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有限元建模在乳腺肿瘤手术切缘定量超声分析中的应用。

Finite Element Modeling of Quantitative Ultrasound Analysis of the Surgical Margin of Breast Tumor.

机构信息

School for Engineering of Matter, Transport and Energy, Ira A. Fulton Schools of Engineering, Arizona State University, Tempe, AZ 85281, USA.

EnMed Department, Texas A&M College of Medicine, Houston, TX 77807, USA.

出版信息

Tomography. 2022 Mar 1;8(2):570-584. doi: 10.3390/tomography8020047.

Abstract

Ultrasound is commonly used as an imaging tool in the medical sector. Compared to standard ultrasound imaging, quantitative ultrasound analysis can provide more details about a material microstructure. In this study, quantitative ultrasound analysis was conducted through computational modeling to detect various breast duct pathologies in the surgical margin tissue. Both pulse-echo and pitch-catch methods were evaluated for a high-frequency (22-41 MHz) ultrasound analysis. The computational surgical margin modeling was based on various conditions of breast ducts, such as normal duct, ductal hyperplasia, DCIS, and calcification. In each model, ultrasound pressure magnitude variation in the frequency spectrum was analyzed through peak density and mean-peak-to-valley distance (MPVD) values. Furthermore, the spectral patterns of all the margin models were compared to extract more pathology-based information. For the pitch-catch mode, only peak density provided a trend in relation to different duct pathologies. For the pulse-echo mode, only the MPVD was able to do that. From the spectral comparison, it was found that overall pressure magnitude, spectral variation, peak pressure magnitude, and corresponding frequency level provided helpful information to differentiate various pathologies in the surgical margin.

摘要

超声在医学领域通常被用作成像工具。与标准超声成像相比,定量超声分析可以提供有关材料微观结构的更多细节。在这项研究中,通过计算建模对定量超声分析进行了研究,以检测手术边缘组织中的各种乳腺导管病变。评估了高频(22-41 MHz)超声分析中的脉冲回波和相控阵两种方法。基于各种乳腺导管条件(如正常导管、导管增生、DCIS 和钙化)对计算外科边缘模型进行了建模。在每个模型中,通过峰密度和平均峰谷值距离(MPVD)值分析了频谱中超声压力幅度的变化。此外,还比较了所有边缘模型的频谱模式,以提取更多基于病理学的信息。对于相控阵模式,只有峰密度提供了与不同导管病变相关的趋势。对于脉冲回波模式,只有 MPVD 能够做到这一点。从频谱比较中可以发现,总体压力幅度、频谱变化、峰值压力幅度和相应的频率水平为区分手术边缘的各种病变提供了有用的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b4/8938815/cdf04c401b7a/tomography-08-00047-g001.jpg

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