Echo Types Research Articles

Preliminary application of real-time shear wave elastography to evaluate endometrial receptivity and predict pregnancy outcome.

Endometrial receptivity is crucial for the establishment of a healthy pregnancy outcome. Previous research on endometrial receptivity primarily examined endometrial thickness, endometrial echo types, and endometrial blood supply. To explore the differences in the elastic modulus of the endometrium in women with various pregnancy outcomes by real-time shear wave elastography (SWE) and to investigate its application value in evaluation of endometrial receptivity. A total of 205 pregnant women who were admitted at Wenzhou People's Hospital between January 2021 and December 2022 were selected. Three-dimensional transvaginal sonography and real-time shear wave elastography were performed in the proliferative phase and receptive phase of the endometrium, and the average elastic modulus of the endometrium in the two phases was obtained and compared. According to whether the pregnancy was successful or not, the participants were divided into the pregnancy group (n= 72) and non-pregnancy group (n= 133), and the differences in intimal thickness, 3D blood flow parameters, and average elastic modulus of intima were compared between the two groups. The average elastic modulus of the endometrium in the proliferative phase and receptive phase was (23.92 ± 2.31) kPa and (11.82 ± 2.24) kPa, respectively, and the difference was statistically significant P< 0.05. The average elastic modulus of the endometrium in the pregnancy group and non-pregnancy group was (9.97 ± 1.08) kPa and (12.82 ± 2.06) kPa, respectively, and the difference was statistically significant P< 0.05. The area under the curve of predicting pregnancy by the average elastic modulus of the endometrium in the receptive phase was 0.888 (0.841∼0.934), with corresponding P value < 0.05. The critical value was 11.15, with a corresponding sensitivity of 81.7% and specificity of 78.2%. Real-time shear wave elastography can quantitatively evaluate endometrial elasticity, indirectly reflect the endometrial phase, and provide a new diagnostic concept for evaluating endometrial receptivity and predicting pregnancy outcome in infertile patients.

Application of strain elastography ultrasound to the endometrium of normal women

BackgroundWhile there is a scarcity of studies utilizing strain elastography (SE) for the endometrium, commonly used gynecologic ultrasound instruments are equipped with built-in elastography modalities, primarily SE. With the objective of facilitating comprehensive examinations for gynecologic patients on a single ultrasound instrument, we undertook this study. Therefore, our aim was to study the value of SE ultrasonography in the assessment of endometrial elasticity in normal women.MethodsThree hundred and twenty normal women were recruited at our hospitals from November 2021 to December 2022. Each volunteer underwent a transvaginal two-dimensional (2D) and SE ultrasound during either the endometrial proliferative or secretory phase. The 2D ultrasound indices obtained included endometrial thickness, echo type (type A, B, and C), and blood flow grading (grades 0, 1, 2, and 3). SE indices obtained included endometrial strain values, myometrial strain values, and endometrial strain ratios. Differences in endometrial ultrasound indices between different menstrual cycles and different age groups were compared.ResultsComparison of 2D ultrasound parameters revealed that endometrial thickness in the proliferative phase endometrium group was smaller than that in the secretory phase endometrium group, with a statistically significant difference. Additionally, there was a statistically significant difference in endometrial echo types between the two groups, while the disparity in endometrial blood flow grading was not significant. Regarding SE parameters, the median and mean values of endometrial strain ratio in the proliferative phase endometrium group were smaller than those in the secretory phase endometrium group, showing a statistically significant difference. However, there were no significant differences observed between the two groups in endometrial strain and myometrial strain in the fundus. Furthermore, there were no significant differences in any of the endometrial ultrasound indices among the different age groups.ConclusionsSE can reflect changes in endometrial stiffness in different menstrual cycles and is an important tool for assessing endometrial softness.

