ULTRASONIC IMAGING OF ACOUSTIC ATTENUATION COEFFICIENTS WITH CONFIDENCE ESTIMATION
20220087653 · 2022-03-24
Inventors
- Sheng-Wen Huang (Ossining, NY, US)
- Hua Xie (Cambridge, MA, US)
- MAN M. NGUYEN (MELROSE, MA, US)
- CAROLINA AMADOR CARRASCAL (EVERETT, MA, US)
- Jean-Luc Francois-Marie Robert (Cambridge, MA, US)
- Vijay Thakur Shamdasani (Kenmore, WA)
Cpc classification
A61B8/463
HUMAN NECESSITIES
G01S7/52071
PHYSICS
G01S7/52036
PHYSICS
A61B8/5207
HUMAN NECESSITIES
International classification
Abstract
An ultrasound system produces maps of acoustic attenuation coefficients from pulse echo signals. Maps are produced using different attenuation coefficient or slope estimation methods, and a plurality of maps from different estimation methods are compounded to produce a final attenuation coefficient map. Confidence maps may also be produced for one or more attenuation coefficient maps, and the confidence map displayed or its measures used to determine weighting for the compounding process.
Claims
1. An ultrasound imaging system which produces attenuation coefficient maps of an image field comprising: an ultrasound probe adapted to acquire ultrasonic echo signals from an image field; a beamformer adapted to process the ultrasonic echo signals to produce coherent echo signals for an ultrasound image of the image field; an attenuation coefficient estimator, coupled to the beamformer, and adapted to estimate attenuation coefficient values for maps of attenuation coefficients of the image field, characterized in that: the attenuation coefficient estimator is further adapted to produce a plurality of attenuation coefficient maps by two or more of the methods of the spectral difference method, the spectral log difference method, and the maximum likelihood method; the system comprises an attenuation coefficient map compounder, coupled to the attenuation coefficient estimator, and adapted to compound the plurality of attenuation coefficient maps produced by said two or more different attenuation coefficient estimation methods; and the system comprises a display adapted to display attenuation coefficient maps produced by the attenuation coefficient map compounder.
2. The ultrasound imaging system of claim 1, wherein the coefficient maps are color-coded.
3. (canceled)
4. The ultrasound imaging system of claim 1, wherein the spectral difference method is adapted to assume homogeneous scatterer distribution over the image field depth.
5. The ultrasound imaging system of claim 1, wherein the maximum likelihood method is adapted to handle nonuniform scatterer distribution over the image field depth.
6. The ultrasound imaging system of claim 1, wherein the attenuation coefficient map compounder is further adapted to compound two or more of the attenuation coefficient maps produced by the attenuation coefficient estimator on a pixel-by-pixel basis.
7. The ultrasound imaging system of claim 6, wherein the attenuation coefficient map compounder is further adapted to compound two or more of the attenuation coefficient maps produced by the attenuation coefficient estimator by weighted averaging.
8. The ultrasound imaging system of claim 7, wherein the attenuation coefficient map compounder is further adapted to compound two or more of the attenuation coefficient maps using weights determined by confidence estimations.
9. The ultrasound imaging system of claim 7, wherein the attenuation coefficient map compounder is further adapted to compound two or more of the attenuation coefficient maps using weights determined by attenuation coefficient consistency of the maps being compounded.
10. The ultrasound imaging system of claim 1, further comprising a confidence measure estimator, coupled to the attenuation coefficient estimator, which is adapted to produce a map of confidence estimations corresponding to an attenuation coefficient map.
11. The ultrasound imaging system of claim 10, wherein the attenuation coefficient map compounder is further adapted to compound two or more of the attenuation coefficient maps using weights determined in consideration of the map of confidence estimations.
12. The ultrasound imaging system of claim 10, wherein the display is further adapted to display the map of confidence estimations.
13. The ultrasound imaging system of claim 1, further comprising a memory adapted to store a map of reference values, and the attenuation coefficient estimator is adapted to operate on RF echo signal data values or I/O echo signal data, in conjunction with the map of reference values, wherein the reference values comprise power spectrum measurements of a tissue phantom.
14. The ultrasound imaging system of claim 1, further comprising a memory adapted to store a map of reference values, and the attenuation coefficient estimator is adapted to operate on RF echo signal data values or I/O echo signal data, in conjunction with the map of reference values, wherein the reference values comprise a theoretical model of power spectra, or a numerical simulation of power spectra.
