Anisotropy Of Backscatter Research Articles

Collagenase treatment reduces the anisotropy of ultrasonic backscatter in rat myocardium by reducing collagen crosslinks.

Dysregulation of collagen deposition, degradation, and crosslinking in the heart occur in response to increased physiological stress. Collagen content has been associated with ultrasonic backscatter (brightness), and we have shown that the anisotropy of backscatter can be used to measure myofiber alignment, that is, variation in the brightness of a left ventricular short-axis ultrasound. This study investigated collagen's role in anisotropy of ultrasonic backscatter; female Sprague-Dawley rat hearts were treated with a collagenase-containing solution, for either 10 or 30 min, or control solution for 30 min. Serial ultrasound images were acquired at 2.5-min intervals throughout collagenase treatment. Ultrasonic backscatter was assessed from anterior and posterior walls, where collagen fibrils are predominately aligned perpendicular to the angle of insonification, and the lateral and septal walls, where collagen is predominately aligned parallel to the angle of insonification. Collagenase digestion reduced backscatter anisotropy within the myocardium. Collagen remains present in the myocardium throughout collagenase treatment, but crosslinking is altered within 10 min. These data suggest that crosslinking of collagen modulates the anisotropy of ultrasonic backscatter. An Anisotropy Index, derived from differences in backscatter from parallel and perpendicularly aligned fibers, may provide a noninvasive index to monitor the progression and state of myocardial fibrosis.

Quantitative Assessment of Tendon Backscatter Anisotropy in B-Mode Ultrasound

To test the anisotropy of human tendons in conventional B-mode ultrasound, we prospectively performed ultrasound scans of 40 normal patella tendons and 24 patella tendons with chronic tendinopathy in adults. We scanned all tendons in longitudinal orientation (parallel to tendon fibers) using a linear array transducer (8.5 MHz) with beam steering at 0°, 5°, 10°, 15° and 20°. We used ImageJ histogram analysis to process B-mode images offline for assessing backscatter as a function of angle, known as backscatter anisotropy, between normal tendons and the subcutaneous tissues and between normal tendons and tendons with tendinopathy. We compared the results using the slopes of linear regression lines drawn through the angle-dependent data, and we concluded that the tissue anisotropy was significantly different if the 95% confidence intervals of the line slopes for different tissues did not overlap. We observed significant differences between normal tendons and both the adjacent subcutaneous tissues and tendons with tendinopathy. However, the difference in the regression slopes between tendons with tendinopathy and the adjacent subcutaneous soft tissues was not significant. It appears that changes in anisotropic backscatter could be used to detect tendon abnormalities and in assessing the significance of disease and the effectiveness of therapy.

A Geometric Model of Ultrasound Backscatter to Describe Microstructural Anisotropy of Tissue.

Methods to assess ultrasound backscatter anisotropy from clinical array transducers have recently been developed. However, they do not provide information about the anisotropy of microstructural features of the specimens. This work develops a simple geometric model, referred to as the secant model, of backscatter coefficient anisotropy. Specifically, we evaluate anisotropy of the frequency dependence of the backscatter coefficient parameterized in terms of effective scatterer size. We assess the model in phantoms with known scattering sources and in a skeletal muscle, a well-known anisotropic tissue. We demonstrate that the secant model can determine the orientation of the anisotropic scatterers, as well as accurately determining effective scatterer sizes, and it may classify isotropic versus anisotropic scatterers. The secant model may find utility in monitoring disease progression as well as characterizing normal tissue architectures.

Abstract P2098: A Novel Measure Of Myocardial Collagen Structure Using Ultrasonic Backscatter

