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Rita J. Miller

Publications and source records attributed to Rita J. Miller.

7 recordsLinked to original sources

Short-Acquisition Contrast-Free Super-Resolution Microvascular Imaging in Rabbit Kidney

Ultrasound localization microscopy (ULM) enables micrometer-scale microvascular imaging by localizing and tracking intravascular microbubbles, but its dependence on exogenous contrast agents and long acquisition times limits clinical translation. This study presents a high-frame-rate contrast-free super-resolution ultrasound microvascular imaging method based on high-frequency ultrafast ultrasound and nonlinear beamforming of backscatter signals from native blood flow. Using only 125 milliseconds of in vivo ultrafast data per image, the proposed method achieved an imaging frame rate of 8 frames/s in a rabbit kidney model. The reconstructed microvascular images resolved vessels with a global spatial resolution of 22.2 um over a field of view of 23.04 x 15.18 mm2, where the wavelength of ultrasound was 67.5 um. This corresponds to a three-fold improvement over conventional power Doppler imaging under the same acquisition duration. Compared with conventional flow imaging, the proposed method provided improved microvascular contrast and finer vessel delineation without microbubble injection. These results demonstrate a practical pathway toward high frame rate, contrast-free super-resolution ultrasound imaging for microvascular assessment.

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Increasing ultrasound field-of-view with reduced element count arrays containing large elements

Several applications of medical ultrasound can benefit from a larger field of view (FOV). This study is aimed at increasing the FOV of linear array probes by increasing the element width. Coupled elements were used to imitate a larger element width. Through Fourier analysis, theoretical pressure amplitudes, and bandwidth estimates, coupled elements are shown to be close approximations of large elements. The effects of coupling on resolution, contrast, and speckle signal-to-noise ratio are investigated through phantom images and in-vivo images of a rabbit tumor reconstructed with plane-wave compounding. Furthermore, a positioning system was used to acquire data from a virtual large aperture with 120 mm FOV and 128 elements, collected in sections with a single probe. The Null Subtraction Imaging (NSI), Sign Coherence Factor (SCF), and Minimum Variance (MV) beamformers are compared for regaining resolution lost by an increased F-number. The NSI beamformer decreased Full-Width at Half-Max (FWHM) estimates of wire targets by 79% with coupling by 2 compared to uncoupled DAS. The MV beamformer was best for maintaining speckle statistics while improving resolution. Our results demonstrate how increased element width can increase FOV with no increase to element count.

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Label-free super-resolution color flow imaging using ultrasound phase microscopy

Ultrasound vascular imaging is limited by acoustic diffraction, restricting visualization of microvessels essential for understanding organ function and disease. Label-free super-resolution methods exploiting endogenous red blood cells have faced challenges in acquisition time and complexity. Here we introduce ultrasound phase microscopy (UPM), a label-free technique that achieves sub-wavelength resolution flow imaging by exploiting phase differences between consecutively beamformed frames with mismatched apodizations, without requiring localization or tracking. Validated in vivo across multiple species, organs, and ultrasound platforms, UPM attains spatial resolutions better than 5 um up to tenfold improvement over conventional color flow imaging while accelerating data acquisition by nearly two orders of magnitude compared to ultrasound localization microscopy. UPM enables rapid, high resolution vascular imaging and offers a practical approach for label-free super-resolution vascular imaging.

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A Radiological Clip Design Using Ultrasound Identification to Improve Localization

Objective: We demonstrate the use of ultrasound to receive an acoustic signal transmitted from a radiological clip designed from a custom circuit. This signal encodes an identification number and is localized and identified wirelessly by the ultrasound imaging system. Methods: We designed and constructed the test platform with a Teensy 4.0 microcontroller core to detect ultrasonic imaging pulses received by a transducer embedded in a phantom, which acted as the radiological clip. Ultrasound identification (USID) signals were generated and transmitted as a result. The phantom and clip were imaged using an ultrasonic array (Philips L7-4) connected to a Verasonics Vantage 128 system operating in pulse inversion (PI) mode. Cross-correlations were performed to localize and identify the code sequences in the PI images. Results: USID signals were detected and visualized on B-mode images of the phantoms with up to sub-millimeter localization accuracy. The average detection rate across 4,800 frames of ultrasound data was 93.0%. Tested ID values exhibited differences in detection rates. Conclusion: The USID clip produced identifiable, distinguishable, and localizable signals when imaged. Significance: Radiological clips are used to mark breast cancer being treated by neoadjuvant chemotherapy (NAC) via implant in or near treated lesions. As NAC progresses, available marking clips can lose visibility in ultrasound, the imaging modality of choice for monitoring NAC-treated lesions. By transmitting an active signal, more accurate and reliable ultrasound localization of these clips could be achieved and multiple clips with different ID values could be imaged in the same field of view.