Connecting link between a sediment source and its deep-sea sink: Ilan Shelf offshore northeastern Taiwan

The northeast Taiwan margin provides an excellent example of the route of sediment flux from a small mountainous river, the Lanyang River, to a deep-sea basin, the Southern Okinawa Trough (SOT), via a very narrow（8–14 km in width）Ilan Shelf at different time scales. Based on seismic and sub-bottom chirp profiles and onshore borehole and offshore core data, we identify three echo types on the Ilan Shelf that delineate sheets of sediment, mass movement deposits, and echoes indicative of igneous activity. By recognizing lithofacies and seismic facies changes, the Last Glacial Maximum Unconformity and maximum flooding surface are correlated in onshore cores and offshore reflection seismic profiles. With the aids of sequence stratigraphic analysis, the postglacial sedimentation rates on the Ilan Shelf are estimated to range from 0.04 to 1.53 cm/yr. Considering its sediment budget in a source-to-sink system, the Ilan Shelf can be regarded primarily as a temporary trap for fluvial sediment discharged from the Lanyang River. Overall, it has trapped at least 50% of the discharged sediment during the Holocene, and the bulk of sediment was transported, primarily via mass movement to SOT. We deduce that earthquake-induced faulting, axial incision in the channel, and retrogressive failures appear to be triggers for mass wasting, which then combined with channel transport, can play leading roles in rapid downslope transportation to the trough. This inference is indicated by high deposition rates in the western end of SOT and widely distributed mass transport deposits observed in the shallow strata of SOT. We found that the deep strata of SOT are deformed by normal faults, indicating that the sediment accommodation space is structurally controlled by the active back-arc extension. This study documents that frequent typhoons and flooding events, together with strong tidal currents, are significant agents of sediment input over the short term. In contrast, earthquakes and volcanic events occasionally affect sediment dispersal from the Ilan Shelf to SOT.

Sequence stratigraphy and sedimentary processes since the last glacial maximum in Nha Phu Bay and adjacent shelf, central Vietnam

Three sedimentary systems tracts (LST, TST, and HST) have been identified in Nha Phu Bay and the adjacent shelf, Khanh Hoa Province, Vietnam. These have been deposited since the Last Glacial Maximum (LGM) and interpreted in this study via the analysis of high-resolution acoustic data and sediment cores. The lowstand systems tract (LST) comprises sandy sediments exposed at seabed on the outer shelf as sand ridges, and underlying the transgressive systems tract (TST) on the middle shelf. The LST developed under shallow-marine settings during the sea-level lowstand and early sea-level rise before 14.6 cal kyr BP. The TST comprises primarily fine-grained sediments deposited during the transgression between 14.6 and 8.0 cal kyr BP in an incised trough of the outer shelf, on the middle shelf, and in Nha Phu Bay. Erosion of the seaward portion of the TST on the middle shelf might occur during the late transgression (9.0–8.0 kyr BP). The highstand systems tract (HST) comprises sediments deposited during the sea-level highstand between 8.0 and 0.0 cal kyr BP and is distributed widely in the bay, on the inner-middle shelf, and partially on the outer shelf. A paleo-coast zone, located in 100–120 m present-day water depth, is recognized through the appearance of sand ridges and sandy sediments. The seafloor sediment distribution is mapped via four major acoustic echo types, combined with seabed sediment samples. The coarse-grained sediment distribution, subaqueous outcrops, and thin deglacial sediment thickness on the inner shelf indicate erosion-dominated processes under vigorous hydrodynamic conditions. Nha Phu Bay and the middle shelf are interpreted as the depocentres. The estimated sediment load deposited in Nha Phu Bay is 0.18 Mt./yr, accounting for 15–35% of the annual sediment discharge from the Dinh River. The seabed morphology, muddy sediment distribution, and deglacial sediment thickness reveal a dominant sediment-transport pathway, across the inner shelf to the middle shelf, near the northern shoreline of Nha Phu Bay under the influence of the southwest monsoon.

