.

Animals↗

Spectral power determinations of compressibility and density variations in model media and calf liver using ultrasound.

A model of scattering is used to relate average differential scattering cross section and power spectra of scattering medium variations. The model expresses the average differential scattering cross section as a sum of the power spectrum of medium compressibility variations, the power spectrum of density variations weighted by the square of the cosine of the scattering angle, and the cross-power spectrum of compressibility and density variations weighted by twice the cosine of the scattering angle. Known values of the average differential scattering cross section at a minimum of three different scattering angles and temporal frequencies corresponding to the same spatial frequency are used to calculate each of the three power spectra. Since noise and statistical fluctuations are present in actual measurements of average differential scattering cross section, the calculations of power spectra are obtained from an overdetermined set of equations to which a solution is found by using a singular value decomposition. Data derived from a model for scattering from a cloud of correlated particles are employed to show the influence of additive noise. Calculations are also made from measurements of scattering from three suspensions of particles that have a different average radius in each suspension but are similarly modeled by scattering from a cloud. Additionally, the calculations are applied to measurements of average differential scattering cross section of calf liver. The results show that determination of the power spectra of scattering medium variations can be made under practical conditions, and also imply that density variations contribute significantly to scattering by calf liver.

Animals↗

Sequential topographical portrayal of myocardial blood flow.

Methods to portray myocardial blood flow in a two-dimensional continuum are advantageous in that they allow blood flow history to be overlaid on histological or histochemical descriptions of the consequences of ischemia. We describe here autoradiographic methods that allow such portrayals at three separate times during the evolution of ischemic injury. A computer-based image-analysis system was used to derive such flow maps by taking advantage of the physical characteristics of radioactive isotopes.

Animals↗

In vivo and in vitro ultrasound beam distortion measurements of a large aperture and a conventional aperture focussed transducer.

Ultrasound focussing through human tissue of thicknesses varying from 10 mm to 35 mm has been measured for two transducers with diameters 50 mm and 19 mm both focussed at 50 mm (f/1 and f/2.6, respectively). Comparisons are made between the two-way focal depth beam patterns obtained in water and those obtained after passage through tissue to study the degrading effects of frequency-dependent attenuation and inhomogeneities, and their dependence on aperture size. The effects of frequency-dependent attenuation is to broaden the beam and shorten the focal distance. Inhomogeneities mainly increase the sidelobe levels and cause deviations from the central beam axis. A direct comparison of the beam patterns of the two transducers after passage through the same tissue samples shows that the resolution is improved by using the larger aperture. The use of the larger transducer in the in vitro measurements on three human liver specimens demonstrated an average improvement in the -6 dB beamwidth, over the smaller transducer, of 42% (standard deviation +/- 3%). The average improvement in the in vivo measurements on ten female breasts was 34% (standard deviation +/- 5%). The measured improvement in water was 52%. Therefore, the measured resolution improvement in tissue is approximately 2/3 of that obtained in water. The results indicate that for an f/1 transducer with a focal depth of 50 mm the upper limit of maximum useful aperture size has not been reached.

Animals↗

Wave space interpretation of scattered ultrasound.

Wave space is described nonmathematically for design and interpretation of ultrasound scattering experiments. By considering ultrasound scattering from a variety of targets and geometries, the wave space approach is shown to describe target characteristics in terms of spatial frequencies and their amplitudes. Experimental limitations for determining effective spacing of scattering structures and scattering medium anisotropy are discussed.

Biophysical Phenomena↗

In-vivo measurements of ultrasound attenuation in normal or diseased liver.

Ultrasonic attenuation coefficients of liver have been derived from echoes received by a modified commercial B-scan imaging instrument. Values have been measured from selected regions within liver scans of 59 individuals, of which 15 cases were presumed normal (based on medical histories), and the remainder were involved with diffuse liver disease such as alcoholic cirrhosis, chemotherapy toxicity, chronic hepatitis, and liver metastases. Medical histories on most individuals include the results of serum liver function enzymes, conventional B-scan examinations, and exposure to drugs and alcohol. The results of CT abdominal scans (N = 13) and/or liver biopsy (N = 12) were also available. The results show that normal attenuation values for human liver are 0.054 +/- 0.009 Np/cm-MHz (0.47 dB/cm-MHz) with a frequency dependence of fn, where n = 1.05 +/- 0.25, in agreement with in vitro studies of mammalian liver. In diffuse liver disease, no relationship was found between the attenuation coefficient and the results of CT or conventional ultrasonic examination. A trend towards higher attenuation with increased fibrosis and fat, as graded from liver biopsies, was noted, but the results were generally not statistically significant. However, a significant correlation was found between high values of attenuation and abnormal liver function tests. High attenuation is also found with ingestion of alcohol, chemotherapeutic agents, and steroids, all of which may affect liver composition.

Adolescent↗

A practical approach to ultrasonic imaging using diffraction tomography.

A technique for ultrasonic imaging based on the theory of diffraction tomography is presented. The method utilizes a fixed, circular configuration of transmitters and detectors. This configuration was selected because it avoids many practical limitations associated with the design of a medical imaging device. Practical considerations also motivated the inclusion of effects associated with the transmitter beam pattern rather than pursuing the more conventional approach in which plane-wave illumination is required. In addition, the problem of separately imaging both density and compressibility variations is considered.

Humans↗

Ultrasonic scattering by two concentric cylinders.

