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  • Articles
    • Cover Image - Ultrasound in Medicine and Biology, Volume 49, Issue 5
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  • Special Collection: Ultrafast Contrast Imaging

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  • Research Article10

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  • Tang, Meng-Xing6
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  • Ultrasound in Medicine and Biology10

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  • Microbubble contrast agents3
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  • Original Contribution

    High Frame Rate Contrast-Enhanced Ultrasound Imaging for Slow Lymphatic Flow: Influence of Ultrasound Pressure and Flow Rate on Bubble Disruption and Image Persistence

    Ultrasound in Medicine and Biology
    Vol. 45Issue 9p2456–2470Published online: July 3, 2019
    • Jiaqi Zhu
    • Shengtao Lin
    • Chee Hau Leow
    • Ethan M. Rowland
    • Kai Riemer
    • Sevan Harput
    • and others
    Cited in Scopus: 5
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      Contrast-enhanced ultrasound (CEUS) utilising microbubbles shows great potential for visualising lymphatic vessels and identifying sentinel lymph nodes (SLNs) which are valuable for axillary staging in breast cancer patients. However, current CEUS imaging techniques have limitations that affect the accurate visualisation and tracking of lymphatic vessels and SLN. (i) Tissue artefacts and bubble disruption can reduce the image contrast. (ii) Limited spatial and temporal resolution diminishes the amount of information that can be captured by CEUS.
      High Frame Rate Contrast-Enhanced Ultrasound Imaging for Slow Lymphatic Flow: Influence of Ultrasound Pressure and Flow Rate on Bubble Disruption and Image Persistence
    • Original Contribution

      Quantification of Vaporised Targeted Nanodroplets Using High-Frame-Rate Ultrasound and Optics

      Ultrasound in Medicine and Biology
      Vol. 45Issue 5p1131–1142Published online: March 1, 2019
      • Ge Zhang
      • Shengtao Lin
      • Chee Hao Leow
      • Kuin Tian Pang
      • Javier Hernández-Gil
      • Nicholas J. Long
      • and others
      Cited in Scopus: 12
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      Molecular targeted nanodroplets that can extravasate beyond the vascular space have great potential to improve tumor detection and characterisation. High-frame-rate ultrasound, on the other hand, is an emerging tool for imaging at a frame rate one to two orders of magnitude higher than those of existing ultrasound systems. In this study, we used high-frame-rate ultrasound combined with optics to study the acoustic response and size distribution of folate receptor (FR)-targeted versus non-targeted (NT)-nanodroplets in vitro with MDA-MB-231 breast cancer cells immediately after ultrasound activation.
      Quantification of Vaporised Targeted Nanodroplets Using High-Frame-Rate Ultrasound and Optics
    • Original Contribution

      3-D Longitudinal Imaging of Tumor Angiogenesis in Mice in Vivo Using Ultrafast Doppler Tomography

      Ultrasound in Medicine and Biology
      Vol. 45Issue 5p1284–1296Published online: February 21, 2019
      • Charlie Demené
      • Thomas Payen
      • Alexandre Dizeux
      • Guillaume Barrois
      • Jean-Luc Gennisson
      • Lori Bridal
      • and others
      Cited in Scopus: 14
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      Angiogenesis, the formation of new vessels, is one of the key mechanisms in tumor development and an appealing target for therapy. Non-invasive, high-resolution, high-sensitivity, quantitative 3-D imaging techniques are required to correctly depict tumor heterogeneous vasculature over time. Ultrafast Doppler was recently introduced and provides an unprecedented combination of resolution, penetration depth and sensitivity without requiring any contrast agents. The technique was further extended to three dimensions with ultrafast Doppler tomography (UFD-T).
      3-D Longitudinal Imaging of Tumor Angiogenesis in Mice in Vivo Using Ultrafast Doppler Tomography
    • Original Contribution
      Open Access

