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Two-Point Frequency Shift Method for Shear Wave Attenuation Measurement.

ABSTRACT: Ultrasound shear wave elastography (SWE) is an increasingly used noninvasive modality for quantitative evaluation of tissue mechanical properties. SWE typically uses an acoustic radiation force to produce laterally propagating shear waves that are tracked in the spatial and temporal domains, in order to obtain the wave velocity. One of the ways to study the viscoelasticity is through studying the shear wave phase velocity dispersion curves. Shear wave attenuation can be also characterized in viscoelastic tissues with methods that use multiple lateral data samples. In this article, we present an alternative method for measuring the shear wave attenuation without using a rheological model two-point frequency shift (2P-FS). The technique uses information related to the amplitude spectra FS of shear waves measured at only two lateral locations. The theoretical basis for the 2P-FS is derived and validated. We examined how the first signal position and the distance between the two locations affect the shear wave attenuation estimation in the 2P-FS method. We tested this new method on digital phantom data created using the local interaction simulation approach (LISA) in viscoelastic media. Moreover, we tested data acquired from custom-made tissue-mimicking viscoelastic phantom experiments and ex vivo porcine liver measurements. We compared results from the 2P-FS method with the other two techniques used for assessing a shear wave attenuation: the FS-based method and the attenuation-measuring ultrasound shear wave elastography (AMUSE) technique. In addition, we evaluated the 2P-FS algorithm with different levels of added white Gaussian noise to the shear wave particle velocity using numerical phantoms. Tests conducted showed that the 2P-FS method gives robust results based on only two measurements and can be used to measure attenuation of viscoelastic soft tissues.

SUBMITTER: Kijanka P

PROVIDER: S-EPMC7138459 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Two-Point Frequency Shift Method for Shear Wave Attenuation Measurement.

Kijanka Piotr P Urban Matthew W MW

IEEE transactions on ultrasonics, ferroelectrics, and frequency control 20191004 3

Ultrasound shear wave elastography (SWE) is an increasingly used noninvasive modality for quantitative evaluation of tissue mechanical properties. SWE typically uses an acoustic radiation force to produce laterally propagating shear waves that are tracked in the spatial and temporal domains, in order to obtain the wave velocity. One of the ways to study the viscoelasticity is through studying the shear wave phase velocity dispersion curves. Shear wave attenuation can be also characterized in vis ...[more]

PMID: 31603777

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Project description:Background and aimsWe investigated the usefulness of combining two-dimensional shear wave elastography and the ultrasound-guided attenuation parameter for assessing the risk of progressive non-alcoholic steatohepatitis, defined as non-alcoholic steatohepatitis with a non-alcoholic fatty liver disease activity score of ≥4 and a fibrosis stage of ≥2.MethodsThis prospective study included 202 patients with non-alcoholic fatty liver disease who underwent two-dimensional shear wave elastography, ultrasound-guided attenuation parameter, vibration-controlled transient elastography, the controlled attenuation parameter, and liver biopsy on the same day. Patients were grouped according to liver stiffness measurement using two-dimensional shear wave elastography and the attenuation coefficient, assessed using the ultrasound-guided attenuation parameter: A, low liver stiffness measurement/low attenuation coefficient; B, low liver stiffness measurement/high attenuation coefficient; C, high liver stiffness measurement/low attenuation coefficient; and D, high liver stiffness measurement/high attenuation coefficient.ResultsTwo-dimensional shear wave elastography and vibration-controlled transient elastography had equivalent diagnostic performance for fibrosis. The areas under the curve of the ultrasound-guided attenuation parameter for identifying steatosis grades ≥S1, ≥S2, and S3 were 0.89, 0.91, and 0.92, respectively, which were significantly better than those of the controlled attenuation parameter (P<0.05). The percentages of progressive non-alcoholic steatohepatitis in Groups A, B, C, and D were 0.0%, 7.7%, 35.7%, and 50.0%, respectively (P<0.001). The prediction model was established as logit (p) = 0.5414 × liver stiffness measurement (kPa) + 7.791 × attenuation coefficient (dB/cm/MHz)-8.401, with area under the receiver operating characteristic curve, sensitivity, and specificity values of 0.832, 80.9%, and 74.6%, respectively; there was no significant difference from the FibroScan-aspartate aminotransferase score.ConclusionCombined assessment by two-dimensional shear wave elastography and the ultrasound-guided attenuation parameter is useful for risk stratification of progressive non-alcoholic steatohepatitis and may be convenient for evaluating the necessity of specialist referral and liver biopsy.

Project description:Pulse wave attenuation characteristics reflect compliance and resistance properties of the vessel wall as well as initial pulse generation factors. Recently, it has become possible to measure and map the retinal vessel wall pulse wave amplitudes. Predictable pulse wave amplitude distribution may allow inferences to be made concerning vascular compliance and resistance. Twenty-eight eyes from sixteen subjects (8 male and 8 female) were examined using modified retinal photoplethysmography with simultaneous ophthalmodynamometry. This allowed the assessment of vessel wall pulsation amplitudes under a dynamic range of intraocular pressures. Pulse amplitudes were calculated using harmonic regression analysis. The pulse wave attenuation was measured under different ranges of ophthalmodynamometric force (ODF) as a function of distance along the vessel (VDist), which in turn was calculated in disc diameters (DD) from the center of the optic disc. A linear mixed-effects model with randomized slopes and intercepts was used to estimate the correlations between the logarithmically transformed harmonic regression wave amplitude (HRWa) and the Fourier trigonometric coefficients with the predictors (VDist and ODF). The retinal venous harmonic regression wave attenuation (coefficient value±standard error) -0.40±0.065/DD, (p-value < 0.00001, 95% confidence interval (CI) -0.53 to -0.27), which was approximately twice that of the arterial -0.17±0.048/DD, (p-value < 0.0004, 95% CI = -0.27 to -0.08). There was a positive correlation between attenuation of the harmonic regression wave and ophthalmodynamometric force in both vascular systems. The attenuation of all but the sine coefficient of the second Fourier harmonic (bn2) achieved statistical significance in the correlation with VDist. The cosine coefficient of the first Fourier harmonic an1 was the only coefficient to achieve statistical significance in the correlation with the predictors VDist and ODF in both vascular systems. The an1 coefficient value in the correlation with VDist was -3.79±0.78 and -1.269±0.37 (p < 0.0006), while this coefficient value in the correlation with ODF was 0.026±0.0099 and 0.009±0.04 (p < 0.01) in both the retinal veins and arteries respectively. The predictable attenuation characteristics in normal subjects suggest that this technique may allow the non-invasive quantification of retinal vascular compliance and other hemodynamic parameters.

Dataset Information

Two-Point Frequency Shift Method for Shear Wave Attenuation Measurement.

Publications

Two-Point Frequency Shift Method for Shear Wave Attenuation Measurement.

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