Density-tapered spiral arrays for ultrasound 3-D imaging

Ultrafast 3D synthetic aperture imaging with Hadamard-encoded aperiodic interval codes and aperiodic sparse arrays with separate transmitters and receivers

3D synthetic aperture (SA) imaging of volumes can be obtained using sparse 2D ultrasound arrays. However, even with just 256 elements, the volumetric imaging rate can be relatively slow due to having to transmit on each element in succession. Hadamard Aperiodic Interval (HAPI) codes can be used to image the full SA dataset in one extended transmit to speed up the synthetic aperture imaging, but their long nature produces large deadzones if the same elements are used as both transmitters and receivers. In this simulation study, we use a 2D Costas sparse array with separate transmitters and receivers to remedy the deadzone problem, and use it with the HAPI-coded imaging scheme to obtain fully transmit-receive focused, wide field-of-view 3D volumes with high-resolution and high SNR at ultrafast volumetric imaging rates of more than 500 volumes per second, almost nine times faster than non-coded SA imaging with the same imaging parameters. We show similar PSF performance compared to non-coded SA, and a 26 dB improvement in SNR with order-256 HAPI codes. We also present cyst simulations showing similar contrast for the HAPI-coded SA method compared to non-coded SA in the context of no noise, and improved contrast in the context of noise.

A Transmit-Receive Phased Array for Microbubble-Mediated Focused Ultrasound Brain Therapy in Small Animals

Focused ultrasound (FUS) combined with circulating microbubbles (MBs) can be employed for non-invasive, localized agent delivery across the blood-brain barrier (BBB). Previous work has demonstrated the feasibility of clinical-scale transmit-receive phased arrays for performing transcranial therapies under MB imaging feedback.

OBJECTIVE

This study aimed to design, construct, and evaluate a dual-mode phased array for MB-mediated FUS brain therapy in small animals.

METHODS

A 256-element sparse hemispherical array (100 mm diameter) was fabricated by installing 128 PZT cylinder transmitters (f0 = 1.16 MHz) and 128 broadband PVDF receivers within a 3D-printed scaffold.

RESULTS

The transmit array's focal size at the geometric focus was 0.8 mm × 0.8 mm × 1.7 mm, with a 31 mm/27 mm (lateral/axial) steering range. The receive array's point spread function was 0.6 mm × 0.6 mm × 1.5 mm (1.16 MHz source) at the geometric focus, and sources were localized up to 30 mm/16 mm (lateral/axial) from geometric focus. The array was able to spatially map MB cloud activity in 3D throughout a vessel-mimicking phantom at sub-, ultra-, and second-harmonic frequencies. Preliminary in-vivo work demonstrated its ability to induce localized BBB permeability changes under 3D sub-harmonic MB imaging feedback in a mouse model.

CONCLUSION

Small form factor transmit-receive phased arrays enable acoustic imaging-controlled FUS and MB-mediated brain therapies with high targeting precision required for rodent studies.

SIGNIFICANCE

Dual-mode phased arrays dedicated for small animal use will facilitate high-throughput studies of FUS-mediated BBB permeability enhancement to explore novel therapeutic strategies for future clinical application.

Volumetric Ultrasound Localization Microscopy

Super-resolution ultrasound (SRUS) has evolved significantly with the advent of ultrasound localization microscopy (ULM). This technique enables subwavelength resolution imaging using microbubble contrast agents. Initially confined to 2-D imaging, ULM has progressed toward volumetric approaches, allowing for comprehensive 3-D visualization of microvascular networks. This review explores the technological advancements and challenges associated with volumetric ULM, focusing on key aspects such as transducer design, acquisition speed, data processing algorithms, or integration into clinical practice. We discuss the limitations of traditional 2-D ULM, including dependence on precise imaging plane selection and compromised resolution in microvasculature quantification. In contrast, volumetric ULM offers enhanced spatial resolution and allows motion correction in all directions, promising transformative insights into microvascular pathophysiology. By examining current research and future directions, this review highlights the potential of volumetric ULM to contribute significantly to diagnostic across various medical conditions, including cancers, arteriosclerosis, strokes, diabetes, and neurodegenerative diseases.

Design and Evaluation of a Weighted Periodic Sparse Array for Low-Complexity 1-D Phased Array Ultrasound Imaging Systems

A sparse array offers a significant reduction in the complexity of ultrasonic imaging systems by decreasing the number of active elements and associated electrical circuits needed to form a focused beam. Consequently, for 1-D arrays, it has been adopted in the development of miniaturized systems such as portable, handheld, or smartphone-based systems. Previously, we developed an analytic method that can design a pair of 1-D periodic sparse arrays (PSAs) satisfying three specific constraints, which are the array size, desired grating lobe level, and sparseness factor (SF). In this study, we further developed our method by incorporating aperture weighting functions, which take the form of tapered rectangular functions to introduce null points on the beam pattern. These null points effectively suppress grating lobes generated by a matching pair of arrays. The design process commences with determining transmit and receive PSA patterns, followed by deriving corresponding aperture weighting functions. First, aperture functions of a base and weighting arrays are convolved, which is then upsampled to the targeted array size. Finally, the upsampled aperture is convolved to an aperture function of a subarray, resulting in weighted PSAs (wPSAs). Pulsed wave (PW) simulation confirmed improved grating lobe suppression with wPSAs compared to PSAs. Phantom imaging experiments using a 1-D phased array validated the enhanced contrast due to suppressed grating lobes but at the cost of small degradation in lateral resolution. The signal-to-noise ratio (SNR) also gradually declined with the greater SFs, but no significant difference in SNR was observed between wPSAs and PSAs. Finally, in vivo echocardiography imaging highlighted the clinical potential of wPSAs, particularly with high SFs. Overall, these results suggest that wPSAs can effectively enhance contrast compared to PSAs under the given SF or, alternatively, wPSA with greater SFs can achieve comparable image quality to PSAs with lower SFs. In conclusion, the wPSA approach holds promise for further reducing the complexity of ultrasound imaging systems.

TOBE-Costas Arrays for Fast High-Resolution 3-D Power Doppler Imaging

Two-dimensional sparse arrays and row-column arrays are both alternatives to 2-D fully addressed arrays with lower channel counts. Row-column arrays have recently demonstrated fast 3-D structural and flow imaging but commonly suffer from high grating lobes or require multiplexing to achieve better quality. Two-dimensional sparse arrays enable full-volume acquisitions for each transmit event, but plane-wave transmissions with them usually lack quality in terms of uniformity of wavefronts. Here, we propose a novel architecture that combines both types of these arrays in one aperture, enabling imaging using row-column or sparse arrays alone or a hybrid imaging scheme where the row-column array is used in transmission and a 2-D sparse array in reception. This hybrid imaging scheme can potentially solve the shortcomings of each of these approaches. The sparse array layout chosen is a Costas array, characterized by having only one element per row and column, facilitating its integration with row-column arrays. We simulate images acquired with TOBE-Costas arrays using the hybrid imaging scheme and compare them to row-column and sparse spiral arrays of equivalent aperture size (128λ × 128λ at 7.5 MHz) in ultrafast plane-wave imaging of point targets and 3-D power Doppler imaging of synthetic flow phantoms. Our simulation results show that TOBE-Costas arrays exhibit superior resolution and lower sidelobe levels compared with plane-wave compounding with row-column arrays. Compared with density-tapered spiral arrays, they provide a larger field of view and finer resolution.

