Abstract

Synthetic aperture (SA) beamforming is a principal technology of modern medical ultrasound imaging. In that the use of focused transmission provides superior signal-to-noise ratio (SNR) and is promising for cardiovascular diagnosis at the maximum imaging depth of about 160 mm. But there is a pitfall in increasing the frame rate to more than 80 frames per second (frames/s) without image degradation by the haze artifact produced when the transmit foci (SA virtual sources) placed within the imaging field. We hypothesize that the source of this artifact is a grating lobe caused by coarse (decimated) multiple transmission and manifesting in the low brightness region in the accelerated-frame-rate images. We propose an intertransmission coherence factor (ITCF) method suppressing haze artifacts caused by coarse-pitch multiple transmission. The method is expected to suppress the image blurring because the SA grating lobe signal is less coherent than the main lobe signals. We evaluated an ITCF algorithm for suppressing the grating artifact when the transmission pitch is up to four times larger than the normal pitch (equivalent to 160 frames/s). In in-vitro and in-vivo experiments, we demonstrated the strong relation of haze artifact with the grating lobe due to the coarse-pitch transmission. Then, we confirmed that the ITCF method suppresses the haze artifact of a human heart by 15 dB while preserving the spatial resolution. The ITCF method combined with focused transmission SA beamforming is a valid method for getting cardiovascular ultrasound B-mode images without making a compromise in the trade-off relationship between the frame rate and the SNR.

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