Lateral speckle tracking using synthetic lateral phase

In traditional speckle tracking, lateral displacement (perpendicular to the beam direction) estimates are much less accurate than axial ones (along the beam direction). The accuracy of lateral tracking is very important whenever spatial derivatives of both axial and lateral displacements are required to give a full description of a two-dimensional (2-D) strain field. A number of methods have been proposed to improve lateral tracking by increasing the sampling rate in the lateral direction. We propose an alternate method using synthetic lateral phase (SLP). The algorithm, a direct analog of the phase zero-crossing approach used in axial displacement estimation, synthesizes the lateral phase first, then performs a zero-crossing detection on this synthetic phase to obtain lateral displacement estimates. The SLP is available by simply eliminating either the positive or negative half of the lateral spectrum of the original analytic signal. No new data need to be acquired for this procedure. This new algorithm was tested on both simulations and measurements from a cardiac phantom model. Results show that the method greatly improves the accuracy of lateral tracking, especially for low strain cases (< or =1%). The standard deviation of the estimation error of the lateral normal strain obtained with this approach has an approximate factor of 2-3 improvement for low strain cases. The conceptual and computational simplicity of this new method makes it a practical approach to improve lateral tracking for elasticity imaging.

Spatial coherence of backscatter for the nonlinearly produced second harmonic for specific transmit apodizations

To be successful, correlation-based, phase-aberration correction requires a high correlation among backscattered signals. For harmonic imaging, the spatial coherence of backscatter for the second harmonic component is different than the spatial coherence of backscatter for the fundamental component. The purpose of this work was to determine the effect of changing the transmit apodization on the spatial coherence of backscatter for the nonlinearly generated second harmonic. Our approach was to determine the effective apodizations for the fundamental and second harmonic using both experimental measurements and simulations. Two-dimensional measurements of the transverse cross sections of the finite-amplitude ultrasonic fields generated by rectangular and circular apertures were acquired with a hydrophone. Three different one-dimensional transmit apodization functions were investigated: uniform, Riesz, and trapezoidal. An effective apodization was obtained for each transmit apodization by backpropagating the values measured from within the transmit focal zone using a linear angular spectrum approach. Predictions of the spatial coherence of backscatter were obtained using the pulse-echo Van Cittert-Zernike theorem. In all cases the effective apodization at 2f was narrower than the transmit apodization. We demonstrate that certain transmit apodizations result in a greater spatial coherence of backscatter at the second harmonic than at the fundamental.

Sub-Tenon's block with an ultrashort cannula

PURPOSE

To evaluate the effectiveness and safety of an orbital block using an ultrashort, wide-bore blunt metal cannula to inject local anesthetic agents into the anterior sub-Tenon's space.

SETTING

Department of Ophthalmology, North Riding Infirmary, Middlesbrough, United Kingdom.

METHODS

Fifty-nine consecutive patients having routine phacoemulsification with intraocular lens implantation were studied. Five milliliters of lidocaine 2% with adrenaline 1:200000 and hyaluronidase 150 units was injected into the anterior sub-Tenon's space in the inferonasal quadrant via a 16-gauge, short (0.6 cm), blunt metal cannula. Horizontal and vertical movements were assessed before injection and 2, 4, and 6 minutes after injection (also at 8 and 10 minutes if akinesia was inadequate). The movements were scored from 0 (no movement) to 3 (full movement). Incyclotorsion and lid movements were assessed at the same intervals. In the first 15 patients, B-scan ultrasonography was performed before, during, and 2 minutes after the injection. If the aggregate akinesia score was higher than 4 at 6 minutes, a supplementary injection was given. Pain during the injection and surgery was assessed using a 10-point verbal rating score. The incidence, severity, and quadrant of chemosis and conjunctival hemorrhage were noted.