Row Transmission for High Volume-Rate Ultrasound Imaging With a Matrix Array

The widely used Vermon 1024-element matrix array for 3-D ultrasound imaging has three blank rows in the elevational direction, which breaks the elevation periodicity, thus degrading volumetric image quality. To bypass the blank rows in elevation while maintaining the steering capability in azimuth, we proposed a row-transmission (RT) scheme to improve 3-D spatial resolution. Specifically, we divided the full array into four apertures, each with multiple rows along the elevation. Each multirow aperture (MRA) was further divided into subapertures to transmit diverging waves (DWs) sequentially. Coherent DW compounding (CDWC) was realized in azimuth, while the elevation was multielement synthetic aperture (M-SA) imaging by regarding each row as an array of dashed line elements. An in-house spatiotemporal coding strategy, cascaded synthetic aperture (CaSA), was incorporated into the RT scheme as RT-CaSA to increase the signal-to-noise ratio (SNR). We compared the proposed RT with conventional bank-by-bank transmission-reception (Bank) and sparse-random-aperture compounding (SRAC) in a wire phantom and the in vivo human abdominal aorta (AA) to assess the performance of anatomical imaging and aortic wall motion estimation. Phantom results demonstrated superior lateral resolution achieved by our RT scheme (+19.52% and +16.88% versus Bank, +15.32% and +19.72% versus SRAC, in the azimuth-depth and elevation-depth planes, respectively). Our RT-CaSA showed excellent contrast ratios (CRs) (+8.19 and +8.08 dB versus Bank, +6.81 and +5.85 dB versus SRAC, +0.99 and +0.90 dB versus RT) and the highest in vivo aortic wall motion estimation accuracy. The RT scheme was demonstrated to have potential for various matrix array-based 3-D imaging research.

Element Position Calibration for Matrix Array Transducers with Multiple Disjoint Piezoelectric Panels

Two-dimensional ultrasound transducers enable the acquisition of fully volumetric data that have been demonstrated to provide greater diagnostic information in the clinical setting and are a critical tool for emerging ultrasound methods, such as super-resolution and functional imaging. This technology, however, is not without its limitations. Due to increased fabrication complexity, some matrix probes with disjoint piezoelectric panels may require initial calibration. In this manuscript, two methods for calibrating the element positions of the Vermon 1024-channel 8 MHz matrix transducer are detailed. This calibration is a necessary step for acquiring high resolution B-mode images while minimizing transducer-based image degradation. This calibration is also necessary for eliminating vessel-doubling artifacts in super-resolution images and increasing the overall signal-to-noise ratio (SNR) of the image. Here, we show that the shape of the point spread function (PSF) can be significantly improved and PSF-doubling artifacts can be reduced by up to 10 dB via this simple calibration procedure.

An Ultrasound Matrix Transducer for High-Frame-Rate 3-D Intra-cardiac Echocardiography

OBJECTIVE

Described here is the development of an ultrasound matrix transducer prototype for high-frame-rate 3-D intra-cardiac echocardiography.

METHODS

The matrix array consists of 16 × 18 lead zirconate titanate elements with a pitch of 160 µm × 160 µm built on top of an application-specific integrated circuit that generates transmission signals and digitizes the received signals. To reduce the number of cables in the catheter to a feasible number, we implement subarray beamforming and digitization in receive and use a combination of time-division multiplexing and pulse amplitude modulation data transmission, achieving an 18-fold reduction. The proposed imaging scheme employs seven fan-shaped diverging transmit beams operating at a pulse repetition frequency of 7.7 kHz to obtain a high frame rate. The performance of the prototype is characterized, and its functionality is fully verified.

RESULTS

The transducer exhibits a transmit efficiency of 28 Pa/V at 5 cm per element and a bandwidth of 60% in transmission. In receive, a dynamic range of 80 dB is measured with a minimum detectable pressure of 10 Pa per element. The element yield of the prototype is 98%, indicating the efficacy of the manufacturing process. The transducer is capable of imaging at a frame rate of up to 1000 volumes/s and is intended to cover a volume of 70° × 70° × 10 cm.

CONCLUSION

These advanced imaging capabilities have the potential to support complex interventional procedures and enable full-volumetric flow, tissue, and electromechanical wave tracking in the heart.

Broad Elevation Projection Super-Resolution Ultrasound (BEP-SRUS) Imaging With a 1-D Unfocused Linear Array

Super-resolution ultrasound (SRUS) through localizing spatially isolated microbubbles (MBs) has been demonstrated to overcome the wave diffraction limit and reveal the microvascular structure and flow information at the microscopic scale. However, 3-D SRUS imaging remains a challenge due to the fabrication and computational complexity of 2-D matrix array probes. Inspired by X-ray radiography which can present information within a volume in a single projection image with much simpler hardware than X-ray computerized tomography (CT), this study investigates the feasibility of broad elevation projection super-resolution (BEP-SR) ultrasound using a 1-D unfocused linear array. Both simulation and in vitro experiments were conducted on 3-D microvessel phantoms. In vivo demonstration was done on the Rabbit kidney. Data from a 1-D linear array with and without an elevational focus were synthesized by summing up row signals acquired from a 2-D matrix array with and without delays. A full 3-D reconstruction was also generated as the reference, using the same data of the 2-D matrix array but without summing row signals. Results show that using an unfocused 1-D array probe, BEP-SR can capture significantly more information within a volume in both vascular structure and flow velocity than the conventional 1-D elevational-focused probe. Compared with the 2-D projection image of the full 3-D SRUS results using the 2-D array probe with the same aperture size, the 2-D projection SRUS image of BEP-SR has similar volume coverage, using 32 folds fewer independent elements. This study demonstrates BEP-SR's ability of high-resolution imaging of microvascular structures and flow velocity within a 3-D volume at significantly reduced costs. The proposed BEP method could significantly benefit the clinical translation of the SRUS imaging technique by making it more affordable and repeatable.

Sub-aperture ultrafast volumetric ultrasound imaging for fully sampled dual-mode matrix array

Fully sampled dual-mode matrix array ultrasound transducer is capable of performing imaging and therapeutic ultrasound in three dimensions (3D). It is a promising tool for many clinical applications because of its precise multi-focus therapy with imaging guidance by itself. Our team previously designed a 256-element fully sampled dual-mode matrix array transducer, while its imaging quality needs to be further improved. In this work, we propose a high-contrast sub-aperture volumetric imaging strategy to improve the imaging quality of the dual-mode matrix array. We first analyzed the effect of various parameters of sub-aperture imaging on the imaging quality by Field II. Based on the optimized parameters, we compared the resolution and signal to noise ratio (SNR) of sub-aperture imaging with those of full aperture imaging on phantoms and rabbit brain. The experimental results showed the proposed sub-aperture imaging method could obtain a comparable resolution to full aperture imaging. Moreover, the average intensity of noise signal near the wire phantom decreased by about 5 dB and the SNR of tissue phantom image increased by 8 %. The proposed sub-aperture imaging method also enabled clearer and more accurate imaging of the rabbit brain. The obtained results indicate the proposed sub-aperture imaging is a promising method for practical use of a fully sampled dual-mode matrix array for volumetric ultrasound imaging.

Costas Sparse 2-D Arrays for High-Resolution Ultrasound Imaging

Two-dimensional arrays enable volumetric ultrasound imaging but have been limited to small aperture size and hence low resolution due to the high cost and complexity of fabrication, addressing, and processing associated with large fully addressed arrays. Here, we propose Costas arrays as a gridded sparse 2-D array architecture for volumetric ultrasound imaging. Costas arrays have exactly one element for every row and column, such that the vector displacement between any pair of elements is unique. These properties ensure aperiodicity, which helps eliminate grating lobes. Compared with previously reported works, we studied the distribution of active elements based on an order-256 Costas layout on a wider aperture ( 96 λ×96 λ at 7.5 MHz center frequency) for high-resolution imaging. Our investigations with focused scanline imaging of point targets and cyst phantoms showed that Costas arrays exhibit lower peak sidelobe levels compared with random sparse arrays of the same size and offer comparable performance in terms of contrast compared with Fermat spiral arrays. In addition, Costas arrays are gridded, which could ease the manufacturing and has one element for each row/column, which enables simple interconnection strategies. Compared with state-of-the-art matrix probes, which are commonly 32×32 , the proposed sparse arrays achieve higher lateral resolution and a wider field of view.