Three-Dimensional Convective–Stratiform Echo-Type Classification and Convectivity Retrieval from Radar Reflectivity

Abstract The Echo Classification from COnvectivity (ECCO) algorithm identifies convective and stratiform types of radar echo in three dimensions. It is based on the calculation of reflectivity texture—a combination of the intensity and the heterogeneity of the radar echoes on each horizontal plane in a 3D Cartesian volume. Reflectivity texture is translated into convectivity, which is designed to be a quantitative measure of the convective nature of each 3D radar grid point. It ranges from 0 (100% stratiform) to 1 (100% convective). By thresholding convectivity, a more traditional qualitative categorization is obtained, which classifies radar echoes as convective, mixed, or stratiform. In contrast to previous algorithms, these echo-type classifications are provided on the full 3D grid of the reflectivity field. The vertically resolved classifications, in combination with temperature data, allow for subclassifications into shallow, mid-, deep, and elevated convective features, and low, mid-, and high stratiform regions—again in three dimensions. The algorithm was validated using datasets collected over the U.S. Great Plains during the PECAN field campaign. An analysis of lightning counts shows ∼90% of lightning occurring in regions classified as convective by ECCO. A statistical comparison of ECCO echo types with the well-established GPM radar precipitation-type categories show 84% (88%) of GPM stratiform (convective) echo being classified as stratiform (convective) or mixed by ECCO. ECCO was applied to radar grids for the continental United States, the United Arab Emirates, Australia, and Europe, illustrating its robustness and adaptability to different radar grid characteristics and climatic regions.

Bayesian Classification of Nonmeteorological Targets in Polarimetric Doppler Radar Measurements

Abstract The latest established generation of weather radars provides polarimetric measurements of a wide variety of meteorological and nonmeteorological targets. While the classification of different precipitation types based on polarimetric data has been studied extensively, nonmeteorological targets have garnered relatively less attention beyond an effort to detect them for removal from meteorological products. In this paper we present a supervised learning classification system developed in the Finnish Meteorological Institute (FMI) that uses Bayesian inference with empirical probability density distributions to assign individual range gate samples into 7 meteorological and 12 nonmeteorological classes, belonging to five top-level categories of hydrometeors, terrain, zoogenic, anthropogenic, and immaterial. We demonstrate how the accuracy of the class probability estimates provided by a basic naive Bayes classifier can be further improved by introducing synthetic channels created through limited neighborhood filtering, by properly managing partial moment nonresponse, and by considering spatial correlation of class membership of adjacent range gates. The choice of Bayesian classification provides well-substantiated quality estimates for all meteorological products, a feature that is being increasingly requested by users of weather radar products. The availability of comprehensive, fine-grained classification of nonmeteorological targets also enables a large array of emerging applications, utilizing nonprecipitation echo types and demonstrating the need to move from a single, universal quality metric of radar observations to one that depends on the application, the measured target type, and the specificity of the customers’ requirements. Significance Statement In addition to meteorological echoes, weather radars observe a wide variety of nonmeteorological phenomena including birds, insects, and human-made objects like ships and aircraft. Conventionally, these data have been rejected as undesirable disturbance, but lately their value for applications like aeroecological monitoring of bird and insect migration has been understood. The utilization of these data, however, has been hampered by a lack of comprehensive classification of nonmeteorological echoes. In this paper we present a comprehensive, fine-grained, probabilistic classifier for all common types of nonmeteorological echoes which enables the implementation of a wide range of novel weather radar applications.

Relationships between intense convection, lightning, and rainfall over the interior Congo Basin using TRMM data

The lack of in situ observations across equatorial Africa creates forecasting challenges for regional populations affected by extreme weather events and makes accurate hydrological monitoring within the Congo Basin difficult. Due to the high mean convective intensity in this region, lightning observations may be particularly useful for improving satellite-based surface precipitation monitoring and forecasting. Therefore, this study aims to quantify the relative frequency of the most intense convective events in the Congo and their associated lightning – precipitation relationships through the analysis of high-resolution Tropical Rainfall Measuring Mission (TRMM) radar and lightning observations for the years 1998–2013. Lightning and precipitation measurements associated with observed echoes were isolated and assigned to one of four categories of intense convective-stratiform echo types. Results show that only 2.7% of observed echoes were classified as intense convective-stratiform, yet they produced 36.6% of observed lightning flashes and 27.4% of estimated rain totals. Significant spatial correlations were also found between total rainfall and intense convective-stratiform rain (coefficient r = 0.56). Linear relationships between lightning and echo rain rates are shown to depend heavily on the convective category. As a result, a simple linear regression cannot be made for all intense convective echoes. However, lightning can be used to retrieve a lower-bound approximation with respect to convective rain rates. Results suggest that if properly implemented, the addition of lightning data may help to improve or constrain satellite derived convective intensity and rainfall estimations.