RESULTS

Forty-eight patients (81.35%) had an aggregate akinesia score lower than 4 at 2 minutes and 58 (98.30%) at 4 minutes. One patient had an akinesia score higher than 4 at 6 minutes and required supplementary injection. Incyclotorsion was present in 42 patients (72.88%) at 2 minutes and in 19 (32.20%) at 4 minutes. Lid opening (levator function) was present in 33 patients (55.93%) at 2 minutes and in 19 (32.20%) at 4 minutes. Lid closure (orbicularis function) was present in 34 patients (57.62%) at 2 minutes and in 18 (30.50%) at 4 minutes. One patient required a supplementary injection at 10 minutes. Ultrasonography showed the injection caused rapid opening of sub-Tenon's space, with fluid spreading around the optic nerve. No pain on injection occurred in 67.79% of patients; 17 (28.81%) had a verbal rating score of 1, 1 (1.69%) had a score of 3, and 1 had a score of 5. No patient reported pain during surgery. A minor degree of chemosis and conjunctival hemorrhage occurred in 43 patients and 37 patients, respectively. Moderate chemosis occurred in 15 cases and severe chemosis in 1 case.

CONCLUSIONS

Effective and predictable ocular anesthesia can be achieved using a blunt, ultrashort cannula for sub-Tenon's block. The technique greatly reduces the risks for globe perforation, muscle damage, and other serious complications.

Breast tomography with synchrotron radiation: preliminary results

A system for in vivo breast imaging with monochromatic x-rays has been designed and built at the synchrotron radiation facility Elettra in Trieste (Italy) and will be operational in 2004. The system design involves the possibility of performing both planar mammography and breast tomography. In the present work, the first results obtained with a test set-up for breast tomography are shown and discussed. Tomographic images of in vitro breasts were acquired using monochromatic x-ray beams in the energy range 20-28 keV and a linear array silicon pixel detector. Tomograms were reconstructed using standard filtered backprojection algorithms; the effect of different filters was evaluated. The attenuation coefficients of fibroglandular and adipose tissue were measured, and a quantitative comparison of images acquired at different energies was performed by calculating the differential signal-to-noise ratio of fibroglandular details in adipose tissue. All images required a dose comparable to the dose delivered in clinical, conventional mammography and showed a high resolution of the breast structures without the overlapping effects that limit the visibility of the structures in 2D mammography. A quantitative evaluation of the images proves that the image quality at a given dose increases in the considered energy range and for the considered breast sizes.

Supersonic shear imaging: a new technique for soft tissue elasticity mapping

Supersonic shear imaging (SSI) is a new ultrasound-based technique for real-time visualization of soft tissue viscoelastic properties. Using ultrasonic focused beams, it is possible to remotely generate mechanical vibration sources radiating low-frequency, shear waves inside tissues. Relying on this concept, SSI proposes to create such a source and make it move at a supersonic speed. In analogy with the "sonic boom" created by a supersonic aircraft, the resulting shear waves will interfere constructively along a Mach cone, creating two intense plane shear waves. These waves propagate through the medium and are progressively distorted by tissue heterogeneities. An ultrafast scanner prototype is able to both generate this supersonic source and image (5000 frames/s) the propagation of the resulting shear waves. Using inversion algorithms, the shear elasticity of medium can be mapped quantitatively from this propagation movie. The SSI enables tissue elasticity mapping in less than 20 ms, even in strongly viscous medium like breast. Modalities such as shear compounding are implementable by tilting shear waves in different directions and improving the elasticity estimation. Results validating SSI in heterogeneous phantoms are presented. The first in vivo investigations made on healthy volunteers emphasize the potential clinical applicability of SSI for breast cancer detection.

Measuring the nonlinear elastic properties of tissue-like phantoms

A direct mechanical system simultaneously measuring external force and deformation of samples over a wide dynamic range is used to obtain force-displacement curves of tissue-like phantoms under plain strain deformation. These measurements, covering a wide deformation range, then are used to characterize the nonlinear elastic properties of the phantom materials. The model assumes incompressible media, in which several strain energy potentials are considered. Finite-element analysis is used to evaluate the performance of this material characterization procedure. The procedures developed allow calibration of nonlinear elastic phantoms for elasticity imaging experiments and finite-element simulations.

