In vivo bistatic dual-aperture ultrasound imaging and elastography of the abdominal aorta

Introduction: In this paper we introduce in vivo multi-aperture ultrasound imaging and elastography of the abdominal aorta. Monitoring of the geometry and growth of abdominal aortic aneurysms (AAA) is paramount for risk stratification and intervention planning. However, such an assessment is limited...

Full description

Bibliographic Details
Main Authors: Vera H. J. van Hal, Hein de Hoop, Marc R. H. M. van Sambeek, Hans-Martin Schwab, Richard G. P. Lopata
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2024.1320456/full
_version_ 1797236872570732544
author Vera H. J. van Hal
Hein de Hoop
Marc R. H. M. van Sambeek
Marc R. H. M. van Sambeek
Hans-Martin Schwab
Richard G. P. Lopata
author_facet Vera H. J. van Hal
Hein de Hoop
Marc R. H. M. van Sambeek
Marc R. H. M. van Sambeek
Hans-Martin Schwab
Richard G. P. Lopata
author_sort Vera H. J. van Hal
collection DOAJ
description Introduction: In this paper we introduce in vivo multi-aperture ultrasound imaging and elastography of the abdominal aorta. Monitoring of the geometry and growth of abdominal aortic aneurysms (AAA) is paramount for risk stratification and intervention planning. However, such an assessment is limited by the lateral lumen-wall contrast and resolution of conventional ultrasound. Here, an in vivo dual-aperture bistatic imaging approach is shown to improve abdominal ultrasound and strain imaging quality significantly. By scanning the aorta from different directions, a larger part of the vessel circumference can be visualized.Methods: In this first-in-man volunteer study, the performance of multi-aperture ultrasound imaging and elastography of the abdominal aortic wall was assessed in 20 healthy volunteers. Dual-probe acquisition was performed in which two curved array transducers were aligned in the same imaging plane. The transducers alternately transmit and both probes receive simultaneously on each transmit event, which allows for the reconstruction of four ultrasound signals. Automatic probe localization was achieved by optimizing the coherence of the trans-probe data, using a gradient descent algorithm. Speckle-tracking was performed on the four individual bistatic signals, after which the respective axial displacements were compounded and strains were calculated.Results: Using bistatic multi-aperture ultrasound imaging, the image quality of the ultrasound images, i.e., the angular coverage of the wall, was improved which enables accurate estimation of local motion dynamics and strain in the abdominal aortic wall. The motion tracking error was reduced from 1.3 mm ± 0.63 mm to 0.16 mm ± 0.076 mm, which increased the circumferential elastographic signal-to-noise ratio (SNRe) by 12.3 dB ± 8.3 dB on average, revealing more accurate and homogeneous strain estimates compared to single-perspective ultrasound.Conclusion: Multi-aperture ultrasound imaging and elastography is feasible in vivo and can provide the clinician with vital information about the anatomical and mechanical state of AAAs in the future.
first_indexed 2024-04-24T17:10:45Z
format Article
id doaj.art-9544436f44974d3193e60b29925096c1
institution Directory Open Access Journal
issn 1664-042X
language English
last_indexed 2024-04-24T17:10:45Z
publishDate 2024-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Physiology
spelling doaj.art-9544436f44974d3193e60b29925096c12024-03-28T11:27:49ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2024-03-011510.3389/fphys.2024.13204561320456In vivo bistatic dual-aperture ultrasound imaging and elastography of the abdominal aortaVera H. J. van Hal0Hein de Hoop1Marc R. H. M. van Sambeek2Marc R. H. M. van Sambeek3Hans-Martin Schwab4Richard G. P. Lopata5Photoacoustics and Ultrasound Laboratory Eindhoven (PULS/e), Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsPhotoacoustics and Ultrasound Laboratory Eindhoven (PULS/e), Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsPhotoacoustics and Ultrasound Laboratory Eindhoven (PULS/e), Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsDepartment of Vascular Surgery, Catharina Hospital, Eindhoven, NetherlandsPhotoacoustics