Transcranial 3D ultrasound localization microscopy using a large element matrix array with a multi-lens diffracting layer: anin vitrostudy

Objective. Early diagnosis and acute knowledge of cerebral disease require to map the microflows of the whole brain. Recently, ultrasound localization microscopy (ULM) was applied to map and quantify blood microflows in 2D in the brain of adult patients down to the micron scale. Whole brain 3D clinical ULM remains challenging due to the transcranial energy loss which reduces significantly the imaging sensitivity.Approach. Large aperture probes with a large surface can increase both the field of view and sensitivity. However, a large active surface implies thousands of acoustic elements, which limits clinical translation. In a previous simulation study, we developed a new probe concept combining a limited number of elements and a large aperture. It is based on large elements, to increase sensitivity, and a multi-lens diffracting layer to improve the focusing quality. In this study, a 16 elements prototype, driven at 1 MHz frequency, was made andin vitroexperiments were performed to validate the imaging capabilities of this new probe concept.Main results. First, pressure fields emitted from a large single transducer element without and with diverging lens were compared. Low directivity was measured for the large element with the diverging lens while maintaining high transmit pressure. The focusing quality of 4 × 3cm matrix arrays of 16 elements without/with lenses were compared.In vitroexperiments in a water tank and through a human skull were achieved to localize and track microbubbles in tubes.Significance.ULM was achieved demonstrating the strong potential of multi-lens diffracting layer to enable microcirculation assessment over a large field of view through the bones.

3-D Coherent Multitransducer Ultrasound Imaging With Sparse Spiral Arrays

Coherent multitransducer ultrasound (CoMTUS) creates an extended effective aperture through the coherent combination of multiple arrays, which results in images with enhanced resolution, extended field-of-view, and higher sensitivity. The subwavelength localization accuracy of the multiple transducers required to coherently beamform the data is achieved by using the echoes backscattered from targeted points. In this study, CoMTUS is implemented and demonstrated for the first time in 3-D imaging using a pair of 256-element 2-D sparse spiral arrays, which keep the channel count low and limit the amount of data to be processed. The imaging performance of the method was investigated using both simulations and phantom tests. The feasibility of free-hand operation is also experimentally demonstrated. Results show that, in comparison with a single dense array system using the same total number of active elements, the proposed CoMTUS system improves spatial resolution (up to ten times) in the direction where both arrays are aligned, contrast-to-noise ratio (CNR; up to 46%), and generalized CNR (gCNR; up to 15%). Overall, CoMTUS shows a narrower main lobe and higher CNR, which results in an increased dynamic range and better target detectability.

A Tiled Ultrasound Matrix Transducer for Volumetric Imaging of the Carotid Artery

High frame rate three-dimensional (3D) ultrasound imaging would offer excellent possibilities for the accurate assessment of carotid artery diseases. This calls for a matrix transducer with a large aperture and a vast number of elements. Such a matrix transducer should be interfaced with an application-specific integrated circuit (ASIC) for channel reduction. However, the fabrication of such a transducer integrated with one very large ASIC is very challenging and expensive. In this study, we develop a prototype matrix transducer mounted on top of multiple identical ASICs in a tiled configuration. The matrix was designed to have 7680 piezoelectric elements with a pitch of 300 μm × 150 μm integrated with an array of 8 × 1 tiled ASICs. The performance of the prototype is characterized by a series of measurements. The transducer exhibits a uniform behavior with the majority of the elements working within the -6 dB sensitivity range. In transmit, the individual elements show a center frequency of 7.5 MHz, a -6 dB bandwidth of 45%, and a transmit efficiency of 30 Pa/V at 200 mm. In receive, the dynamic range is 81 dB, and the minimum detectable pressure is 60 Pa per element. To demonstrate the imaging capabilities, we acquired 3D images using a commercial wire phantom.

A High-Performance 3-D Imaging Technique Using Simultaneous Azimuth and Elevation Compounding

A new technique for 3-D imaging with a row-column array (RCA) configuration has been developed. The technique requires an electrostrictive piezoelectric for the active substrate. While the top set of electrodes is connected to RF transmit and receive channels for conventional diverging wave imaging (DWI), the orthogonal bottom set of electrodes is connected to independently controlled variable dc bias channels. By implementing modulated bias patterns compounded across multiple pulses, fine delay control across the bottom elements can be achieved simultaneously with imaging with the top set of electrodes. This resulted in a high-quality two-way focus in both azimuth and elevation. A 20-MHz electrostrictive composite substrate was fabricated, and 64 top ×64 bottom electrodes were patterned and connected to custom beamforming and biasing electronics. The point spread functions were generated in all dimensions, and the -6 dB resolution was measured to be 93 [Formula: see text] axially, [Formula: see text] in the azimuth, and 328 [Formula: see text] in the elevation dimension. This was in good agreement with the simulated resolutions of 80, 273, and 280 [Formula: see text], respectively.

Novel Design Techniques for the Fermat Spiral in Antenna Arrays, for Maximum SLL Reduction

This paper presents novel design techniques for the Fermat spiral, considering a maximum side lobe level (SLL) reduction. The array system based on a Fermat spiral configuration considers techniques based on uniform and non-uniform amplitude excitation. The cases of uniform amplitude excitation are the golden angle and the optimization of the angular separations. The cases of non-uniform amplitude excitations consider a raised cosine distribution and the optimization of the amplitude excitations through the Fermat spiral array. In this study, the method of genetic algorithms (GA) was used in the cases to find the values of the angular separations and the amplitude excitations of the Fermat spiral array. A performance evaluation was conducted for all these design cases, considering the Fermat spiral geometry. These design cases were validated using electromagnetic simulation to take mutual coupling into account and consider the effect of the antenna element pattern in each proposed design case.

Design, Implementation, and Medical Applications of 2-D Ultrasound Sparse Arrays

An ultrasound sparse array consists of a sparse distribution of elements over a 2-D aperture. Such an array is typically characterized by a limited number of elements, which in most cases is compatible with the channel number of the available scanners. Sparse arrays represent an attractive alternative to full 2-D arrays that may require the control of thousands of elements through expensive application-specific integrated circuits (ASICs). However, their massive use is hindered by two main drawbacks: the possible beam profile deterioration, which may worsen the image contrast, and the limited signal-to-noise ratio (SNR), which may result too low for some applications. This article reviews the work done for three decades on 2-D ultrasound sparse arrays for medical applications. First, random, optimized, and deterministic design methods are reviewed together with their main influencing factors. Then, experimental 2-D sparse array implementations based on piezoelectric and capacitive micromachined ultrasonic transducer (CMUT) technologies are presented. Sample applications to 3-D (Doppler) imaging, super-resolution imaging, photo-acoustic imaging, and therapy are reported. The final sections discuss the main shortcomings associated with the use of sparse arrays, the related countermeasures, and the next steps envisaged in the development of innovative arrays.

Unfocused Field Analysis of a Density-Tapered Spiral Array for High-Volume-Rate 3-D Ultrasound Imaging

Spiral array transducers with a sparse 2-D aperture have demonstrated their potential in realizing 3-D ultrasound imaging with reduced data rates. Nevertheless, their feasibility in high-volume-rate imaging based on unfocused transmissions has yet to be established. From a metrology standpoint, it is essential to characterize the acoustic field of unfocused transmissions from spiral arrays not only to assess their safety but also to identify the root cause of imaging irregularities due to the array's sparse aperture. Here, we present a field profile analysis of unfocused transmissions from a density-tapered spiral array transducer (256 hexagonal elements, 220- [Formula: see text] element diameter, and 1-cm aperture diameter) through both simulations and hydrophone measurements. We investigated plane- and diverging-wave transmissions (five-cycle, 7.5-MHz pulses) from 0° to 10° steering for their beam intensity characteristics and wavefront arrival time profiles. Unfocused firings were also tested for B-mode imaging performance (ten compounded angles, -5° to 5° span). The array was found to produce unfocused transmissions with a peak negative pressure of 93.9 kPa at 2 cm depth. All transmissions steered up to 5° were free of secondary lobes within 12 dB of the main beam peak intensity. All wavefront arrival time profiles were found to closely match the expected profiles with maximum root-mean-squared errors of [Formula: see text] for plane wave (PW) and [Formula: see text] for diverging wave. The B-mode images showed good spatial resolution with a penetration depth of 22 mm in PW imaging. Overall, these results demonstrate that the density-tapered spiral array can facilitate unfocused transmissions below regulatory limits (mechanical index: 0.034; spatial-peak, pulse-average intensity: 0.298 W/cm2) and with suppressed secondary lobes while maintaining smooth wavefronts.