Comparison of stress field forming methods for vibro-acoustography

Vibro-acoustography is a method that produces images of the acoustic response of a material to a localized harmonic motion generated by ultrasound radiation force. The low-frequency, oscillatory radiation force (e.g., 10 kHz) is produced by amplitude modulating a single ultrasound beam, or by interfering two beams of slightly different frequencies. Proper beam forming for the stress field of the probing ultrasound is very important because it determines the resolution of the imaging system. Three beam-forming geometries are studied: amplitude modulation, confocal, and x-focal. The amplitude of radiation force on a unit point target is calculated from the ultrasound energy density averaged over a short period of time. The profiles of radiation stress amplitude on the focal plane and on the beam axis are derived. The theory is validated by experiments using a small sphere as a point target. A laser vibrometer is used to measure the velocity of the sphere, which is proportional to the radiation stress exerted on the target as the transducer is scanned over the focal plane or along the beam axis. The measured velocity profiles match the theory. The theory and experimental technique may be useful in future transducer design for vibro-acoustography.

[Visualization of the parapharyngeal space of the Chinese visible human]

OBJECTIVE

To build digitized visible model of the parapharyngeal space(PPS) of Chinese visible human.

METHOD

Cross-sectional images from the Chinese visible human data set were reviewed and the structures of the parapharyngeal space were confirmed on a section-by-section basis. Three-dimensional computer reconstructions of the parapharyngeal space and surrounding structures were generated from these data using PC and imaging software.

RESULT

The three-dimensional reconstructed images displayed perfectly the anatomical relationships of the parapharyngeal space, parotid, muscles, mandible and vessels. All reconstructed structures can be represented individually or jointly, any diameter and angle of the structures reconstructed could be measured conveniently.

CONCLUSION

The Chinese visible human data set can provide complete and accurate data. The digitized model of the parapharyngeal space and its surroundings offer unique insights into the complex anatomy, and provide morphological data for image diagnosis and operation of the parapharyngeal space.

Comparing elastographic strain images with modulus images obtained using nanoindentation: preliminary results using phantoms and tissue samples

Conventional elastography involves quasistatic mechanical compression (external or internal) of the tissue under ultrasonic insonification to obtain radiofrequency (RF) A-lines before and after compression. Cross-correlation of the pre- and postcompression A-lines results in displacement images with axial gradients that produce the strain images (strain elastograms). Though the strain elastograms show structural similarities to the modulus images, they are not related in a simple way to the modulus images because the strains depend on both modulus and geometry of the materials being deformed. Therefore, a quantification of the similarities between the strain and modulus images may enhance the interpretation confidence of strain elastograms in depicting tissue structure. To demonstrate similarities between modulus images and strain elastograms, a feasibility study of using nanoindentation to obtain modulus images of thin slices of tissue and tissue-mimicking phantoms (agar-gelatin mixtures) was performed first, with encouraging results. This was followed by a comparison of modulus images and strain elastograms obtained from the same sample slices. The experimental results indicated that, under certain experimental conditions, it is feasible to perform quantitative comparisons between strain images (using elastography) and modulus images. A good visual, as well as quantitative, correspondence between structures in the modulus and strain images could be obtained at a 3-mm scale.

Acoustic signatures of submicron contrast agents

Previous studies have revealed that hard-shelled submicron contrast agents exhibit large relative expansions and strong acoustical echoes that can be observed experimentally, and predicted by theoretical simulations. In this paper, we study harmonic imaging and pulse-pair imaging techniques designed to assist in the differentiation of these contrast agents from tissue. For harmonic imaging, we apply a high-sensitivity, narrowband strategy that differentiates the microbubble from tissue based on the generation of strong harmonic echoes. For pulse-pair imaging, we apply high spatial resolution, wideband strategies using phase inversion, which relies on the frequency differences observed in response to phase-inverted pulses, and signal subtraction, which takes advantage of the amplitude differences in response to identical pulses. The bubble-to-phantom signal amplitude ratio in the absence of motion approaches 20 dB using phase inversion and 30 dB using signal subtraction; both techniques are robust for up to 50 microm of simulated motion. With the experience gained in these studies, we hope to advance the development of multi-pulse or shaped-pulse techniques that are optimized for specific clinical applications.

