• Title/Summary/Keyword: Intravascular ultrasound

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Implementation of low-noise, wideband ultrasound receiver for high-frequency ultrasound imaging (고주파수 초음파 영상을 위한 저잡음·광대역 수신 시스템 구현)

  • Moon, Ju-Young;Lee, Junsu;Chang, Jin Ho
    • The Journal of the Acoustical Society of Korea
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    • v.36 no.4
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    • pp.238-246
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    • 2017
  • High frequency ultrasound imaging typically suffers from low sensitivity due to the small aperture of high frequency transducers and shallow imaging depth due to the frequency-dependent attenuation of ultrasound. These limitations should be overcome to obtain high-frequency, high- resolution ultrasound images. One practical solution to the problems is a high-performance signal receiver capable of detecting a very small signal and amplifying the signal with minimal electronic noise addition. This paper reports a recently developed low-noise, wideband ultrasound receiver for high-frequency, high-resolution ultrasound imaging. The developed receiver has an amplification gain of up to 73 dB and a variable amplification gain range of 48 dB over an operating frequency of 80 MHz. Also, it has an amplification gain flatness of ${\pm}1dB$. Due to these high performances, the developed receiver has a signal-to-noise ratio of at least 8.4 dB and a contrast-to-noise ratio of at least 3.7 dB higher than commercial receivers.

Analysis of Coronary Artery Atheromatous Plaque by Cardiac Computed Tomographic Angiography : Retrospective Analysis of Intravascular Ultrasound Results (심장전산화단층촬영을 이용한 관상동맥 죽상경화반의 분류 : 혈관내초음파 결과를 통한 후향적 분석)

  • Choi, Jae-Sung;Han, Jae-Bok;Choi, Nam-Kil
    • The Journal of the Korea Contents Association
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    • v.12 no.10
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    • pp.349-356
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    • 2012
  • In the diagnosis of coronary artery atheromatous plaque, Cardiac computed tomography (Cardiac Computed Tomographic Angiography: CCTA) compared with IVUS(Intravascular Ultrasound: IVUS) investigate the diagnostic accuracy, Interested in CCTA atheromatous plaque in computed tomography values (Hounsfield Unit: HU) try to find out. From April 2006 to August 2008 among coronary artery disease(Coronary Artery Disease: CAD) patients with confirmed or suspicious of CAD by CCTA performed atherosclerotic plaques and found 200 patients who underwent IVUS were enrolled. 200 patients who underwent CCTA and IVUS results from the 476 plaque was found, IVUS results of the soft plaque(n; 84), fibrous plaque(n; 63), mixed plaque (n; 97), calcific plaque(n; 232). The results are classified according to the IVUS plaque in HU in the soft plaque : $53.8{\pm}10.5$, fibrous plaque : $108.1{\pm}20.0$, mixed plaque : $371.2{\pm}113.1$, and calcific plaque : $731.0{\pm}160.4$. CCTA had sensitivity of 97% and confidence interval of 95.0-98.3. This study that is the diagnosis of coronary atheromatous plaque for using CCTA, we confirm the high sensitivity and the confidence interval Based on IVUS results CCTA atheromatous plaque with HU in the analysis could be classified to characterize in the treatment of patients with CAD is expected to help.

Forward-Looking Ultrasound Imaging Transducer : I. Analysis and Design (전향 초음파 영상 트랜스듀서 : I. 해석 및 설계)

  • Lee, Chan-Kil
    • The Journal of the Acoustical Society of Korea
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    • v.14 no.2E
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    • pp.73-86
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    • 1995
  • The transducer section of the forward-looking ultrasound imaging catheter (FLUIC) consists of a circular piezoelectric element as a vibrator and a conical acoustic mirror as a perfect reflector. A small diameter piezoelectric transducer element is mounted on the side of a catheter's rotating shaft. The unique design of FLUIC provides the capability to form a two-dimensional image of a cross-section of vessel in front of the catheter, which is lacking in the present generation of intravascular ultrasound (IVUS) transducers, as well as a conventional side view image. The mirror configuration for the transducer section of the FLUIC is designed using an approximated ray tracing techniques. The diffraction transfer function approach [1] developed for the field prediction from primary sources is generalized and extended to predict the secondary diffraction characterstics from an acoustic mirror. The extended model is verified by simulation and experiment through a simple plane reflector and employed to analyzed the field characteristics of a FLUIC.

