Abstract

Experimental evidence on testing a non-ultrasonic-based probe for a new approach in transluminal elastography was presented. The proposed modality generated shear waves by inducing oscillatory rotation on the lumen wall. Detection of the propagated waves was achieved at a set of receivers in mechanical contact with the lumen wall. The excitation element of the probe was an electromagnetic rotational actuator whilst the sensing element was comprised by a uniform anglewise arrangement of four piezoelectric receivers. The prototype was tested in two soft-tissue-mimicking phantoms that contained lumenlike conduits and stiffer inclusions. The shear wave speed of the different components of the phantoms was characterized using shear wave elastography. These values were used to estimate the time-of-flight of the expected reflections. Ultrafast ultrasound imaging, based on Loupas’ algorithm, was used to estimate the displacement field in transversal planes to the lumenlike conduit and to compare against the readouts from the transluminal transmission–reception tests. Experimental observations between ultrafast imaging and the transluminal probe were in good agreement, and reflections due to the stiffer inclusions were detected by the transluminal probe. The obtained experimental evidence provided proof-of-concept for the transluminal elastography probe and encouraged further exploration of clinical applications.

Highlights

  • Elastography comprises a set of medical imaging modalities that evaluates tissue elasticity in order to obtain relevant pathological information [1,2]

  • Transluminal elastography has not been extensively investigated, access via a lumen could provide feasibility advantages in situations where the target organ is deep in the body and performing elastography from an accessible body surface will remain challenging [3,9]

  • Most common examples of transluminal elastography could be found in cardiovascular imaging, for example, for the detection of vulnerable coronary atherosclerotic plaques [10]

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Summary

Introduction

Elastography comprises a set of medical imaging modalities that evaluates tissue elasticity in order to obtain relevant pathological information [1,2]. Two different cylindrical phantoms were manufactured to compare the effect of different inclusion geometries on the reflection pattern Both phantoms had a lumenlike conduit of 6 mm in diameter to host the transluminal probe components. The second phantom, phantom B (diameter of 40 mm and a height of 60 mm), contained a cylindrical inclusion of 5 mm in diameter and 60 mm length, whose proximal face was 8 mm away from the lumen wall. Transmission and detection of shear waves according to the proposed transluminal approach were studied using the the aforementioned phantoms. In this stage of study, and for the sake of simplicity, the emitter and sensor components of the transluminal probe were separated elements. The electronic system that generated the excitation and recorded the received signals consisted of a synchronized multichannel AD/DA converter with 24 bits and 192 kHz sampling rate

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