15. (canceled)
Description
[0006] In the drawings:
[0007]
[0008]
[0009]
[0010] Referring now to
[0011] The echoes received by a contiguous group of transducer elements are beamformed by appropriately delaying them and then combining them. The partially beamformed signals produced by the microbeamformer 14 from each patch are coupled to the main beamformer 20 where partially beamformed signals from individual patches of transducer elements are combined into a fully beamformed coherent echo signal, or echo signals from elements of a one-dimensional array without a microbeamformer are combined. For example, the main beamformer 20 may have 128 channels, each of which receives a partially beamformed signal from a patch of 12 transducer elements, or from an individual element. In this way the signals received by over 1500 transducer elements of a two-dimensional array transducer can contribute efficiently to a single beamformed signal, and signals received from an image plane are combined.
[0012] The microbeamformer 14 or the beamformer 20 also include amplifiers which amplify the signals received from each element or patch of the transducer array 12. These amplifiers have controllable gain characteristics, which are controlled by a TCG curve stored in the ultrasound system, TGC controls on the user interface 38, or a combination of both. See, e.g., U.S. Pat. No. 5,482,045 (Rust et al.) Beamformation by delaying and summing signals from individual transducer elements or patches is thus performed with echo signals that have undergone time gain control compensation.
[0013] The coherent echo signals undergo signal processing by a signal processor 26. This processing may include compounding and/or filtering. In certain embodiments, filtering includes application of one or more filters, including digital filters. w. The filtered echo signals may be coupled to a quadrature bandpass filter (QBP) 28. The QBP performs three functions: band limiting the RF echo signal data, producing in-phase and quadrature pairs (I and Q) of echo signal data, and decimating the digital sample rate. The QBP comprises two separate filters, one producing in-phase samples and the other producing quadrature samples, with each filter being formed by a plurality of multiplier-accumulators (MACs) implementing an FIR filter. The signal processor can also shift the frequency band to a lower or baseband frequency range, as can the QBP. The digital filter of the signal processor 26 can be a filter of the type disclosed in U.S. Pat. No. 5,833,613 (Averkiou et al.), for example.
[0014] Compounding may be accomplished using one or more techniques known in the art. Compounding may involve averaging envelop/magnitude, with or without log compression. Typically compounding occurs after the QBP.
[0015] The beamformed and processed coherent echo signals are coupled to a B mode processor 30 which produces signals for a B mode image of structure in the body such as tissue. The B mode processor performs amplitude (envelope) detection of quadrature demodulated I and Q signal components by calculating the echo signal amplitude in the form of (I.sup.2+Q.sup.2).sup.1/2. The quadrature echo signal components are also coupled to a Doppler processor 34. The Doppler processor 34 stores ensembles of echo signals from discrete points in an image field which are then used to estimate the Doppler shift at points in the image with a fast Fourier transform (FFT) processor. The rate at which the ensembles are acquired determines the velocity range of motion that the system can accurately measure and depict in an image. The Doppler shift is proportional to motion at points in the image field, e.g., blood flow and tissue motion. For a color Doppler image, the estimated Doppler flow values at each point in a blood vessel are wall filtered and converted to color values using a look-up table. The wall filter has an adjustable cutoff frequency above or below which motion will be rejected such as the low frequency motion of the wall of a blood vessel when imaging flowing blood. The B mode image signals and the Doppler flow values are coupled to a scan converter 32 which converts the B mode and Doppler samples from their acquired R-θ coordinates to Cartesian (x,y) coordinates for display in a desired display format, e.g., a rectilinear display format or a sector display format. Either the B mode image or the Doppler image may be displayed alone, or the two shown together in anatomical registration in which the color Doppler overlay shows the blood flow in tissue and vessels in the image as shown in
[0016] The scan converted image is coupled to an image data memory 36, where it is stored in memory locations addressable in accordance with the spatial locations from which the image values were acquired. Image data from 3D scanning can be accessed by a volume renderer 42, which converts the echo signals of a 3D data set into a projected 3D image as viewed from a given reference point as described in U.S. Pat. No. 6,530,885 (Entrekin et al.) The 3D images produced by the volume renderer 42 and 2D images produced by the scan converter 32 are coupled to a display processor 48 for further enhancement, buffering and temporary storage for display on an image display 40.
[0017] In accordance with the principles of the present invention, the ultrasound system of
[0018] The different attenuation coefficient maps produced by the attenuation coefficient estimator are coupled to a confidence measure estimator 52, which produces spatially corresponding maps of estimate confidence, either of a single attenuation coefficient map or of one attenuation coefficient map in relation to another. Although it is understood that in some instances the attenuation coefficient estimator 50 and the confidence measure estimator 52 may be the same or different process, as the confidence level is a by-product of the attenuation co-efficient estimation process). The attenuation coefficient maps and the results of the confidence estimations are coupled to an attenuation coefficient map compounder 54, which compounds (combines) the coefficient map values on a pixel-by-pixel basis, such as by weighted averaging, where the weighting is determined by the confidence estimations. The result is a final attenuation coefficient map produced by not a single estimation method, but from a combination of several estimation techniques, and which takes into consideration the reliability of the different techniques as indicated by the confidence estimations. The final attenuation coefficient map is coupled to a graphics processor 44 which formats the map for display, as by color-coding the coefficient values of the map in relation to a range of scaled color values. The attenuation coefficient map is coupled to the display processor 48 for display on the image display 40. Optionally, the confidence estimation map may also be displayed in the same manner, so that the user can assess the reliability of attenuation estimates made in a particular region of interest (ROI) of the image field.