An Improved Meteor Echo Recognition Algorithm for SuperDARN HF Radar

The SuperDARN HF radars can be used for meteor observation and inversion of mid-upper atmosphere neutral wind using observed meteor echo Doppler velocities. Aiming at the problem that the extraction of meteor echo based on echo power, Doppler velocity and spectral width is rough and contains ionospheric echo, this paper optimizes the extraction algorithm of meteor echo. Based on the AgileDARN HF radar’s digital characteristics, the observation method of meteor echo was improved, and we designed a meteor observation mode without changing the hardware system: using a meteor observation with a 7.5 km range resolution and a 2 s integration time, we extracted the Doppler characteristics of different echo types at meteor echo ranges; according to these features, the extraction algorithm of meteor echo was optimized. By analyzing the measured data, the characteristics of diurnal variation, power distribution, Doppler velocity distribution and spectral width distribution of meteor echo extracted by the optimization algorithm were obtained. The meteor echo characteristics obtained by the improved algorithm are more consistent with the theoretical analysis; thus, the improved algorithm is better than the SuperDARN high frequency radar meteor echo extraction algorithm and has good performance. The meteor echo extraction algorithm presented in this paper can extract the meteor echo more accurately, so that the atmospheric neutral wind can be retrieved more accurately. At the same time, the proposed algorithm is not only applicable to AgileDARN HF radar meteor observation mode data, but also to AgileDARN and SuperDARN normal mode data, which is beneficial to expand the data application of SuperDARN radars.

Multimodal Ultrasound Versus MRI for the Diagnosis and Monitoring of Achilles Tendinopathy: A Prospective Longitudinal Study.

Background:The diagnosis and monitoring of Achilles tendinopathy with imaging are challenging. There is a lack of studies comparing the diagnostic accuracy of magnetic resonance imaging (MRI), brightness mode ultrasound (B-mode), and power Doppler ultrasound with recent technologies such as ultrasound tissue characterization (UTC) and shear wave elastography (SWE).Purpose:To assess whether SWE and UTC, which offer quantitative values, show a superior diagnostic accuracy and capacity to detect structural improvement in Achilles tendinopathy compared with MRI, B-mode, or power Doppler.Study Design:Cohort study (diagnosis); Level of evidence, 2.Methods:Patients with insertional (n = 28) and midportion (n = 38) Achilles tendinopathy were evaluated at baseline and 6-month follow-up using MRI, B-mode, power Doppler, SWE, and UTC. Asymptomatic controls (n = 37) were evaluated at T 0. Diagnostic accuracy was analyzed based on a quantitative receiver operating characteristic (ROC) analysis with quantitative cutoff values (anteroposterior diameter, Öhberg score, UTC echo type, Young modulus) and by semiquantitative Likert scale–based assessment of experienced physicians.Results:For diagnosing insertional Achilles tendinopathy, semiquantitative MRI and power Doppler were most favorable (diagnostic accuracy, 95%), while the cross-sectional area of MRI revealed 89% accuracy in the ROC analyses (area under the curve [AUC], 0.911; P < .001). For diagnosing midportion Achilles tendinopathy, semiquantitative MRI and B-mode were most favorable (diagnostic accuracy, 87%), while UTC echo types 3 and 4 revealed 86% and 87% accuracy, respectively, in the ROC analyses (AUC, 0.911 and 0.941, respectively; P < .001). However, for quantitative and semiquantitative evaluation of diagnostic accuracy in both insertional and midportion Achilles tendinopathy, there was no significant difference in favor of one imaging modality over the others. Compared with baseline, only SWE showed a significant change at the 6-month follow-up (P = .003-.035), but there were only fair to poor monitoring accuracies of 71% (insertion) and 60% (midportion). However, compared with the other modalities, the monitoring accuracy of SWE was significantly higher (P = .002-.039).Conclusion:There was no statistically significant difference in favor of one imaging modality over the others, but MRI revealed the highest overall diagnostic accuracy for the diagnosis of both insertional and midportion Achilles tendinopathy.

