{"id":{"repo_id":"duke","oai_identifier":"oai:dukespace.lib.duke.edu:10161/5635"},"canonical_url":"https://search.dev.ndltd.org/etd/duke/oai:dukespace.lib.duke.edu:10161/5635","repository":{"repo_id":"duke","name":"Duke University","base_url":"https://dukespace.lib.duke.edu/server/oai/request"},"display":{"title":"Assessment of Mechanical and Hemodynamic Vascular Properties using Radiation-Force Driven Methods","abstract":"<p>Several groups have proposed classifying atherosclerotic disease by using acoustic radiation</p><p>force (ARF) elasticity methods to estimate the mechanical and material</p><p>properties of plaque. However, recent evidence suggests that cardiovascular disease</p><p>(CVD), in addition to involving pathological changes in arterial tissue, is also a</p><p>hemodynamic remodeling problem. As a result, integrating techniques that can</p><p>estimate localized hemodynamics relevant to CVD remodeling with existing ARF based</p><p>elastography methods may provide a more complete assessment of CVD.</p><p>This thesis describes novel imaging approaches for combining clinically-accepted,</p><p>ultrasound-based flow velocity estimation techniques (color-flow Doppler and spectral-</p><p>Doppler imaging) with ARF-based elasticity characterization of vascular tissue. Techniques</p><p>for integrating B-mode, color-flow Doppler, and ARFI imaging were developed</p><p>(BACD imaging), validated in tissue-mimicking phantoms, and demonstrated for in</p><p>vivo imaging. The resulting system allows for the real-time acquisition (< 20 Hz) of</p><p>spatially registered B-mode, flow-velocity, and ARFI displacement images of arterial</p><p>tissue throughout the cardiac cycle. ARFI and color-flow Doppler imaging quality,</p><p>transducer surface heating, and tissue heating were quantified for different frame-rate</p><p>and scan-duration configurations. The results suggest that BACD images can be acquired</p><p>at high frame rates with minimal loss of imaging quality for approximately</p><p>five seconds, while staying beneath suggested limits for tissue and transducer surface</p><p>heating.</p><p>Because plaque-burden is potentially a 3D problem, techniques were developed</p><p>to allow for the 3D acquisition of color-flow Doppler and ARFI displacement data</p><p>using a stage-controlled, freehand scanning approach. The results suggest that a</p><p>40mm x 20mm x 25mm BACD volume can be acquired in approximately three seconds.</p><p>Jitter, SNR, lesion CNR, soft-plaque detectability, and flow-area assessment were</p><p>quantified in tissue mimicking phantoms with a range of elastic moduli relevant</p><p>to ARFI imaging applications. Results suggest that both jitter and SNR degrade</p><p>with increased sweep velocity, and that degradation is worse when imaging stiffer</p><p>materials. The results also suggest that a transition between shearing-dominated</p><p>jitter and motion-dominated jitter occurs sooner with faster sweep speeds and in</p><p>stiffer materials. These artifacts can be reduced with simple, linear filters. Results</p><p>from plaque mimicking phantoms suggest that the estimation of soft-plaque area</p><p>and flow area, both important tasks for CVD imaging, are only minimally affected</p><p>at faster sweep velocities.</p><p>Current clinical assessment of CVD is guided by spectral Doppler velocity methods.</p><p>As a result, novel imaging approaches (SAD-SWEI, SAD-GATED) were developed</p><p>for combining spectral Doppler methods with existing ARF-based imaging</p><p>techniques to allow for the combined assessment of cross-luminal velocity profiles,</p><p>wall-shear rate (WSR), ARFI displacement and ARF-induced wave velocities. These</p><p>techniques were validated in controlled phantom experiments, and show good agreement</p><p>between previously described ARF-techniques and theory. Initial in vivo feasibility</p><p>was then evaluated in five human volunteers. Results show that a cyclic</p><p>variability in both ARFI displacement and ARF-generated wave velocity occurs during</p><p>the cardiac cycle. Estimates of WSR and peak velocity show good agreement</p><p>with previous ultrasonic-based assessments of these metrics. In vivo ARFI and Bmode/</p><p>WSR images of the carotid vasculature were successfully formed using ECG gating</p><p>techniques.