[0019] The processor of the attenuation coefficient estimator 50 can use any of a number of techniques for estimating acoustic attenuation coefficient values over an image field, three of which are described below. They are the spectral difference method, the spectral log difference method, and the maximum likelihood method, such as those described in Y. Labyed and T. A. Bigelow, “A theoretical comparison of attenuation measurement techniques from backscattered ultrasound echoes,” J. Acoust. Soc. Am., vol. 129, no. 4, pp. 2316-2324, 2011, incorporated by reference herein. Estimation of acoustic attenuation coefficients (in units of dB/cm or its equivalents) or acoustic attenuation coefficient slope (in units of dB/cm/MHz or its equivalents) from pulse echo signals can be based on the following expressions:
S.sub.s(f,z)=P(f)D.sub.s(f,z)A.sub.s(f,z.sub.0)B.sub.s(f,z)exp[−4α.sub.s(f)(z−z.sub.0)], [1]
and
S.sub.r(f,z)=P(f)D.sub.r(f,z)A.sub.r(f,z.sub.0)B.sub.r(f,z)exp[−4α.sub.r(f)(z−z.sub.0)], [2]
where the subscripts s and r denote tissue sample and reference, respectively; f is frequency; z is depth in the image field; S(f,z) is a measured power spectrum from a region of interest (ROI) centered at depth z; P(f) is transducer response combined with the spectrum of the transmitted pulses; D(f,z) is diffraction effects; z.sub.0 is the starting depth of the ROI; A(f,z.sub.0) is the cumulative attenuation effects from the transducer surface to depth z.sub.0; B(f,z) is the effects of acoustic scattering; and α(f) is the attenuation coefficient in the ROI. By using S.sub.r (f,z) from a homogeneous reference phantom and assuming the same speed of sound for the tissue sample and the reference, P(f) and D.sub.s(f,z) are suppressed and the following expression will hold:
From these starting relationships, the three methods for estimating attenuation coefficients over an image field can be computed as follows.
A. The Spectral Difference Method.
[0020] The spectral difference method assumes that the term
in expression [3] above is independent of z. Accordingly,
where
and α.sub.s(f) at a given frequency f can be obtained through estimating the slope of ln
with respect to z. Note that the attenuation coefficient of the reference, α.sub.r(f), is known. In soft tissue α can be modelled as
α(f)=βf.sup.n. [5]
[0021] When it is assumed that n=1, then α.sub.r(f)=β.sub.rf, and α.sub.s (f)=β.sub.sf, and
[0022] The attenuation coefficient slope β.sub.s can then be estimated as
where w(f) is a weighting function. Note that the effects of G(f), assuming the scattering effects B.sub.s are independent of depth z, vanish after the differentiation with respect to z. When the assumption of depth independence of scattering is valid, the spectral difference method usually outperforms other methods such as the maximum likelihood (ML) method described below. An attenuation coefficient slope map produced by the spectral difference method when this assumption holds is illustrated in
B. The Spectral Log Difference Method.
[0023] An implementation of this method begins with the assumption that the effects of acoustic scattering at one depth of tissue are related to the effects at another depth by a constant. That is, B.sub.s(f,z.sub.2)=cB.sub.s(f,z.sub.1), where c is a constant. Then
where again the attenuation coefficient of the reference α.sub.r(f) is known. By considering the tissue model in [5] again, this leads to
which is a function of frequency f. The three unknowns, the attenuation coefficient slope β.sub.s, n, and ln[c], can then be estimated by curving fitting. Exemplifications of this technique may be found at Y. Labyed and T. A. Bigelow, “A theoretical comparison of attenuation measurement techniques from backscattered ultrasound echoes,” J. Acoust. Soc. Am., vol. 129, no. 4, pp. 2316-2324, 2011.