The imprint of sedimentary processes in the acoustic structure of deposits on a current-dominated continental shelf

This study aims to investigate the spatial variability of surficial sedimentation processes on a large sector of the Brazilian shelf by using echo-character mapping. To reach this goal, almost 3200 km of high-resolution seismic lines collected with a 3.5 kHz Chirp source are compared with surficial sediment-related distribution maps. Based on seismic characteristics, such as sharpness, amplitude, and continuity of sub-bottom reflections, six echo types were identified in the study area. These echo types were grouped into two main classes according to the nature of seafloor morphology. Class 1 is characterized by flat-bottom echoes with a variable amplitude of reflections and acoustic penetration. This class is predominantly found on the inner and middle shelves. Class 2 consists of irregular seafloor morphologies and is classified based on the occurrence of internal reflections and relief variations. This class is mainly found on the outer shelf. The distribution of echo types and associated surficial sediment maps exhibit three main shelf domains: inner, middle, and outer. The echo types are mostly controlled by the influence of along-shelf currents, as well as by mid-shelf fronts associated with the entrance of cold-water tongues under changing wind conditions and upwelling phenomena. Whereas the inner shelf is mainly affected by variable wind-driven currents, the outer shelf is more persistently influenced by the southwestward movement of the Brazil Current. Between these areas, the middle shelf is affected by seasonal intrusions of the South Atlantic Central Water and northward extensions of the Brazilian Coastal Current. The studied area can be considered a case model for a shelf driven by hydrodynamic processes.

Ultrasound Tissue Characterization (UTC) of the Achilles Tendon in Pre- and Post-Pubertal Dancers.

This study examined whether maturation status, body physique, and the impact of training are related to the development of Achilles tendon structure in young dancers. Seventy-one pre- and post-menarche dancers (12 to 15 years of age) were recruited. The Achilles tendon of each dancer was examined via ultrasonography tissue characterization (UTC) imaging. The cross-sectional area (CSA) and the fibrillar structure (echo types I to IV) were measured. The participants were screened for anthropometric parameters (weight, height, and leg length) with body mass index (BMI) and BMI percentile calculated; for hours and impact of training; for Tanner pubertal maturation; and for pain in their Achilles tendon (VAS scale). In addition, age and age at onset of menarche were documented. Tendon structure was found to differ between pre- and post-menarche dancers. Post-menarche dancers had a significantly lower percentage of echo type I fibers and a significantly higher percentage of echo type II, III, and IV fibers, with a greater CSA compared to pre-menarche dancers. The tendon structure was found to be correlated with BMI percentile, but no correlations were found with chronologic age or the impact of dance training. Furthermore, ANCOVA showed that BMI had a statistically significant effect on fiber types II and III (p < 0.005) and that the effect of menarche was significant, meaning that pre-menarche dancers had a lower BMI compared with those who were post-menarche. It is concluded that pre- and post-menarche dancers had developed different patterns of Achilles tendon fiber structure. Body mass index was found to be the most significant factor influencing the different tendon structures in young pubertal dancers.

Differences Between Long Distance Road Runners and Trail Runners in Achilles Tendon Structure and Jumping and Balance Performance.

Load and joint kinematics change with differences in running surface. Running regularly on trails compared to roads might influence the load on the Achilles tendon and its adaptations, along with other factors such as balance, strength, and proprioception. To investigate Achilles tendon structure and functional tests in road and trail runners. Cross-sectional study. Laboratory, sport sciences college. The study included 26 road and 17 trail runners who run at least three times per week with a minimum of 20 km per week and who participated in running competitions over the preceding 2 years. Each participant was examined for Achilles tendon structure (via ultrasound tissue characterization [UTC] imaging) and underwent functional tests in addition to completing a demographic questionnaire. The percentages of echo types I, II, III, and IV (degree of structural homogeneity) within the tendon, tendon length and width, tendon cross-sectional area (via UTC imaging); Ankle inversion movement discrimination ability (via Active Movement Extent Discrimination Apparatus device); dynamic postural balance (via Y balance test); jumping performance (by Triple hop distance test); and Hip muscle abduction muscle strength (by hand-held dynamometry). Percentage of echo type I was significantly lower while echo type II was higher in the road group compared with the trail group (67.3% type I and 28.9% type II in the road group compared with 74.1% type I and 22.1% type II in the trail group, P < .001). No differences between genders were found and no significant differences between groups were found for the other tests. Tendon integrity as examined with UTC is different between road and trail runners. This suggests an influence of running surface on Achilles tendon structure. This difference was not reflected in other tests, thus the influence of tendon structure on function needs further examination.