</p><p>This thesis demonstrates the potential of these methods for the combined assessment</p><p>of vascular hemodynamics and elasticity. However, continued investigation</p><p>into optimizing sequences to reduce transducer surface heating, removing the angle</p><p>dependency of the SAD-SWEI/SAD-GATED methods, and decreasing processing</p><p>time will help improve the clinical viability of the proposed imaging techniques.</p>","abstract_html":"&lt;p&gt;Several groups have proposed classifying atherosclerotic disease by using acoustic radiation&lt;/p&gt;&lt;p&gt;force (ARF) elasticity methods to estimate the mechanical and material&lt;/p&gt;&lt;p&gt;properties of plaque. However, recent evidence suggests that cardiovascular disease&lt;/p&gt;&lt;p&gt;(CVD), in addition to involving pathological changes in arterial tissue, is also a&lt;/p&gt;&lt;p&gt;hemodynamic remodeling problem. As a result, integrating techniques that can&lt;/p&gt;&lt;p&gt;estimate localized hemodynamics relevant to CVD remodeling with existing ARF based&lt;/p&gt;&lt;p&gt;elastography methods may provide a more complete assessment of CVD.&lt;/p&gt;&lt;p&gt;This thesis describes novel imaging approaches for combining clinically-accepted,&lt;/p&gt;&lt;p&gt;ultrasound-based flow velocity estimation techniques (color-flow Doppler and spectral-&lt;/p&gt;&lt;p&gt;Doppler imaging) with ARF-based elasticity characterization of vascular tissue. Techniques&lt;/p&gt;&lt;p&gt;for integrating B-mode, color-flow Doppler, and ARFI imaging were developed&lt;/p&gt;&lt;p&gt;(BACD imaging), validated in tissue-mimicking phantoms, and demonstrated for in&lt;/p&gt;&lt;p&gt;vivo imaging. The resulting system allows for the real-time acquisition (&lt; 20 Hz) of&lt;/p&gt;&lt;p&gt;spatially registered B-mode, flow-velocity, and ARFI displacement images of arterial&lt;/p&gt;&lt;p&gt;tissue throughout the cardiac cycle. ARFI and color-flow Doppler imaging quality,&lt;/p&gt;&lt;p&gt;transducer surface heating, and tissue heating were quantified for different frame-rate&lt;/p&gt;&lt;p&gt;and scan-duration configurations. The results suggest that BACD images can be acquired&lt;/p&gt;&lt;p&gt;at high frame rates with minimal loss of imaging quality for approximately&lt;/p&gt;&lt;p&gt;five seconds, while staying beneath suggested limits for tissue and transducer surface&lt;/p&gt;&lt;p&gt;heating.&lt;/p&gt;&lt;p&gt;Because plaque-burden is potentially a 3D problem, techniques were developed&lt;/p&gt;&lt;p&gt;to allow for the 3D acquisition of color-flow Doppler and ARFI displacement data&lt;/p&gt;&lt;p&gt;using a stage-controlled, freehand scanning approach. The results suggest that a&lt;/p&gt;&lt;p&gt;40mm x 20mm x 25mm BACD volume can be acquired in approximately three seconds.&lt;/p&gt;&lt;p&gt;Jitter, SNR, lesion CNR, soft-plaque detectability, and flow-area assessment were&lt;/p&gt;&lt;p&gt;quantified in tissue mimicking phantoms with a range of elastic moduli relevant&lt;/p&gt;&lt;p&gt;to ARFI imaging applications. Results suggest that both jitter and SNR degrade&lt;/p&gt;&lt;p&gt;with increased sweep velocity, and that degradation is worse when imaging stiffer&lt;/p&gt;&lt;p&gt;materials. The results also suggest that a transition between shearing-dominated&lt;/p&gt;&lt;p&gt;jitter and motion-dominated jitter occurs sooner with faster sweep speeds and in&lt;/p&gt;&lt;p&gt;stiffer materials. These artifacts can be reduced with simple, linear filters. Results&lt;/p&gt;&lt;p&gt;from plaque mimicking phantoms suggest that the estimation of soft-plaque area&lt;/p&gt;&lt;p&gt;and flow area, both important tasks for CVD imaging, are only minimally affected&lt;/p&gt;&lt;p&gt;at faster sweep velocities.&lt;/p&gt;&lt;p&gt;Current clinical assessment of CVD is guided by spectral Doppler velocity methods.