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Zhengchang Kou

Publications and source records attributed to Zhengchang Kou.

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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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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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High-resolution Power Doppler Using Null Subtraction Imaging

To improve the spatial resolution of power Doppler (PD) imaging, we explored null subtraction imaging (NSI) as an alternative beamforming technique to delay-and-sum (DAS). NSI is a nonlinear beamforming approach that uses three different apodizations on receive and incoherently sums the beamformed envelopes. NSI uses a null in the beam pattern to improve the lateral resolution, which we apply here for improving PD spatial resolution both with and without contrast microbubbles. In this study, we used NSI with three types of singular value decomposition (SVD)-based clutter filters and noise equalization to generate high-resolution PD images. An element sensitivity correction scheme was also proposed as a crucial component of NSI-based PD imaging. First, a microbubble trace experiment was performed to evaluate the resolution improvement of NSI-based PD over traditional DAS-based PD. Then, both contrast-enhanced and contrast free ultrasound PD images were generated from the scan of a rat brain. The cross-sectional profile of the microbubble traces and microvessels were plotted. FWHM was also estimated to provide a quantitative metric. Furthermore, iso-frequency curves were calculated to provide a resolution evaluation metric over the global field of view. Up to six-fold resolution improvement was demonstrated by the FWHM estimate and four-fold resolution improvement was demonstrated by the iso-frequency curve from the NSI-based PD microvessel images compared to microvessel images generated by traditional DAS-based beamforming. A resolvability of 39 um was measured from the NSI-based PD microvessel image. The computational cost of NSI-based PD was only increased by 40 percent over the DAS-based PD.

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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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High-level synthesis design of scalable ultrafast ultrasound beamformer with single FPGA

Ultrafast ultrasound imaging is essential for advanced ultrasound imaging techniques such as ultrasound localization microscopy (ULM) and functional ultrasound (fUS). Current ultrafast ultrasound imaging is challenged by the ultrahigh data bandwidth associated with the radio frequency (RF) signal, and by the latency of the computationally expensive beamforming process. As such, continuous ultrafast data acquisition and beamforming remain elusive with existing software beamformers based on CPUs or GPUs. To address these challenges, the proposed work introduces a novel method of implementing an ultrafast ultrasound beamformer specifically for ultrafast plane wave imaging (PWI) on a field programmable gate array (FPGA) by using high-level synthesis. A parallelized implementation of the beamformer on a single FPGA was proposed by 1) utilizing a delay compression technique to reduce the delay profile size, which enables both run-time pre-calculated delay profile loading from external memory and delay reuse 2) vectorizing channel data fetching which is enabled by delay reuse, and 3) using fixed summing networks to reduce consumption of logic resources. Our proposed method presents two unique advantages over current FPGA beamformers: 1) high scalability that allows fast adaptation to different FPGA resources and beamforming speed demands by using Xilinx High-Level Synthesis as the development tool, and 2) allow a compact form factor design by using a single FPGA to complete the beamforming instead of multiple FPGAs. With the proposed method, a sustainable average beamforming rate of 4.83 G samples/second in terms of input raw RF sample was achieved. The resulting image quality of the proposed beamformer was compared with the software beamformer on the Verasonics Vantage system for both phantom imaging and in vivo imaging of a mouse brain.

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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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Through Tissue Ultra-high-definition Video Transmission Using an Ultrasound Communication Channel

Wireless capsule endoscopy (WCE) has been widely adopted as complementary to traditional wired gastroendoscopy, especially for small bowel diseases which are beyond the latter's reach. However, both the video resolution and frame rates are limited in current WCE solutions due to the limited wireless data rate. The reasons behind this are that the electromagnetic (EM), radio frequency (RF) based communication scheme used by WCE has strict limits on useable bandwidth and power, and the high attenuation in the human body compared to air. Ultrasound communication could be a potential alternative solution as it has access to much higher bandwidths and transmitted power with much lower attenuation. In this paper, we propose an ultrasound communication scheme specially designed for high data rate through tissue data transmission and validate this communication scheme by successfully transmitting ultra-high-definition (UHD) video (3840*2160 pixels at 60 FPS) through 5 cm of pork belly. Over 8.3 Mbps error free payload data rate was achieved with the proposed communication scheme and our custom-built field programmable gate array (FPGA) based test platform.

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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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