Aging and disease are associated with dysregulation of collagen deposition and collagen degradation and crosslinking. These modifications in collagen structure are key determinants of cardiac integrity and function, making it advantageous to monitor collagen’s state throughout disease. Although myocardial fibrosis often occurs alongside both cardiac and systemic disease, monitoring myocardial collagen typically requires expensive, invasive, and/or contraindicated methods. However, collagen content has been correlated to ultrasonic backscatter, a low-cost, non-invasive index. Preliminary studies in our lab suggested collagen also dominates the anisotropy of backscatter(variation in the brightness) in a left ventricular short-axis ultrasound. The purpose of the present study was to determine a relationship between myocardial collagen structure and anisotropy of ultrasonic backscatter while using collagenase to degrade myocardial collagen networks. Hearts were excised from Sprague Dawley rats and perfused with a collagenase-containing solution for either 10 (n=7) or 30 minutes (n=7) or control solution for 30 minutes (control n=8). Serial ultrasound images were acquired throughout collagenase digestion and ultrasonic backscatter was assessed where the collagen is primarily aligned perpendicular to the angle of insonification (bright on ultrasound image), and where collagen is primarily aligned parallel to the angle of insonification (darker on image). Our data suggested that collagenase digestion reduced backscatter anisotropy within the myocardium (p<0.001) with the lateral and septal walls (collagen parallel to ultrasound) showing the greatest change in backscatter intensity. Histology (Trichrome staining) and biochemistry (hydroxyproline assay) suggests that collagen remains present but its crosslinking is altered within 10 minutes (p<0.047). These data suggest that myocardial collagen fiber orientation and crosslinking of collagen correlates with the anisotropy of ultrasonic backscatter. Thus, anisotropy of ultrasonic backscatter could potentially be used to assess collagen crosslinking and deposition.

Polar maps of C-band backscatter parameters from the Advanced Scatterometer

Abstract. Maps of backscatter anisotropy parameters from the European Organisation for the Exploitation of Meteorological Satellites (EUMETSAT) Advanced Scatterometer (ASCAT), a C-band fan-beam scatterometer, contain unique and valuable data characterising the surface and subsurface of various cryospheric elements, including sea ice and ice sheets. The computational expense and considerable complexity required to produce parameter maps from the raw backscatter data inhibits the wider adoption of ASCAT data. Here, backscatter anisotropy parameter maps gridded at a resolution of 12.5 km per pixel are made available to the community in order to facilitate the exploitation of these parameters for cryospheric applications. These maps have been calculated from the EUMETSAT Level 1B Sigma0 product acquired from ASCAT on board MetOp-A, MetOp-B and MetOp-C. The dataset is unique in that it prioritises anisotropy characterisation over temporal resolution and combines ASCAT data from multiple platforms. The parameterisation chosen assumes a linear falloff of backscatter with incidence angle and a fourth-order Fourier series parameterisation of azimuth angle anisotropy. The product (Fraser and Cartwright, 2022) is available at https://doi.org/10.26179/91c9-4783 presented on three timescales depending on orbital platform availability: 5 d (2007 to 2020 – MetOp-A only – suitable for users requiring a long time series), 2 d (2013 to 2020 – MetOp-A and MetOp-B) and 1 d resolution (2019–2020 – MetOp -A, MetOp-B and MetOp-C – suitable for users needing both high temporal resolution and detailed anisotropy characterisation). Datasets will be updated annually.

Myocardial Fiber Mapping of Rat Hearts, Using Apparent Backscatter, with Histologic Validation

Myocardial fiber architecture is a physiologically important regulator of ejection fraction, strain and pressure development. Apparent ultrasonic backscatter has been shown to be a useful method for recreating the myocardial fiber architecture in human-sized sheep hearts because of the dependence of its amplitude on the relative orientation of a myofiber to the angle of ultrasonic insonification. Thus, the anisotropy of the backscatter signal is linked to and provides information about the fiber orientation. In this study, we sought to determine whether apparent backscatter could be used to measure myofiber orientation in rodent hearts. Fixed adult-rat hearts were imaged intact, and both a transmural cylindrical core and transmural wedge of the left ventricular free wall were imaged. Cylindrical core samples confirmed that backscatter anisotropy could be measured in rat hearts. Ultrasound and histologic analysis of transmural myocardial wedge samples confirmed that the apparent backscatter could be reproducibly mapped to fiber orientation (angle of the fiber relative to the direction of insonification). These data provided a quantitative relationship between the apparent backscatter and fiber angle that was applied to whole-heart images. Myocardial fiber architecture was successfully measured in rat hearts. Quantifying myocardial fiber architecture, using apparent backscatter, provides a number of advantages, including its scalable use from rodents to man, its rapid low-cost acquisition and minimal contraindications. The method outlined in this study provides a method for investigators to begin detailed assessments of how the myocardial fiber architecture changes in preclinical disease models, which can be immediately translated into the clinic.

