Linear Array Transducer Research Articles

Analysis of Thyroid Gland Problems with Shear Wave Elastography in Children with Celiac Disease.

The rate of autoimmune thyroiditis in children with celiac disease (CD) is high relative to the normal population. Since the majority of these patients are also euthyroid, thyroid imaging methods are gaining significance in diagnosis and follow-up. This study examines the effectiveness of thyroid ultrasonography (US) and thyroid shear wave elastography (SWE) in diagnosing thyroid disease in children with CD. This cross-sectional controlled study analyzed thyroid US, SWE, serum thyroid function tests, and thyroid autoimmune antibodies of 106 CD patients and 103 control patients without CD. An Aplio 500 ultrasound device with a linear array transducer and elastography software was used for thyroid US and SWE measurement of all patients. Right lobe thyroid volume, left lobe thyroid volume, total thyroid volume, thyroid mean elasticity (m/s), right lobe elasticity (kPa), left lobe elasticity (kPa), and mean thyroid elasticity (kPa) levels of the CD group were higher than those of the control group (p < 0.001). The relationships between thyroid US and thyroid mean elasticity (m/s), thyroid mean elasticity (kPa), anti-thyroid peroxidase antibody, and thyroid-stimulating hormone were positive and moderate, respectively (r = 0.612, 0.612, 0.636, and 0.565, respectively; p < 0.001). In this study, SWE findings were compatible with laboratory findings, as they constituted a sensitive and useful method in the diagnosis and follow-up of autoimmune thyroid disease in children with CD.

New trends in the ultrasonic imaging of concrete structures by means of 3D-FMC technology

The novel technologies in ultrasound generation and data processing offer new opportunities for three-dimensional imaging of concrete structures. Especially the Full-Matrix-Capture (FMC) technique with its real-time imaging capability can be successfully utilized for quality assurance in the construction industry. Although, the available testing instruments on the market implement the principle of linear transducer array with its two-dimensional reconstruction of B-Scan images based on the Synthetic Aperture Focusing Technique (SAFT) principle. The Dry-Point-Contact (DPC) transducers utilized in commercially available instruments for concrete testing with their matrix-like layout offer a direct opportunity to implement a three-dimensional Full-Matrix-Capture (FMC) data acquisition cycle. The obtained data can be in real-time processed by 3D-TFM reconstruction and visualized and evaluated three-dimensionally. In the present contribution both state-of-the-art and novel true-3D imaging approaches and data assessment are considered on real concrete inspection objects and the advantages of enhanced data processing with respect to improved information content and easiness of result, interpretation is discussed.

Flow imaging using differential Golay encoded ultrasound

In our research we present a new method of differential compression of the Golay encoded ultrasound (DCGEU) in the standard beamforming mode to visualize the slow (<1cm/s) blood mimicking fluid flow in small diameter tubes. The proposed DCGEU method is based on synthesis of several subsequent B-mode frames acquired with certain time intervals (30 ms in this study) followed by the visualization of differential beamformed radio frequency (RF) echoes, which yielded the images of the scatterers moving slowly in the vessel and suppressing the static echoes outside the vessel. In order to extract small backscattered echoes from the vessel area we took an advantage of improved sensitivity of the complementary Golay coded sequences (CGCS).The validation of the proposed DCGEU method was carried out in two stages. In the first one, we compared the flow images in small tubes with a diameter of 1 mm and 2.5 mm, reconstructed from numerically simulated acoustic data for the standard transmission of short pulses and 16-bits long CGCS signals. In the second stage of the research, the experimental data were acquired in a flow phantom with silicone tubes with an internal diameter of 1.5 mm and 4.5 mm and a fluid flow velocity of 0.9 cm/s. The experiments were carried out using preprogrammed Verasonics Vantage™ research ultrasound system equipped with ALT L12-5/50 mm MHz linear array transducer with 7.8 MHz center frequency.It was evidenced both in simulations and experiments that the DCGEU provided a good flow image along the entire length of tubing with virtually angle independent detection in comparison with the conventional short pulse interrogation.

