Abstract:
:Regional anesthesia is preferred over general anesthesia for many surgical procedures; however, challenges associated with poor image guidance limit its widespread acceptance as a viable alternative. In B-mode ultrasound images, the current standard for guidance, nerves can be difficult to visualize due to their similar acoustic impedance with surrounding tissues and needles must be aligned within the imaging plane at limited angles of approach that can impede successful peripheral nerve anesthesia. These challenges lead to inadequate regional anesthesia, necessitating intraoperative interventions, and can cause complications, including hemorrhage, intraneural injections and even nerve paralysis. ARFI imaging utilizes acoustic radiation force to generate images that portray relative tissue stiffness differences. Peripheral nerves are typically surrounded by many different tissue types (e.g., muscle, fat and fascia) that provide a mechanical basis for improved image contrast using ARFI imaging over conventional B-mode images. ARFI images of peripheral nerves and needles have been generated in cadaveric specimens and in humans in vivo. Contrast improvements of >600% have been achieved for distal sciatic nerve structures. The brachial plexus has been visualized with improved contrast over B-mode images in vivo during saline injection and ARFI images can delineate nerve bundle substructures to aid injection guidance. Physiologic motion during ARFI imaging of nerves near arterial structures has been successfully suppressed using ECG-triggered image acquisition and motion filters. This work demonstrates the feasibility of using ARFI imaging to improve the visualization of peripheral nerves during regional anesthesia procedures.
journal_name
Ultrason Imagingjournal_title
Ultrasonic imagingauthors
Palmeri ML,Dahl JJ,MacLeod DB,Grant SA,Nightingale KRdoi
10.1177/016173460903100303subject
Has Abstractpub_date
2009-07-01 00:00:00pages
172-82issue
3eissn
0161-7346issn
1096-0910journal_volume
31pub_type
杂志文章abstract::This paper addresses significant sources of electromagnetic noise in Hall effect imaging. Hall effect imaging employs large electrical pulses for signal generation and high sensitivity ultrasonic probes for signal reception. Coherent noise arises through various coupling mechanisms between the excitation pulse and the...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173469802000305
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abstract::The amplitude and frequency contents of a received ultrasound pulse depends on the spatial pressure amplitude distribution of the sound field, as produced by the transducer in the medium, and on the position and orientation of the reflecting surface in this field. Often, the geometry of the reflecting surface and the ...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173469001200405
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abstract::This paper presents a new beamforming technique, in which ultrasound waves are focused at the display pixels on the Cartesian coordinates, rather than sampling points located on the uniformly-separated scanlines on either the polar or Cartesian coordinates. Consequently, this method does not require a digital scan con...
journal_title:Ultrasonic imaging
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journal_title:Ultrasonic imaging
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doi:10.1177/016173469201400404
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abstract::Acoustic radiation force (ARF) has become a common excitation mechanism in elasticity imaging. The high acoustic intensities and subsequent generation of harmonics, however, hamper the effectiveness of using conventional radiofrequency (rf) tracking to investigate the dynamics of tissues and catheter-based transducers...
journal_title:Ultrasonic imaging
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abstract::Previously reported data on the temperature dependence of propagation speed in tissues generally span only temperature ranges up to 60 degrees C. However, with the emerging use of thermal ablative therapies, information on variation in this parameter over higher temperature ranges is needed. Measurements of the ultras...
journal_title:Ultrasonic imaging
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doi:10.1177/016173460202400404
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abstract::This study shows that the amplitude information of ultrasound echoes is carried mainly by the envelope peaks (EPs). It is first shown that the EPs in an A-line represent the maximum number of independent amplitude data. It is then demonstrated that the entire envelope could be approximately reconstructed from the EPs....
journal_title:Ultrasonic imaging
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abstract::Tissues exhibiting quasi-periodic structures can be modeled as a collection of diffuse scatterers and coherent scatterers. The mean scatterer spacing (MSS) of coherent and quasi-periodic components is directly related to tissue microstructure and has become an important quantitative ultrasound (QUS) parameter in the c...
journal_title:Ultrasonic imaging
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abstract::Modern ultrasound Doppler systems are facing the problem of processing increasingly shorter data sets. Spectral analysis of the strongly nonstationary Doppler signal needs to shorten the analysis window while maintaining a low variance and high resolution spectrum. Color flow imaging requires estimation of the Doppler...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173469501700101
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abstract::An adaptive scan sequence is proposed for real-time ultrasound three-dimensional (3-D) imaging. Generally, the refresh rate of 3-D imaging is limited by the view window, resolution and sound speed in the human body. If the object is transformed or moved during the data set acquisition, the 3-D image will be distorted....