Modelling and correcting azimuthal anisotropy in Sentinel-1 backscatter data

ABSTRACTSentinel-1 backscatter data – acquired in dual-polarized (VV/VH) Interferometric Wide (IW) swath mode – show an azimuth angle dependency. The orientation of the tangential plane of the surface observed can alter the backscatter differently depending on the azimuth angle of the viewing geometry. In this study, two years of Sentinel-1 backscatter data over Western Europe have been investigated to show that the azimuthal anisotropy of backscatter is mainly caused by the orientation of the topography’s slope. The SRTM-3 digital elevation model (DEM) is used to describe the azimuthal anisotropy in the Tyrolean Alps and in addition, an algorithm is presented to take into account the azimuthal dependency by calculating correction parameters for each relative orbit of Sentinel-1.

Drivers of ASCAT C band backscatter variability in the dry snow zone of Antarctica

ABSTRACTC band backscatter parameters contain information about the upper snowpack/firn in the dry snow zone. The wide incidence angle diversity of the Advanced Scatterometer (ASCAT) gives unprecedented characterisation of backscatter anisotropy, revealing the backscatter response to climatic forcing. TheA(isotropic component) andM2(bi-sinusoidal azimuth anisotropy) parameters are investigated here, in conjunction with data from atmospheric and snowpack models, to identify the backscatter response to surface forcing parameters (wind speed and persistence, precipitation, surface temperature, density and grain size). The long-term meanAparameter is successfully recreated with a regression using these drivers, indicating strong links between theAparameter and precipitation on long timescales. While the ASCAT time series is too short to determine which factors drive observed trends, factors influencing the seasonal and short timescale variability are revealed. On these timescales,Astrongly responds to the propagation of surface temperature cycles/anomalies downward through the firn, via direct modulation of the dielectric constant. The influence of precipitation onAis small at shorter timescales. TheM2parameter is controlled by wind speed and persistence, through modification of monodirectionally-aligned surface roughness. This variability indicates that throughout much of coastal Antarctica, a microwave ‘snapshot’ is generally not representative of longer-term conditions.

A generalised stochastic backscatter model: large‐eddy simulation of the neutral surface layer

The Smagorinsky subgrid model remains popular in large‐eddy simulation (LES) modelling despite its failure to reproduce mean velocity shear within the atmospheric surface layer. Overpredictions as large as 100% are not uncommon, leading to local simulation degradation, and potentially infecting scales further from the surface. Mason and Thomson achieved significant reduction in excessive velocity shear by adding stochastic accelerations on top of the Smagorinsky model to account for backscattered energy from the subgrid scales. However, neither this model nor its later implementation by Weinbrecht and Mason are able to ensure a physically appropriate spatial structure for the backscatter acceleration fields throughout the domain: with the Mason and Thomson model, the backscatter length‐scale and anisotropy depend on the local grid spacing and aspect ratio; with the Weinbrecht and Mason model, the backscatter is unavoidably isotropic with uniform length‐scale. We propose a new method for the generation of stochastic backscatter acceleration fields which utilises a grid‐adaptive filter (GAF) capable of controlling spatial variations in the backscatter length‐scale and anisotropy, independently of the model grid. When applied to the atmospheric surface layer, this allows for the backscatter length‐scale to be reduced towards surfaces in an appropriate manner, and the backscatter anisotropy to be varied in accordance with the physical anisotropy of the subgrid scales. The GAF model also has wider applicability: it may be used when the LES filter width, and hence the backscatter length‐scale, varies spatially with local three‐dimensional grid refinement. The GAF model is initially tested for the case of LES of the neutral atmospheric boundary layer, for grid aspect ratios ranging from α = Δx/Δz = 1 − 10, and found to give a reduction in maximum excessive mean velocity shear (from that obtained without backscatter) of around 80%, that is largely independent of α.

