Department of Physics and Astronomy, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States of America.
Biomedical Research Imaging Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States of America.
Phys Med Biol. 2022 Jul 21;67(15). doi: 10.1088/1361-6560/ac7ea5.
An ultrasound-based system capable of both imaging thrombi against a dark field and performing quantitative elastometry could allow for fast and cost-effective thrombosis diagnosis, staging, and treatment monitoring. This study investigates a contrast-enhanced approach for measuring the Young's moduli of thrombus-mimicking phantoms.Magnetomotive ultrasound (MMUS) has shown promise for lending specific contrast to thrombi by applying a temporally modulated force to magnetic nanoparticle (MNP) contrast agents and measuring resulting tissue displacements. However, quantitative elastometry has not yet been demonstrated in MMUS, largely due to difficulties inherent in measuring applied magnetic forces and MNP densities. To avoid these issues, in this work magnetomotive resonant acoustic spectroscopy (MRAS) is demonstrated for the first time in ultrasound.The resonance frequencies of gelatin thrombus-mimicking phantoms are shown to agree within one standard deviation with finite element simulations over a range of phantom sizes and Young's moduli with less than 16% error. Then, in a proof-of-concept study, the Young's moduli of three phantoms are measured using MRAS and are shown to agree with independent compression testing results.The MRAS results were sufficiently precise to differentiate between thrombus phantoms with clinically relevant Young's moduli. These findings demonstrate that MRAS has potential for thrombus staging.
一种基于超声的系统,既能对暗场中的血栓进行成像,又能进行定量弹性测量,可能能够实现快速且具有成本效益的血栓诊断、分期和治疗监测。本研究探讨了一种对比增强方法,用于测量血栓模拟体模的杨氏模量。磁驱动超声(MMUS)通过对磁性纳米颗粒(MNP)造影剂施加时变力并测量组织位移,显示出为血栓提供特定对比的潜力。然而,定量弹性测量在 MMUS 中尚未得到证明,这主要是由于测量施加的磁场力和 MNP 密度固有的困难。为了避免这些问题,本工作首次在超声中展示了磁驱动共振声谱(MRAS)。明胶血栓模拟体模的共振频率在一定范围内与有限元模拟结果一致,在不同的体模尺寸和杨氏模量范围内,误差小于 16%。然后,在一项概念验证研究中,使用 MRAS 测量了三个体模的杨氏模量,并与独立的压缩测试结果进行了比较。MRAS 结果足够精确,能够区分具有临床相关杨氏模量的血栓体模。这些发现表明,MRAS 有可能用于血栓分期。