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Extraction of Intima and Adventitia using Fuzzy Binarization on IVUS Image (IVUS 영상에서 퍼지 이진화를 이용한 내막과 외막 추출)

  • Cho, Jae-Hun;Kim, Kwang-Baek
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.05a
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    • pp.79-81
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    • 2018
  • 혈관내 초음파(Intravascular Ultrasound, IVUS)는 혈관 내벽의 단면을 보여주는 검사 방법으로 관상 동맥 내의 내강, 죽상 경화반, 그리고 혈관벽의 변화에 관한 직접적이고 구체적인 정보를 제공한다. 본 논문에서는 IVUS 영상에서 내막과 외막을 추출하고 각 막의 지름을 자동적으로 추출하는 방법을 제안한다. 제안된 방법은 IVUS 영상에 Histogram Equalization 기법을 적용하여 명암 대비를 강조한 후에 퍼지 이진화 기법과 평균 이진화 기법을 각각 적용하여 내막과 외막을 추출하기 위해 이진화한다. 이진화된 내막과 외막의 각 영역 중에서 혈관내 초음파 영상 중심에서 가장 큰 영역의 정보를 이용하여 라벨링 기법을 적용하여 내막과 외막 영역을 추출하고 각 막의 지름을 계산한다. 제안된 방법을 IVUS 영상을 대상으로 실험한 결과, 내막과 외막의 지름이 비교적 정확히 추출되는 것을 실험을 통하여 확인하였다.

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Extraction of Coronary Arteries Wall based on Wavelet in IVUS Image (IVUS영상에서 웨이블릿 기반의 관상동맥 벽의 추출)

  • Lee, Na-Young;Kim, Gye-Young
    • Proceedings of the Korean Information Science Society Conference
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    • 2005.11b
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    • pp.940-942
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    • 2005
  • 혈관내부의 초음파는 혈관 벽(vessel wail) 전체를 관찰할 수 있는 단면적 영상(cross-sectional image)으로부터 혈관 벽의 서로 다른 층을 평가할 수 있다. IVUS(Intravascular Ultrasound)영상은 잡음에 매우 민감하고 해상도가 낮기 때문에 혈관 벽의 서로 다른 층을 구분된다. IVUS영상이 내강, 혈관 벽, 외막을 둘러싸는 영역으로 구성되어있다고 가정하면 내부와 외부의 두 경계선으로 구분할 수 있다. 따라서 본 논문에서는 IVUS영상을 웨이블릿 변환하여 주파수 공간에서 관상동맥 벽의 두 경계선을 추출한다. 실험결과를 통하여 관상동맥 벽의 두 경계선이 잘 추출되는 것을 확인할 수 있다.

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Blood Vessel Strain Imaging Using Linear Array Transducer (선형 트랜스듀서를 이용한 혈관 변형률 영상법)