Comparison of Microwave Backscatter Anisotropy Parameterizations of the Antarctic Ice Sheet Using ASCAT

The C-band EUMETSAT Advanced Scatterometer (ASCAT) was launched in 2007, and provides backscatter measurements with excellent azimuth and incidence angle diversity in polar regions. C-band backscatter measurements can be used to retrieve near-surface snow/firn properties such as grain size and accumulation rate, however the Antarctic Ice Sheet (AIS) exhibits strong microwave backscatter anisotropy as a function of both incidence and azimuth angles, and this anisotropy must be well understood before such physical parameter retrieval can be accurately performed. This paper presents a detailed comparison of several different parameterizations of both the azimuth and the incidence anisotropy. Parameterizations used here result in residuals similar to the radiometric performance of ASCAT, indicating accurate characterization of the anisotropy. The analysis of these parameterizations provides an insight into the physical mechanisms taking place near the surface of the AIS. 30-day composite maps of several parameters are presented, and discussed in the context of near-surface glaciology. This anisotropy characterization will form the basis of a technique for extraction of physical parameters of the AIS.

Anisotropy in high-frequency broadband acoustic backscattering in the presence of turbulent microstructure and zooplankton

High-frequency broadband (120-600 kHz) acoustic backscattering measurements have been made in the vicinity of energetic internal waves. The transducers on the backscattering system could be adjusted so as to insonify the water-column either vertically or horizontally. The broadband capabilities of the system allowed spectral classification of the backscattering. The distribution of spectral shapes is significantly different for scattering measurements made with the transducers oriented horizontally versus vertically, indicating that scattering anisotropy is present. However, the scattering anisotropy could not be unequivocally explained by either turbulent microstructure or zooplankton, the two primary sources of scattering expected in internal waves. Daytime net samples indicate a predominance of short-aspect-ratio zooplankton. Using zooplankton acoustic scattering models, a preferential orientation of the observed zooplankton cannot explain the measured anisotropy. Yet model predictions of scattering from anisotropic turbulent microstructure, with inputs from coincident microstructure measurements, were not consistent with the observations. Possible explanations include bandwidth limitations that result in many spectra that cannot be unambiguously attributed to turbulence or zooplankton based on spectral shape. Extending the acoustic bandwidth to cover the range from 50 kHz to 2 MHz could help improve identification of the dominant sources of backscattering anisotropy.

An Improved Soil Moisture Retrieval Algorithm for ERS and METOP Scatterometer Observations

The scatterometers onboard the European Remote Sensing satellites (ERS-1 & ERS-2) and the METeorological OPerational satellite (METOP) have been shown to be useful for surface soil moisture retrieval using the so-called TU-Wien change detection method. This paper presents an improved soil moisture retrieval algorithm based on the existing TU-Wien method but with new parameterization as well as a series of modifications. The new algorithm, WAter Retrieval Package 5 (WARP5), copes with some limitations identified in the earlier method WARP4 and provides the possibility of migrating soil moisture retrieval from ERS-SCAT to METOP-ASCAT data. The WARP5 algorithm results in a more robust and spatially uniform soil moisture product, thanks to its new processing elements, including a method for the correction of azimuthal anisotropy of backscatter, a comprehensive noise model, and new techniques for calculation of the model parameters. Cross-comparisons of WARP4 and WARP5 data sets with the Oklahoma Mesonet in situ observations and also with European Centre of Medium Range Weather Forecast (ECMWF) ReAnalysis (ERA-Interim) global modeled data show that the new algorithm has a better performance and effectively corrects retrieval errors in certain areas.

Characterization of Anisotropic Myocardial Backscatter Using Spectral Slope, Intercept and Midband Fit Parameters