journal_title:Ultrasonic imaging
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journal_title:Ultrasonic imaging
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journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173460402600101
更新日期:2004-01-01 00:00:00
abstract::Time reversal of ultrasonic field allows a very efficient approach to focusing pulsed ultrasonic waves through lossless inhomogeneous media. Time reversal mirrors (TRM) are made of large transducer arrays, allowing the incident acoustic field to be sampled, time reversed and re-emitted. Time reversal processing permit...
journal_title:Ultrasonic imaging
pub_type: 杂志文章,评审
doi:10.1177/016173469601800202
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abstract::A scalable architecture for forming real-time synthetic focus images is described and the design of a 256-channel system using currently-available technology is presented as an example implementation of the architecture. The parallelism of the system scales directly with the number of array elements and the image comp...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173460302500303
更新日期:2003-07-01 00:00:00
abstract::Ultrasonic waveform data from a tissue-mimicking phantom containing low contrast targets was digitized, stored and processed prior to creating and displaying ultrasonic images. Speckle reduction was performed by digital filtering of the waveform data with appropriately spaced and weighted digital filters, prior to bot...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173468700900202
更新日期:1987-04-01 00:00:00
abstract::Sidelobe contribution from off-axis targets degrades image quality in a coherent array imaging system. In ultrasound imaging, focusing errors resulting from sound-velocity inhomogeneities in human tissue--also known as phase aberrations reduce the coherence of the received signals and elevate the sidelobe level. This ...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173460502700205
更新日期:2005-04-01 00:00:00
abstract::Acoustic radiation force impulse (ARFI) Surveillance of Subcutaneous Hemorrhage (ASSH) has been previously demonstrated to differentiate bleeding phenotype and responses to therapy in dogs and humans, but to date, the method has lacked experimental validation. This work explores experimental validation of ASSH in a po...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/0161734615617940
更新日期:2016-09-01 00:00:00
abstract::Mathematical techniques are described for analyzing tongue shapes obtained with ultrasound images. The surface of the mid-sagittal section of the tongue was approximated by discrete points. In turn, these points were used to approximate position, slope and curvature of the tongue surface at a fixed time during speech....
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173468400600104
更新日期:1984-01-01 00:00:00
abstract::Generation of the second harmonic signal was studied for finite amplitude distortion based harmonic imaging. Acoustic field amplitudes along the range axis of a fixed focus transducer were measured using a PVDF needle hydrophone. Results indicated that on-axis amplitudes strongly depended on the f-number at both the f...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173469902100401
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abstract::Most methods for in vivo quantitation of ultrasound attenuation and backscatter are not available clinically because they rely upon acquiring and analyzing radio frequency (rf) echo signals. This paper describes a technique to estimate ultrasound attenuation and backscatter from B-mode image data. The video signal ana...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173469701900305
更新日期:1997-07-01 00:00:00
abstract::Many noninvasive ultrasound techniques have been developed to explore mechanical properties of soft tissues. One of these methods, Localized Harmonic Motion Imaging (LHMI), has been proposed to be used for ultrasound surgery monitoring. In LHMI, dynamic ultrasound radiation-force stimulation induces displacements in a...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173460602800203
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journal_title:Ultrasonic imaging
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journal_title:Ultrasonic imaging
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doi:10.1177/016173469201400302
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journal_title:Ultrasonic imaging
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abstract::In recent years, adaptive minimum-variance (MV) beamforming has been successfully applied to medical ultrasound imaging, resulting in simultaneous improvement in imaging resolution and contrast. MV has high resolution and hence can provide accurate estimates of the target locations. However, the MV amplitude estimates...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
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abstract::Ultrasonic coda wave analysis techniques localize defects in fields such as seismography and nondestructive testing. In medical ultrasound, these techniques might provide novel mapping of tissue properties in diseases characterized by local fibrosis. In this work, we present an approach for localizing variation in sca...
journal_title:Ultrasonic imaging
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abstract::An algorithm for deconvolution of medical ultrasound images is presented. The procedure involves estimation of the basic one-dimensional ultrasound pulse, determining the ratio of the covariance of the noise to the covariance of the reflection signal, and finally deconvolution of the rf signal from the transducer. Usi...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
doi:10.1177/016173469301500204
更新日期:1993-04-01 00:00:00
abstract::Speckle noise is known to be signal-dependent in ultrasound imaging. Hence, separating noise from signal becomes a difficult task. This paper describes a wavelet-based method for reducing speckle noise. We derive from the model of the displayed ultrasound image the optimal wavelet-domain filter in the least mean-squar...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
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abstract::Conventional ultrasonic B-mode images qualitatively describe tissue structures but are unsuitable for quantitative analyses of scatterer properties. We have recently developed an ultrasonic parametric imaging technique based on the Nakagami statistical distribution that is able to quantify scatterer concentrations. Th...
journal_title:Ultrasonic imaging
pub_type: 杂志文章
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journal_title:Ultrasonic imaging
pub_type: 杂志文章,评审
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