The use of the compound probability density function in ultrasonic tissue characterization

Recently, a compound probability density function (pdf) was proposed to model the envelope of the ultrasonic backscattered echo from tissues. This pdf will allow local and global variations in scattering cross sections and even multiple scattering in tissue. It approximates to the Nakagami, K or Rayleigh distributions under different limiting conditions, thus making it very versatile. In this work, a new parameter associated with compound pdf, speckle factor, has been introduced to characterize the scattering conditions. The usefulness of this parameter for tissue characterization has been explored through computer simulation of ultrasonic A scans and analyses of the data collected from tissue-mimicking phantoms. Results suggest the potential applications of the compound pdf and its parameters in ultrasonic tissue characterization.

Thermal contribution of compact bone to intervening tissue-like media exposed to planar ultrasound

The presence of bone in the ultrasound beam path raises concerns, both in diagnostic and therapeutic applications, because significant temperature elevations may be induced at nearby soft tissue-bone interfaces due the facts that ultrasound is (i) highly absorbed in bone and (ii) reflected at soft tissue-bone interfaces in various degrees depending on angle of incidence. Consequently, in ultrasonic thermal therapy, the presence of bone in the ultrasound beam path is considered a major disadvantage and it is usually avoided. However, based on clinical experience and previous theoretical studies, we hypothesized that the presence of bone in superficial unfocused ultrasound hyperthermia can actually be exploited to induce more uniform and enhanced (with respect to the no-bone situation) temperature distributions in superficial target volumes. In particular, we hypothesize that the presence of underlying bone in superficial target volume enhances temperature elevation not only by additional direct power deposition from acoustic reflection, but also from thermal diffusion from the underlying bone. Here we report laboratory results that corroborate previous computational studies and strengthen the above-stated hypothesis. Three different temperature measurement techniques, namely, thermometric (using fibre-optic temperature probes), thermographic (using an infrared camera) and magnetic resonance imaging (using proton resonance frequency shifts), were used in high-power short-exposure, and in low-power extended-exposure, experiments using a 19 mm diameter planar transducer operating at 1.0 and 3.3 MHz (frequencies of clinical relevance). The measurements were performed on three technique-specific phantoms (with and without bone inclusions) and experimental set-ups that resembled possible superficial ultrasound hyperthermia clinical situations. Results from all three techniques were in general agreement and clearly showed that significantly higher heating rates (greater than fourfold) were induced in soft tissue-like phantom materials adjacent (within approximately 5 mm) to a bovine bone as compared to similar experiments without bone inclusions. For low-power long-exposure experiments, where thermal conduction effects are significant, the thermal impact of bone reached at distances > 10 mm from the bone surface (upstream of the bone). Therefore, we hypothesize that underlying bone exposed to planar ultrasound hyperthermia creates a high-temperature thermal boundary at depth that compensates for beam attenuation, thus producing more uniform temperature distribution in the intervening tissue layers. With appropriate technology, this finding may lead to improved thermal doses in superficial treatment sites such as the chest wall and the head/neck.

Idiopathic bone cavity: a clinical, radiographic, and histological study

The aim of the present study was to evaluate the clinical, radiographic and histological characteristics of idiopathic bone cavities from the Oral Pathology archives at Universidade Federal de Minas Gerais. Forty-three cases were retrieved. Age, sex, some radiographic variables and morphological variables measured of the connective tissue, were studied. The results showed the men who developed cavities tended to be younger than women (median 16 years (range 11-48) compared with 18 (12-64)). Radiographically rounded lesions that were single, unilocular, and small were more common in younger patients. While rounded cavities occurred mainly in the anterior region, cavities with interdental scalloping occurred in the posterior area. The median age of the patients with thin connective tissue on the wall of the bony cavity was lower than that of those with a thicker lining. In conclusion, the present study shows that there is a significant relation between age and sex, radiographic and histological variables. These findings may contribute to the diagnosis of idiopathic bone cavities.