The specific myocardial structural components that contribute to the observed level of backscatter from the heart and its dependence on the angle of insonification have not been completely identified: The objectives of this study were to measure the anisotropy of backscatter from myocardium using the approach first introduced by Lizzi et al. [J Acoust Soc Am 73, 1366-1373 (1983)] and to use the extracted spectral parameters (spectral slope, intercept and midband fit) to characterize changes in the apparent scatterer size, spatial concentration and acoustic impedance properties as functions of the angle of insonification. Backscatter measurements were performed in vitro on eight cylindrical formalin-fixed lamb myocardial specimens using a 5 MHz focused transducer. The backscattered spectral data as a function of angle of insonification relative to the myocardial fiber direction were analyzed over the frequency range of 4 to 6 MHz. The spectral parameters describing features of backscatter were determined by applying a linear fit to attenuation-compensated normalized spectra. Results show that values of the spectral slope do not exhibit a significant dependence on the angle of insonification within uncertainties; however, the zero-frequency intercept showed clear anisotropy and was found to be a maximum for insonification perpendicular to the predominant myofiber orientation and a minimum for parallel insonification. A comparison of midband fit values at 5 MHz with attenuation-compensated integrated backscatter values showed excellent agreement for all angles of insonification. These data suggest that measurements of spectral slope, intercept, and midband fit can provide insights regarding aspects of tissue microstructure underlying the observed anisotropy of myocardial scattering properties. Measurements of the slope parameter suggest a very modest change in effective scatterer size with angle of insonification. However, the observed anisotropy in intercept and midband fit and apparent absence of anisotropy in the spectral slope suggests an angle of insonification dependence of acoustic concentration, the combination of effective spatial scatterer concentration and acoustic impedance properties, without a significant contribution from changes in effective scatterer size.

In SituMonitoring of Tendon Structural Changes by Elastic Scattering Spectroscopy: Correlation with Changes in Collagen Fibril Diameter and Crimp

The aim of this study was to monitor structural changes in loaded rabbit digital flexor tendons in situ and ex situ via elastic scattering spectroscopy (ESS). The optical setup consisted of a xenon white light source (lambda = 320-860 nm), connected to a fiber optic probe (with a source-detector separation of approximately 350 microm) and a spectrometer, controlled by a personal computer (PC). Cadaveric rabbit tendons were studied in situ under 3 tensional regimens: unloaded (no extrinsic tension applied), stretched, and 1-kg loaded and compared with excised tendons (i.e., no tension). Four times more light was detected in in situ unloaded tendons perpendicular to the tendon long axis than parallel to it. Backscatter anisotropy was expressed as the anisotropy factor (AF600nm: ratio of greatest to least backscatter intensity, measured with orthogonal probe positions). Differences in backscatter anisotropy between tendons from different digits were not significant. AF600nm had the smallest value (2.72 +/- 0.38) for the least aligned tendon preparations (excised tendons), and increased to 7.17 +/- 0.54 (1-kg loaded) as in situ loads were applied. Electron microscopy revealed that the distribution of collagen fibril diameters changed as loads were applied, with the diameter of larger fibrils decreasing approximately 33% for 1-kg loaded compared with excised tendons. Polarized light microscopy showed a characteristic crimp pattern in excised tendons, but this was hardly detectable in unloaded tendons and not detectable in tendons fixed in situ under a 1-kg load. We propose that the increase in optical anisotropy is a function of collagen fibril straightening and reducing fibril diameter as the tendon undergoes progressive loading. These findings are important for monitoring structure in vivo and in bioreactors for tissue engineers.

Anisotropy of apparent backscatter in the short-axis view of mouse hearts

The goals of this investigation were to measure the anisotropy of backscattered ultrasound observed in the short-axis view of mouse hearts in systole and diastole and to compare these measurements with predictions from a computer simulation. Measurements of midmyocardial apparent backscatter were obtained from analyses of the hearts of seven wild-type mice using a clinical imaging system utilizing a linear array with a nominal center frequency of 13 MHz. A computer model simulating the short-axis view was implemented based on previous measurements of the angle of insonification dependence of myocardial backscatter and attenuation. Results demonstrate that the measured backscatter was largest for those myocardial regions corresponding to approximately perpendicular insonification relative to the myofibers and the smallest for regions of approximately parallel insonification, with the minimum to maximum values of apparent backscatter differing by approximately 10 dB. The measured anisotropy of backscatter was similar for end-systole and end-diastole and was in good agreement with the predicted anisotropy obtained from the computer simulations. (E-mail: mrh@wuphys.wustl.edu)

Novel Spectroscopic Technique for In Situ Monitoring of Collagen Fibril Alignment in Gels

