Quantification of lung surface wave speed in a water-filled lung: An ex vivo swine lung study

Abstract

Lung edema is a common symptom of congestive heart failure and inflammatory conditions, such as acute respiratory distress syndrome. Currently, computed tomography (CT) is considered the standard to assess lung edema, but it requires ionizing radiation and poses a significant logistic burden. Lung ultrasound (LUS) has previously been used to assess lung edema using ultrasound B-line artifacts, but analysis of the B-line artifacts relies on visual interpretation. We developed lung ultrasound surface wave elastography (LUSWE) to measure lung surface wave speed safely. This project aims to evaluate LUSWE to quantify lung surface wave speed in an ex vivo water-filled swine lung. The lung surface wave speeds were measured at baseline and at frequencies of 100 Hz, 200 Hz, 300 Hz, and 400 Hz. Then, an amount of water was filled into the lung through its trachea. Ultrasound imaging was used to guide the water filling until significant changes were visible on the imaging. The lung surface wave speeds were measured. An additional 120 ml of water was then filled into the lung. The lung surface wave speeds were measured again. The results demonstrated that the lung surface wave speed decreased with respect to water content.Lung edema is a common symptom of congestive heart failure and inflammatory conditions, such as acute respiratory distress syndrome. Currently, computed tomography (CT) is considered the standard to assess lung edema, but it requires ionizing radiation and poses a significant logistic burden. Lung ultrasound (LUS) has previously been used to assess lung edema using ultrasound B-line artifacts, but analysis of the B-line artifacts relies on visual interpretation. We developed lung ultrasound surface wave elastography (LUSWE) to measure lung surface wave speed safely. This project aims to evaluate LUSWE to quantify lung surface wave speed in an ex vivo water-filled swine lung. The lung surface wave speeds were measured at baseline and at frequencies of 100 Hz, 200 Hz, 300 Hz, and 400 Hz. Then, an amount of water was filled into the lung through its trachea. Ultrasound imaging was used to guide the water filling until significant changes were visible on the imaging. The lung surface wave speeds were measured...