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Grating lobe reduction in plane wave imaging with angular compounding using subtraction of coherent signals

Plane wave imaging (PWI) with angular compounding has gained in popularity over recent years because it provides high frame rates and good image properties. However, most linear arrays used in clinical practice have a pitch that is equal to than the wavelength of ultrasound. Hence, the presence of grating lobes is a concern for PWI using multiple transmit angles. The presence of grating lobes produces clutter in images and reduces the ability to observe tissue contrast. Techniques to reduce or eliminate the presence of grating lobes for PWI using multiple angles will result in improved image quality. Null subtraction imaging (NSI) is a nonlinear beamforming technique that has been explored for improving the lateral resolution of ultrasonic imaging. However, the apodization scheme used in NSI also eliminates or greatly reduces the presence of grating lobes. Imaging tasks using NSI were evaluated in simulations and physical experiments involving tissue-mimicking phantoms and rat tumors in vivo. Images created with NSI were compared with images created using traditional delay and sum (DAS) with Hann apodization and images created using a generalized coherence factor (GCF). NSI was observed to greatly reduce the presence of grating lobes in ultrasonic images, compared to DAS with Hann and GCF, while maintaining spatial resolution and contrast in the images. Therefore, NSI can provide a novel means of creating images using PWI with multiple steering angles on clinically available linear arrays while reducing the adverse effects associated with grating lobes.

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Video-Streaming Biomedical Implants using Ultrasonic Waves for Communication

The use of wireless implanted medical devices (IMDs) is growing because they facilitate continuous monitoring of patients during normal activities, simplify medical procedures required for data retrieval and reduce the likelihood of infection associated with trailing wires. However, most of the state-of-the-art IMDs are passive and offline devices. One of the key obstacles to an active and online IMD is the infeasibility of real-time, high-quality video broadcast from the IMD. Such broadcast would help develop innovative devices such as a video-streaming capsule endoscopy (CE) pill with therapeutic intervention capabilities. State-of-the-art IMDs employ radio-frequency electromagnetic waves for information transmission. However, high attenuation of RF-EM waves in tissues and federal restrictions on the transmit power and operable bandwidth lead to fundamental performance constraints for IMDs employing RF links, and prevent achieving high data rates that could accomodate video broadcast. In this work, ultrasonic waves were used for video transmission and broadcast through biological tissues. The proposed proof-of-concept system was tested on a porcine intestine ex vivo and a rabbit in vivo. It was demonstrated that using a millimeter-sized, implanted biocompatible transducer operating at 1.1-1.2 MHz, it was possible to transmit endoscopic video with high resolution (1280 pixels by 720 pixels) through porcine intestine wrapped with bacon, and to broadcast standard definition (640 pixels by 480 pixels) video near real-time through rabbit abdomen in vivo. A media repository that includes experimental demonstrations and media files accompanies this paper. The accompanying media repository can be found at this link: https://bit.ly/3wuc7tk.

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Real-time video streaming in vivo using ultrasound as the communication channel

The emergence of capsule endoscopy has provided a means of capturing video of the small intestines without having to resort to an invasive procedure involving intubation. However, real-time video streaming to a receiver outside the body remains challenging for capsule endoscopy. Traditional electromagnetic-based solutions are limited in their data rates and available power. Recently, ultrasound was investigated as a communication channel for through-tissue data transmission. To achieve real-time video streaming through tissue, data rates of ultrasound need to exceed 1 Mbps. In a previous study, we demonstrated ultrasound communications with data rates greater than 30 Mbps with two focused ultrasound transducers using a large footprint laboratory system through slabs of lossy tissues [1]. While the form factor of the transmitter is also crucial for capsule endoscopy, it is obvious that a large, focused transducer cannot fit within the size of a capsule. Several other challenges for achieving high-speed ultrasonic communication through tissue include strong reflections leading to multipath effects and attenuation. In this work, we demonstrate ultrasonic video communications using a mm-scale microcrystal transmitter with video streaming supplied by a camera connected to a Field Programmable Gate Array (FPGA). The signals were transmitted through a tissue-mimicking phantom and through the abdomen of a rabbit in vivo. The ultrasound signal was recorded by an array probe connected to a Verasonics Vantage system and decoded back to video. To improve the received signal quality, we combined the signal from multiple channels of the array probe. Orthogonal frequency division multiplexing (OFDM) modulation was used to reduce the receiver complexity under a strong multipath environment.

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