Development of collagen fibril alignment in contracting fibroblast-populated and externally tensioned acellular collagen gels was studied using elastic scattering spectroscopy. Spectra of the backscattered light (320–860 nm) were acquired with a 2.75-mm source-detector separation probe placed perpendicular to the gel surface and rotated to achieve different angles to the collagen fibril alignment. Backscatter was isotropic for noncontracted/unloaded gels (disorganized matrix). As gels were contracted/externally loaded (collagen alignment developed), anisotropy of backscatter increased: more backscatter was detected perpendicular than parallel to the direction of the fibril alignment. An “anisotropy factor” (AF) was calculated to characterize this effect as the ratio of backscatter intensities at orthogonal positions. Before contraction (or zero strain) the AF was close to unity at all wavelengths. In contrast, at 72 h, backscatter anisotropy varied from AF 400nm = 2.14 ± 0.29 to AF 700nm = 3.04 ± 0.48. It also increased over threefold up to a strain of 20%. The AF strongly correlated with the contraction time/strain. Different directions of the backscatter were detected in gel zones with known differences in the matrix alignment. Thus, backscatter anisotropy allows in situ nondestructive determination of collagen fibril alignment and quantitative monitoring of its development.

Structural changes in loaded equine tendons can be monitored by a novel spectroscopic technique.

This study aimed to investigate the preferential collagen fibril alignment in unloaded and loaded tendons using elastic scattering spectroscopy. The device consisted of an optical probe, a pulsed light source (320-860 nm), a spectrometer and a PC. Two probes with either 2.75 mm or 300 microm source-detector separations were used to monitor deep and superficial layers, respectively. Equine superficial digital flexor tendons were subjected to ex vivo progressive tensional loading. Seven times more backscattered light was detected parallel rather than perpendicular to the tendon axis with the 2.75 mm separation probe in unloaded tendons. In contrast, using the 300 microm separation probe the plane of maximum backscatter (3-fold greater) was perpendicular to the tendon axis. There was no optical anisotropy in the cross-sectional plane of the tendon (i.e. the transversely cut tendon surface), with no structural anisotropy. During mechanical loading (9-14% strain) backscatter anisotropy increased 8.5- to 18.5-fold along the principal strain axis for 2.75 mm probe separation, but almost disappeared in the perpendicular plane (measured using the 300 microm probe separation). Optical (anisotropy) and mechanical (strain) measurements were highly correlated. We conclude that spatial anisotropy of backscattered light can be used for quantitative monitoring of collagen fibril alignment and tissue reorganization during loading, with the potential for minimally invasive real-time structural monitoring of fibrous tissues in normal, pathological or repairing tissues and in tissue engineering.

The extracellular matrix is an important source of ultrasound backscatter from myocardium.

Ultrasound tissue characterization with measurement of backscatter has been employed in numerous experimental and clinical studies of cardiac pathology, yet the cellular components responsible for scattering from cardiac tissues have not been unequivocally identified. This laboratory has proposed a mathematical model for myocardial backscatter that postulates the fibrous extracellular matrix (ECM) as a significant determinant of backscatter. To demonstrate the importance of ECM, this group sought to determine whether measurements of backscatter from the isolated ECM could reproduce the known directional dependence, or anisotropy of backscatter, from intact cardiac tissues in vitro. Segments of left ventricular free wall from ten formalin fixed porcine hearts were insonified at 50 MHz, traversing the heart wall from endo- to epicardium to measure the anisotropy of myocardial backscatter, defined as the difference between peak (perpendicular to fibers) and trough (parallel to fibers) backscatter amplitude. The tissue segments were then treated with 10% NaOH to dissolve all of the cellular components, leaving only the intact ECM. Scanning electron micrographs (SEM) were obtained of tissue sections to reveal complete digestion of the cellular elements. The dimensions of the residual voids resulting from cell digestion were approximately the diameter of the intact myocytes (10-30 microm). These samples were reinsonified after seven days of treatment to compare the anisotropy of integrated backscatter. The magnitude of anisotropy of backscatter changed from 15.4 +/- 0.8 to 12.6 +/- 1.1dB for intact as compared with digested specimens. Because digestion of the myocardium leaves only extracellular sources of ultrasonic scattering, and because the isolated ECM exhibits similar ultrasonic anisotropy as does the intact myocardium, it is concluded that there is a direct association between the ECM and the anisotropy of backscatter within intact tissue. Thus, it is suggested that ultrasonic tissue characterization represents a potentially clinically applicable method for delineating the structure and function of the ECM.

