Abstract

Objective: Realistic tissue-mimicking phantoms are essential for the development, the investigation and the calibration of medical imaging techniques and protocols. Because it requires taking both mechanical and imaging properties into account, the development of robust, calibrated phantoms is a major challenge in elastography. Soft polyvinyl chloride gels in a liquid plasticizer (plastisol or PVCP) have been proposed as soft tissue-mimicking phantoms (TMP) for elasticity imaging. PVCP phantoms are relatively low-cost and can be easily stored over long time periods without any specific requirements. In this work, the preparation of a PVCP gel phantom for both MR and ultrasound-elastography is proposed and its acoustic, NMR and mechanical properties are studied.Materials and methods: The acoustic and magnetic resonance imaging properties of PVCP are measured for different mass ratios between ultrasound speckle particles and PVCP solution, and between resin and plasticizer. The linear mechanical properties of plastisol samples are then investigated over time using not only indentation tests, but also MR and ultrasound-elastography clinical protocols. These properties are compared to typical values reported for biological soft tissues and to the values found in the literature for PVCP gels.Results and conclusions: After a period of two weeks, the mechanical properties of the plastisol samples measured with indentation testing are stable for at least the following 4 weeks (end of follow-up period 43 days after gelation-fusion). Neither the mechanical nor the NMR properties of plastisol gels were found to be affected by the addition of cellulose as acoustic speckle. Mechanical properties of the proposed gels were successfully characterized by clinical, commercially-available MR Elastography and sonoelastography protocols. PVCP with a mass ratio of ultrasound speckle particles of 0.6%–0.8% and a mass ratio between resin and plasticizer between 50 and 70% appears as a good TMP candidate that can be used with both MR and ultrasound-based elastography methods.

Highlights

  • Over the past 3 decades, different methods have been developed for tissue elasticity measurement using medical imaging

  • This study aims at investigating several key properties of the same PVCP phantoms for application to Magnetic Resonance Elastography (MRE) and sonoelastography

  • The results are systematically compared to typical values found in the literature for biological soft tissues and for similar PVCP TMP, most often over a wider frequency range [30, 32, 33, 35, 40, 51, 52]

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Summary

Introduction

Over the past 3 decades, different methods have been developed for tissue elasticity measurement using medical imaging. Elastography-dedicated TMP are expected to offer the following features: 1) Their mechanical properties (such as elasticity, viscosity, anisotropy, porosity or hyperelasticity) must be well controlled and must lie within typical values of soft tissues they are supposed to mimic; 2) They should offer particular ease of use in terms of storage conditions and durability; 3) They must be compatible with the medical imaging modality for which they have been developed. Studies comparing elastography measurements obtained with different imaging modalities have illustrated the need for multi-modality elastography TMP [23, 24]

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