Running a Marathon-Its Influence on Achilles Tendon Structure.

Several studies have been conducted to better understand the effect of load on the Achilles tendon structure. However, the effect of a high cumulative load consisting of repetitive cyclic movements, such as those that occur during the running of a marathon, on Achilles tendon structure is not yet clear. Clinicians, coaches, and athletes will benefit from knowledge about the effects of a marathon on the structure of the Achilles tendon. To investigate the short-term response of the Achilles tendon structure to running a marathon. Case series (prospective). Sports medicine centers. Ten male nonelite runners who ran in a marathon. Tendon structure was assessed before and 2 and 7 days after a marathon using ultrasound tissue characterization (UTC), an imaging tool that quantifies tendon organization in 4 echo types (I-IV). Echo type I represents the most stable echo pattern, and echo type IV, the least stable. At 7 days postmarathon, both the insertional and midportion structure changed significantly. At both sites, the percentage of echo type II increased (insertion P < .01; midportion P = .02) and the percentages of echo types III and IV decreased (type III: insertion P = .01; midportion P = .02; type IV: insertion P = .01; midportion P < .01). Additionally, at the insertion, the percentage of echo type I decreased (P < .01). We observed the effects of running a marathon on the Achilles tendon structure 7 days after the event. Running the marathon combined with the activity performed shortly thereafter might have caused the changes in tendon structure. This result emphasizes the importance of sufficient recovery time after running a marathon to prevent overuse injuries.

Clinical value of ultrasonic imaging in diagnosis of hypopharyngeal cancer with cervical lymph node metastasis.

Clinical value of ultrasonic imaging in diagnosis of hypopharyngeal cancer with cervical lymph node metastasis was investigated. Eighty-nine patients who were diagnosed with hypopharyngeal cancer in Qilu Hospital of Shandong University (Qingdao) from January 2014 to June 2016 were retrospectively analyzed. Sixty-eight patients were diagnosed with hypopharyngeal cancer with cervical lymph node metastasis by pathological sections. Twenty-one patients did not have cervical lymph node metastasis. All the patients were diagnosed by palpation and ultrasound. The lymph node ultrasound images were quantified by computer, and the long/short diameter ratio, the maximum systolic velocity, blood flow resistance of the metastatic and non-metastatic patients were compared. The diagnostic efficacy of palpation and ultrasound was analyzed in the diagnosis of hypopharyngeal cancer with cervical lymph node metastasis. A correlation analysis was carried out between the image features of ultrasound and lymph node metastasis. The long/short diameter ratio, maximum systolic velocity and resistance index of patients with lymph node metastasis were significantly higher than those without lymph node metastasis, with a significant difference (P<0.05). Forty-one patients were diagnosed with lymph node metastasis by palpation, fifty-nine patients were diagnosed with lymph node metastasis by ultrasound. The sensitivity and diagnostic coincidence rate of ultrasound in diagnosis of hypopharyngeal cancer with cervical lymph node metastasis were significantly higher than those of palpation (P<0.05). Statistically significant differences were observed in lymph node internal echo types, medullary echo characteristics, envelope definition, and blood flow distribution characteristics between the metastasis group and the non-metastasis group (P<0.05). Lymph node internal echo was heterogeneous. There was no medulla, and the disordered blood flow in the lymph node predicted lymph node metastasis. Preoperative ultrasound has a high diagnostic value in diagnosis of hypopharyngeal cancer with cervical lymph node metastasis. The diagnostic results of preoperative ultrasound can be used as a reference for the diagnosis and treatment of hypopharyngeal cancer with cervical lymph node metastasis.