&lt;/p&gt;&lt;p&gt;As a result, novel imaging approaches (SAD-SWEI, SAD-GATED) were developed&lt;/p&gt;&lt;p&gt;for combining spectral Doppler methods with existing ARF-based imaging&lt;/p&gt;&lt;p&gt;techniques to allow for the combined assessment of cross-luminal velocity profiles,&lt;/p&gt;&lt;p&gt;wall-shear rate (WSR), ARFI displacement and ARF-induced wave velocities. These&lt;/p&gt;&lt;p&gt;techniques were validated in controlled phantom experiments, and show good agreement&lt;/p&gt;&lt;p&gt;between previously described ARF-techniques and theory. Initial in vivo feasibility&lt;/p&gt;&lt;p&gt;was then evaluated in five human volunteers. Results show that a cyclic&lt;/p&gt;&lt;p&gt;variability in both ARFI displacement and ARF-generated wave velocity occurs during&lt;/p&gt;&lt;p&gt;the cardiac cycle. Estimates of WSR and peak velocity show good agreement&lt;/p&gt;&lt;p&gt;with previous ultrasonic-based assessments of these metrics. In vivo ARFI and Bmode/&lt;/p&gt;&lt;p&gt;WSR images of the carotid vasculature were successfully formed using ECG gating&lt;/p&gt;&lt;p&gt;techniques.&lt;/p&gt;&lt;p&gt;This thesis demonstrates the potential of these methods for the combined assessment&lt;/p&gt;&lt;p&gt;of vascular hemodynamics and elasticity. However, continued investigation&lt;/p&gt;&lt;p&gt;into optimizing sequences to reduce transducer surface heating, removing the angle&lt;/p&gt;&lt;p&gt;dependency of the SAD-SWEI/SAD-GATED methods, and decreasing processing&lt;/p&gt;&lt;p&gt;time will help improve the clinical viability of the proposed imaging techniques.&lt;/p&gt;","abstract_has_math":false,"creators":["Dumont, Douglas M."],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Trahey, Gregg E"],"committee_chairs":[],"committee_members":[],"year":2011,"date_issued":"2011","date_published":"2011","updated_at":"2026-07-24T02:07:23Z","subjects":["Biomedical Engineering","Artery","Blood flow","Elastography","Radiation force","Ultrasound"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/10161/5635","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Trahey, Gregg E"]},{"key":"dc:creator","label":"Author","values":["Dumont, Douglas M."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2012-05-29T16:39:50Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2012-05-29T16:39:50Z"]},{"key":"dc:date.issued","label":"Date","values":["2011"]},{"key":"dc:type","label":"Dc Type","values":["Dissertation"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Biomedical Engineering","Artery","Blood flow","Elastography","Radiation force","Ultrasound"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/10161/5635"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["<p>Several groups have proposed classifying atherosclerotic disease by using acoustic radiation</p><p>force (ARF) elasticity methods to estimate the mechanical and material</p><p>properties of plaque. However, recent evidence suggests that cardiovascular disease</p><p>(CVD), in addition to involving pathological changes in arterial tissue, is also a</p><p>hemodynamic remodeling problem. As a result, integrating techniques that can</p><p>estimate localized hemodynamics relevant to CVD remodeling with existing ARF based</p><p>elastography methods may provide a more complete assessment of CVD.</p><p>This thesis describes novel imaging approaches for combining clinically-accepted,</p><p>ultrasound-based flow velocity estimation techniques (color-flow Doppler and spectral-</p><p>Doppler imaging) with ARF-based elasticity characterization of vascular tissue. Techniques</p><p>for integrating B-mode, color-flow Doppler, and ARFI imaging were developed</p><p>(BACD imaging), validated in tissue-mimicking phantoms, and demonstrated for in</p><p>vivo imaging. The resulting system allows for the real-time acquisition (< 20 Hz) of</p><p>spatially registered B-mode, flow-velocity, and ARFI displacement images of arterial</p><p>tissue throughout the cardiac cycle. ARFI and color-flow Doppler imaging quality,</p><p>transducer surface heating, and tissue heating were quantified for different frame-rate</p><p>and scan-duration configurations. The results suggest that BACD images can be acquired</p><p>at high frame rates with minimal loss of imaging quality for approximately</p><p>five seconds, while staying beneath suggested limits for tissue and transducer surface</p><p>heating.