      3-D Flow Reconstruction Using Divergence-Free Interpolation of Multiple 2-D Contrast-Enhanced Ultrasound Particle Imaging Velocimetry Measurements

      Ultrasound in Medicine and Biology
      Vol. 45Issue 3p795–810Published online: January 4, 2019
      • Xinhuan Zhou
      • Virginie Papadopoulou
      • Chee Hau Leow
      • Peter Vincent
      • Meng-Xing Tang
      Cited in Scopus: 12
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        Quantification of 3-D intravascular flow is valuable for studying arterial wall diseases but currently there is a lack of effective clinical tools for this purpose. Divergence-free interpolation (DFI) using radial basis function (RBF) is an emerging approach for full-field flow reconstruction using experimental sparse flow field samples. Previous DFI reconstructs full-field flow from scattered 3-D velocity input obtained using phase-contrast magnetic resonance imaging with low temporal resolution.
        3-D Flow Reconstruction Using Divergence-Free Interpolation of Multiple 2-D Contrast-Enhanced Ultrasound Particle Imaging Velocimetry Measurements
      • Original Contribution

        Fast, Low-Frequency Plane-Wave Imaging for Ultrasound Contrast Imaging

        Ultrasound in Medicine and Biology
        Vol. 44Issue 10p2131–2142Published online: July 26, 2018
        • Jiro Kusunose
        • Charles F. Caskey
        Cited in Scopus: 9
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          Plane-wave ultrasound contrast imaging offers a faster, less destructive means for imaging microbubbles compared with traditional ultrasound imaging. Even though many of the most acoustically responsive microbubbles have resonant frequencies in the lower-megahertz range, higher frequencies (>3 MHz) have typically been employed to achieve high spatial resolution. In this work we implement and optimize low-frequency (1.5-4 MHz) plane-wave pulse inversion imaging on a commercial, phased-array imaging transducer in vitro and illustrate its use in vivo by imaging a mouse xenograft model.
          Fast, Low-Frequency Plane-Wave Imaging for Ultrasound Contrast Imaging
        • Original Contribution
          Open Access

          Transluminal Approach with Bubble-Seeded Histotripsy for Cancer Treatment with Ultrasonic Mechanical Effects

          Ultrasound in Medicine and Biology
          Vol. 44Issue 5p1031–1043Published online: March 7, 2018
          • Reiko Ashida
          • Ken-ichi Kawabata
          • Takashi Maruoka
          • Kazuhiro Yamanaka
          • Hideki Yoshikawa
          • Tatsuya Ioka
          • and others
          Cited in Scopus: 6
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            Bubble-seeded histotripsy (BSH) is a newly developed ultrasound-based mechanical fractionation technique using locally injected phase change nanodroplets (PCNDs) as sensitizers. The PCNDs are a kind of microbubble precursor compressed into submicron-size in droplets form, which were designed for local administration and will expand into microbubbles under ultrasound exposure. Previously, we reported that a combination of PCNDs injection and pulsed high-intensity focused ultrasound (pHIFU) with an acoustic intensity as low as about 3 kW/cm2 at 1.1 MHz, which is similar to the acoustic intensity of currently available HIFU coagulation therapy, was enough to induce tissue fractionation after significant antitumor effects in an in vivo study.
            Transluminal Approach with Bubble-Seeded Histotripsy for Cancer Treatment with Ultrasonic Mechanical Effects
          • Original Contribution
            Open Access

            Spatio-Temporal Flow and Wall Shear Stress Mapping Based on Incoherent Ensemble-Correlation of Ultrafast Contrast Enhanced Ultrasound Images