Visual and quantitative evaluation of selected image combination schemes in ultrasound spatial compound scanning

Multi-angle spatial compound images are normally generated by averaging the recorded single-angle images (SAIs). To exploit possible advantages associated with alternative combination schemes, this paper investigates both the effect of number of angles (Ntheta) as well as operator (mean, median, mean-excluding-maximum (mem), root-mean-square (rms), geometric mean and maximum) on image quality (tissue delineation and artifacts), speckle signal-to-noise ratio (SNRs) and contrast. The evaluation is based on in vitro SAI (+/-21 degrees in steps of delta theta = 7 degrees) of formalin fixed porcine tissue containing adipose, connective and muscular tissue. Image quality increased with number of angles up to +/-14 degrees after which the improvements became debatable. The mem and median operators, which try to render the images more quantitatively correct by suppressing strong echoes from specular reflectors, provide some improvement in this regard. When combining the SAI with the mean operator, the SNR, increases--in general--with Ntheta. For Ntheta = 2, the SNRs increases with delta theta as expected. When Ntheta = 7, the highest SNRs is obtained for the mem, rms, and geometric mean operators, while the lowest SNRs is obtained for the maximum operator. When comparing SNRs for adipose and fibrous tissue, the level is close to 1.91 for adipose tissue but only 1.7 for fibrous tissue which contain relatively few organized scattering structures.

Selected methods for imaging elastic properties of biological tissues

For millennia, physicians have used palpation as a part of the physical examination to detect pathology. The ubiquitous presence of "stiffer" tissue associated with pathology often represents an early warning sign for disease, as in the cases of breast or prostate cancer. Very often tumors are found at surgery that were occult even with modern imaging instruments. This implies that methods for estimating "hardness" of tissues would add a weapon to the medical armamentarium. To this end, this review discusses several methods of estimating tissue hardness using internal or external means of applying stress (force per unit area) and several associated methods of detecting the resulting strain (fractional length change) in an effort to image a tissue mechanical property, such as Young's modulus (ratio of stress to strain). Some investigators have developed methods of estimating stiffness or modulus, but most methods result in qualitative images of stiffness. Nevertheless, such estimates may add a great deal of information not currently available to the current field of medical imaging.

Positron flight in human tissues and its influence on PET image spatial resolution

The influence of the positron distance of flight in various human tissues on the spatial resolution in positron emission tomography (PET) was assessed for positrons from carbon-11, nitrogen-13, oxygen-15, fluorine-18, gallium-68 and rubidium-82. The investigation was performed using the Monte Carlo code PENELOPE to simulate the transport of positrons within human compact bone, adipose, soft and lung tissue. The simulations yielded 3D distributions of annihilation origins that were projected on the image plane in order to assess their impact on PET spatial resolution. The distributions obtained were cusp-shaped with long tails rather than Gaussian shaped, thus making conventional full width at half maximum (FWHM) measures uncertain. The full width at 20% of the maximum amplitude (FW20M) of the annihilation distributions yielded more appropriate values for root mean square addition of spatial resolution loss components. Large differences in spatial resolution losses due to the positron flight in various human tissues were found for the selected radionuclides. The contribution to image blur was found to be up to three times larger in lung tissue than in soft tissue or fat and five times larger than in bone tissue. For (18)F, the spatial resolution losses were 0.54 mm in soft tissue and 1.52 mm in lung tissue, compared with 4.10 and 10.5 mm, respectively, for (82)Rb. With lung tissue as a possible exception, the image blur due to the positron flight in all human tissues has a minor impact as long as PET cameras with a spatial resolution of 5-7 mm are used in combination with (18)F-labelled radiopharmaceuticals. However, when ultra-high spatial resolution PET cameras, with 3-4 mm spatial resolution, are applied, especially in combination with other radionuclides, the positron flight may enter as a limiting factor for the total PET spatial resolution--particularly in lung tissue.

