arXiv:2412.18077physics.med-pheess.IV2024-12被引 6

优化超声微血管成像数据采集,提升临床应用稳定性。

Optimizing In Vivo Data Acquisition for Robust Clinical Microvascular Imaging Using Ultrasound Localization Microscopy

  • 根据微泡信号变化动态选择最佳采集时机,平衡定位精度与微泡数量。
  • 猪模型中最佳采集窗口约10秒,人模型可延至1-2分钟。
  • 实现实时监测下的稳定成像,适用于临床肾微血管检查。

超声定位显微镜(ULM)可突破声学衍射极限,实现高分辨率微血管成像,具有重要临床潜力。但其性能依赖于微泡信号稀疏性、检测到的微泡数量及信噪比,而这些参数在团注微泡注射的临床场景中存在显著波动。本研究在猪和人体模型中分析了团注期间微泡信号的时间变化,提出量化指标以评估信号质量,指导采集时机选择,平衡定位精度与微泡计数。结果表明:猪模型中最佳采集窗口约为10秒,处于快速洗出期;人模型因洗出较慢,可维持1-2分钟的灵活成像窗口,但不同阶段的定位质量与微泡密度之间存在权衡。基于此,采用短时采集策略在猪和人体肾脏中实现了鲁棒的ULM成像,验证了其临床可行性。该研究为实现一致、可重复的ULM成像提供了数据采集优化方案,推动其标准化与广泛应用。

原文摘要 · Abstract (English)

Ultrasound localization microscopy (ULM) enables microvascular imaging at spatial resolutions beyond the acoustic diffraction limit, offering significant clinical potentials. However, ULM performance relies heavily on microbubble (MB) signal sparsity, the number of detected MBs, and signal-to-noise ratio (SNR), all of which vary in clinical scenarios involving bolus MB injections. These sources of variations underscore the need to optimize MB dosage, data acquisition timing, and imaging settings in order to standardize and optimize ULM of microvasculature. This pilot study investigated temporal changes in MB signals during bolus injections in both pig and human models to optimize data acquisition for clinical ULM. Quantitative indices were developed to evaluate MB signal quality, guiding selection of acquisition timing that balances the MB localization quality and adequate MB counts. The effects of transmitted voltage and dosage were also explored. In the pig model, a relatively short window (approximately 10 seconds) for optimal acquisition was identified during the rapid wash-out phase, highlighting the need for real-time MB signal monitoring during data acquisition. The slower wash-out phase in humans allowed for a more flexible imaging window of 1-2 minutes, while trade-offs were observed between localization quality and MB density (or acquisition length) at different wash-out phase timings. Guided by these findings, robust ULM imaging was achieved in both pig and human kidneys using a short period of data acquisition, demonstrating its feasibility in clinical practice. This study provides insights into optimizing data acquisition for consistent and reproducible ULM, paving the way for its standardization and broader clinical applications.

超声成像微血管医学影像数据优化

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