Added value of mass characteristic frequency to 2-D shear wave elastography for differentiation of benign and malignant thyroid nodules.

Mass characteristic frequency (fmass) is a novel shear wave (SW) parameter that represents the ratio of the averaged minimum SW speed within the regions of interest to the largest dimension of the mass. Our study objective was to evaluate if the addition of fmass to conventional 2-D shear wave elastography (SWE) parameters would improve the differentiation of benign from malignant thyroid nodules. Our cohort comprised 107 patients with 113 thyroid nodules, of which 67 (59%) were malignant. Two-dimensional SWE data were obtained using the Supersonic Imagine Aixplorer ultrasound system equipped with a 44- to 15-MHz15-MHz linear array transducer. A receiver operating characteristic curve was generated based on a multivariable logistic regression analysis to evaluate the ability of SWE parameters with/without fmass and with/without clinical factors to discriminate benign from malignant thyroid nodules. The addition of fmass to conventional SW elasticity parameters increased the area under the curve from 0.808 to 0.871 (p=0.02). The combination of SW elasticity parameters plus fmass plus clinical factors provided the strongest thyroid nodule malignancy probability estimate, with a sensitivity of 93.4% and specificity of 91.1% at the optimal threshold. In summary, fmass can be a valuable addition to conventional 2-D SWE parameters.

A Dual-Modal Imaging Method Combining Ultrasound and Electromagnetism for Simultaneous Measurement of Tissue Elasticity and Electrical Conductivity.

The mechanical and electrical properties of soft tissues are relative to soft tissues' pathological state. Modern medical imaging devices have shown a trend to multi-modal imaging, which will provide complementary functional information to improve the accuracy of disease diagnosis. However, no method or system can simultaneously measure the mechanical and electrical properties of the soft tissue. In this study, we proposed a novel dual-modal imaging method integrated by shear wave elasticity imaging (SWEI) and Magneto-acousto-electrical tomography (MAET) to measure soft tissue's elasticity and conductivity simultaneously. A dual-modal imaging system based on a linear array transducer is built, and the imaging performances of MAET and SWEI were respectively evaluated by phantoms experiment and in vitro experiment. Conductivity phantom experiments show that the MAET in this dual-modal system can image conductivity gradient as low as 0.4 S/m. The phantom experiments show that the reconstructed 2-D elasticity maps of the phantoms with inclusions with a diameter larger than 5 mm are relatively accurate. In vitro experiments show that the elasticity parameter can significantly distinguish the changes in tissue before and after heating. This study first proposes a method that can simultaneously obtain tissue elasticity and electrical conductivity to the best of our knowledge. Although this paper just carried out the proof of concept experiments of the new method, it demonstrates great potential for disease diagnosis in the future.

Quantitative Ultrasound Assessment of Early Osteoarthritis in Human Articular Cartilage Using a High-Frequency Linear Array Transducer.

Quantitative ultrasound (QUS) assessment of osteoarthritis (OA) using high-frequency, research-grade single-element ultrasound systems has been reported. The objective of this ex vivo study was to assess the performance of QUS in detecting early OA using a high-frequency linear array transducer. Osteochondral plugs (n=26) of human articular cartilage were scanned with ExactVu Micro-Ultrasound using an EV29L side-fire transducer. For comparison, the samples were also imaged with SAM200Ex, a custom 40-MHz scanning acoustic microscope with a single-element, focused transducer. Thirteen QUS parameters were derived from the ultrasound data. Magnetic resonance imaging (MRI) data, with T1 and T2 extracted as the quantitative parameters, were also acquired for comparison. Cartilage degeneration was graded from histology and correlated to all quantitative parameters. A maximum Spearman rank correlation coefficient (ρ) of 0.75 was achieved using a combination of ExactVu QUS parameters, while a maximum ρ of 0.62 was achieved using a combination of parameters from SAM200Ex. A maximum ρ of 0.75 was achieved using the T1 and T2 MRI parameters. This study illustrates the potential of a high-frequency linear array transducer to provide a convenient method for early OA screening with results comparable to those of research-grade single-element ultrasound and MRI.

