Maccabi Ashkan, Shin Andrew, Namiri Nikan K, Bajwa Neha, St John Maie, Taylor Zachary D, Grundfest Warren, Saddik George N
Department of Electrical Engineering, University of California, Los Angeles, Los Angeles, CA, United States of America.
Center for Advanced Surgical and Interventional Technology, CASIT, Los Angeles, CA, United States of America.
PLoS One. 2018 Jan 26;13(1):e0191919. doi: 10.1371/journal.pone.0191919. eCollection 2018.
Viscoelasticity of soft tissue is often related to pathology, and therefore, has become an important diagnostic indicator in the clinical assessment of suspect tissue. Surgeons, particularly within head and neck subsites, typically use palpation techniques for intra-operative tumor detection. This detection method, however, is highly subjective and often fails to detect small or deep abnormalities. Vibroacoustography (VA) and similar methods have previously been used to distinguish tissue with high-contrast, but a firm understanding of the main contrast mechanism has yet to be verified. The contributions of tissue mechanical properties in VA images have been difficult to verify given the limited literature on viscoelastic properties of various normal and diseased tissue. This paper aims to investigate viscoelasticity theory and present a detailed description of viscoelastic experimental results obtained in tissue-mimicking phantoms (TMPs) and ex vivo tissues to verify the main contrast mechanism in VA and similar imaging modalities. A spherical-tip micro-indentation technique was employed with the Hertzian model to acquire absolute, quantitative, point measurements of the elastic modulus (E), long term shear modulus (η), and time constant (τ) in homogeneous TMPs and ex vivo tissue in rat liver and porcine liver and gallbladder. Viscoelastic differences observed between porcine liver and gallbladder tissue suggest that imaging modalities which utilize the mechanical properties of tissue as a primary contrast mechanism can potentially be used to quantitatively differentiate between proximate organs in a clinical setting. These results may facilitate more accurate tissue modeling and add information not currently available to the field of systems characterization and biomedical research.
软组织的粘弹性通常与病理学相关,因此,已成为可疑组织临床评估中的一项重要诊断指标。外科医生,尤其是在头颈部亚部位的外科医生,通常在术中使用触诊技术来检测肿瘤。然而,这种检测方法主观性很强,往往无法检测到小的或深部的异常。之前已使用振动声成像(VA)及类似方法来区分具有高对比度的组织,但对主要对比机制的深入理解尚未得到验证。鉴于关于各种正常和病变组织粘弹性特性的文献有限,VA图像中组织力学特性的贡献难以得到验证。本文旨在研究粘弹性理论,并详细描述在组织模拟体模(TMPs)和离体组织中获得的粘弹性实验结果,以验证VA及类似成像模式中的主要对比机制。采用球形尖端微压痕技术结合赫兹模型,获取大鼠肝脏和猪肝及胆囊的均匀TMPs和离体组织中弹性模量(E)、长期剪切模量(η)和时间常数(τ)的绝对、定量、点测量值。在猪肝和胆囊组织之间观察到的粘弹性差异表明,利用组织力学特性作为主要对比机制的成像模式有可能在临床环境中用于定量区分相邻器官。这些结果可能有助于更准确的组织建模,并为系统表征和生物医学研究领域增添目前尚无法获得的信息。