Sensitivity study and optimization of a 3D electric impedance tomography prostate probe

Abstract

In current clinical practice, the primary diagnostic method for testing for prostate cancer is ultrasound-guided biopsy. In this paper, we consider using a sonolucent array of electrodes, printed on a thin Kapton layer and positioned on the imaging window of a transrectal ultrasound probe, as a method for providing coregistered electrical and ultrasound imaging of the prostate. As the electrical properties of malignant tissues have been shown to differ significantly from benign tissues, the estimation of the electrical properties is expected to be helpful in distinguishing certain beginning pathologies from cancer and in improving the detection rate that current biopsy methods provide. One of the main difficulties in estimating electrical properties of tissues with this electrode configuration is the rapid decay of the sensitivity with distance from the sensing array. In order to partially overcome this difficulty, we propose to use prior information from the ultrasound (US). Specifically we intend to delineate the boundaries of the prostate from the US, to subdivide the organ into a small number of voxels and to estimate the conductivity as constant on each of these subvolumes. We use a 3D forward model based on the finite element method for studying the sensitivity of a simulated segmented prostate for three different electrode array designs. The three designs present different electrode areas and inter-electrode gaps. Larger electrodes are desirable as they present a better contact, but we show that as they result in smaller inter-electrode gaps, shunting currents can be significant and the sensitivity is reduced. Because our clinical measurement system employs a single current source, we consider tetrapolar measurement patterns for evaluating these electrode configurations. Optimal measurement patterns are well defined for adaptive systems, where multiple currents are injected at the same time. For the electrode array designs we consider, which are three dimensional, there are no established systematic methods for forming sets of linearly independent tetrapolar measurement patterns. We develop a novel method for automatically computing a full set of independent tetrapolar measurement patterns that maximizes the sensitivity in a region of interest (ROI). We use these patterns in the forward modeling and sensitivity studies. In addition to the electrode arrays on the probe, we study the use of a further configuration, where a distal electrode is positioned on the exterior of the body and used for current injection.