FPCB as an Acoustic Matching Layer for 1D Linear Ultrasound Transducer Arrays.

An acoustic matching layer is an essential component of an ultrasound transducer to achieve maximum ultrasound transmission efficiency. Here, we develop a flexible printed circuit board (FPCB) with a composite structure consisting of multiple polyimide and copper layers and demonstrate it as a novel acoustic matching layer. With a flexible substrate and robust ACF bonding, the FPCB not only serves as an acoustic matching layer between piezoelectric elements and the surrounding medium but also as a ground for the electrical connection between the transducer array elements and the folded substrate. A 1D linear ultrasound transducer array with the FPCB matching layer exhibits larger output pressure, wider -3dB bandwidth, and higher ultrasound beam intensity compared to that of an ultrasound transducer array with the alumina/epoxy matching layer, which is one of the most commonly applied composite matching layers. The enhanced transmission performance verifies that the proposed FPCB is an excellent matching layer for 1D linear ultrasound transducer arrays.

Accuracy of ultrasonographic changes during neoadjuvant chemotherapy to predict axillary lymph node response in clinical node-positive breast cancer patients.

PurposeTo evaluate whether changes in ultrasound features during neoadjuvant chemotherapy (NAC) could predict axillary node response in clinically node-positive breast cancer patients.MethodsPatients with biopsy-proven node-positive disease receiving NAC between February 2009 and March 2021 were included. Ultrasound (US) images were obtained using a 5-12-MHz linear array transducer before NAC, after two cycles, and at the completion of NAC. Long and short diameter, cortical thickness, vascularity, and hilum status of the metastatic node were retrospectively reviewed according to breast imaging-reporting and data system (BI-RADS). The included population was randomly divided into a training set and a validation set at a 2:1 ratio using a simple random sampling method. Factors associated with node response were identified through univariate and multivariate analyses. A nomogram combining clinical and changes in ultrasonographic (US) features was developed and validated. The receiver operating characteristic (ROC) and calibration plots were applied to evaluate nomogram performance and discrimination.ResultsA total of 296 breast cancer patients were included, 108 (36.5%) of whom achieved axillary pathologic complete response (pCR) and 188 (63.5%) had residual nodal disease. Multivariate regression indicated that independent predictors of node pCR contain ultrasound features in addition to clinical features, clinical features including neoadjuvant HER2-targeted therapy and clinical response, ultrasound features after NAC including cortical thickness, hilum status, and reduction in short diameter ≥50%. The nomogram combining clinical features and US features showed better diagnostic performance compared to clinical-only model in the training cohort (AUC: 0.799 vs. 0.699, P=0.001) and the validation cohort (AUC: 0.764 vs. 0.638, P=0.027).ConclusionsUltrasound changes during NAC could improve the accuracy to predict node response after NAC in clinically node-positive breast cancer patients.

Coital positions and clitoral blood flow: A biomechanical and sonographic analysis

To create biomechanical models of five common coital positions, and evaluate the degree of contact and forces against the clitoris. To evaluate clitoral blood flow before and after engaging in these positions. Biomechanical models were rendered of a male and female pelvis in the following coital positions: face-to-face/female above, sitting/face-to-face, face-to-face/male above (with and without pillow), and kneeling/rear entry. The thrusting force and gravitational force were estimated for the pelvis(es) providing the main forces. The areas of contact between the pelvises were identified and highlighted. Sonography of the clitoris was performed before and after a healthy volunteer couple engaged in each position, using a Philips Lumify™ ultrasound (Koninklijke Philips N.V., Amsterdam, Netherlands) with a L12-4 linear array transducer (4–12 MHz). The biomechanical models for each position, with the exception of kneeling/rear entry, reveal a large amount of contact with the clitoris. Clitoral blood flow increased after engaging in each position except for kneeling/rear entry. Positions in which the gravitational force of the thrusting partner was in the same direction of (and thereby augmenting) the thrusting force resulted in intense clitoral blood flow (face-to-face/female above, and face-to-face/male above). Augmenting the face-to-face/male above position with a pillow generated a component of the male pelvic gravitational force in the direction of the clitoris; this resulted in more blood flow to all components of the cavernous body. From a biomechanical perspective, different coital positions vary in their potential to stimulate the clitoris. These positions lead to variable increases in clitoral blood flow, concordant with our biomechanical models.