Ultrasound wave propagation in tissue and scattering from microbubbles for echo particle image velocimetry technique

Nonlinear wave propagation in tissue can be employed for tissue harmonic imaging, ultrasound surgery, and more effective tissue ablation for high intensity focused ultrasound (HIFU). Wave propagation in soft tissue and scattering from microbubbles (ultrasound contrast agents) are modeled to improve detectability, signal-to-noise ratio, and contrast harmonic imaging used for echo particle image velocimetry (Echo-PIV) technique. The wave motion in nonlinear material (tissue) is studied using KZK-type parabolic evolution equation. This model considers ultrasound beam diffraction, attenuation, and tissue nonlinearity. Time-domain numerical model is based on that originally developed by Lee and Hamilton [J. Acoust. Soc. Am 97:906-917 (1995)] for axi-symmetric acoustic field. The initial acoustic waveform emitted from the transducer is assumed to be a broadband wave modulated by Gaussian envelope. Scattering from microbubbles seeded in the blood stream is characterized. Hence, we compute the pressure field impinges the wall of a coated microbubble; the dynamics of oscillating microbubble can be modeled using Rayleigh-Plesset-type equation. Here, the continuity and the radial-momentum equation of encapsulated microbubbles are used to account for the lipid layer surrounding the microbubble. Numerical results show the effects of tissue and microbubble nonlinearities on the propagating pressure wave field. These nonlinearities have a strong influence on the waveform distortion and harmonic generation of the propagating and scattering waves. Results also show that microbubbles have stronger nonlinearity than tissue, and thus improves S/N ratio. These theoretical predictions of wave phenomena provide further understanding of biomedical imaging technique and provide better system design.

Prediction of difficult laryngoscopy in obese patients by ultrasound quantification of anterior neck soft tissue

In 50 morbidly obese patients, we quantified the soft tissue of the neck from the skin to the anterior aspect of the trachea at the vocal cords using ultrasound. Thyromental distance, mouth opening, limited neck mobility, modified Mallampati score, abnormal upper teeth, neck circumference and sleep apnoea were assessed as predictors of difficult laryngoscopy. Of the nine (18%) cases of difficult laryngoscopy, seven (78%) had a history of obstructive sleep apnoea, compared with two of the 41 patients (5%) in whom laryngoscopy was easy (p < 0.001). Patients in whom laryngoscopy was difficult had more pretracheal soft tissue (mean (SD) 28 (2.7) mm vs. 17.5 (1.8) mm; p < 0.001) and a greater neck circumference (50 (3.8) vs. 43.5 (2.2) cm; p < 0.001). None of the other predictors correlated with difficult laryngoscopy. We conclude that an abundance of pretracheal soft tissue at the level of the vocal cords is a good predictor of difficult laryngoscopy in obese patients.

Truth cube: establishing physical standards for soft tissue simulation

Accurate real-time models of soft tissue behavior are key elements in medical simulation systems. The need for fast computation in these simulations, however, often requires simplifications that limit deformation accuracy. Validation of these simplified models remains a challenge. Currently, real-time modeling is at best validated against finite element models that have their own intrinsic limitations. This study develops a physical standard to validate real-time soft tissue deformation models. We took CT images of a cube of silicone rubber with a pattern of embedded Teflon spheres that underwent uniaxial compression and spherical indentation tests. The known material properties, geometry and controlled boundary conditions resulted in a complete set of volumetric displacement data. The results were compared to a finite element model analysis of identical situations. This work has served as a proof of concept for a robust physical standard for use in validating soft tissue models. A web site has been created to provide access to our database: http://biorobotics.harvard.edu/truthcube/ (soon to be http://www.truthcube.org).