and Ultrasound Laboratory Eindhoven (PULS/e), Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsPhotoacoustics and Ultrasound Laboratory Eindhoven (PULS/e), Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, NetherlandsIntroduction: In this paper we introduce in vivo multi-aperture ultrasound imaging and elastography of the abdominal aorta. Monitoring of the geometry and growth of abdominal aortic aneurysms (AAA) is paramount for risk stratification and intervention planning. However, such an assessment is limited by the lateral lumen-wall contrast and resolution of conventional ultrasound. Here, an in vivo dual-aperture bistatic imaging approach is shown to improve abdominal ultrasound and strain imaging quality significantly. By scanning the aorta from different directions, a larger part of the vessel circumference can be visualized.Methods: In this first-in-man volunteer study, the performance of multi-aperture ultrasound imaging and elastography of the abdominal aortic wall was assessed in 20 healthy volunteers. Dual-probe acquisition was performed in which two curved array transducers were aligned in the same imaging plane. The transducers alternately transmit and both probes receive simultaneously on each transmit event, which allows for the reconstruction of four ultrasound signals. Automatic probe localization was achieved by optimizing the coherence of the trans-probe data, using a gradient descent algorithm. Speckle-tracking was performed on the four individual bistatic signals, after which the respective axial displacements were compounded and strains were calculated.Results: Using bistatic multi-aperture ultrasound imaging, the image quality of the ultrasound images, i.e., the angular coverage of the wall, was improved which enables accurate estimation of local motion dynamics and strain in the abdominal aortic wall. The motion tracking error was reduced from 1.3 mm ± 0.63 mm to 0.16 mm ± 0.076 mm, which increased the circumferential elastographic signal-to-noise ratio (SNRe) by 12.3 dB ± 8.3 dB on average, revealing more accurate and homogeneous strain estimates compared to single-perspective ultrasound.Conclusion: Multi-aperture ultrasound imaging and elastography is feasible in vivo and can provide the clinician with vital information about the anatomical and mechanical state of AAAs in the future.https://www.frontiersin.org/articles/10.3389/fphys.2024.1320456/fullabdominal aortaelastographymulti-apertureultrasoundcoherent compounding
spellingShingle Vera H. J. van Hal
Hein de Hoop
Marc R. H. M. van Sambeek
Marc R. H. M. van Sambeek
Hans-Martin Schwab
Richard G. P. Lopata
In vivo bistatic dual-aperture ultrasound imaging and elastography of the abdominal aorta
Frontiers in Physiology
abdominal aorta
elastography
multi-aperture
ultrasound
coherent compounding
title In vivo bistatic dual-aperture ultrasound imaging and elastography of the abdominal aorta
title_full In vivo bistatic dual-aperture ultrasound imaging and elastography of the abdominal aorta
title_fullStr In vivo bistatic dual-aperture ultrasound imaging and elastography of the abdominal aorta
title_full_unstemmed In vivo bistatic dual-aperture ultrasound imaging and elastography of the abdominal aorta
title_short In vivo bistatic dual-aperture ultrasound imaging and elastography of the abdominal aorta
title_sort in vivo bistatic dual aperture ultrasound imaging and elastography of the abdominal aorta
topic abdominal aorta
elastography
multi-aperture
ultrasound
coherent compounding
url https://www.frontiersin.org/articles/10.3389/fphys.2024.1320456/full
work_keys_str_mv AT verahjvanhal invivobistaticdualapertureultrasoundimagingandelastographyoftheabdominalaorta
AT heindehoop invivobistaticdualapertureultrasoundimagingandelastographyoftheabdominalaorta
AT marcrhmvansambeek invivobistaticdualapertureultrasoundimagingandelastographyoftheabdominalaorta
AT marcrhmvansambeek invivobistaticdualapertureultrasoundimagingandelastographyoftheabdominalaorta
AT hansmartinschwab invivobistaticdualapertureultrasoundimagingandelastographyoftheabdominalaorta
AT richardgplopata invivobistaticdualapertureultrasoundimagingandelastographyoftheabdominalaorta