A series solution for scattering from two concentric, fluid cylinders of different speeds and densities has been employed to compute the scattered pressure for a range of frequencies, material parameters, and emitter and detector functions. This range includes the nominal parameters of measurements that were made at a frequency of 1.0 MHz and a radius of 150 mm on a gel model with an outer radius of 25.00 mm and an inner radius of 9.52 mm. The nominal parameters correspond to a ka of 626.2 for the measurement radius, a ka of 106.0 for the outer cylinder, and a ka of 39.8 for the inner cylinder. Scattering was calculated for frequencies for 10 kHz to 10 MHz which resulted in ka values from 6.26 to 6262 for the measurement radius, from 1.06 to 1060 for the outer cylinder, and from 0.398 to 398 for the inner cylinder. The effects on scattering of changes in speed and density parameters of the concentric cylinders are presented. First, the speed of the outer cylinder was raised by a factor of 10 from the nominal while the density of the outer cylinder and the speeds and densities of the inner cylinder and the surrounding medium were held fixed. Next, the density of the outer cylinder was raised while its speed was fixed at nominal, as were the speeds and densities of the inner cylinder and the medium. Finally, the speed first and then the density of the inner cylinder was raised while the parameters of the outer cylinder and of the medium were held fixed at nominal.(ABSTRACT TRUNCATED AT 250 WORDS)

Gels↗

High-frequency attenuation measurements using an acoustic microscope.

An acoustic microscope was used to measure excess attenuation of aqueous solutions of sugars and proteins at 1.0 GHz. Interference pattern spacing and peak amplitude reduction of V(z) curves, obtained with these solutions as the acoustic microscope coupling liquid, were related to the solution wavespeed and attenuation, respectively. Consistent with published results for lower frequencies, solutions with molecular weight greater than 10,000 had a higher specific absorption than those with a molecular weight less than 1000 and within these two molecular weight ranges specific absorption was independent of concentration.

Absorption↗

Compensation for receiver bandpass effects on ultrasonic backscatter power spectra using a random medium reference.

A linear model of an ultrasonic pulse-echo system is used to express the measured power spectrum as the product of a scattering medium power spectrum and a transfer function accounting for system effects. Transfer functions are experimentally determined for multiple ranges using a random medium reference. Measured power spectra normalized by these functions are shown to be in close agreement with theoretical power spectra both in shape and absolute magnitude. The results indicate that the model allows scattering media to be distinguished when the media backscatter characteristics differ in the bandwidth of the measurement system.

Models, Theoretical↗

Doppler ultrasound in aortic stenosis: in vitro studies of pressure gradient determination.

Torricelli's equation expresses a simple relationship between fluid velocity and pressure gradient in orifice flow and is currently used in conjunction with noninvasive Doppler ultrasound to determine gradients in mitral stenosis, and aortic stenosis, as well as other cardiovascular orifices. In theory, however, the Torricelli equation overestimates the gradient in aortic stenosis and the Borda equation should be more applicable. A brief tutorial derivation of the Borda and Torricelli equations is presented. The applicability of Torricelli's equation in aortic stenosis was studied experimentally with a rigid wall, pulsatile flow analogue. Doppler ultrasound and manometric data were collected simultaneously. Percent stenosis, peak flow rate and fluid viscosity were varied. The results demonstrated that the Torricelli equation consistently overestimated the pressure gradient. At 61% area stenosis, the overestimation exceeded 100%. In vivo studies are required to determine the relevance of the observations to clinical situations.

Aortic Valve Stenosis↗

Ultrasonic scattering properties of three random media with implications for tissue characterization.

Random media with different structural properties were used to simulate some of the differences in liver morphology that may occur with disease. First, a reference medium consisting of glass spheres in agar was studied to verify the accuracy and precision of the data obtained with our equipment and processing procedures. Then, studies were conducted on a pair of media comprised of graphite particles in gelatin, one of the pair with twice as many particles as the other. Finally, studies were carried out on a set of media composed of Sephadex particles in water. Three samples were employed, each with a different size of Sephadex. The average differential scattering cross section per unit volume sigma sd (v) of each media was obtained as a function of scattering angle v and frequency. The measured sigma sd were compared with predictions based on models of scattering from the media. The agreement between the measured and predicted sigma sd of the glass sphere medium was excellent. The graphite medium with twice the number of particles as the other was observed to scatter twice as much power as the other. The shape of the angular scattering pattern measured from each size of Sephadex followed the prediction reasonably well. The largest size exhibited marked variations in the shape of sigma sd as a function of frequency, while the absolute magnitude of sigma sd of the smallest size grade was extremely sensitive to frequency. Our results suggest that the dependence of sigma sd (v) on scatterer number density and size, both in absolute magnitude and shape, can provide reliable information which may be useful in the diagnosis of some diseases.

Humans↗

Attenuation of ultrasound: magnitude and frequency dependence for tissue characterization.

Backscattered ultrasonic waveforms from selected regions of the liver were collected from B-scans of 11 male patients ranging from 13 to 41 years of age and analyzed to determine local values of both the magnitude and frequency dependence of attenuation. Processing was based on frequency domain analysis and also incorporated precise corrections for time-varying gain, nonlinear amplifier compression, and beam diffraction, which would otherwise degrade accuracy. The results demonstrate that (a) consistent and reproducible measurements of attenuation from one scan to the next are possible within a given patient, and (b) frequency dependence can deviate significantly from the linear relationship between frequency and attenuation commonly assumed for soft tissue. Based on the accuracy of the overall analysis and the reproducibility of the results, the authors suggest that a multivariate approach to clinical tissue characterization using both the magnitude and frequency dependence of ultrasonic attenuation may be possible.

Adolescent↗