Sparse 2-D PZT-on-PCB Arrays With Density Tapering

Two-dimensional (2-D) arrays offer volumetric imaging capabilities without the need for probe translation or rotation. A sparse array with elements seeded in a tapering spiral pattern enables one-to-one connection to an ultrasound machine, thus allowing flexible transmission and reception strategies. To test the concept of sparse spiral array imaging, we have designed, realized, and characterized two prototype probes designed at 2.5-MHz low-frequency (LF) and 5-MHz high-frequency (HF) center frequencies. Both probes share the same electronic design, based on piezoelectric ceramics and rapid prototyping with printed circuit board substrates to wire the elements to external connectors. Different center frequencies were achieved by adjusting the piezoelectric layer thickness. The LF and HF prototype probes had 88% and 95% of working elements, producing peak pressures of 21 and 96 kPa/V when focused at 5 and 3 cm, respectively. The one-way -3-dB bandwidths were 26% and 32%. These results, together with experimental tests on tissue-mimicking phantoms, show that the probes are viable for volumetric imaging.

Requirements and Hardware Limitations of High-Frame-Rate 3-D Ultrasound Imaging Systems

The spread of high frame rate and 3-D imaging techniques has raised pressing requirements for ultrasound systems. In particular, the processing power and data transfer rate requirements may be so demanding to hinder the real-time (RT) implementation of such techniques. This paper first analyzes the general requirements involved in RT ultrasound systems. Then, it identifies the main bottlenecks in the receiving section of a specific RT scanner, the ULA-OP 256, which is one of the most powerful available open scanners and may therefore be assumed as a reference. This case study has evidenced that the “star” topology, used to digitally interconnect the system’s boards, may easily saturate the data transfer bandwidth, thus impacting the achievable frame/volume rates in RT. The architecture of the digital scanner was exploited to tackle the bottlenecks by enabling a new “ring“ communication topology. Experimental 2-D and 3-D high-frame-rate imaging tests were conducted to evaluate the frame rates achievable with both interconnection modalities. It is shown that the ring topology enables up to 4400 frames/s and 510 volumes/s, with mean increments of +230% (up to +620%) compared to the star topology.

Experimental Study of Aperiodic Plane Wave Imaging for Ultrafast 3-D Ultrasound Imaging

OBJECTIVE

Although plane wave imaging (PWI) with multiple plane waves (PWs) steered at different angles enables ultrafast three-dimensional (3-D) ultrasonic imaging, there is still a challenging tradeoff between image quality and frame rate. To address this challenge, we recently proposed the aperiodic PWI (APWI) with mathematical analysis and simulation study. In this paper, we demonstrate the feasibility of APWI and evaluate the performance with phantom and in vivo experiments.

METHODS

APWI with a concentric ring angle pattern (APWI-C) and APWI with a sunflower pattern (APWI-S) are evaluated. For experimental verification of the methods, the experimental results are compared with simulation results in terms of the mainlobe-to-sidelobe ratio. In addition, the performance of APWI is compared with that of conventional PWI by using a commercial phantom. To examine the potential for clinical use of APWI, a gallstone-mimicking phantom study and an in vivo carotid artery experiment are also conducted.

RESULTS

In the phantom study, the APWI methods provide a contrast ratio approximately 23 dB higher than that of PWI. In a gallstone mimicking experiment, the proposed methods yield 3-D rendered stone images more similar to the real stones than PWI. In the in vivo carotid artery images, APWI reduces the clutter artifacts inside the artery.

CONCLUSION

Phantom and in vivo studies show that the APWI enhances the contrast without compromising the spatial resolution and frame rate.

SIGNIFICANCE

This study experimentally demonstrates the feasibility and advantage of APWI for ultrafast 3-D ultrasonic imaging.

Ultrafast 3-D Ultrasound Imaging Using Row-Column Array-Specific Frame-Multiply-and-Sum Beamforming

Row-column arrays have been shown to be able to generate 3-D ultrafast ultrasound images with an order of magnitude less independent electronic channels than traditional 2-D matrix arrays. Unfortunately, row-column array images suffer from major imaging artifacts due to high sidelobes, particularly when operating at high frame rates. This article proposes a row-column-specific beamforming technique, for orthogonal plane-wave transmissions, row-column-specific frame multiply and sum (RC-FMAS), that exploits the incoherent nature of certain row-column array artifacts. A series of volumetric images is produced using row or column transmissions of 3-D plane waves. The voxelwise geometric mean of the beamformed volumetric images from each row and column pair is taken prior to compounding, which drastically reduces the incoherent imaging artifacts in the resulting image compared to traditional coherent compounding. The effectiveness of this technique was demonstrated in silico and in vitro, and the results show a significant reduction in sidelobe level with over 16-dB improvement in sidelobe to main-lobe energy ratio. Significantly improved contrast was demonstrated with contrast ratio increased by ~10 dB and generalized contrast-to-noise ratio increased by 158% when using the proposed new method compared to the existing delay and sum during in vitro studies. The new technique allowed for higher quality 3-D imaging while maintaining high frame rate potential.

High Frame Rate Volumetric Imaging of Microbubbles Using a Sparse Array and Spatial Coherence Beamforming

Volumetric ultrasound imaging of blood flow with microbubbles enables a more complete visualization of the microvasculature. Sparse arrays are ideal candidates to perform volumetric imaging at reduced manufacturing complexity and cable count. However, due to the small number of transducer elements, sparse arrays often come with high clutter levels, especially when wide beams are transmitted to increase the frame rate. In this study, we demonstrate with a prototype sparse array probe and a diverging wave transmission strategy, that a uniform transmission field can be achieved. With the implementation of a spatial coherence beamformer, the background clutter signal can be effectively suppressed, leading to a signal to background ratio improvement of 25 dB. With this approach, we demonstrate the volumetric visualization of single microbubbles in a tissue-mimicking phantom as well as vasculature mapping in a live chicken embryo chorioallantoic membrane.

Architecture for an Ultrasound Advanced Open Platform With an Arbitrary Number of Independent Channels

Ultrasound open platforms are programmable and flexible tools for the development and test of novel methods. In most cases, they embed the electronics for the independent control of (maximum) 256 probe elements. However, a higher number of channels is needed for the control of 2-D array probes. This paper presents a system architecture that, through the hardware and software synchronization of multiple ULA-OP 256 scanners, may implement advanced open platforms with an arbitrary number of channels. The proposed solution needs a single personal computer, maintains real-time features, and preserves portability. A prototype demonstrator, composed of two ULA-OP 256 scanners connected to 512 elements of a matrix array, was implemented and tested according to different channel configurations. Experiments performed under MATLAB control confirmed that by doubling the number of elements (from 256 to 512) the signal-to-noise and contrast ratios improve by 9 dB and 3 dB, respectively. Furthermore, as a full 512-channel scanner, the demonstrator can produce real-time B-mode images at 18 Hz, high enough for probe positioning during acquisitions. Also, the demonstrator permitted the implementation of a new high frame rate, bi-plane, triplex modality. All probe elements are excited to simultaneously produce two planar, perpendicular diverging waves. Each scanner independently processes the echoes received by the 256 connected elements to beamform 1300 frames per second. For each insonified plane, good quality morphological (B-mode), qualitative (color flow-), and quantitative (spectral-) Doppler images are finally shown in real-time by a dedicated interface.

Real-Time 3-D Spectral Doppler Analysis With a Sparse Spiral Array

2-D sparse arrays may push the development of low-cost 3-D systems, not needing to control thousands of elements by expensive application-specific integrated circuits (ASICs). However, there is still some concern about their suitability in applications, such as Doppler investigation, which inherently involve poor signal-to-noise ratios (SNRs). In this article, a novel real-time 3-D pulsed-wave (PW) Doppler system, based on a 256-element 2-D spiral array, is presented. Coded transmission (TX) and matched filtering were implemented to improve the system SNR. Standard sonograms as well as multigate spectral Doppler (MSD) profiles, along lines that can be arbitrarily located in different planes, are presented. The performance of the system was assessed quantitatively on experimental data obtained from a straight tube flow phantom. An SNR increase of 11.4 dB was measured by transmitting linear chirps instead of standard sinusoidal bursts. For a qualitative assessment of the system performance in more realistic conditions, an anthropomorphic phantom of the carotid arteries was used. Finally, real-time B-mode and MSD images were obtained from healthy volunteers.