            Ultrasound in Medicine and Biology
            Vol. 44Issue 1p134–152Published online: October 13, 2017
            • Chee Hau Leow
            • Meng-Xing Tang
            Cited in Scopus: 37
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            • Video
            In this study, a technique for high-frame-rate ultrasound imaging velocimetry (UIV) is extended first to provide more robust quantitative flow velocity mapping using ensemble correlation of images without coherent compounding, and second to generate spatio-temporal wall shear stress (WSS) distribution. A simulation model, which couples the ultrasound simulator with analytical flow solution, was implemented to evaluate its accuracy. It is shown that the proposed approach can reduce errors in velocity estimation by up to 10-fold in comparison with the coherent correlation approach.
            Spatio-Temporal Flow and Wall Shear Stress Mapping Based on Incoherent Ensemble-Correlation of Ultrafast Contrast Enhanced Ultrasound Images
          • Original Contribution
            Open Access

            Microbubble Void Imaging: A Non-invasive Technique for Flow Visualisation and Quantification of Mixing in Large Vessels Using Plane Wave Ultrasound and Controlled Microbubble Contrast Agent Destruction

            Ultrasound in Medicine and Biology
            Vol. 41Issue 11p2926–2937Published online: August 18, 2015
            • Chee Hau Leow
            • Francesco Iori
            • Richard Corbett
            • Neill Duncan
            • Colin Caro
            • Peter Vincent
            • and others
            Cited in Scopus: 11
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              There is increasing recognition of the influence of the flow field on the physiology of blood vessels and their development of pathology. Preliminary work is reported on a novel non-invasive technique, microbubble void imaging, which is based on ultrasound and controlled destruction of microbubble contrast agents, permitting flow visualisation and quantification of flow-induced mixing in large vessels. The generation of microbubble voids can be controlled both spatially and temporally using ultrasound parameters within the safety limits.
              Microbubble Void Imaging: A Non-invasive Technique for Flow Visualisation and Quantification of Mixing in Large Vessels Using Plane Wave Ultrasound and Controlled Microbubble Contrast Agent Destruction
            • Original Contribution
              Open Access

              Flow Velocity Mapping Using Contrast Enhanced High-Frame-Rate Plane Wave Ultrasound and Image Tracking: Methods and Initial in Vitro and in Vivo Evaluation

              Ultrasound in Medicine and Biology
              Vol. 41Issue 11p2913–2925Published online: August 12, 2015
              • Chee Hau Leow
              • Eleni Bazigou
              • Robert J. Eckersley
              • Alfred C.H. Yu
              • Peter D. Weinberg
              • Meng-Xing Tang
              Cited in Scopus: 80
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              • Video
              Ultrasound imaging is the most widely used method for visualising and quantifying blood flow in medical practice, but existing techniques have various limitations in terms of imaging sensitivity, field of view, flow angle dependence, and imaging depth. In this study, we developed an ultrasound imaging velocimetry approach capable of visualising and quantifying dynamic flow, by combining high-frame-rate plane wave ultrasound imaging, microbubble contrast agents, pulse inversion contrast imaging and speckle image tracking algorithms.
              Flow Velocity Mapping Using Contrast Enhanced High-Frame-Rate Plane Wave Ultrasound and Image Tracking: Methods and Initial in Vitro and in Vivo Evaluation
            • Original Contribution

              Ultrafast Imaging of Ultrasound Contrast Agents

              Ultrasound in Medicine and Biology
              Vol. 35Issue 11p1908–1916Published online: August 21, 2009
              • Olivier Couture
              • Souad Bannouf
              • Gabriel Montaldo
              • Jean-François Aubry
              • Mathias Fink
              • Mickael Tanter
              Cited in Scopus: 86
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                The disappearance of ultrasound contrast agents after disruption can provide useful information on their environment. However, in vivo acoustical imaging of this transient phenomenon, which has a duration on the order of milliseconds, requires high frame rates that are unattainable by conventional ultrasound scanners. In this article, ultrafast imaging is applied to microbubble tracking using a 128-element linear array and an elastography scanner. Contrast agents flowing in a wall-less tissue phantom are insonified with a high-intensity disruption pulse followed by a series of plane waves emitted at a 5 kHz PRF.
                Ultrafast Imaging of Ultrasound Contrast Agents
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