A surface wave elastography technique for measuring tissue viscoelastic properties

Ultrasonic surface acoustic wave elastography: A review of basic theories, technical developments, and medical applications

Physiological and pathological changes in tissues often cause changes in tissue mechanical properties, making tissue elastography an effective modality in medical imaging. Among the existing elastography methods, ultrasound elastography is of great interest due to the inherent advantages of ultrasound imaging technology, such as low cost, portability, safety, and wide availability. However, most current ultrasound elastography methods are based on the bulk shear wave; they can image deep tissues but cannot image superficial tissues. To address this challenge, ultrasonic elastography methods based on surface acoustic waves have been proposed. In this paper, we present a comprehensive review of ultrasound-based surface acoustic wave elastography techniques, including their theoretical foundations, technical implementations, and existing medical applications. The goal is to provide a concise summary of the state-of-the-art of this field, hoping to offer a reliable reference for the further development of these techniques and foster the expansion of their medical applications.

Mechanical characterization of human skin-A non-invasive digital twin approach using vibration-response integrated with numerical methods

This paper proposes an innovative approach to identify elastic material properties and mass density of soft tissues based on interpreting their mechanical vibration response, externally excited by a mechanical indenter or acoustic waves. A vibration test is performed on soft sheets to measure their response to a continuous range of excitation frequencies. The frequency responses are collected with a pair of high-speed cameras in conjunction with 3-D digital image correlation (DIC). Two cases are considered, including suspended/fully-free rectangular neoprene sheets as artificial tissue cutout samples and continuous layered human skin vibrations. An efficient theoretical model is developed to analytically simulate the free vibrations of the neoprene artificial sheet samples as well as the continuous layered human skins. The high accuracy and validity of the presented analytical simulations are demonstrated through comparison with the DIC measurements and the conducted frequency tests, as well as a number of finite element (FE) modeling. The developed analytical approach is implemented into a numerical algorithm to perform an inverse calculation of the soft sheets' elastic properties using the imported experimental vibration results and the predicted system's mass via the system equivalent reduction/expansion process (SEREP) method. It is shown that the proposed frequency-dependent inverse approach is capable of rapidly predicting the material properties of the tested samples with high accuracy.

Surface wave analysis of the skin for penetrating and non-penetrating projectile impact in porcine legs

Secondary blast injuries may result from high-velocity projectile fragments which ultimately increase medical costs, reduce active work time, and decrease quality of life. The role of skin penetration requires more investigation in energy absorption and surface mechanics for implementation in computational ballistic models. High-speed ballistic penetration studies have not considered penetrating and non-penetrating biomechanical properties of the skin, including radial wave displacement, resultant surface wave speed, or projectile material influence. A helium-pressurized launcher was used to accelerate 3/8″ (9.525 mm) diameter spherical projectiles toward seventeen whole porcine legs from seven pigs (39.53 ± 7.28 kg) at projectile velocities below and above V₅₀. Projectiles included a mix of materials: stainless steel (n = 26), Si₃N₄ (n = 24), and acetal plastic (n = 24). Tracker video analysis software was used to determine projectile velocity at impact from the perpendicular view and motion of the tissue displacement wave from the in-line view. Average radial wave displacement and surface wave speed were calculated for each projectile material and categorized by penetrating or non-penetrating impacts. Two-sample t-tests determined that non-penetrating projectiles resulted in significantly faster surface wave speeds in porcine skin for stainless steel (p = 0.002), plastic (p = 0.004), and Si₃N₄ ball bearings (p = 0.014), while ANOVA determined significant differences in radial wave displacement and surface wave speed between projectile materials. Surface wave speed was used to quantify mechanical properties of the skin including elastic modulus, shear modulus, and bulk modulus during ballistic impact, which may be implemented to simulate accurate deformation behavior in computational impact models.

Photoacoustic testing of shear viscoelastic properties of soft tissues using annular beam illumination

This Letter reports a new, to the best of our knowledge, photoacoustic excitation method for evaluating the shear viscoelastic properties of soft tissues. By illuminating the target surface with an annular pulsed laser beam, circularly converging surface acoustic waves (SAWs) are generated, focused, and detected at the center of the annular beam. The shear elasticity and shear viscosity of the target are extracted from the dispersive phase velocity of the SAWs based on the Kelvin-Voigt model and nonlinear regression fitting. Agar phantoms with different concentrations, and animal liver and fat tissue samples have successfully been characterized. Different from previous methods, the self-focusing of the converging SAWs allows sufficient SNR to be obtained even with low pulsed laser energy density, which makes this approach well compatible with soft tissues under both ex vivo and in vivo testing conditions.

