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2012 Proceedings - International Tissue Elasticity Conference

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60<br />

Session CVE–1: Cardiovascular <strong>Elasticity</strong> – I<br />

Wednesday, October 3 2:45P – 4:00P<br />

020 MULTI–BAND CONFIDENCE PROCESSING FOR TWO–PASS SPECKLE TRACKING IN<br />

ECHOCARDIOGRAPHY.<br />

Emily Y. Wong 1 , Colin B. Compas 2 , Ben A. Lin 2 , Albert J. Sinusas 2 , James S. Duncan 2 ,<br />

Matthew O’Donnell 1 .<br />

1 University of Washington, Seattle, WA, USA; 2 Yale University, New Haven, CT, USA.<br />

Background: In myocardial strain imaging using ultrasound speckle tracking, large interframe strains<br />

can cause significant peak–hopping artifacts. An iterative, or multi–pass, process for speckle tracking,<br />

using displacement estimates from the previous pass as an initial guess for a subsequent pass, can<br />

improve displacement accuracy if initial guesses are close to the true correlation coefficient peak [1,2].<br />

Different peak–hopping patterns are observed when speckle tracking is performed on different frequency<br />

components of the radiofrequency (RF) data.<br />

Aims: The goal is to reduce peak–hopping artifacts using a two–pass approach in combination with a<br />

multi–band confidence algorithm to assess the quality of the displacement guess at each pixel by<br />

comparing correlation results from multiple sub–bands.<br />

Methods: In this study, RF data were acquired from the anterior wall of the left ventricle in an<br />

open–chest dog using a commercial 2–D phased array (iE33, Philips, Andover, MA). RF images were<br />

filtered into five frequency bands (centered about 2.0–4.0MHz). In the first pass, 2–D phase–sensitive<br />

correlation–based tracking (search region 33x9 pixels (axial x lateral)) was applied to adjacent frames of<br />

the broadband image and each sub–band image to produce six sets of 2–D displacement estimates.<br />

Following the first pass, a confidence index was found for each pixel based on the number of sub–bands<br />

with matching displacement estimates, the magnitude of the correlation coefficient and estimated strain<br />

values. Cubic interpolation was performed between pixels in the broadband image for which the<br />

confidence weight exceeded a threshold. Second pass tracking using the resultant displacements was<br />

performed with a small search region (5x3 pixels (axial x lateral)) to reduce peak–hopping (resolution of<br />

0.2mm and 2.5º (axial and azimuthal)). Displacements were compared to results from a single pass<br />

approach using identical tracking resolution.<br />

Results: The two–pass approach with multi–band selection criteria reduced peak–hopping compared to<br />

the single pass method without sacrificing spatial resolution. With the two–pass method, the variance of<br />

the interframe displacement was reduced by 42% axially and 60% laterally. The variance of axial and<br />

lateral displacements accumulated from end diastole to peak systole (Figure 1) was reduced by 57% and<br />

87%, respectively.<br />

Conclusions: Two–pass multi–band confidence processing can improve the quantification of myocardial<br />

deformation using speckle tracking and may be valuable in the assessment of cardiac function using<br />

echocardiography.<br />

Acknowledgements: This work was supported by NIH Grant 5R01HL082640–04.<br />

Figure 1: Accumulated axial<br />

displacements for an<br />

open–chest canine<br />

experiment using<br />

(A) single pass and<br />

(B) multi–band<br />

two–pass methods.<br />

References:<br />

[1] Yeung, et al.: Multilevel and Motion Model–Based Ultrasonic Speckle Tracking Algorithms. Ultrasound Med Biol,<br />

24, pp. 427–441, 1998.<br />

[2] Chen, et al.: Improvement of Elastographic Displacement Estimation Using A Two–Step Cross–Correlation<br />

Method. Ultrasound Med Biol, 33, pp. 48–56, 2007.<br />

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