Autocalibrated parallel imaging reconstruction with sampling pattern optimization for GRASE: APIR4GRASE

PurposeTo reduce artifacts and scan time of GRASE imaging by selecting an optimal sampling pattern and jointly reconstructing gradient echo and spin echo images. MethodsWe jointly reconstruct images for the different echo types by considering these as additional virtual coil channels in the novel Autocalibrated Parallel Imaging Reconstruction with Sampling Pattern Optimization for GRASE (APIR4GRASE) method. Besides image reconstruction, we identify optimal sampling patterns for the acquisition. The selected optimal patterns were validated on phantom and in-vivo acquisitions. Comparison to the conventional GRASE without acceleration, and to the GRAPPA reconstruction with a single echo type was also performed. ResultsUsing identified optimal sampling patterns, APIR4GRASE eliminated modulation artifacts in both phantom and in-vivo experiments; mean square error (MSE) was reduced by 78% and 94%, respectively, compared to the conventional GRASE with similar scan time. Both artifacts and g-factor were reduced compared to the GRAPPA reconstruction with a single echo type. ConclusionAPIR4GRASE substantially improves the speed and quality of GRASE imaging over the state-of-the-art, and is able to reconstruct both spin echo and gradient echo images.

Patellar tendon structure responds to load over a 7-week preseason in elite male volleyball players.

The purpose of this study was to investigate the relation between external and internal load and the response of the patellar tendon structure assessed with ultrasound tissue characterization (UTC) in elite male volleyball players during preseason. Eighteen players were followed over 7 weeks, measuring four load parameters during every training and match: volume (minutes played), rating of perceived exertion (RPE) (ranging from 6 to 20), weekly load (RPE*volume), and jump frequency (number of jumps). Patellar tendon structure was measured biweekly using UTC, which quantifies tendon matrix stability resulting in four different echo types (I‐IV). On average, players spent 615 min/wk on training and matches with an RPE of 13.9 and a jump frequency of 269. Load evaluation shows significant changes over the 7 weeks: Volume and weekly load parameters were significantly higher in week 3 than week 7 and in week 4 than week 2. Weekly load performed in week 4 was significantly higher than week 7. No significant changes were observed in tendon structure. On the non‐dominant side, no significant correlations were found between changes in load parameters and echo types. At the dominant side, a higher weekly volume and weekly load resulted in a decrease of echo type I and a higher mean RPE in an increase of echo type II. The results of this study show that both external and internal load influence changes in patellar tendon structure of elite male volleyball players. Monitoring load and the effect on patellar tendon structure may play an important role in injury prevention.

Bilateral changes in tendon structure of patients diagnosed with unilateral insertional or midportion achilles tendinopathy or patellar tendinopathy

PurposeChanges in tendon structure are commonly seen in patients with unilateral achilles (AT) or patellar (PT) tendinopathy but might also be present on the asymptomatic side, indicating a higher risk for developing symptoms. The aim of this study is to compare tendon structure of the symptomatic side with the asymptomatic side in AT and PT patients and control subjects.MethodsA total of 46 patients with unilateral AT (16 insertional and 30 midportion) and 38 with unilateral PT were included. For the control group, a total of 18 Achilles tendons and 25 patellar tendons were scanned. Tendon structure was assessed using ultrasound tissue characterisation (UTC), which quantifies tendon organisation dividing the structure into four different echo types (I–IV).ResultsThere were significant differences in echo types I, III, and IV between symptomatic and asymptomatic sides and controls. Additionally, there was a significant difference between the symptomatic and the asymptomatic side for all tendinopathy locations. In the insertional AT tendon portion, the symptomatic side showed a higher percentage of echo type III. For the midportion AT, the symptomatic side showed a lower percentage of echo type I and a higher percentage of echo types III and IV. For the patellar tendon, the symptomatic side showed a higher percentage of echo types III and IV. All differences were higher than the minimal detectable changes.ConclusionAlthough patients have symptoms unilaterally, the tendon structures are compromised on both sides. These results stress the importance of monitoring both symptomatic and asymptomatic tendon structures and in addition highlight that the asymptomatic side should not be used as reference in clinical practice.Level of evidenceIII.