</p><p>Because plaque-burden is potentially a 3D problem, techniques were developed</p><p>to allow for the 3D acquisition of color-flow Doppler and ARFI displacement data</p><p>using a stage-controlled, freehand scanning approach. The results suggest that a</p><p>40mm x 20mm x 25mm BACD volume can be acquired in approximately three seconds.</p><p>Jitter, SNR, lesion CNR, soft-plaque detectability, and flow-area assessment were</p><p>quantified in tissue mimicking phantoms with a range of elastic moduli relevant</p><p>to ARFI imaging applications. Results suggest that both jitter and SNR degrade</p><p>with increased sweep velocity, and that degradation is worse when imaging stiffer</p><p>materials. The results also suggest that a transition between shearing-dominated</p><p>jitter and motion-dominated jitter occurs sooner with faster sweep speeds and in</p><p>stiffer materials. These artifacts can be reduced with simple, linear filters. Results</p><p>from plaque mimicking phantoms suggest that the estimation of soft-plaque area</p><p>and flow area, both important tasks for CVD imaging, are only minimally affected</p><p>at faster sweep velocities.</p><p>Current clinical assessment of CVD is guided by spectral Doppler velocity methods.</p><p>As a result, novel imaging approaches (SAD-SWEI, SAD-GATED) were developed</p><p>for combining spectral Doppler methods with existing ARF-based imaging</p><p>techniques to allow for the combined assessment of cross-luminal velocity profiles,</p><p>wall-shear rate (WSR), ARFI displacement and ARF-induced wave velocities. These</p><p>techniques were validated in controlled phantom experiments, and show good agreement</p><p>between previously described ARF-techniques and theory. Initial in vivo feasibility</p><p>was then evaluated in five human volunteers. Results show that a cyclic</p><p>variability in both ARFI displacement and ARF-generated wave velocity occurs during</p><p>the cardiac cycle. Estimates of WSR and peak velocity show good agreement</p><p>with previous ultrasonic-based assessments of these metrics. In vivo ARFI and Bmode/</p><p>WSR images of the carotid vasculature were successfully formed using ECG gating</p><p>techniques.</p><p>This thesis demonstrates the potential of these methods for the combined assessment</p><p>of vascular hemodynamics and elasticity. However, continued investigation</p><p>into optimizing sequences to reduce transducer surface heating, removing the angle</p><p>dependency of the SAD-SWEI/SAD-GATED methods, and decreasing processing</p><p>time will help improve the clinical viability of the proposed imaging techniques.</p>"]},{"key":"dc:title","label":"Title","values":["Assessment of Mechanical and Hemodynamic Vascular Properties using Radiation-Force Driven Methods"]}]}],"canonical_facts":{"dc:contributor.advisor":["Trahey, Gregg E"],"dc:creator":["Dumont, Douglas M."],"dc:date.accessioned":["2012-05-29T16:39:50Z"],"dc:date.available":["2012-05-29T16:39:50Z"],"dc:date.issued":["2011"],"dc:description.abstract":["<p>Several groups have proposed classifying atherosclerotic disease by using acoustic radiation</p><p>force (ARF) elasticity methods to estimate the mechanical and material</p><p>properties of plaque. However, recent evidence suggests that cardiovascular disease</p><p>(CVD), in addition to involving pathological changes in arterial tissue, is also a</p><p>hemodynamic remodeling problem. As a result, integrating techniques that can</p><p>estimate localized hemodynamics relevant to CVD remodeling with existing ARF based</p><p>elastography methods may provide a more complete assessment of CVD.