3-D Large-Pitch Synthetic Transmit Aperture Imaging With a Reduced Number of Measurement Channels: A Feasibility Study

A 3-D synthetic transmit aperture ultrasound imaging system with a fully addressed array usually leads to high hardware complexity and cost since each element in the array is individually controlled. To reduce the hardware complexity, we had presented the large-pitch synthetic transmit aperture (LPSTA) ultrasound imaging for 2-D imaging using a 1-D phased array to reduce the number of measurement channels M (the product of number of transmissions, [Formula: see text], and the number of receiving channels in each transmission, [Formula: see text]). In this article, we extend this method to a 2-D matrix array for 3-D imaging. We present both numerical simulations and experimental measurements. We combined L × L adjacent elements into transmission subapertures (SAP) and K × K adjacent elements into receive SAPs in synthetic transmit aperture (STA) imaging. In the image reconstruction, we conducted the first attempt to apply and integrate Gaussian-approximated spatial response function (G-SRF) with delay and sum (DAS) to improve the image contrast, especially for the near-field targets. The imaging performance obtained from G-SRF was also evaluated numerically and compared with the previously presented frequency-domain SRF (Freq-domain SRF). The 3-D large-pitch synthetic transmit aperture (3-D-LPSTA) with G-SRF can provide a computationally efficient solution compared with the standard 3-D-STA method. With approximately 1900-fold reduction in the number of measurement channels, 3-D-LPSTA can provide image contrast comparable with the standard 3-D-STA with a full array and significantly better than using a periodically sparse array with similar complexity. In addition to reducing the system complexity, the 3-D-LPSTA achieves 700-fold reduction in computational complexity and 523-fold reduction in data storage. Finally, we evaluated and implemented the G-SRF using phantom data, which were consistent with the simulation results showing that the G-SRF can improve the image contrast. The results demonstrate that the proposed 3-D-LPSTA shows the great potential for designing an inexpensive ultrasound system to ensure the real-time 3-D clinical ultrasound imaging using large arrays. The limits of the proposed method were also discussed.

A New 3-D Imaging Technique Integrating Ultrafast Compounding, Hadamard Encoding, and Reconfigurable Fresnel Lensing

Crossed electrode arrays address some of the challenges associated with 3-D ultrasound imaging because of the significant reduction in the number of elements ( 2N versus N² ). However, creating a two-way focused 3-D image in real time is difficult with these arrays because azimuth and elevation dimensions cannot be beamformed at the same time. This work describes a new 3-D imaging technique that uses the flexibility of bias-sensitive substrates to create a high-quality elevation focus on a crossed electrode array. The principle behind this technique is to perform conventional compound imaging with an azimuth set of electrodes while implementing a bias controllable elevation lens with an elevation set of electrodes. On transmit, the biases are chosen to mimic a Fresnel lens. Then, on receive, the Hadamard coding is implemented along the elevation dimension. After decoding, we gain the RF data for each element across the elevation aperture even though there is effectively only one channel in that dimension. A 30-MHz, 128-element crossed electrode relaxor array was fabricated on a 1-3 electrostrictive composite substrate and was used to demonstrate the performance of the imaging technique. The on-axis -6-dB beamwidths were simulated to be 175 and [Formula: see text] in the azimuth and elevation directions, respectively, and the focus remained isotropic in the furthest elevation slice. Images were generated of a wire phantom to confirm the performance of the azimuth and elevational radiation patterns with good agreement between simulation and experiment. High-resolution 3-D volumetric images were generated of an ex vivo rat brain. Images of the cerebellum showed that the white and gray matter tracts could clearly be visualized with isometric resolution in both the azimuth and elevation dimensions.

Equivalent Circuit Model for a Large Array of Coupled Piezoelectric Micromachined Ultrasonic Transducers With High Emission Performance

In this article, an analytical equivalent circuit model is established for the piezoelectric micromachined ultrasonic transducer (PMUT) cell and array with a combination of the annular and circular diaphragms used for structural optimization and complex array design. Based on this model, a comprehensive analysis is conducted on the acoustic-structural coupling of an annular and circular diaphragm-coupled PMUT (AC-PMUT) with a new excitation method. The model-derived results are in good agreement with the simulation and experimental results. Then, an optimized design has been presented to achieve high-output pressure and a good array working performance. In summary, a comparison of the array working performance is conducted between the arrays that consist of AC-PMUTs and traditional circular diaphragm PMUTs (C-PMUTs). The results indicate that the AC-PMUT array has a much lower crosstalk effect than that of the traditional C-PMUT array. By this means, the AC-PMUT array can fully use the high vibration amplitude achieved by each AC-PMUT cell to improve its output ability. As a result, the highest ultrasonic output pressure generated by the AC-PMUT array in its resonant condition can achieve an increase of 155%, compared with that generated by the C-PMUT array.

Helical toroid phantom for 3D flow imaging investigations

The medical physics community has hitherto lacked an effective calibration phantom to holistically evaluate the performance of three-dimensional (3D) flow imaging techniques. Here, we present the design of a new omnidirectional, three-component (3-C) flow phantom whose lumen is consisted of a helical toroid structure (4 mm lumen diameter; helically winded for 5 revolutions over a torus with 10 mm radius; 5 mm helix radius). This phantom's intraluminal flow trajectory embraces all combinations of x, y, and z directional components, as confirmed using computational fluid dynamics (CFD) simulations. The phantom was physically fabricated via lost-core casting with polyvinyl alcohol cryogel (PVA) as the tissue mimic. 3D ultrasound confirmed that the phantom lumen expectedly resembled a helical toroid geometry. Pulsed Doppler measurements showed that the phantom, when operating under steady flow conditions (3 ml s^-1 flow rate), yielded flow velocity magnitudes that agreed well with those derived from CFD at both the inner torus (-47.6 ± 5.7 versus -52.0 ± 2.2 cm s^-1; mean ± 1 S.D.) and the outer torus (49.5 ± 4.2 versus 48.0 ± 1.7 cm s^-1). Additionally, 3-C velocity vectors acquired from multi-angle pulsed Doppler showed good agreement with CFD-derived velocity vectors (<7% and 10° difference in magnitude and flow angle, respectively). Ultrasound color flow imaging further revealed that the phantom's axial flow pattern was aligned with the CFD-derived flow profile. Overall, the helical toroid phantom has strong potential as an investigative tool in 3D flow imaging innovation endeavors, such as the development of flow vector estimators and visualization algorithms.

Equivalent Circuit Models of Cell and Array for Resonant Cavity-Based Piezoelectric Micromachined Ultrasonic Transducer

This article presents a design of resonant cavity-based piezoelectric micromachined ultrasonic transducers (PMUTs), including impedance matching tube-integrated (T) and Helmholtz resonant (HR) cavity-integrated PMUTs. In addition, equivalent circuit models for single PMUT cell and PMUT array are developed for structural optimization and complex array design. The model-derived results agree well with the FEM results. On the basis of the proposed models, an optimized design is established to achieve high output pressure and a good array working performance. The working performance of arrays that consist of HR-PMUTs and traditional circular diaphragm PMUTs (C-PMUTs) is compared. Results indicate that the HR-PMUT array has a lower crosstalk effect than the traditional C-PMUT array. Furthermore, the highest ultrasonic output pressure of HR-PMUT array at the resonant frequency can be achieved with an increase of up to 163% compared with that of the C-PMUT array because of the liquid amplification effect. Also, the cavity-based design and its model can be used for further advanced PMUT cell structures in other arrays to improve their performance.

