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Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Research Article

Anthropomorphic Carotid Artery Phantom for Ultrasound Flow and Vessel Wall Elastography Imaging

Author(s): Fahad F. Almutairi and Jaber H. Alyami*

Volume 19, Issue 11, 2023

Published on: 20 March, 2023

Article ID: e080223213509 Pages: 13

DOI: 10.2174/1573405619666230208094838

Price: $65

Abstract

Objective: Shear wave elastography imaging (SWE) is a non-invasive US technique that has been developed to provide quantitative information about tissue elasticity. This technique might be useful in the identification of vascular risk factors. Arterial wall thickness and inner diameter vary with age and disease, which may impact shear wave propagation. The effect of arterial geometry on SWE has not yet been thoroughly investigated. Therefore, this study aimed to investigate the impact of different wall thickness, pulsation and imaging planes on YM estimates, to gain more information about the source of variability associated with SWE.

Methods: Poly(vinyl alcohol) cryogel (PVA-c) fabrication has been used for phantom design and construction. The agar-based TMM was used to surround the tubes. The inlet and outlet of the phantom were connected to a programmable gear pump using c-flex tubing to form a closed loop. Image J profiling was used to clarify the anomalies further detected using SWE.

Results: The 4 F/T cycle vessel phantom has shown less YM variability than in the 6 F/T cycle. YM ranged from 8 kPa for a 1 mm thickness tube to 53 kPa for the thickest 6 mm wall thickness for the softer 4 F/T cycle tube. Vessel phantoms embedded in TMM show higher variability than vessel phantoms submerged in water. YM ranged from 32 kPa for a 1 mm thickness tube to 117 kPa for the thickest 6 mm wall thickness for the softer 4 F/T cycle tube.

Conclusion: SWE variability in measurements was higher in phantoms embedded in TMM compared to those submerged in water. It is recommended that combine the transverse and longitudinal imaging planes to provide a better understanding of disease over the full vessel circumference.

[1]
Couade M, Pernot M, Prada C, et al. Quantitative assessment of arterial wall biomechanical properties using shear wave imaging. Ultrasound Med Biol 2010; 36(10): 1662-76.
[http://dx.doi.org/10.1016/j.ultrasmedbio.2010.07.004] [PMID: 20800942]
[2]
Al-mutairi FF, Al-hussaini A, Marsh AM, et al. Ultrasound shear wave elastography imaging of common carotid arteries in patients with Spontaneous Coronary Artery Dissection (SCAD). J Ultrasound 2022; 25(3): 585-9.
[http://dx.doi.org/10.1007/s40477-021-00627-2] [PMID: 35032295]
[3]
Almutairi FF. Measurement variability in two-dimensional shear wave elastography (SWE) of common carotid artery (CCA). Egypt J Radiol Nucl Med 2022; 53(1): 1-6.
[4]
Widman E, Maksuti E, Larsson D, Urban MW, Bjällmark A, Larsson M. Shear wave elastography plaque characterization with mechanical testing validation: A phantom study. Phys Med Biol 2015; 60(8): 3151-74.
[http://dx.doi.org/10.1088/0031-9155/60/8/3151] [PMID: 25803520]
[5]
Al-Mutairi FF, Chung EML, Moran CM, Ramnarine KV. A novel elastography phantom prototype for assessment of ultrasound elastography imaging performance. Ultrasound Med Biol 2021; 47(9): 2749-58.
[http://dx.doi.org/10.1016/j.ultrasmedbio.2021.05.015] [PMID: 34144833]
[6]
Maksuti E, Widman E, Larsson D, Urban MW, Larsson M, Bjällmark A. Arterial stiffness estimation by shear wave elastography: Validation in phantoms with mechanical testing. Ultrasound Med Biol 2016; 42(1): 308-21.
[http://dx.doi.org/10.1016/j.ultrasmedbio.2015.08.012] [PMID: 26454623]
[7]
Maksuti E, Bini F, Fiorentini S, et al. Influence of wall thickness and diameter on arterial shear wave elastography: A phantom and finite element study. Phys Med Biol 2017; 62(7): 2694-718.
[http://dx.doi.org/10.1088/1361-6560/aa591d] [PMID: 28081009]
[8]
Alis D, Durmaz ESM, Civcik C, et al. Assessment of the common carotid artery wall stiffness by Shear Wave Elastography in Behcet’s disease. Med Ultrason 2018; 20(4): 446-52.
[http://dx.doi.org/10.11152/mu-1565] [PMID: 30534651]
[9]
Almutairi FF, Abdeen R, Alyami J, Sultan SR. Effect of depth on ultrasound point shear wave elastography in an elasticity phantom. Applied Sciences 2022; 12(13): 6295.
[10]
Widman E, Maksuti E, Larsson D. Urban M, Caidahl K, Bjällmark A, Larsson M. Feasibility of shear wave elastography for plaque characterization. In 2014 IEEE International Ultrasonics Symposium. 2014; pp. 1818-21. IEEE
[http://dx.doi.org/10.1109/ULTSYM.2014.0451]
[11]
Shcherbakova DA, Papadacci C, Swillens A, et al. Supersonic shear wave imaging to assess arterial nonlinear behavior and anisotropy: Proof of principle via ex vivo testing of the horse aorta. Adv Mech Eng 2014; 6: 272586.
[http://dx.doi.org/10.1155/2014/272586]
[12]
Hansen HH, Pernot M, Chatelin S, Tanter M, de Korte CL. Shear wave elastography for lipid content detection in transverse arterial cross-sections. In 2015 IEEE International Ultrasonics Symposium (IUS). 2015; pp. 1-4. IEEE
[http://dx.doi.org/10.1109/ULTSYM.2015.0001]
[13]
Qian M, Niu L, Qiu W, Wang C, Xiao Y, Zheng H. Polyvinyl alcohol cryogel elastic artery phantoms for ultrasonic flow and elasticity measurements In 2013 IEEE International Ultrasonics Symposium (IUS). 2013; pp. 864-7. IEEE
[http://dx.doi.org/10.1109/ULTSYM.2013.0222]
[14]
Bruce M, Kolokythas O, Ferraioli G, Filice C, O’Donnell M. Limitations and artifacts in shear-wave elastography of the liver. Biomed Eng Lett 2017; 7(2): 81-9.
[http://dx.doi.org/10.1007/s13534-017-0028-1] [PMID: 30603154]
[15]
Mo J, Xu H, Qiang B, et al. Bias of shear wave elasticity measurements in thin layer samples and a simple correction strategy. Springerplus 2016; 5(1): 1341.
[http://dx.doi.org/10.1186/s40064-016-2937-3] [PMID: 27588234]
[16]
Cournane S, Cannon L, Browne JE, Fagan AJ. Assessment of the accuracy of an ultrasound elastography liver scanning system using a PVA-cryogel phantom with optimal acoustic and mechanical properties. Phys Med Biol 2010; 55(19): 5965-83.
[http://dx.doi.org/10.1088/0031-9155/55/19/022] [PMID: 20858913]
[17]
Nayak SB, Shetty SD. Surgical and embryological perspective of a big loop of internal carotid artery extending laterally beyond internal jugular vein. Surg Radiol Anat 2021; 43(3): 413-6.
[http://dx.doi.org/10.1007/s00276-020-02619-z] [PMID: 33231750]
[18]
Nayak S, Kumar N. Multiple loops of external and internal carotid arteries vulnerable in surgical and radiological procedures. Balkan Med J 2018; 35(3): 285-6.
[http://dx.doi.org/10.4274/balkanmedj.2017.1179] [PMID: 29843502]

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