A Scholte wave approach for ultrasonic surface acoustic wave elastography.

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Pathological changes in tissues are often related to changes in tissue mechanical properties, making elastography an important tool for medical applications. Among the existing elastography methods, ultrasound elastography is of great interest due to the inherent advantages of ultrasound imaging technology, such as low cost, portability, safety, and wide availability. Although ultrasonic shear wave elastography, as a platform technology, can potentially quantify the elasticity of tissue at any depth, its current implementation cannot assess superficial tissue but can only image deep tissue. To address this challenge, we proposed an ultrasonic Scholte-wave-based approach for imaging the elasticity of superficial tissue. The feasibility of the proposed technique was tested using a gelatin phantom with a cylindrical inclusion. To generate Scholte wave in the superficial region of the phantom, we proposed a new experimental configuration in which a liquid layer was introduced between an ultrasound imaging transducer and the tissue-mimicking phantom. We utilized an acoustic radiation force impulse to excite the tissue-mimicking phantom, analyzed the properties of the generated Scholte waves, and applied the waves for elasticity imaging. In this study, we first reported the observation that Scholte (surface) waves and shear (bulk) waves were simultaneously generated, and they propagated in the superficial and deeper regions of the phantom, respectively. Then, we presented some important properties of the generated Scholte waves. For a 5w/v% gelatin phantom, the generated Scholte waves have a speed of around 0.9m/s, a frequency of about 186Hz, and thus a wavelength of about 4.8mm. The speed ratio between the simultaneously generated Scholte wave and shear wave is about 0.717, which is 15% lower than the theoretical expectation. And we further demonstrated the feasibility of Scholte wave as a mechanism for imaging superficial tissue elasticity. Together with the simultaneously generated shear wave, the Scholte wave was shown to be able to quantitatively image both the background and the cylindrical inclusion (4mm in diameter) of the tissue-mimicking gelatin phantom. This work shows that the elasticity of superficial tissue can be evaluated by utilizing the generated Scholte wave alone, and it also shows that a comprehensive elasticity imaging of the tissue extending from the superficial to deep regions can be achieved by combining the proposed Scholte wave technique and the conventional shear wave technique.