Fast Orthogonal Row-Column Electronic Scanning (FORCES) Experiments and Comparisons

Enhancing Row-Column Array (RCA)-Based 3D Ultrasound Vascular Imaging With Spatial-Temporal Similarity Weighting

Ultrasound vascular imaging (UVI) is a valuable tool for monitoring the physiological states and evaluating the pathological diseases. Advancing from conventional two-dimensional (2D) to three-dimensional (3D) UVI would enhance the vasculature visualization, thereby improving its reliability. Row-column array (RCA) has emerged as a promising approach for cost-effective ultrafast 3D imaging with a low channel count. However, ultrafast RCA imaging is often hampered by high-level sidelobe artifacts and low signal-to-noise ratio (SNR), which makes RCA-based UVI challenging. In this study, we propose a spatial-temporal similarity weighting (St-SW) method to overcome these challenges by exploiting the incoherence of sidelobe artifacts and noise between datasets acquired using orthogonal transmissions. Simulation, in vitro blood flow phantom, and in vivo experiments were conducted to compare the proposed method with existing orthogonal plane wave imaging (OPW), row-column-specific frame-multiply-and-sum beamforming (RC-FMAS), and XDoppler techniques. Qualitative and quantitative results demonstrate the superior performance of the proposed method. In simulations, the proposed method reduced the sidelobe level by 31.3 dB, 20.8 dB, and 14.0 dB, compared to OPW, XDoppler, and RC-FMAS, respectively. In the blood flow phantom experiment, the proposed method significantly improved the contrast-to-noise ratio (CNR) of the tube by 26.8 dB, 25.5 dB, and 19.7 dB, compared to OPW, XDoppler, and RC-FMAS methods, respectively. In the human submandibular gland experiment, it not only reconstructed a more complete vasculature but also improved the CNR by more than 15 dB, compared to OPW, XDoppler, and RC-FMAS methods. In summary, the proposed method effectively suppresses the side-lobe artifacts and noise in images collected using an RCA under low SNR conditions, leading to improved visualization of 3D vasculatures.

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.

Transparent Dual-Frequency CMUT Arrays for Photoacoustic Imaging

The opaque ultrasound transducers used in conventional photoacoustic imaging systems necessitate oblique light delivery, which gives rise to some disadvantages such as inefficient target illumination and bulky system size. This work proposes a transparent capacitive micromachined ultrasound transducer (CMUT) linear array with dual-band operation for through-illumination photoacoustic imaging. Fabricated using an adhesive wafer bonding method, the array consists of optically transparent conductors [indium tin oxide (ITO)] as both top and bottom electrodes, a transparent polymer [bisbenzocyclobutene (BCB)] as the sidewall and adhesive material, and largely transparent silicon nitride as the membrane. The fabricated device had a maximum optical transparency of 76.8% in the visible range. Furthermore, to simultaneously maintain higher spatial resolution and deeper imaging depth, this dual-frequency array consists of low- and high-frequency channels with 4.2- and 9.3-MHz center frequencies, respectively, which are configured in an interlaced architecture to minimize the grating lobes in the receive point spread function (PSF). With a wider bandwidth compared to the single-frequency case, the fabricated transparent dual-frequency CMUT array was used in through-illumination photoacoustic imaging of wire targets demonstrating an improved spatial resolution and imaging depth.

Transverse oscillation tensor velocity imaging using a row-column addressed array: Experimental validation

Tensor velocity imaging (TVI) performance with a row-column probe was assessed for constant flow in a straight vessel phantom and pulsatile flow in a carotid artery phantom. TVI, i.e., estimating the 3-D velocity vector as a function of time and spatial position, was performed using the transverse oscillation cross-correlation estimator, and the flow was acquired with a Vermon 128+128 row-column array probe connected to a Verasonics 256 research scanner. The emission sequence used 16 emissions per image, and a TVI volume rate of 234 Hz was obtained for a pulse repetition frequency (f_prf) of 15 kHz. The TVI was validated by comparing estimates of the flow rate through several cross-sections with the flow rate set by the pump. For the constant 8 mL/s flow in the straight vessel phantom with relative estimator bias (RB) and standards deviation (RSD) was found in the range of -2.18% to 0.55% and 4.58% to 2.48% in measurements performed with an f_prf of 15, 10, 8, and 5 kHz. The pulsatile flow in the carotid artery phantom the was set to an average flow rate of 2.44 mL/s, and the flow was acquired with an f_prf of 15, 10, and 8 kHz. The pulsatile flow was estimated from two measurement sites: one at a straight section of the artery and one at the bifurcation. In the straight section, the estimator predicted the average flow rate with an RB value ranging from -7.99% to 0.10% and an RSD value ranging from 10.76% to 6.97%. At the bifurcation, RB and RSD values were between -7.47% to 2.02% and 14.46% to 8.89%. This demonstrates that an RCA with 128 receive elements can accurately capture the flow rate through any cross-section at a high sampling rate.