Comparative intra- and inter-observer reliability of two methods for evaluating intraoperative ultrasonography-based spinal cord hyperechogenicity intensity in degenerative cervical myelopathy

ObjectivesDuring French-door laminoplasty, a linear array transducer of IOUS was used to observe and record the spinal cord decompression. To acquire a higher-reliability method, and compare the in-observer and inter-observer reliability of two methods in evaluating the hyperechoic intensity of spinal cord ultrasound in degenerative cervical myelopathy (DCM).BackgroundThe intensity of spinal cord hyperechogenicity is considered as a potential predictor of neurological recovery in DCM after decompression, but the accuracy of gray value ratio (GVR) is affected by many factors.MethodsTotally 28 patients (20 males and 8 females) who had been followed up for 12 months were included. Their mean age at surgery was 61.2 ± 10.8 years and the average symptom duration was 23.36 ± 22.11 months. The gray values of circles 1, 2 and 3 were recorded as Gcompression, Gnorml and Gsac, respectively. Circle 1 was drawn with the maximum brightness point within the spinal cord as the center, circle 2 with the same area was plotted on the spinal cord with uniform echogenicity, without compression and at least 1 cm away from the circle 1, and circle 3 was drawn on the dorsal dural sac at the same segment as circle 1. GVR was calculated as follows: GVR-A = Gcompression/Gnorml (method A), and GVR-B = Gcompression/Gsac (method B). The in-observer and inter-observer reliabilities of the two methods were compared. It is generally believed a reliability coefficient < 0.40 and > 0.75 indicate poor and good reliability respectively. The images-based GVR-B using this protocol demonstrates higher inter- and intraobserver reliabilities than GVR-A, and can be used as the basis for prognostic prediction and future studies.ResultsAll examination acquisitions were successfully completed. GVR-A averaged 2.043 (0.318–5.56), and GVR-B averaged 0.578(0.06–1.41). GVR-B has better repeatability of gray value measurement, smaller relative standard deviation (RSD%) (0.298 vs. 0.32) and larger inter-group correlation coefficient compared with GVR-A. The mean value (MD) of the GVR difference calculated by GVR-B between the two clinicians was closer to 0.ConclusionsFor DCM patients routinely using ultrasound for real-time cord visualization during spinal cord decompression by French-door laminoplasty, the images-based GVR-B using this protocol demonstrates better inter- and intraobserver reliabilities compared with GVR-A.

Differential Diagnosis Value of Shear-Wave Elastography for Superficial Enlarged Lymph Nodes.