Clinical Improvements Are Not Explained by Changes in Tendon Structure on Ultrasound Tissue Characterization After an Exercise Program for Patellar Tendinopathy.

The aim of this study was to investigate the effects of a 4-wk in-season exercise program of isometric or isotonic exercises on tendon structure and dimensions as quantified by ultrasound tissue characterization (UTC). This was a randomized clinical trial. Volleyball and basketball players (16-31 yrs, n = 29) with clinically diagnosed patellar tendinopathy were randomized to a 4-wk isometric or isotonic exercise program. The programs were designed to decrease patellar tendon pain. A baseline and 4-wk UTC scan was used to evaluate change in tendon structure. No significant change in tendon structure or dimensions on UTC was detected after the exercise program despite patellar tendinopathy symptoms improving. The percentage and mean cross-sectional area of aligned fibrillar structure (echo types I + II) (Z = -0.414, P = 0.679) as well as disorganized structure (echo types III + IV) (Z = -0.370, P = 0.711) did not change over the 4-wk exercise program. Change in tendon structure and dimensions on UTC did not differ significantly between the groups. Structural properties and dimensions of the patellar tendon on UTC did not change after a 4-wk isometric or isotonic exercise program for athletes with patellar tendinopathy in-season, despite an improvement in symptoms. It seems that structural improvements are not required for a positive clinical outcome.

Improved Algorithms for Removing Isolated Non-Meteorological Echoes and Ground Clutters in CINRAD

Using China New Generation Weather Radar (CINRAD) level-II data, the original algorithms for removing isolated non-meteorological echoes and ground clutters in radar data, which have been applied to Weather Surveillance Radar-1988 Doppler (WSR-88D) in the USA and Severe Weather Automatic Nowcast (SWAN) system in China, are modified and improved. To remove isolated non-meteorological echoes, the new algorithm introduces a constraint parameter (Po) to distinguish whether a window of 5 × 5 points is isolated as external echoes. A statistical analysis of 150 radar scans (5 cases, with each case comprising 30 scans) under three different echo types (small-scale convection, typhoon, and large-scale synoptic system) shows that the constraint parameter Po ⩽ 0.167 is suitable for removing isolated non-meteorological echoes while preserving the edge of meteorological echoes. A new parameter, NDZ, which promotes the ability of the algorithm to identify the ground clutters appearing at two adjacent elevation angles, is constructed based on the vertical continuity of reflectivity. These improved algorithms are tested for four cases (three cases of isolated non-meteorological echoes and one case of ground clutters). Based on the statistics of 232 volume scans of radar data (on a temporal resolution of 1 h) measured at Nanchang station from 0000 UTC 5 to 1600 UTC 14 March 2015, it is found that the improved algorithms not only eliminate most (over 95% under clear-sky conditions) of the isolated non-meteorological echoes and ground clutters (including those appearing at two adjacent elevation angles), but also well preserve the structure of meteorological echoes (storms). Key words: radar, isolated non-meteorological echoes, ground clutter, quality control

Assessment of Doppler Radar Radial Wind Observation Quality from Different Echo Sources for Assimilation during the Sydney 2014 Forecast Demonstration Project

AbstractA new quality control system, primarily using a naïve Bayesian classifier, has been developed to enable the assimilation of radial velocity observations from Doppler radar. The ultimate assessment of this system is the assimilation of observations in a pseudo-operational numerical weather prediction system during the Sydney 2014 Forecast Demonstration Project. A statistical analysis of the observations assimilated during this period provides an assessment of the data quality. This will influence how observations will be assimilated in the future, and what quality control and errors are applicable. This study compares observation-minus-background statistics for radial velocities from precipitation and insect echoes. The results show that with the applied level of quality control, these echo types have comparable biases. With the latest quality control, the clear air observations of wind are apparently of similar quality to those from precipitation and are therefore suitable for use in high-resolution NWP assimilation systems.