High-Voltage Bias-Switching Electronics for Volumetric Imaging Using Electrostrictive Row-Column Arrays

Top orthogonal to bottom electrode (TOBE) arrays, also known as row-column arrays, hold great promise for fast high-quality volumetric imaging. Bias-voltage-sensitive TOBE arrays based on electrostrictive relaxors or micromachined ultrasound transducers can enable readout from every element of the array using only row and column addressing. However, these transducers require fast bias-switching electronics which are not part of a conventional ultrasound system and are nontrivial. Here we report on the first modular bias-switching electronics enabling transmit, receive, and biasing on every row and every column of TOBE arrays, supporting up to 1024 channels. We demonstrate the performance of these arrays by connection to a transducer testing interface board (IB) and demonstrate 3-D structural imaging of tissue and 3-D power Doppler imaging of phantoms with real-time B-scan imaging and reconstruction rates. Our developed electronics enable interfacing of bias-switchable TOBE arrays to channel-domain ultrasound platforms with software-defined reconstruction for next-generation 3-D imaging at unprecedented scales and imaging rates.

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.

Anatomic and Functional Imaging Using Row-Column Arrays

Row-column (RC) arrays have the potential to yield full 3-D ultrasound imaging with a greatly reduced number of elements compared to fully populated arrays. They, however, have several challenges due to their special geometry. This review article summarizes the current literature for RC imaging and demonstrates that full anatomic and functional imaging can attain a high quality using synthetic aperture (SA) sequences and modified delay-and-sum beamforming. Resolution can approach the diffraction limit with an isotropic resolution of half a wavelength with low sidelobe levels, and the field of view can be expanded by using convex or lensed RC probes. GPU beamforming allows for three orthogonal planes to be beamformed at 30 Hz, providing near real-time imaging ideal for positioning the probe and improving the operator's workflow. Functional imaging is also attainable using transverse oscillation and dedicated SA sequence for tensor velocity imaging for revealing the full 3-D velocity vector as a function of spatial position and time for both blood velocity and tissue motion estimation. Using RC arrays with commercial contrast agents can reveal super-resolution imaging (SRI) with isotropic resolution below [Formula: see text]. RC arrays can, thus, yield full 3-D imaging at high resolution, contrast, and volumetric rates for both anatomic and functional imaging with the same number of receive channels as current commercial 1-D arrays.

Ultrafast Orthogonal Row-Column Electronic Scanning (uFORCES) With Bias-Switchable Top-Orthogonal-to-Bottom Electrode 2-D Arrays

Top-orthogonal-to-bottom electrode (TOBE) arrays, also known as row-column arrays, have shown great promise as an alternative to fully wired 2-D arrays, owing to a considerable reduction in channels. Novel imaging schemes with bias-switchable TOBE arrays were previously shown to offer promise compared with previous nonbias-switchable row-column imaging schemes and compared with previously developed explososcan methods, however, they required significant coherent compounding. Here, we introduce ultrafast orthogonal row-column electronic scanning (uFORCES), an ultrafast coded synthetic aperture imaging method. Unlike its FORCES predecessor, uFORCES can achieve coherent compounding with only a few transmit events and may, thus, be more robust to tissue motion. We demonstrate through simulations that uFORCES can potentially offer improved resolution compared with the matrix probes having beamformers constrained by the paraxial approximation. Also, unlike current matrix probe technology incorporating microbeamforming, uFORCES with bias-switchable TOBE arrays can achieve ultrafast imaging at thousands of frames per second using only row and column addressing. We also demonstrate the experimental implementation of uFORCES using a fabricated 128 ×128 electrostrictive TOBE array on a crossed 25- [Formula: see text] gold wire phantom and a tissue-mimicking phantom. The potential for improved resolution and ultrafast imaging with uFORCES could enable new essential imaging capabilities for clinical and preclinical ultrasound.

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.

Current Ultrasound Technologies and Instrumentation in the Assessment and Monitoring of COVID-19 Positive Patients

Since the emergence of the COVID-19 pandemic in December of 2019, clinicians and scientists all over the world have faced overwhelming new challenges that not only threaten their own communities and countries but also the world at large. These challenges have been enormous and debilitating, as the infrastructure of many countries, including developing ones, had little or no resources to deal with the crisis. Even in developed countries, such as Italy, health systems have been so inundated by cases that health care facilities became oversaturated and could not accommodate the unexpected influx of patients to be tested. Initially, resources were focused on testing to identify those who were infected. When it became clear that the virus mainly attacks the lungs by causing parenchymal changes in the form of multifocal pneumonia of different levels of severity, imaging became paramount in the assessment of disease severity, progression, and even response to treatment. As a result, there was a need to establish protocols for imaging of the lungs in these patients. In North America, the focus was on chest X-ray and computed tomography (CT) as these are widely available and accessible at most health facilities. However, in Europe and China, this was not the case, and a cost-effective and relatively fast imaging modality was needed to scan a large number of sick patients promptly. Hence, ultrasound (US) found its way into the hands of Chinese and European physicians and has since become an important imaging modality in those locations. US is a highly versatile, portable, and inexpensive imaging modality that has application across a broad spectrum of conditions and, in this way, is ideally suited to assess the lungs of COVID-19 patients in the intensive care unit (ICU). This bedside test can be done with little to no movement of the patients from the unit that keeps them in their isolated rooms, thereby limiting further exposure to other health personnel. This article presents a basic introduction to COVID-19 and the use of the US for lung imaging. It further provides a high-level overview of the existing US technologies that are driving development in current and potential future US imaging systems for lung, with a specific emphasis on portable and 3-D systems.