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Clinical evaluation of Synthetic Aperture Sequential Beamforming and Tissue Harmonic Imaging

Authors
  • Brandt, Andreas Hjelm
  • Hemmsen, Martin Christian
  • Hansen, Peter Møller
  • Lindskov Hansen, Kristoffer
  • Lange, Theis
  • Jensen, Jørgen Arendt
  • Nielsen, Michael Bachmann
Publication Date
Jan 01, 2014
Source
Online Research Database In Technology
Keywords
License
Unknown
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Abstract

This study determines if the data reduction achieved by the combination Synthetic Aperture Sequential Beamforming (SASB) and Tissue Harmonic Imaging (THI) affects image quality. SASB-THI was evaluated against the combination of Dynamic Received Focusing and Tissue Harmonic Imaging (DRF-THI). A BK medical UltraView 800 ultrasound scanner equipped with a research interface and an abdominal 3.5 MHz 3.5CL192-3ML convex array transducer was used and connected to a stand alone PC. SASB-THI and DRF-THI scan sequences were recorded interleaved and processed offline. Nineteen patients diagnosed with focal liver pathology were scanned to set a clinical condition, where ultrasonography is often performed. A total of 114 sequences were recorded and evaluated by five radiologists. The evaluators were blinded to the imaging technique, and each sequence was shown twice with different left-right positioning, resulting in 1140 evaluations. The program Image Quality Assessment Program (IQap) and a Visual Analog Scale (VAS) were applied for the evaluation. The scale ranged from -50 to 50, where positive values favored SASB-THI. SASB-THI and DRF-THI were evaluated alike in 49% of the evaluations, 28% favored SASB-THI and 23% favored DRF-THI. The average rating was 0.70 (Cl: -0.80 to 2.19). The statistical analysis, where the hypothesis of no differences between the techniques was tested, yielded a p-value of p=0.64, indicating no preference to any technique. This study demonstrates that SASB-THI and DRF-THI have equally good image quality although a data reduction of 64 times is achieved with SASB-THI.

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