Design of 2D Sparse Array Transducers for Anomaly Detection in Medical Phantoms

Aperiodic sparse 2D ultrasonic array configurations, including random array, log spiral array, and sunflower array, have been considered for their potential as conformable transducers able to image within a focal range of 30-80 mm, at an operating frequency of 2 MHz. Optimisation of the imaging performance of potential array patterns has been undertaken based on their simulated far field directivity functions. Two evaluation criteria, peak sidelobe level (PSL) and integrated sidelobe ratio (ISLR), are used to access the performance of each array configuration. Subsequently, a log spiral array pattern with -19.33 dB PSL and 2.71 dB ISLR has been selected as the overall optimal design. Two prototype transducers with the selected log spiral array pattern have been fabricated and characterised, one using a fibre composite element composite array transducer (CECAT) structure, the other using a conventional 1-3 composite (C1-3) structure. The CECAT device demonstrates improved coupling coefficient (0.64 to 0.59), reduced mechanical cross-talk between neighbouring array elements (by 10 dB) and improved operational bandwidth (by 16.5%), while the C1-3 device performs better in terms of sensitivity (~50%). Image processing algorithms, such as Hough transform and morphological opening, have been implemented to automatically detect and dimension particles located within a fluid-filled tube structure, in a variety of experimental scenarios, including bespoke phantoms using tissue mimicking material. Experiments using the fabricated CECAT log spiral 2D array transducer demonstrated that this algorithmic approach was able to detect the walls of the tube structure and stationary anomalies within the tube with a precision of ~0.1 mm.

Source Density Apodization: Image Artifact Suppression Through Source Pitch Nonuniformity

Conventional ultrasound imaging probes typically comprise finite-sized arrays of periodically spaced transducer elements which, in the case of phased arrays, can result in severe grating and sidelobe artifacts. Whereas side lobes can be effectively suppressed through amplitude apodization ("AmpA"), grating lobes arising from periodicity in transducer placement can only be suppressed by decreasing the element pitch, which is technologically challenging and costly. In this work, we present source density apodization ("SDA") as an alternative apodization scheme, where the spatial source density (and, hence, the element pitch) is varied across the imaging aperture. Using an all-optical ultrasound imaging setup capable of video-rate 2-D imaging as well as dynamic and arbitrary reconfiguration of the source array geometry, we show both numerically and experimentally how SDA and AmpA are equivalent for large numbers of sources. For low numbers of sources, SDA is shown to yield superior image quality as both side and grating lobes are effectively suppressed. In addition, we demonstrate how asymmetric SDA schemes can be used to locally and dynamically improve the image quality. Finally, we demonstrate how a nonsmoothly varying spatial source density (such as that obtained for randomized arrays or in the presence of source positioning uncertainty or inaccuracy) can yield severe image artifacts. The application of SDA can, thus, yield high image quality even for low channel counts, which can ultimately result in higher imaging frame rates using acquisition systems of reduced complexity.

Sparse hand-held probe for optoacoustic ultrasound volumetric imaging: an experimental proof-of-concept study

We present an experimental proof-of-concept study on the performance of a sparse segmented annular array for optoacoustic imaging. A capacitive micromachined ultrasonic transducer was equipped with a negatively focused acoustic lens and scanned in an annular fashion to exploit the performance of the sparse array geometry proposed in our recent numerical studies [Biomed. Opt. Express10, 1545 (2019)BOEICL2156-708510.1364/BOE.10.001545; J. Biomed. Opt.23, 025004 (2018)JBOPFO1083-366810.1117/1.JBO.23.2.025004]. A dedicated water tank was made using a 3D printer for light delivery and mounting the sample. A phantom experiment was carried out to showcase the possibility of full-field optoacoustic ultrasound (OPUS) imaging and confirm the earlier numerical results. This proof of concept opens the door towards a prototype of OPUS imaging for (pre-) clinical studies.

3-D Super-Resolution Ultrasound Imaging With a 2-D Sparse Array

High-frame-rate 3-D ultrasound imaging technology combined with super-resolution processing method can visualize 3-D microvascular structures by overcoming the diffraction-limited resolution in every spatial direction. However, 3-D super-resolution ultrasound imaging using a full 2-D array requires a system with a large number of independent channels, the design of which might be impractical due to the high cost, complexity, and volume of data produced. In this study, a 2-D sparse array was designed and fabricated with 512 elements chosen from a density-tapered 2-D spiral layout. High-frame-rate volumetric imaging was performed using two synchronized ULA-OP 256 research scanners. Volumetric images were constructed by coherently compounding nine-angle plane waves acquired at a pulse repetition frequency of 4500 Hz. Localization-based 3-D super-resolution images of two touching subwavelength tubes were generated from 6000 volumes acquired in 12 s. Finally, this work demonstrates the feasibility of 3-D super-resolution imaging and super-resolved velocity mapping using a customized 2-D sparse array transducer.

Spectral Doppler Measurements With 2-D Sparse Arrays

The 2-D sparse arrays, in which a few hundreds of elements are distributed on the probe surface according to an optimization procedure, represent an alternative to full 2-D arrays, including thousands of elements usually organized in a grid. Sparse arrays have already been used in B-mode imaging tests, but their application to Doppler investigations has not been reported yet. Since the sparsity of the elements influences the acoustic field, a corresponding influence on the mean frequency (Fm), bandwidth (BW), and signal-to-noise ratio (SNR) of the Doppler spectra is expected. This article aims to assess, by simulations and experiments, to what extent the use of a sparse rather than a full gridded 2-D array has an impact on spectral Doppler measurements. Parabolic flows were investigated by a 3 MHz, 1024-element gridded array and by a sparse array; the latter was obtained by properly selecting a subgroup of 256 elements from the full array. Simulations show that the mean Doppler frequency does not change between the sparse and the full array while there are significant differences on the BW (average reduction of 17.2% for the sparse array, due to different apertures of the two probes) and on the signal power (Ps) (22 dB, due to the different number of active elements). These results are confirmed by flow phantom experiments, which also highlight that the most critical difference between sparse and full gridded array in Doppler measurements is in terms of SNR (-16.8 dB).

High-Frame-Rate Tri-Plane Echocardiography With Spiral Arrays: From Simulation to Real-Time Implementation

Major cardiovascular diseases (CVDs) are associated with (regional) dysfunction of the left ventricle. Despite the 3-D nature of the heart and its dynamics, the assessment of myocardial function is still largely based on 2-D ultrasound imaging, thereby making diagnosis heavily susceptible to the operator's expertise. Unfortunately, to date, 3-D echocardiography cannot provide adequate spatiotemporal resolution in real-time. Hence, tri-plane imaging has been introduced as a compromise between 2-D and true volumetric ultrasound imaging. However, tri-plane imaging typically requires high-end ultrasound systems equipped with fully populated matrix array probes embedded with expensive and little flexible electronics for two-stage beamforming. This article presents an advanced ultrasound system for real-time, high frame rate (HFR), and tri-plane echocardiography based on low element count sparse arrays, i.e., the so-called spiral arrays. The system was simulated, experimentally validated, and implemented for real-time operation on the ULA-OP 256 system. Five different array configurations were tested together with four different scan sequences, including multi-line and planar diverging wave transmission. In particular, the former can be exploited to achieve, in tri-plane imaging, the same temporal resolution currently used in clinical 2-D echocardiography, at the expenses of contrast (-3.5 dB) and signal-to-noise ratio (SNR) (-8.7 dB). On the other hand, the transmission of planar diverging waves boosts the frame rate up to 250 Hz, but further compromises contrast (-10.5 dB), SNR (-9.7 dB), and lateral resolution (+46%). In conclusion, despite an unavoidable loss in image quality and sensitivity due to the limited number of elements, HFR tri-plane imaging with spiral arrays is shown to be feasible in real-time and may enable real-time functional analysis of all left ventricular segments of the heart.

