Measurement and correction of ultrasonic pulse distortion produced by the human breast.

Ultrasonic wavefront distortion produced by transmission through breast tissue specimens was measured in a two-dimensional aperture. Differences in arrival time and energy level between the measured waveforms and references that account for geometric delay and spreading were calculated. Also calculated was a waveform similarity factor that is decreased from 1.0 by changes in waveform shape. For nine different breast specimens, the arrival time fluctuations had an average (+/- s.d.) rms value of 66.8 (+/- 12.6) ns and an associated correlation length of 4.3 (+/- 1.1) mm, while the energy level fluctuations had an average rms value of 5.0 (+/- 0.5) dB and a correlation length of 3.4 (+/- 0.8) mm. The corresponding waveform similarity factor was 0.910 (+/- 0.023). The effect of the wavefront distortion on focusing and the ability of time-shift compensation to remove the distortion were evaluated by comparing parameters such as the -30-dB effective radius, the -10-dB peripheral energy ratio, and the level at which the effective radius departs from an ideal by 10% for the focus obtained without compensation, with time-shift estimation and compensation in the aperture, and with time-shift estimation and compensation performed after backpropagation. For the nine specimens, the average -10-dB peripheral energy ratio of the focused beams fell from 3.82 (+/- 1.83) for the uncompensated data to 0.96 (+/- 0.18) with time-shift compensation in the aperture and to 0.63 (+/- 0.07) with time-shift compensation after backpropagation. The average -30-dB effective radius and average 10% deviation level were 4.5 (+/- 0.8) mm and -19.2 (+/- 3.5) dB, respectively, for compensation in the aperture and 3.2 (+/- 0.7) mm and -22.8 (+/- 2.8) dB, respectively, for compensation after backpropagation. The corresponding radius for the uncompensated data was not meaningful because the dynamic range of the focus was generally less than 30 dB in the elevation direction, while the average 10% deviation level for the uncompensated data was -4.9 (+/- 4.1) dB. The results indicate that wavefront distortion produced by breast significantly degrades ultrasonic focus in the low MHz frequency range and that much of this degradation can be eliminated using wavefront backpropagation and time-shift compensation.