  • Ahn, Dong-Ki;Jeong, Mok-Kun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.3
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    • pp.880-890
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    • 2010
  • The intrasvascular ultrasound (IVUS) imaging technique is used to diagnose cerebrovascular diseases such as stroke. Recently, elasticity imaging methods have been investigated to diagnose blood clots attached to blood vessel intima. However, the IVUS imaging technique is an invasive method that requires a transducer to be inserted into blood vessel. In this paper, strain images are obtained of blood clots attached to blood vessel intima with data acquired from outside the blood vessel using a linear array transducer. In order to measure the displacement of blood vessel accurately, experimental data are acquired by steering ultrasound beams so that they can intersect the blood vessel wall at right angles. The acquired rf data are demodulated to the baseband. The resulting complex baseband signals are then processed by an autocorrelation algorithm to compute the blood vessel movement and thereby produce strain image. This proposed method is verified by experiments on a plastic blood vessel mimicking phantom. The efficacy of the proposed method was verified using a home-made blood vessel mimicking phantom. The blood vessel mimicking phantom was constructed by making a 6 mm diameter hollow cylinder inside it to simulate a blood vessel and adhering 2 mm thick soft plaque to the inner wall of the hollow cylinder. The RF data were acquired using a clinical ultrasound scanner (Accuvix XQ, Medison, Seoul. Korea) with a 7.5 MHz linear array transducer by steering ultrasound beams in steps of $1^{\circ}$ from $-40^{\circ}$ to $40^{\circ}$ for a total of 81 angles. Experimental results show that the plaque region near the blood vessel wall is softer than background tissue. Although the imaging region is restricted due to the limited range of angles for which scan lines are perpendicular to the wall, the feasibility of strain imaging is demonstrated.

Segmentation of Intima/Adventitia of IVUS Image using Fuzzy Binarization (퍼지 이진화를 이용한 IVUS 영상의 내막/외막 분할)

  • Kim, Kwang Baek
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.12
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    • pp.1514-1519
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    • 2019
  • IVUS is an intra-operative imaging modality that facilitates observing and appraising the vessel wall structure of the human coronary arteries. IVUS is regularly used to locate the atherosclerosis lesions in the coronary arteries. Auto-segmentation of the vessel structure is important to detect the disorder of coronary artery. In this paper, we propose a simple strategy to extract Intima/Adventitia area effectively using fuzzy binarization from intravascular images. The proposed method apply fuzzy binarization to find the adventitia but apply average binarization to locate the intima since they have different homogeneity of pixel intensity comparing with the environment. In this paper, we demonstrate an effective auto-segmentation method for detecting the interior/exterior of the vessel walls by differentiating the fuzzy binarization result and average binarization result from IVUS image. Important statistics such as Intima-Media Thickness (IMT) or volume of a target area can be easily computed from result.

Effect of Skin Burn on the Activities of Free Radical Generating and Scavenging Enzymes in Rat Liver (피부화상이 간의 유해산소 생성계 및 해독계 효소 활성에 미치는 영향)

  • Park, Rae-Jun;Kim, Han-Soo;Bae, Ju-Han;Lee, Hyun-Kee;Choi, Jae-Won;Lee, Dong-Ho
    • The Journal of Korean Physical Therapy
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    • v.14 no.1
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    • pp.63-73
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    • 2002
  • In order to investigate a pathogenesis of liver damage induced by skin burn, thermal injury was induced by scald burn on entirely dorsal surface in rats (total body surface area 30%) except for inhalated injury. At 5 and 24 h after scald burn, biochemical assay in skin tissue, serum and liver tissue were examined. The effects of burn injury on the levels of glutathione, lipid peroxide and on the activities of oxygen of histologic and ultrasound changes, measuring. the protein concentration in plasma, and counting the number of intravascular polymorphonuclear leukocytes. Post burn 24 h, the content of glutathione was decreased (47.50%), whereas that of lipid peroxide was increased (37.01%), and the activity of superoxide dismutase was diminished (p<0.001). Thus decreasing the capacity of oxygen free radical scavenging enzymes led to oxidative injury in skin tissue. In liver tissue, at 24 h after scald burn, both the content of glutathione and the activity of catalase were markedly decreased (p<0.01, p<0.05), thus the imbalance between free radical generating and scavenging capacities has been induced.