ObjectivesTo evaluate the diagnostic efficiency and diagnostic threshold of conventional US and shear-wave elastography (SWE) in superficial enlarged lymph nodes (LNs).MethodsA total of 204 patients with superficial enlarged LNs were enrolled in this retrospective study aged 46.0 ± 15.2 years from March 2020 to March 2021. LNs with a long axis larger than 0.7 cm were considered as superficial enlarged. Before the histological biopsy, LNs that were considered suspicious according to both conventional US and SWE were included, while LNs with no or unclear pathological results, or with no satisfactory SWE images, were excluded. The conventional and 2-D SWE examinations were performed with Aplio i800 and Acuson sequoia equipped with i18LX5 linear-array transducer (5-18 MHz) and 10L4 linear-array transducer (4-10 MHz), respectively. Both E Median and Vs Median parameters were investigated by two senior ultrasound physicians. The pathological results were performed as the gold standard.ResultsVariables including transverse axis size, lymphatic hilum, L/T ratio, echogenicity, and color Doppler pattern were considered significant. The mean E Median value in benign, metastatic LNs, and lymphoma were 28.26 ± 8.87 kPa, 77.46 ± 22.85 kPa, and 50.37 ± 5.41 kPa (p <0.001), while Vs Median values were 3.02 ± 0.50 m/s, 4.87 ± 0.90 m/s, and 4.09 ± 0.22 m/s, respectively (p < 0.001). The diagnostic performance indicated the high sensitivity, specificity, PPV, NPV, and overall accuracy of conventional US combined with SWE. The optimal cutoff values of E Median and Vs Median for predicting malignant LNs were 42.90 kPa and 3.73 m/s, respectively. As AUC value, sensitivity, specificity, accuracy, PPV, and NPV revealed, the indexes of E Median were 0.976, 0.927, 0.975, 0.946, 0.983, and 0.897, respectively, while Vs Median were 0.970, 0.927, 0.963, 0.941, 0.975, and 0.895, respectively (p <0.001). The ROC curves of both E Median (AUC=0.976) Vs Median (AUC=0.970) suggested the remarkable diagnostic efficiency in distinguishing benignity between suspected malignant LNs.ConclusionsAbove results indicated that conventional US together with 2-D SWE could elevate the diagnostic performance. Meanwhile, the parameters of 2-D SWE including E Median and Vs Median could effectively assess malignant LNs, which provide valuable differentiating information in superficial enlarged LNs.

Hydronephrotic Kidney Assessment via Ultrasonography

Objective: To assess hydronephrotic kidney assessment via ultrasonography. Study Design: Prospective study. Place and Duration of Study: Department of Radiology, Chandka Medical College Hospital, Larkana from 1st August 2020 to 31st September/2021. Methodology: Two hundred patients visited for the complaint and suspicion of hydronephrosis and within them 40 patients were diagnosed with hydronephrosis. The both kidneys were examined in the longitudinal as well as transvers planes of scanning using colored Doppler technique in ultrasonography. In older age patients a curved-array transducer having centered frequencies (3-6 MHz) was applied while in case of younger patients’ linear array-transducer was used with high entre frequencies. Results: The age of the patients was between 12-72 years with more elderly patients than youngsters. Most of the patients were males rather than females. Ureteropelvic obstruction in junction, primary megaureter as well as urethral valve involvement was observed in ultrasound imaging of hydronephrotic pediatric kidney. End stage hydronephrosis was presented in adult patients with cortical thining. Conclusion: Ureter and kidney stone appeared to be a common reason of hydronephrosis. Keywords: Hydronephrosis, Ultrasonography, Blockage, Calculi

Holodiastolic Flow Reversal In The Distal Portion Of The Aortic Arch With Dilation Of The Left Heart Chambers

A 9-month-old girl (weight:7.2 kg, height:72 cm) with bilateral prominent venous neck pulsations, and a systolic murmur at the left lower sternal border, was referred to the authors' institution for assessment. The child's room air arterial oxygen saturation was 85%. The electrocardiogram suggested left atrial and left ventricular enlargement. Interrogation of the neck vessels with a linear array transducer showed a biphasic blood flow pattern in the right internal jugular vein with the expansile pulsations corresponding to the heart rate.

GAMBARAN ULTRASONOGRAFI TESTIS DAN EPIDIDIMIS KAMBING KACANG (Capra hircus) DI WILAYAH LAHAN KERING KEPULAUAN

This research aims to study testis and epididymis of dry land goat (Capra hircus) on B-mode ultrasound imaging. Twelve adult local male goats were examined to study normal testes and epididymis ultrasonic appearances. B-mode real time scanner with a 7.5 MHz, linear array transducer was used to evaluate the echotexture of the testicular parenchyma, mediastinum and the epididymis. The testicular parenchyma was represented uniformly homogenous and moderately echogenic with the mediastinum was more highly echogenic. The epididymal head appeared less echogenic but homogenous in structure, while the epididymal tail was more heterogeneous and less echogenic than the testis. Each structure in male reproductive organ, the testis, head and tail of epididymis can be differentiated using ultrasound imaging, but body epididymis was difficult to identify. It is concluded that ultrasound can be as a valuable diagnostic tool to investigate the health of male goat reproductive organ.

