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proceedings - International Tissue Elasticity Conference

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102<br />

Session MIP–3: Methods for Imaging Elastic <strong>Tissue</strong> Properties – III<br />

Thursday, October 30 1:15P – 3:00P<br />

052 ELASTIC MODULUS RECONSTRUCTION USING A NOVEL FAST FINITE ELEMENT MODEL.<br />

Iman Khalaji 1 , Kaamran Rahemifar 2 , Abbas Samani 1 .<br />

1 University of Western Ontario, London, Ontario, CANADA; 2 Ryerson University, Toronto, Ontario,<br />

CANADA.<br />

Background: Ultrasound (US) elastograms are known to have artifacts due to the stress uniformity<br />

assumption used in strain imaging. To eliminate such artifacts, elastic modulus reconstruction<br />

techniques based on inverse problems have been developed. While accurate, such techniques are<br />

computer time demanding. This drawback would deprive US elastography from its attractive real–time<br />

feature. As an attempt to address this drawback, we introduce a novel elastography reconstruction<br />

technique. This technique is based on an accelerated finite element method (FEM) we have recently<br />

developed [1]. While sufficiently accurate, this technique preserves the attractive real–time feature.<br />

Aims: To assess the accuracy and speed of a novel elastography reconstruction technique using a phantom study.<br />

Methods: The proposed technique is based on the iterative reconstruction technique developed by<br />

Samani et al. [2] where the elastic modulus (E) is iteratively updated using Hooke’s law in conjunction<br />

with the stress field calculated from FE analysis. To accelerate this technique, we have made two<br />

modifications: limiting the number of iterations to one and using a novel accelerated FEM. The novel FEM<br />

is based on the Statistical Shape Model (SSM) concept [3] where every shape, X, in a class of objects can<br />

be represented by the summation of the mean shape Xmean and a linear combination of main modes of<br />

variability P, i.e., X = Xmean + Pb. In our technique, the same concept is used in finding tissue<br />

deformation. This means that for the same class of objects, similar boundary conditions and constitutive<br />

model, the displacement field, U, can be obtained by summing the mean displacement field of the object<br />

class, Umean, and a linear combination of the displacements’ principal modes Q, i.e., U = Umean + Qc. In<br />

this equation, c and Q are a weight factor vector and the displacements principal modes, respectively. The<br />

latter fields can be obtained by performing conventional FE analysis on a sufficient number of objects in<br />

the class. For a new object not included in the class, b can be obtained easily. To find U corresponding to<br />

this object, only c needs to be determined. To establish a relationship between the shape space and Finite<br />

Element space, we employed a four–layer feed–forward back–propagation neural network (NN) that<br />

outputs c for any new shape. To demonstrate this reconstruction method, we used a numerical prostate<br />

phantom, which has a stiff inclusion with an inclusion to background modulus ratio of 5.<br />

Results: Analysis of the phantom was conducted using ABAQUS to obtain the simulated strain field. A<br />

class of 1000 prostate shapes was generated numerically by combining trigonometric functions with<br />

random amplitudes with an ellipse. The shapes were first trained and an NN relationship between b and c<br />

was obtained. For the prostate phantom (without the inclusion), b then c were calculated. Using c, U and<br />

then the stresses were calculated and combined with the simulated strains to obtain the modulus image.<br />

This reconstruction took only ~0.07 sec and compared to the strain image, the obtained image has fewer<br />

artifacts and a higher contrast such that the modulus ratio was 3.5 compared to the correct value of 5.<br />

Conclusions: The results demonstrate the feasibility of using the novel accelerated FE technique in<br />

conjunction with Hooke’s law for modulus reconstruction. Although homogeneity assumption of tissue is<br />

not correct, it shows better results compared to strain imaging, and it is almost real–time. Given the<br />

limited shape variability of organs, this approach can be applied successfully in clinical applications.<br />

Acknowledgements: The authors wish to thank NSERC for supporting of this research.<br />

References:<br />

[1] I. Khalaji, K. Rahemifar and A. Samani, “Statistical finite element model,” 30th Figure 1:<br />

(a) (b)<br />

(a) Modulus (E)<br />

(c)<br />

(d)<br />

reconstruction by the<br />

proposed method; (b)<br />

Modulus (E) image; (c) εyy<br />

calculated by ABAQUS;<br />

(d) strain image.<br />

<strong>International</strong> IEEE EMBS<br />

<strong>Conference</strong>, pp.5577–5580, 2008.<br />

[2] A. Samani et al “A constrained modulus reconstruction technique for breast cancer assessment,” IEEE–TMI,<br />

20(9): 877–885, 2001.<br />

[3] T. F. Cootes et al, Computer Vision and Image Understanding, 61(1): 38–59, 1995.<br />

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