Transthoracic super-resolution ultrasound localisation microscopy of myocardial vasculature in patients

Fuente: arXiv
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Main Authors: Yan, Jipeng, Huang, Biao, Tonko, Johanna, Toulemonde, Matthieu, Hansen-Shearer, Joseph, Tan, Qingyuan, Riemer, Kai, Ntagiantas, Konstantinos, Chowdhury, Rasheda A, Lambiase, Pier, Senior, Roxy, Tang, Meng-Xing
Format: Preprint
Published: 2023
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author Yan, Jipeng
Huang, Biao
Tonko, Johanna
Toulemonde, Matthieu
Hansen-Shearer, Joseph
Tan, Qingyuan
Riemer, Kai
Ntagiantas, Konstantinos
Chowdhury, Rasheda A
Lambiase, Pier
Senior, Roxy
Tang, Meng-Xing
author_facet Yan, Jipeng
Huang, Biao
Tonko, Johanna
Toulemonde, Matthieu
Hansen-Shearer, Joseph
Tan, Qingyuan
Riemer, Kai
Ntagiantas, Konstantinos
Chowdhury, Rasheda A
Lambiase, Pier
Senior, Roxy
Tang, Meng-Xing
contents Micro-vascular flow in the myocardium is of significant importance clinically but remains poorly understood. Up to 25% of patients with symptoms of coronary heart diseases have no obstructive coronary arteries and have suspected microvascular diseases. However, such microvasculature is difficult to image in vivo with existing modalities due to the lack of resolution and sensitivity. Here, we demonstrate the feasibility of transthoracic super-resolution ultrasound localisation microscopy (SRUS/ULM) of myocardial microvasculature and hemodynamics in a large animal model and in patients, using a cardiac phased array probe with a customised data acquisition and processing pipeline. A multi-level motion correction strategy was proposed. A tracking framework incorporating multiple features and automatic parameter initialisations was developed to reconstruct microcirculation. In two patients with impaired myocardial function, we have generated SRUS images of myocardial vascular structure and flow with a resolution that is beyond the wave-diffraction limit (half a wavelength), using data acquired within a breath hold. Myocardial SRUS/ULM has potential to improve the understanding of myocardial microcirculation and the management of patients with cardiac microvascular diseases.
format Preprint
id arxiv_https___arxiv_org_abs_2303_14003
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle Transthoracic super-resolution ultrasound localisation microscopy of myocardial vasculature in patients
Yan, Jipeng
Huang, Biao
Tonko, Johanna
Toulemonde, Matthieu
Hansen-Shearer, Joseph
Tan, Qingyuan
Riemer, Kai
Ntagiantas, Konstantinos
Chowdhury, Rasheda A
Lambiase, Pier
Senior, Roxy
Tang, Meng-Xing
Image and Video Processing
Signal Processing
Micro-vascular flow in the myocardium is of significant importance clinically but remains poorly understood. Up to 25% of patients with symptoms of coronary heart diseases have no obstructive coronary arteries and have suspected microvascular diseases. However, such microvasculature is difficult to image in vivo with existing modalities due to the lack of resolution and sensitivity. Here, we demonstrate the feasibility of transthoracic super-resolution ultrasound localisation microscopy (SRUS/ULM) of myocardial microvasculature and hemodynamics in a large animal model and in patients, using a cardiac phased array probe with a customised data acquisition and processing pipeline. A multi-level motion correction strategy was proposed. A tracking framework incorporating multiple features and automatic parameter initialisations was developed to reconstruct microcirculation. In two patients with impaired myocardial function, we have generated SRUS images of myocardial vascular structure and flow with a resolution that is beyond the wave-diffraction limit (half a wavelength), using data acquired within a breath hold. Myocardial SRUS/ULM has potential to improve the understanding of myocardial microcirculation and the management of patients with cardiac microvascular diseases.
title Transthoracic super-resolution ultrasound localisation microscopy of myocardial vasculature in patients
topic Image and Video Processing
Signal Processing
url https://arxiv.org/abs/2303.14003