Abstract 2460: Assessing the effectiveness of transarterial chemoembolization using super-resolution ultrasound imaging and a rat model of hepatocellular carcinoma

Abstract Introduction: Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related deaths worldwide. Transarterial chemoembolization (TACE) treatment of HCC restricts the blood supply to the tumor. Conventional assessment of tumor response is performed by dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) or computed tomography (DCE-CT) at 4 to 6 weeks after the TACE procedure. An earlier indication of treatment effectiveness would improve patient management and prognosis. Super-resolution ultrasound (SR-US) imaging allows a ten-fold improvement in spatial resolution compared to traditional ultrasound (US) and allows visualization of microvascular networks. The goal of this preclinical research study was to use SR-US imaging to assess the effectiveness of TACE treatment in a relatively brief time frame. Methods: Eight male Sprague Dawley rats weighing around 300 g were injected with 5 million N1S1 cells in the upper left liver lobe and the tumors were allowed to grow for 14 days. The TACE procedure consisted of transhepatic arterial delivery of a mixture of 25 µL Lipiodol and 25 µL Doxorubicin (10 mg/kg) via a polyethylene microcatheter. After intravenous injection of a microbubble (MB) contrast agent, contrast-enhanced US images were acquired (N = 3000) with a preclinical system (Vevo 3100, FUJIFILM VisualSonics Inc) equipped with an MX201 linear array transducer. US images were processed to remove high motion frames, followed by tissue suppression filtering, and then MB localization and accumulation. Morphological filtering was used to enhance the vessel structures. In vivo US, MRI, and CT imaging were performed at baseline before TACE and again at 1 and 2 wk. After euthanasia, tumor tissue was removed for ex vivo analysis. Results: A rat model of HCC for assessing TACE treatment was introduced. Based on tumor size changes and residual perfusion after the TACE procedure, treatments were determined to be a complete responder, partial responder, or non-responder. Initial results demonstrate that SR-US imaging can sensitively detect any reduction in HCC perfusion as measured by a microvascular density (MVD) metric within 2 wk after a single TACE procedure. MVD measurements from the SR-US images were consistence with tumor volume data from MRI and CT imaging. Conclusions: In vivo SR-US images of tumor microvascular networks provided insight into treatment efficacy. Citation Format: Junjie Li, Katherine Brown, Megan Yociss, John Eisenbrey, Kenneth Hoyt. Assessing the effectiveness of transarterial chemoembolization using super-resolution ultrasound imaging and a rat model of hepatocellular carcinoma [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 2460.

Abstract 2470: Comparison of H-scan ultrasound and diffusion-weighted magnetic resonance imaging of head and neck cancer undergoing neoadjuvant chemotherapy