</p><p>This thesis describes novel imaging approaches for combining clinically-accepted,</p><p>ultrasound-based flow velocity estimation techniques (color-flow Doppler and spectral-</p><p>Doppler imaging) with ARF-based elasticity characterization of vascular tissue. Techniques</p><p>for integrating B-mode, color-flow Doppler, and ARFI imaging were developed</p><p>(BACD imaging), validated in tissue-mimicking phantoms, and demonstrated for in</p><p>vivo imaging. The resulting system allows for the real-time acquisition (< 20 Hz) of</p><p>spatially registered B-mode, flow-velocity, and ARFI displacement images of arterial</p><p>tissue throughout the cardiac cycle. ARFI and color-flow Doppler imaging quality,</p><p>transducer surface heating, and tissue heating were quantified for different frame-rate</p><p>and scan-duration configurations. The results suggest that BACD images can be acquired</p><p>at high frame rates with minimal loss of imaging quality for approximately</p><p>five seconds, while staying beneath suggested limits for tissue and transducer surface</p><p>heating.</p><p>Because plaque-burden is potentially a 3D problem, techniques were developed</p><p>to allow for the 3D acquisition of color-flow Doppler and ARFI displacement data</p><p>using a stage-controlled, freehand scanning approach. The results suggest that a</p><p>40mm x 20mm x 25mm BACD volume can be acquired in approximately three seconds.</p><p>Jitter, SNR, lesion CNR, soft-plaque detectability, and flow-area assessment were</p><p>quantified in tissue mimicking phantoms with a range of elastic moduli relevant</p><p>to ARFI imaging applications. Results suggest that both jitter and SNR degrade</p><p>with increased sweep velocity, and that degradation is worse when imaging stiffer</p><p>materials. The results also suggest that a transition between shearing-dominated</p><p>jitter and motion-dominated jitter occurs sooner with faster sweep speeds and in</p><p>stiffer materials. These artifacts can be reduced with simple, linear filters. Results</p><p>from plaque mimicking phantoms suggest that the estimation of soft-plaque area</p><p>and flow area, both important tasks for CVD imaging, are only minimally affected</p><p>at faster sweep velocities.</p><p>Current clinical assessment of CVD is guided by spectral Doppler velocity methods.</p><p>As a result, novel imaging approaches (SAD-SWEI, SAD-GATED) were developed</p><p>for combining spectral Doppler methods with existing ARF-based imaging</p><p>techniques to allow for the combined assessment of cross-luminal velocity profiles,</p><p>wall-shear rate (WSR), ARFI displacement and ARF-induced wave velocities. These</p><p>techniques were validated in controlled phantom experiments, and show good agreement</p><p>between previously described ARF-techniques and theory. Initial in vivo feasibility</p><p>was then evaluated in five human volunteers. Results show that a cyclic</p><p>variability in both ARFI displacement and ARF-generated wave velocity occurs during</p><p>the cardiac cycle. Estimates of WSR and peak velocity show good agreement</p><p>with previous ultrasonic-based assessments of these metrics. In vivo ARFI and Bmode/</p><p>WSR images of the carotid vasculature were successfully formed using ECG gating</p><p>techniques.</p><p>This thesis demonstrates the potential of these methods for the combined assessment</p><p>of vascular hemodynamics and elasticity. However, continued investigation</p><p>into optimizing sequences to reduce transducer surface heating, removing the angle</p><p>dependency of the SAD-SWEI/SAD-GATED methods, and decreasing processing</p><p>time will help improve the clinical viability of the proposed imaging techniques.</p>"],"dc:identifier.uri":["https://hdl.handle.net/10161/5635"],"dc:subject":["Biomedical Engineering","Artery","Blood flow","Elastography","Radiation force","Ultrasound"],"dc:title":["Assessment of Mechanical and Hemodynamic Vascular Properties using Radiation-Force Driven Methods"],"dc:type":["Dissertation"]},"updated_at":"2026-07-24T02:07:23Z"}