Effects of Tissue Anisotropy and Contrast Acoustic Properties on Myocardial Scattering in Contrast Echocardiography

In this study we explored the potential effects that tissue anisotropy, in conjunction with the acoustic properties of contrast, may have on quantitative measurements of myocardial perfusion with the use of ultrasonic contrast agents. We used a computer simulation of the parasternal short-axis view, based on previously measured values for the anisotropy of backscatter and attenuation of myocardium, to predict the backscattered energy from 18 specific regions within the heart before and after myocardial contrast perfusion. Results demonstrated a regional variation of contrast enhancement in the short-axis view and variations caused by incremental increases in contrast level for specific myocardial regions. Thus quantitative assessment of myocardial perfusion with contrast echocardiography is influenced by the anisotropic properties of the myocardium, and the resulting postcontrast image will depend on the interaction between tissue properties and contrast acoustic properties. The degree of myocardial enhancement caused by the presence of contrast may depend on the spatial position of the specific region investigated with respect to the transducer and the amount of contrast in the myocardium. (J Am Soc Echocardiogr 1999;12:564-73.)

Sensitive Detection of Abnormal Aortic Architecture in Marfan Syndrome With High-Frequency Ultrasonic Tissue Characterization

Aneurysmal dilation of the aorta with subsequent rupture or dissection occurs frequently in patients with Marfan syndrome and is the primary cause of morbidity. These complications are related to the altered composition and disorganized structure of the aortic media. Our goal was to use high-frequency ultrasonic tissue characterization to identify these structural changes in abnormal aorta from patients with Marfan syndrome. We measured integrated backscatter and anisotropy of backscatter of ultrasound from specimens of aorta from patients with Marfan syndrome undergoing aortic root replacement and compared these values with those from aortic specimens of patients without clinical aortic pathology. Aortic tissue was obtained at the time of surgery from 11 patients with Marfan syndrome undergoing repair of an aortic aneurysm or dissection. Normal tissue was obtained at the time of autopsy from 8 patients without evidence of aortic disease. Acoustic microscopy at 50 MHz was performed to measure integrated backscatter from each specimen. The magnitude of ultrasonic anisotropy of backscatter for each tissue type was determined as an index of the three-dimensional (3D) organization of the vessel matrix. The collagen content of each specimen was determined with a hydroxyproline assay. Marfan aortas exhibited less backscatter than did normal aortas (-40.9 +/- 2.9 versus -32.6 +/- 2.2 dB for patients with Marfan syndrome and healthy subjects, respectively, P < .0001). No significant difference in collagen concentrations was observed between normal and Marfan aorta (262.7 +/- 52.7 versus 282.4 +/- 41.8 mg/g tissue for normal and Marfan aortas, respectively, P = .42), despite the large difference in backscatter. Histological analysis revealed striking differences in both the amount and organization of the elastin in the aortic aneurysm segments from patients with Marfan syndrome compared with normal aorta. Normal aorta was characterized by well-formed elastin fibers arranged in a lamellar pattern. The media from aneurysms in Marfan aorta exhibited a profound decrease in elastin content that was associated with loss of the highly aligned and ordered lamellar arrangement. The directional dependence of scattering, or ultrasonic anisotropy, also differed dramatically between the two tissue types. Backscatter from normal aorta decreased substantially when the media was insonified parallel compared with perpendicular to the principal axis of the elastin fibers. Marfan aorta exhibited a much smaller directional dependence of scattering. Normal aortas manifested a 14-fold greater ultrasonic anisotropy than did Marfan aortas (24.1 +/- 3.7 versus 12.4 +/- 3.3 dB for normal and Marfan aortas, P < .0001), which is indicative of the profound extent of matrix disorganization in Marfan syndrome. These data show that high-frequency ultrasonic tissue characterization sensitively detects changes in vessel wall composition and organization that occur in the aorta of patients with Marfan syndrome. Aortic segments from these patients manifested a significant decrease in integrated backscatter compared with normal aorta (approximately 8 dB, or greater than a 6-fold decrease in scattering). A 15-fold reduction in the ultrasonic anisotropy of Marfan tissue was observed, which suggests a marked disorganization of the 3D architecture of these aortas. These data support the hypothesis that high-frequency ultrasonic tissue characterization may be useful for identifying abnormalities of vessel wall composition, architecture, and material properties.