Abstract Introduction: The use of ultrasound (US) for tumor tissue characterization remains an exciting prospect. The purpose of this research project was to introduce a 3-dimensional (3-D) H-scan US imaging system, which links information in the backscattered US signals to various-sized tissue structures in volume space, and evaluate use for monitoring early response of head and neck cancer to neoadjuvant chemotherapy. Methods: Studies were conducted using female mice (N = 20) implanted in the mammary fat pad with 1 million breast cancer cells (MDA-MB-231). Once tumors reached about 0.8 cm in size, animals were divided into three groups so that mean tumor size in each were comparable. Animals underwent H-scan US and diffusion-weighted magnetic resonance imaging (DW-MRI) at baseline and again at days 1, 3, and 7. After baseline imaging, animals were administered neoadjuvant treatment injections, namely: (1) 0.3 mg sterile saline (control), (2) 5 mg/kg of cisplatin, or (3) 25 mg/kg cisplatin. In vivo US imaging was performed using a Vevo 3100 system (FUJIFILM VisualSonics Inc) equipped with an MX201 linear array transducer. Volume acquisitions contained 400 frames of US image data spaced 50 μm apart. To generate the H-scan US images, Gaussian-weighted Hermite polynomial filters were convolved with the radiofrequency (RF) data to measure the relative strength of the backscattered US signals. In short, the lower frequency signals were assigned to a red (R) channel and the higher frequency components to a blue (B) channel. The unfiltered original RF signal was assigned to the green (G) channel to complete the RGB colormap. Animals were also imaged using a preclinical MRI scanner (BioSpec 3T, Bruker) using a DW-MRI sequence for generation of apparent diffusion coefficient (ADC) maps as a measure of intratumoral water diffusion. After the last day of imaging, animals were euthanized and tumor tissue excised for ex vivo analysis. Results: In vivo results demonstrated that 3-D H-scan US imaging was considerably more sensitive to tumor changes after neoadjuvant treatment as compared to B-scan US. While there was no difference at baseline (p &amp;gt; 0.60), H-scan US images from the cisplatin treated tumors exhibited increased intensity at day 7 (15.6 ± 1.9% and 17.2 ± 3.2% for low and high dosed groups, respectively; p &amp;lt; 0.05) indicating a decrease in aggregate US scatterer size. Furthermore, longitudinal trends found using H-scan US imaging matched those from DW-MRI (p &amp;lt; 0.05). Collectively, these observations were attributed to cancer cell nuclear condensation and apoptotic activity as confirmed by histological analysis. Conclusions: 3-D H-scan US imaging is a promising new tool for monitoring cancer response to neoadjuvant therapy. In vivo results matched those found using DW-MRI, which is an established modality for assessing anticancer treatment using apoptosis-inducing drugs. Citation Format: Haowei Tai, Ryan Margolis, Junjie Li, Brian Trinh, Jane Song, Kenneth Hoyt. Comparison of H-scan ultrasound and diffusion-weighted magnetic resonance imaging of head and neck cancer undergoing neoadjuvant chemotherapy [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 2470.

Ultrasound Elastography Detects Age-Related Changes in Adult False Vocal Folds.

To investigate the feasibility of ultrasound elastography for assessing the symmetry in stiffness values and movements of both false vocal folds (FVFs). After Institutional Review Board's approval and written informed consent obtained, we measured ultrasound strain and shear wave velocity (SWV) of the bilateral FVF in vocal fold abduction and adduction in 30 participants using a linear array transducer (4-10 MHz). Twenty-eight participants met inclusion criteria as healthy subjects for analysis. Mean strain of FVF produced by FVF movement from abduction to adduction was analyzed using 2D speckle-tracking software offline. A SWV ratio ([SWVadduction - SWabduction ]/SWabduction ) was developed to test the contractibility of FVF. Statistical analysis included one-way ANOVA to test the difference in mean strain, SWV (adduction and abduction), and SWV ratio among the three age groups; linear regression to analyze correlations of stiffness and movement between the right and left FVF; and intraclass correlation coefficient (ICC) to examine intra- and interobserver reliability in performing shear wave elastography (SWE) of FVF. The 28 healthy participants were divided into 3 age groups (10 of young 20-44 years; 9 of mid-age 45-64 years; and 9 of senior ≥65 years). The SWV in FVF abduction was higher and the SWV ratio was lower in seniors compared to young participants (P < .05). Good to excellent correlation of mean strain and SWV between both FVFs (R2 > 0.89). The reliability of performing SWE of FVF was moderate to excellent. Ultrasound elastography is feasible to assess the stiffness, dynamic movement, and symmetry of adult FVF, and healthy seniors may exhibit increased FVF stiffness.