Simultaneous temperature and viscosity estimation capability via magnetic nanoparticle relaxation

PURPOSE

Magnetic particle imaging (MPI) is emerging as a highly promising imaging modality. Magnetic nanoparticles (MNPs) are used as imaging tracers in MPI, and their relaxation behavior provides the foundation for its functional imaging capability. Since MNPs are also utilized in magnetic fluid hyperthermia (MFH) and MPI enables localized MFH, temperature mapping arises as an important application area of MPI. To achieve accurate temperature estimations, however, one must also take into account the confounding effects of viscosity on the MPI signal. In this work, we analyze the effects of temperature and viscosity on MNP relaxation, and determine temperature and viscosity sensitivities of relaxation time constant estimations via TAURUS (TAU estimation via Recovery of Underlying mirror Symmetry) at a wide range of operating points to empower simultaneous mapping of these two parameters.

METHODS

A total of 15 samples were prepared to reach 4 target viscosity levels (0.9-3.6 mPa·s) at 5 different temperatures (25-45°C). Experiments were performed on a magnetic particle spectrometer (MPS) setup at 60 different operating points at drive field amplitudes ranging between 5-25 mT and frequencies ranging between 1-7 kHz. To enable these extensive experiments, an in-house arbitrary-waveform MPS setup with temperature-controlled heating capability was developed. The operating points were divided into 4 groups with comparable signal levels to maximize signal gain during rapid signal acquisition. The relaxation time constants were estimated via TAURUS, by restoring the underlying mirror symmetry property of the positive and negative half cycles of the time-domain MNP response. The relative time constants with respect to the drive field period, τ̂, were computed to enable quantitative comparison across different operating points. At each operating point, a linear fit was performed to τ̂ as a function of each functional parameter (i.e., temperature or viscosity). The slopes of these linear fits were utilized to compute the temperature and viscosity sensitivities of TAURUS.

RESULTS

Except for outlier behaviors at 1 kHz, the following global trends were observed: τ̂ decreases with drive field amplitude, increases with drive field frequency, decreases with temperature, and increases with viscosity. The temperature sensitivity varies slowly across the operating points and reaches a maximum value of 1.18%/°C. In contrast, viscosity sensitivity is high at low frequencies around 1 kHz with a maximum value of 13.4%/(mPa·s), but rapidly falls down after 3 kHz. These results suggest that the simultaneous estimation of temperature and viscosity can be achieved by performing measurements at two different drive field settings that provide complementary temperature/viscosity sensitivities. Alternatively, temperature estimation alone can be achieved with a single measurement at drive field frequencies above 3 kHz, where viscosity sensitivity is minimized.

CONCLUSIONS

This work demonstrates highly promising temperature and viscosity sensitivities for TAURUS, highlighting its potential for simultaneous estimation of these two environmental parameters via MNP relaxation. The findings of this work reveal the potential of a hybrid MPI-MFH system for real-time monitored and localized thermal ablation treatment of cancer. This article is protected by copyright. All rights reserved.

Quantitative analysis of vibration waves based on Fourier transform in magnetic resonance elastography

We developed a novel magnetic resonance elastography (MRE) analysis method based on Fourier transform to assess the responsive characteristics for different tissue stiffness and degree of transmission of the vibration wave emanating from a passive driver during MRE. A phantom tissue study was conducted with an MRE sequence and vibration wave system using a clinical MR scanner. The phantom tissue consisted of two layers of agar: 0.75 wt% and 1.0 wt%. Phase-unwrapped images derived from acquired MRE phase images were used to generate a phase profile curve, with a line plotted for the phase-unwrapped images. Fourier transform was performed, and the peak value of the power spectrum was derived. The damping rate/ratio was calculated using the Hilbert transform of the phase profile. We found that the mean shear stiffness value of 1.0 wt% agar was higher than that of 0.75 wt% agar. The responsive frequency of the 0.75 wt% agar layer showed a wider range and the damping rate of the signal showed a higher value than the respective values of the 1.0 wt% agar layer. In conclusion, Fourier transform analysis of MRE enabled us to obtain more detailed information of the tissue characteristics and vibration-wave conditions.

Lung Ultrasound Surface Wave Elastography for Assessing Interstitial Lung Disease

OBJECTIVE

Our goal is to translate lung ultrasound surface wave elastography (LUSWE) for assessing patients with interstitial lung disease (ILD) and various connective tissue diseases including systemic sclerosis (SSc).

METHODS

LUSWE was used to measure the surface wave speed of lung at 100, 150, and 200 Hz through six intercostal lung spaces for 91 patients with ILD and 30 healthy control subjects. In addition, skin viscoelasticity was measured on both forearms and upper arms for patients and controls.

RESULTS

The surface wave speeds of patients' lungs were significantly higher than those of control subjects. Patient skin elasticity and viscosity were significantly higher than those of control subjects. In dividing ILD patients into two groups, ILD with SSc patients and ILD without SSc patients, significant differences between each patient group with the control group were found for both the lung and skin. No significant differences were found between the two patient groups, although there were some differences at a few locations and at 100 Hz for skin viscoelasticity.

CONCLUSION

Significant differences of surface wave speed were found between ILD patients and healthy control subjects for both the lung and skin.

SIGNIFICANCE

LUSWE may be useful for assessing ILD and SSc and screening early stage patients.