Sparse Rectangular and Spiral Array Designs for 3D Medical Ultrasound Imaging

In three-dimensional (3D) medical ultrasound imaging with two-dimensional (2D) arrays, sparse 2D arrays have been studied to reduce the number of active channels. Among them, sparse 2D arrays with regular or uniform arrangements of elements have advantages of low side lobe energy and uniform field responses over the entire field of view. This paper presents two uniform sparse array models: sparse rectangular arrays (SRAs) on a rectangular grid and sparse spiral arrays (SSAs) on a sunflower grid. Both arrays can be easily implemented on the commercially available or the custom-made arrays. To suppress the overall grating lobe levels, the transmit (Tx) and receive (Rx) array pairs of both the array models are designed not to have grating lobes at the same locations in the Tx/Rx beam patterns, for which the theoretical design rules are also proposed. Computer simulation results indicate that the proposed array pairs for both the SRAs and the SSAs achieve peak grating lobe levels below -40 dB using about a quarter of the number of elements in the dense rectangular array while maintaining similar beam widths to that of the dense array pair.

Contrast and Volume Rate Enhancement of 3-D Ultrasound Imaging Using Aperiodic Plane Wave Angles: A Simulation Study

Three-dimensional plane wave imaging (PWI) with a 2-D array has been studied for ultrafast volumetric imaging in medical ultrasound. Compared to 2-D PWI, 3-D PWI requires the transmission of an increased number of plane waves (PWs) to scan a volume of interest and achieve transmit dynamic focusing in both the lateral and elevational directions. To reduce the number of PW angles for a given 2-D angular range by mitigating the grating lobe level, we propose two aperiodic patterns of PW angles: concentric rings with a uniform radial interval and the well-known sunflower pattern. Both patterns are validated to provide uniform angle distributions without regular periodicity, and thereby reduce the grating lobe level compared to a periodic angle distribution with the same number of PW angles. Simulation studies show that the aperiodic patterns enhance the contrast of B-mode images by approximately 3-6 dB over all depths. This enhancement implies that the aperiodic angle sets can increase the volume rate by approximately 2-6 times compared to the periodic angle set at the same contrast and spatial resolution.

4D cardiac electromechanical activation imaging

Cardiac abnormalities, a major cause of morbidity and mortality, affect millions of people worldwide. Despite the urgent clinical need for early diagnosis, there is currently no noninvasive technique that can infer to the electrical function of the whole heart in 3D and thereby localize abnormalities at the point of care. Here we present a new method for noninvasive 4D mapping of the cardiac electromechanical activity in a single heartbeat for heart disease characterization such as arrhythmia and infarction. Our novel technique captures the 3D activation wave of the heart in vivo using high volume-rate (500 volumes per second) ultrasound with a 32 × 32 matrix array. Electromechanical activation maps are first presented in a normal and infarcted cardiac model in silico and in canine heart during pacing and re-entrant ventricular tachycardia in vivo. Noninvasive 4D electromechanical activation mapping in a healthy volunteer and a heart failure patient are also determined. The technique described herein allows for direct, simultaneous and noninvasive visualization of electromechanical activation in 3D, which provides complementary information on myocardial viability and/or abnormality to clinical imaging.

Simultaneous transmission and reception on all elements of an array: binary code excitation

Pulse-echo arrays are used in radar, sonar, seismic, medical and non-destructive evaluation. There is a trend to produce arrays with an ever-increasing number of elements. This trend presents two major challenges: (i) often the size of the elements is reduced resulting in a lower signal-to-noise ratio (SNR) and (ii) the time required to record all of the signals that correspond to every transmit-receive path increases. Coded sequences with good autocorrelation properties can increase the SNR while orthogonal sets can be used to simultaneously acquire all of the signals that correspond to every transmit-receive path. However, a central problem of conventional coded sequences is that they cannot achieve good autocorrelation and orthogonality properties simultaneously due to their length being limited by the location of the closest reflectors. In this paper, a solution to this problem is presented by using coded sequences that have receive intervals. The proposed approach can be more than one order of magnitude faster than conventional methods. In addition, binary excitation and quantization can be employed, which reduces the data throughput by roughly an order of magnitude and allows for higher sampling rates. While this concept is generally applicable to any field, a 16-element system was built to experimentally demonstrate this principle for the first time using a conventional medical ultrasound probe.

Sparse sampling and reconstruction for an optoacoustic ultrasound volumetric hand-held probe

Accurate anatomical localization of functional information is the main goal of hybridizing optoacoustic and ultrasound imaging, with the promise of early stage diagnosis and disease pathophysiology. Optoacoustic integration to ultrasound is a relatively mature technique for clinical two-dimensional imaging, however the complexity of biological samples places particular demands for volumetric measurement and reconstruction. This integration is a multi-fold challenge that is mainly associated with the system geometry, the sampling and beam quality. In this study, we evaluated the design geometry for the sparse ultrasonic hand-held probe that is popularly associated with three-dimensional imaging of anatomical deformation, to incorporate the three-dimensional optoacoustic physiological information. We explored the imaging performance of three unconventional annular geometries; namely, segmented, spiral, and circular geometries. To avoid bias evaluation, two classes of analytical and model-based algorithms were used. The superior performance of the segmented annular array for recovery of the true object is demonstrated. Along with the model-based approach, this geometry offers spatial invariant resolution for the optoacoustic mode for the given field of view.The analytical approach, on the other hand, is computationally less expensive and is the method of choice for ultrasound imaging. Our design can potentially evolve into a valuable diagnostic tool, particularly for vascular-related disease.

3-D Motion Correction for Volumetric Super-Resolution Ultrasound Imaging

Motion during image acquisition can cause image degradation in all medical imaging modalities. This is particularly relevant in 2-D ultrasound imaging, since out-of-plane motion can only be compensated for movements smaller than elevational beamwidth of the transducer. Localization based super-resolution imaging creates even a more challenging motion correction task due to the requirement of a high number of acquisitions to form a single super-resolved frame. In this study, an extension of two-stage motion correction method is proposed for 3-D motion correction. Motion estimation was performed on high volumetric rate ultrasound acquisitions with a handheld probe. The capability of the proposed method was demonstrated with a 3-D microvascular flow simulation to compensate for handheld probe motion. Results showed that two-stage motion correction method reduced the average localization error from 136 to 18 μm.

A 2-D Ultrasound Transducer With Front-End ASIC and Low Cable Count for 3-D Forward-Looking Intravascular Imaging: Performance and Characterization

Intravascular ultrasound (IVUS) is an imaging modality used to visualize atherosclerosis from within the inner lumen of human arteries. Complex lesions like chronic total occlusions require forward-looking IVUS (FL-IVUS), instead of the conventional side-looking geometry. Volumetric imaging can be achieved with 2-D array transducers, which present major challenges in reducing cable count and device integration. In this work, we present an 80-element lead zirconium titanate matrix ultrasound transducer for FL-IVUS imaging with a front-end application-specific integrated circuit (ASIC) requiring only four cables. After investigating optimal transducer designs, we fabricated the matrix transducer consisting of 16 transmit (TX) and 64 receive (RX) elements arranged on top of an ASIC having an outer diameter of 1.5 mm and a central hole of 0.5 mm for a guidewire. We modeled the transducer using finite-element analysis and compared the simulation results to the values obtained through acoustic measurements. The TX elements showed uniform behavior with a center frequency of 14 MHz, a -3-dB bandwidth of 44%, and a transmit sensitivity of 0.4 kPa/V at 6 mm. The RX elements showed center frequency and bandwidth similar to the TX elements, with an estimated receive sensitivity of /Pa. We successfully acquired a 3-D FL image of three spherical reflectors in water using delay-and-sum beamforming and the coherence factor method. Full synthetic-aperture acquisition can be achieved with frame rates on the order of 100 Hz. The acoustic characterization and the initial imaging results show the potential of the proposed transducer to achieve 3-D FL-IVUS imaging.

High-Volume-Rate 3-D Ultrasound Imaging Based on Synthetic Aperture Sequential Beamforming With Chirp-Coded Excitation

Three-dimensional (3-D) ultrasound imaging is a promising modality for many medical applications. Unfortunately, it generates voluminous data in the front end, making it unattractive for high-volume-rate portable medical applications. We apply synthetic aperture sequential beamforming (SASB) to greatly compress the front-end receive data. Baseline 3-D SASB has a low volume rate, because subapertures fire one by one. In this paper, we propose to increase the volume rate of 3-D SASB without degrading imaging quality through: 1) transmitting and receiving simultaneously with four subapertures and 2) using linear chirps as the excitation waveform to reduce interference. We design four linear chirps that operate on two overlapped frequency bands with chirp pairs in each band having opposite chirp rates. Direct implementation of this firing scheme results in grating lobes. Therefore, we design a sparse array that mitigates the grating lobe levels through optimizing the locations of transducer elements in the bin-based random array. Compared with the baseline 3-D SASB, the proposed method increases the volume rate from 8.56 to 34.2 volumes/s without increasing the front-end computation requirement. Field-II-based cyst simulations show that the proposed method achieves imaging quality comparable with baseline 3-D SASB in both shallow and deep regions.