SEMI-AUTOMATIC MEASUREMENT OF INTIMA-MEDIA THICKNESS OF BRACHIAL ARTERY IN PATIENTS WITH CONGESTIVE HEART FAILURE

Objective: Cardiovascular diseases are associated with an increase in intima-media thickness (IMT). However, the techniques used to measure IMT have limitations. A semi-automatic device called UNEX has been developed, which overcomes the limitation of classic systems (in particular the investigator-dependency of conventional, “hand-held’’ measurements). The purpose of this study was to measure the intima-media thickness of the brachial artery (bIMT) with the UNEX device in patients with and without congestive heart failure. Design and method: The UNEX device is comprised of a 7.5-MHz, H-shaped linear array transducer and a novel stereotactic probe-holding device (UNEX EF 18G; UNEX Co., Nagoya, Japan). Another advantage of this device is the continuous recording of B-mode images and A-mode waves of the brachial artery. Measurement of bIMT was automatically performed on A-mode images of the far wall of the brachial artery. The analysis system automatically detects the measurement point where an image was clearly obtained. The average of mean measurement values obtained from 10 cardiac cycles was defined as bIMT. In a first set of clinical studies, we measured bIMT in patients with reduced left ventricular ejection fraction (HFrEF) and in patients without heart failure. Results: Patients with HFrEF (n = 85, ejection fraction: 38.3 ± 8.4 %, NT-pro-BNP: 713 ± 714.7 pg/ml) compared to patients without heart failure (n = 63) were older (66.4 ± 9.2 vs. 53.8 ± 12.6 years, p &lt; 0.001), with more male subjects (67 vs. 40, p = 0.039). bIMT was higher in patients with HFrEF compared to the other group (0.295 ± 0.083 vs. 0.249 ± 0.083 mm, p &lt; 0.001). After adjustment for age, gender and other cardiovascular risk factors, the result remained significant (p = 0.032). Conclusions: Our study demonstrate that IMT of large muscular arteries can be automatically (investigator independently) measured. Our data indicate an increased vascular remodeling in patients with HFrEF independent of other confounders.

Prediction of the ovulation time in estrus mares by different methods

The study aimed to evaluate the prediction of ovulation time by three different methods body temperature, Dramineski estrus detection apparatus, and observation of the mature follicle daily by ultrasonography in mare’s estrus. Sixteen mature cycling mares were used during the breeding season in15 March and15 June of 2021, aged 5-6 years old, at the Nineveh Equestrian club in Mosul city, Iraq. Mares were examined daily by rectal palpation and ultrasound with a 5.5-7 MHz linear-array transducer probe to scan the ovaries and uterus. The mare's follicle diameter and body temperature were recorded daily in the Dramineski estrus detection apparatus to predict ovulation when the data was up to 400 degrees. The result showed that the body temperature was increased significantly from the 1st day to the third day of estrus at P

Ultrasound transmission and reflection tomography for nondestructive testing using experimental data

The possibility of reconstructing the velocity structure of inspected objects with a high spatial resolution and high sensitivity in ultrasonic tomographic nondestructive testing within the framework of a wave model has been demonstrated in a real experiment. In this study, a scheme of a tomographic experiment with rotation is proposed, which provides sounding of an inspected object from multiple sides. A tomographic scheme of the experiment with linear antenna transducer arrays operating at a frequency of ∼5 MHz was used. The experiment was conducted on dedicated samples including inserts with different sound propagation velocities. It was shown that the velocity structure and the boundaries of inserts can be reconstructed in the transmission and the reflection schemes. The reconstruction of the velocity structure was formulated as a nonlinear coefficient inverse problem for a scalar wave equation. Efficient iterative methods for its solution on a supercomputer were developed using direct formulas to compute the gradient of the residual functional between the computed and experimentally measured wave field at the detectors. Nonlinearity of the inverse problem of ultrasound tomography leads to multiple local minima of the residual functional. A two-stage iterative method was used for velocity reconstruction. The transmission scheme enables a spatial resolution of approximately 1 mm with a velocity contrast of 2%.