Grant from National Institutes of Health & Whitaker
Biomedical Engineering Research Graduate Fellowship
Abstract
An elasticity microscope images tissue stiffness at fine
resolution. Possible
applications include dermatology, ophthalmology, pathology and tissue
engineering, especially if the resolution of these images can approach cellular
dimensions. Elasticity images are reconstructed from displacements and strains
measured throughout the specimen during controlled external loading. We use high
frequency ultrasound to obtain these images by tracking coherent speckle motion
during deformation. We also present methods that deal with speckle decorrelation
caused by limited depth of field from a single element, focused transducer. Our
50 MHz elasticity microscope tests the methods by imaging axial displacement and
normal axial strain fields in a tissue mimicking phantom. These results
demonstrate the potential of elasticity microscopy. Ultimately, we would like to
move to even higher frequencies, and improved resolution.
Experimental Results
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| This is the experimental setup. |
This is a B-Scan illustrating sample deformation, total image
dimensions are less than 1 millimeter |
An experiment on a tissue mimicking phantom is illustrated below. The phantom
consists of gelatin and fine graphite particles used as acoustical backscatter.
The thickness of the phantom is approximately 2mm undeformed. The phantom is
deformed a total of 29 microns. The original and final deformed B-scan images
are shown below. The transducer is located above the images.
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| Original |
Deformed |
B-scan images, 40dB dynamic range, image dimensions less than 1mm
The displacement is calculated between stepwise deformations using a
correlation search. The correlation magnitude function is interpolated to obtain
values to sub-pixel accuracy. The axial values are further improved by utilizing
the phase of the complex baseband signal. The images of axial and lateral
displacement are then accumulated over all the stepwise deformations, taking the
motion between frames into consideration. The accumulated displacement images
are shown below, in the geometry of the original image.
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Accumulated displacement images, image dimensions less than 1mm
| Axial Displacement |
Lateral Displacement |
| black=no motion |
black=46 microns left |
| white=105 microns upward |
white=46 microns right |
The normal axial strain is computed using the derivative of axial
displacement. The elasticity distribution can be reconstructed from
displacements, strains, and boundary conditions. These methods will be analyzed
in future work. Once the elasticity distribution is obtained, information
regarding internal tissue stiffness will be available at very high resolution.
We anticipate many possible applications for an Elasticity Microscope.
For the present time, results are displayed in the form of normal axial
strain images. Such images can be used to obtain a qualitative idea of internal
stiffness distribution. Several examples are given below, both for controlled
cases with phantoms containing regions of differing stiffness, and in a actual
study involving tissue engineered smooth muscle. The axial resolution of
normal axial strain images with the current system is better than 90
microns.
Circular cross-section of hard cylindrical inclusion (265 micron diameter
measured optically before phantom creation) in soft homogeneous background
(normal axial strain image and elasticity reconstruction)

Two-Layered Phantom (softer bottom layer)

Three-Layered Phantom (softer middle layer)

It is interesting to note a low
strain region (black) in the middle of the soft layer (white band across the
image). This corresponds very closely to what a hard inclusion looks like (see
hard inclusion experiment above). Most likely, there exists a small hard
particle near the soft middle layer in this phantom -- probably an undissolved
gelatin crystal.
Hard Spherical Collagen Microcarrier Beads Embedded in Soft Gel (normal
axial strain image and elasticity reconstruction)
Note the high strain regions above and below the hard collagen beads
(depicted by the black low strain regions throughout the image); this represents
positions where the soft gel is deformed against the beads.
Tissue Engineered Smooth Muscle
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| Histology Section |
Elasticity Micrograph |
Smooth muscle layer is
visible in both the histology (optical micrograph) and elasticity micrograph, to
be a couple hundred microns thick at the surface. In tissue engineering, the
development of the smooth muscle layer is limited by nutrient delivery,
especially oxygen. The inner layer is comprised of lower density of cells and
scar tissue, and is expected to be stiffer than the smooth muscle layer. The
elasticity micrograph demonstrates significantly greater strain (softer region)
in the top layer.
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| Histology Section |
Elasticity Micrograph |
In this case, a polymer
matrix was cultured in exactly the same manner except cells were not first
seeded. There is no smooth muscle layer visible on the surface, either from
histology or from elasticity micrograph. There are sparse cells visible in the
histology section, due to some ingrowth from surrounding tissue.
Conclusion: Elasticity Microscopy can provide a noninvasive measure of
internal tissue stiffness with resolution better than 90 microns. Such a system
will be applicable in many different areas, especially as future systems use the
methodology developed here to create a unit more specifically designed to work
in a clinical environment, and one that will have even better resolution (by
using a higher frequency single element ultrasound transducer in a similar
system).
Possible Applications
Imaging tissue stiffness at high
resolution can provide valuable information that may complement alternative
modalities such as light microscopy and staining techniques, in addition to
methods for bulk elasticity measurement using applied force. There are many
applications that might benefit from imaging a high resolution elasticity
distribution.
Some of these items are listed here.
Dermatology
- Skin lesions
- Diagnosing skin diseases
- Malignant melanoma
- Basal cell carcinoma
- Seborrheic keratosis
- Scleroderma
- Study of Skin Aging
Ophthalmology
- Mechanical parameters of tissues supporting the eye (strabismus)
- Lens stiffening with age
- Cornea transplant surgery
Pathology
- Diagnosing/analyzing lesions and tumors
- Cell matrix morphology
Tissue Engineering
- Noninvasive measurement tissue and matrix development
- Measurement of mechanical strengthening in collagen matrices
- Stiffness variability of composites for biomedical applications,
bio-prosthetic implants
- Artificial matrices
- Age-related change in elastic matrix of human aorta
- Artery and vein grafts
- Change in cartilage stiffness (can indicate tissue degeneration)
- Mechanical properties of myocardium, pericardium and heart valves
Publications
Ultrasonic Imaging and Tissue Characterization Conference, Oral
Presentation, June 5, 1996, Rosslyn, VA.
Whitaker Foundation Biomedical Engineering Research Conference,
Poster, August 1996, Snowbird, UT.
Biomedical Engineering Symposium, Oral Presentation, September
1996, Ann Arbor, MI.
IEEE Ultrasonics, Ferroelectrics & Frequency Control Symposium,
Oral Presentation, November, 1996, San Antonio, TX.
Ultrasonic Imaging and Tissue Characterization Conference, Oral
Presentation, June 4, 1997, Rosslyn, VA.
Correspondence:
Biomedical Ultrasonics Laboratory
Biomedical Engineering Department
University of Michigan
3304 G.G. Brown, 2350 Hayward
Ann Arbor, MI 48019-2125
734-764-8589
Link to: http://bul.eecs.umich.edu/research/elast_micro/
Last modified by: N.A. Cohn