Time-domain reconstruction algorithms and numerical simulations for thermoacoustic tomography in various geometries

In this paper, we present time-domain reconstruction algorithms for the thermoacoustic imaging of biological tissues. The algorithm for a spherical measurement configuration has recently been reported in another paper. Here, we extend the reconstruction algorithms to planar and cylindrical measurement configurations. First, we generalize the rigorous reconstruction formulas by employing Green's function technique. Then, in order to detect small (compared with the measurement geometry) but deeply buried objects, we can simplify the formulas when two practical conditions exist: 1) that the high-frequency components of the thermoacoustic signals contribute more to the spatial resolution than the low-frequency ones, and 2) that the detecting distances between the thermoacoustic sources and the detecting transducers are much greater than the wavelengths of the high-frequency thermoacoustic signals (i.e., those that are useful for imaging). The simplified formulas are computed with temporal back projections and coherent summations over spherical surfaces using certain spatial weighting factors. We refer to these reconstruction formulas as modified back projections. Numerical results are given to illustrate the validity of these algorithms.

Nonosseous abnormalities on bone scans

Although bone scanning is a test primarily concerned with skeletal abnormalities, important nonosseous findings are occasionally present on the images. To gauge the significance of such nonosseous uptake and, in particular, to determine whether these findings contain useful diagnostic information, the technical and medical staff in nuclear medicine must recognize the various patterns of nonbony uptake and understand their causes. The objectives of this article are to demonstrate the appearances of nonosseous uptake on bone scans, to categorize the forms of soft-tissue uptake, to emphasize technical artifacts leading to soft-tissue uptake, and to highlight the clinical significance of pathologic soft-tissue uptake.

Segmentation-free statistical image reconstruction for polyenergetic x-ray computed tomography with experimental validation

This paper describes a statistical image reconstruction method for x-ray CT that is based on a physical model that accounts for the polyenergetic x-ray source spectrum and the measurement nonlinearities caused by energy-dependent attenuation. Unlike our earlier work, the proposed algorithm does not require pre-segmentation of the object into the various tissue classes (e.g., bone and soft tissue) and allows mixed pixels. The attenuation coefficient of each voxel is modelled as the product of its unknown density and a weighted sum of energy-dependent mass attenuation coefficients. We formulate a penalized-likelihood function for this polyenergetic model and develop an iterative algorithm for estimating the unknown density of each voxel. Applying this method to simulated x-ray CT measurements of objects containing both bone and soft tissue yields images with significantly reduced beam hardening artefacts relative to conventional beam hardening correction methods. We also apply the method to real data acquired from a phantom containing various concentrations of potassium phosphate solution. The algorithm reconstructs an image with accurate density values for the different concentrations, demonstrating its potential for quantitative CT applications.

Post-beamforming second-order Volterra filter for pulse-echo ultrasonic imaging

We present a new algorithm for deriving a second-order Volterra filter (SVF) capable of separating linear and quadratic components from echo signals. Images based on the quadratic components are shown to provide contrast enhancement between tissue and ultrasound contrast agents (UCAs) without loss in spatial resolution. It is also shown that the quadratic images preserve the low scattering regions due to their high dynamic range when compared with standard B-mode or harmonic images. A robust algorithm for deriving the filter has been developed and tested on real-time imaging data from contrast and tissue-mimicking media. Illustrative examples from image targets containing contrast agent and tissue-mimicking media are presented and discussed. Quantitative assessment of the contrast enhancement is performed on both the RF data and the envelope-detected log-compressed image data. It is shown that the quadratic images offer levels of enhancement comparable or exceeding those from harmonic filters while maintaining the visibility of low scattering regions of the image.

Hyperplastic callus formation in osteogenesis imperfecta

A case of a child with the hyperplastic callus formation in association with osteogenesis imperfecta is presented. The soft tissue mass arising at the site of femoral fracture was clinically and radiologically suspected to be a hyperplastic callus, although a possibility of osteosarcoma could not be completely excluded. A drill biopsy of the soft tissue mass was performed which showed osteocartilaginous callus. The soft tissue mass disappeared following biopsy. This occurrence is also reported in previously described cases.