Direct vibro-elastography FEM inversion in Cartesian and cylindrical coordinate systems without the local homogeneity assumption.

To produce images of tissue elasticity, the vibro-elastography technique involves applying a steady-state multi-frequency vibration to tissue, estimating displacements from ultrasound echo data, and using the estimated displacements in an inverse elasticity problem with the shear modulus spatial distribution as the unknown. In order to fully solve the inverse problem, all three displacement components are required. However, using ultrasound, the axial component of the displacement is measured much more accurately than the other directions. Therefore, simplifying assumptions must be used in this case. Usually, the equations of motion are transformed into a Helmholtz equation by assuming tissue incompressibility and local homogeneity. The local homogeneity assumption causes significant imaging artifacts in areas of varying elasticity. In this paper, we remove the local homogeneity assumption. In particular we introduce a new finite element based direct inversion technique in which only the coupling terms in the equation of motion are ignored, so it can be used with only one component of the displacement. Both Cartesian and cylindrical coordinate systems are considered. The use of multi-frequency excitation also allows us to obtain multiple measurements and reduce artifacts in areas where the displacement of one frequency is close to zero. The proposed method was tested in simulations and experiments against a conventional approach in which the local homogeneity is used. The results show significant improvements in elasticity imaging with the new method compared to previous methods that assumes local homogeneity. For example in simulations, the contrast to noise ratio (CNR) for the region with spherical inclusion increases from an average value of 1.5-17 after using the proposed method instead of the local inversion with homogeneity assumption, and similarly in the prostate phantom experiment, the CNR improved from an average value of 1.6 to about 20.