Experimental 3-D Ultrasound Imaging with 2-D Sparse Arrays using Focused and Diverging Waves

Three dimensional ultrasound (3-D US) imaging methods based on 2-D array probes are increasingly investigated. However, the experimental test of new 3-D US approaches is contrasted by the need of controlling very large numbers of probe elements. Although this problem may be overcome by the use of 2-D sparse arrays, just a few experimental results have so far corroborated the validity of this approach. In this paper, we experimentally compare the performance of a fully wired 1024-element (32 × 32) array, assumed as reference, to that of a 256-element random and of an “optimized” 2-D sparse array, in both focused and compounded diverging wave (DW) transmission modes. The experimental results in 3-D focused mode show that the resolution and contrast produced by the optimized sparse array are close to those of the full array while using 25% of elements. Furthermore, the experimental results in 3-D DW mode and 3-D focused mode are also compared for the first time and they show that both the contrast and the resolution performance are higher when using the 3-D DW at volume rates up to 90/second which represent a 36x speed up factor compared to the focused mode.

Two-Stage Motion Correction for Super-Resolution Ultrasound Imaging in Human Lower Limb

The structure of microvasculature cannot be resolved using conventional ultrasound (US) imaging due to the fundamental diffraction limit at clinical US frequencies. It is possible to overcome this resolution limitation by localizing individual microbubbles through multiple frames and forming a superresolved image, which usually requires seconds to minutes of acquisition. Over this time interval, motion is inevitable and tissue movement is typically a combination of large- and small-scale tissue translation and deformation. Therefore, super-resolution (SR) imaging is prone to motion artifacts as other imaging modalities based on multiple acquisitions are. This paper investigates the feasibility of a two-stage motion estimation method, which is a combination of affine and nonrigid estimation, for SR US imaging. First, the motion correction accuracy of the proposed method is evaluated using simulations with increasing complexity of motion. A mean absolute error of 12.2 was achieved in simulations for the worst-case scenario. The motion correction algorithm was then applied to a clinical data set to demonstrate its potential to enable in vivo SR US imaging in the presence of patient motion. The size of the identified microvessels from the clinical SR images was measured to assess the feasibility of the two-stage motion correction method, which reduced the width of the motion-blurred microvessels to approximately 1.5-fold.

Theoretical characterization of annular array as a volumetric optoacoustic ultrasound handheld probe

Optoacoustic ultrasound (OPUS) is a promising hybridized technique for simultaneous acquisition of functional and morphological data. The optical specificity of optoacoustic leverages the diagnostic aptitude of ultrasonography beyond anatomy. However, this integration has been rarely practiced for volumetric imaging. The challenge lies in the effective imaging probes that preserve the functionality of both modalities. The potentials of a sparse annular array for volumetric OPUS imaging are theoretically investigated. In order to evaluate and optimize the performance characteristics of the probe, series of analysis in the framework of system model matrix was carried out. The two criteria of voxel crosstalk and eigenanalysis have been employed to unveil information about the spatial sensitivity, aliasing, and number of definable spatial frequency components. Based on these benchmarks, the optimal parameters for volumetric handheld probe are determined. In particular, the number, size, and the arrangement of the elements and overall aperture dimension were investigated. The result of the numerical simulation suggests that the segmented-annular array of 128 negatively focused elements with 1λ  ×  20λ size, operating at 5-MHz central frequency showcases a good agreement with the physical requirement of both imaging systems. We hypothesize that these features enable a high-throughput volumetric passive/active ultrasonic imaging system with great potential for clinical applications.

An Experimental Protocol for Assessing the Performance of New Ultrasound Probes Based on CMUT Technology in Application to Brain Imaging

The possibility to perform an early and repeatable assessment of imaging performance is fundamental in the design and development process of new ultrasound (US) probes. Particularly, a more realistic analysis with application-specific imaging targets can be extremely valuable to assess the expected performance of US probes in their potential clinical field of application. The experimental protocol presented in this work was purposely designed to provide an application-specific assessment procedure for newly-developed US probe prototypes based on Capacitive Micromachined Ultrasonic Transducer (CMUT) technology in relation to brain imaging. The protocol combines the use of a bovine brain fixed in formalin as the imaging target, which ensures both realism and repeatability of the described procedures, and of neuronavigation techniques borrowed from neurosurgery. The US probe is in fact connected to a motion tracking system which acquires position data and enables the superposition of US images to reference Magnetic Resonance (MR) images of the brain. This provides a means for human experts to perform a visual qualitative assessment of the US probe imaging performance and to compare acquisitions made with different probes. Moreover, the protocol relies on the use of a complete and open research and development system for US image acquisition, i.e. the Ultrasound Advanced Open Platform (ULA-OP) scanner. The manuscript describes in detail the instruments and procedures involved in the protocol, in particular for the calibration, image acquisition and registration of US and MR images. The obtained results prove the effectiveness of the overall protocol presented, which is entirely open (within the limits of the instrumentation involved), repeatable, and covers the entire set of acquisition and processing activities for US images.

Wideband 2-D Array Design Optimization With Fabrication Constraints for 3-D US Imaging

Ultrasound (US) 2-D arrays are of increasing interest due to their electronic steering capability to investigate 3-D regions without requiring any probe movement. These arrays are typically populated by thousands of elements that, ideally, should be individually driven by the companion scanner. Since this is not convenient, the so-called microbeamforming methods, yielding a prebeamforming stage performed in the probe handle by suitable custom integrated circuits, have so far been implemented in a few commercial high-end scanners. A possible approach to implement relatively cheap and efficient 3-D US imaging systems is using 2-D sparse arrays in which a limited number of elements can be coupled to an equal number of independent transmit/receive channels. In order to obtain US beams with adequate characteristics all over the investigated volume, the layout of such arrays must be carefully designed. This paper provides guidelines to design, by using simulated annealing optimization, 2-D sparse arrays capable of fitting specific applications or fabrication/implementation constraints. In particular, an original energy function based on multidepth 3-D analysis of the beam pattern is also exploited. A tutorial example is given, addressed to find the N _e elements that should be activated in a 2-D fully populated array to yield efficient acoustic radiating performance over the entire volume. The proposed method is applied to a 32 ×32 array centered at 3 MHz to select the 128, 192, and 256 elements that provide the best acoustic performance. It is shown that the 256-element optimized array yields sidelobe levels even lower (by 5.7 dB) than that of the reference 716-element circular and (by 10.3 dB) than that of the reference 1024-element array.

2-D Ultrasound Sparse Arrays Multidepth Radiation Optimization Using Simulated Annealing and Spiral-Array Inspired Energy Functions

Full matrix arrays are excellent tools for 3-D ultrasound imaging, but the required number of active elements is too high to be individually controlled by an equal number of scanner channels. The number of active elements is significantly reduced by the sparse array techniques, but the position of the remaining elements must be carefully optimized. This issue is faced here by introducing novel energy functions in the simulated annealing (SA) algorithm. At each iteration step of the optimization process, one element is freely translated and the associated radiated pattern is simulated. To control the pressure field behavior at multiple depths, three energy functions inspired by the pressure field radiated by a Blackman-tapered spiral array are introduced. Such energy functions aim at limiting the main lobe width while lowering the side lobe and grating lobe levels at multiple depths. Numerical optimization results illustrate the influence of the number of iterations, pressure measurement points, and depths, as well as the influence of the energy function definition on the optimized layout. It is also shown that performance close to or even better than the one provided by a spiral array, here assumed as reference, may be obtained. The finite-time convergence properties of SA allow the duration of the optimization process to be set in advance.