C. The Maximum Likelihood Method.
[0024] This method begins by assuming that n=1 in expression [9]. Then α.sub.r(f)=β.sub.rf and α.sub.s (f)=β.sub.sV, and expression [9] becomes
[0025] The maximum likelihood (ML) estimation of the attenuation coefficient slope β.sub.s is
where h.sub.ML is a solution for
and frequency
The term h.sub.ML can be found iteratively using Newton's method of successive approximation. Given the n.sup.th estimate h.sub.n, then
[0026]
[0027] The foregoing attenuation coefficient mapping techniques show that different methods involve different assumptions. The relative validity of the different assumptions will cause one method to be more accurate for attenuation coefficient estimation than another for a given tissue under analysis. For example, as previously mentioned, when the assumption of homogeneous scatterer distribution over the image field depth is valid, the spectral difference method usually outperforms the maximum likelihood (ML) method in accuracy. It is these differences in accuracy which cause a compounding of maps from different estimation techniques to often be a more accurate realization of attenuation coefficient mapping. In accordance with a further aspect of the present invention, these differences in assumptions and accuracy lead to the ability to characterize an attenuation coefficient map in terms of its confidence or trustworthiness. Maps of confidence factors for the different attenuation coefficient maps are computed by the confidence measure estimator 52 and used to display the confidence in the attenuation coefficients across the image field, or used to compound different attenuation coefficient maps in accordance with their trustworthiness. For instance, for the spectral difference method of attenuation coefficient slope estimation to be accurate, it is necessary for the following expression
to be independent of f. It will be if
[0028] It can be determined if this is the case by calculating
[0029] The confidence in the attenuation coefficient slope estimates is greater when u is smaller and lower when u is larger. A map of u values calculated in this manner for each pixel of an attenuation coefficient slope map calculated by the spectral difference method thus will inform the user of the trustworthiness of the attenuation coefficient slope map and the accuracy of coefficient slope estimations for the ROIs throughout the attenuation coefficient slope map. Differences between a raw attenuation coefficient slope map and its smoothed version (e.g., one which has undergone median filtering) can also be used to indicate confidence, with higher confidence values assigned to pixels with lower differences. Other methods or metrics for deriving confidence measures include texture analysis, flow measurement, tissue response to acoustic radiation force, and coherence in pre-beam-summed channel data. An example of a confidence map of u values for an attenuation coefficient slope map calculated by the spectral difference method for an image field with homogeneous scatterers is illustrated in
[0030] The attenuation coefficient map compounder 54 produces a final attenuation coefficient map by compounding attenuation coefficient maps produced by different methods. During compounding, an attenuation coefficient (slope) map with higher confidence values and/or higher consistency with other maps will be given larger weights in the combining process. For instance, if an attenuation coefficient from one map for a given pixel has a higher confidence value than the coefficients from the other maps, that coefficient value will be given greater weight than the others in the combining process. If the attenuation coefficients from two of the maps have a higher consistency than the attenuation coefficient from a third map, e.g., are within 5% of each other, whereas the value from the third map differs by 20% from the others, then the coefficients from the first two maps would be given greater weights in the combining process. Compounding of the different maps proceeds in this manner on a pixel-by-pixel basis until a final attenuation map has been produced for display to the user. As previously mentioned the final map can be displayed alone, or in conjunction with one or all of the confidence maps or, preferably, in conjunction with a consolidated confidence map.
[0031] It is understood that the elements features in
[0032] As used herein, the term “computer” or “module” or “processor” or “workstation” may include any processor-based or microprocessor-based system including systems using microcontrollers, reduced instruction set computers (RISC), ASICs, logic circuits, and any other circuit or processor capable of executing the functions described herein. The above examples are exemplary only and are thus not intended to limit in any way the definition and/or meaning of these terms.
[0033] The computer or processor executes a set of instructions that are stored in one or more storage elements, in order to process input data. The storage elements may also store data or other information as desired or needed. The storage element may be in the form of an information source or a physical memory element within a processing machine. The set of instructions of an ultrasound system including those controlling the acquisition, processing, and display of ultrasound images as described above may include various commands that instruct a computer or processor as a processing machine to perform specific operations such as the methods and processes of the various embodiments of the invention. The set of instructions may be in the form of a software program. The software may be in various forms such as system software or application software and which may be embodied as a tangible and non-transitory computer readable medium. The equations given above for the different methods for attenuation coefficient estimation and mapping, as well as the calculations used to produce the confidence maps described above, are typically calculated by or under the direction of software routines. Further, the software may be in the form of a collection of separate programs or modules such as an attenuation coefficient computing module, or an attenuation coefficient mapping program module within a larger program or a portion of a program module. The software also may include modular programming in the form of object-oriented programming. The processing of input data by the processing machine may be in response to operator commands, or in response to results of previous processing, or in response to a request made by another processing machine.
[0034] Furthermore, the limitations of the following claims are not written in means-plus-function format and are not intended to be interpreted based on 35 U.S.C. 112, sixth paragraph, unless and until such claim limitations expressly use the phrase “means for” followed by a statement of function devoid of further structure.