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Pulmonary artery sarcoma manifesting as a main pulmonary artery stenosis diagnosed by 18F-FDG PET/CT (18F-FDG PET/CT를 통해 진단된 주폐동맥 협착 소견의 폐동맥 육종)

  • Lee, Hoonhee;Park, Han-bit;Cho, Yun Kyung;Ahn, Jung-Min;Lee, Sang Min;Lee, Jae Seung;Kim, Dae-Hee
    • Journal of Yeungnam Medical Science
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    • v.34 no.2
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    • pp.279-284
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    • 2017
  • Pulmonary artery sarcoma (PAS) is a rare and fatal disease that often mimics chronic thromboembolic pulmonary hypertension (CTEPH); therefore, diagnosis of PAS is often delayed. Herein, a healthy 74-year-old man was presented with a 4-month history of dyspnea. Chest computed tomography showed wall thickening and stenosis in the main pulmonary artery as well as in both proximal pulmonary arteries. In order to differentiate between unusual CTEPH, vasculitis, and PAS, we performed right heart catheterization and pulmonary angiography. The mean pulmonary arterial pressure was 21 mmHg, and there was severe pulmonary artery stenosis. Thrombi on the pulmonary arterial wall lesions were observed in intravascular ultrasound and optical coherence tomography. Furthermore, the patient had a history of deep vein thrombosis. Therefore, we diagnosed unusual CTEPH. After 6 months of rivaroxaban anticoagulation therapy, a chest X-ray revealed a left lower lobe lung mass, and a positron emission tomography later showed hypermetabolic lesions in the main pulmonary artery wall, in both pulmonary arteries walls, in the lung parenchyma, and in the bones. A biopsy of the right proximal humerus lesion revealed undifferentiated intimal sarcoma. Pulmonary sarcoma is rare, but should be considered when differentially diagnosing main pulmonary artery wall thickening and stenosis. A positron emission tomography may aid in this diagnosis.

Quantitative Assessment of Coronary Artery Diameter in Patients with Atrial Fibrillation and Normal Sinus Rhythm (심방세동 환자와 정상 심전도 환자의 관상동맥 직경 정량적 평가)

  • Seo, Young-Hyun
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.567-574
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    • 2022
  • Coronary artery disease (CAD) and atrial fibrillation (AF) are known to share many risk factors. In particular, in the case of acute coronary syndrome, it may be difficult to clearly determine the diameter of the vessel due to complete occlusion of the vessel and thrombus. Thus, the relationship between the diameter of the coronary arteries was evaluated to be used as a reference data before the treatment of coronary arteries and drug selection in patients with AF. From January 2020 to August 2022, images of coronary angiography (CAG) with AF and normal sinus rhythm (NSR) on electrocardiography were target. In both subjects, images of normal coronary artery without lesions as a result of CAG were used. For all vessels, the diameters of the vessels were measured by dividing them into proximal, middle, and distal parts, and the measured diameters were divided by the average for evaluation. As a result of analyzing the left anterior descending artery diameter, the vessel diameter of the AF patient was 2.24±0.26 mm, which was smaller than that of the NSR patient, 2.86±0.38 mm, and was statistically significant. (p<0.001) As a result of analyzing the left circumflex artery diameter, the vessel diameter of the AF patient was 2.34±0.28 mm, which was smaller than the vessel diameter of the NSR patient, 2.87±0.29 mm, and was statistically significant. (p<0.001) As a result of analyzing the diameter of the right coronary artery, the vessel diameter of the AF patient was 2.68±0.5 mm, which was smaller than the vessel diameter of the NSR patient, 3.35±0.4 mm, and was statistically significant. (p<0.001) Considering that the coronary artery size of AF patients is significantly smaller than the coronary vessel size of NSR patients, it is considered as a useful study to be used as a reference for evaluating coronary artery diameter when the arrhythmia is AF. In particular, it is considered to be a study that can be helpful in diagnosing lesions, using drugs before and after surgery, and choosing to use auxiliary devices such as intravascular ultrasound.