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Page 1: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25
Page 2: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Ultrasound Ultrasound ImagingImaging (US)(US)

Page 3: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Ultrasound: Generation

Piezoelectric crystal within transducer

Wave length (λ)

Continuous wave

Page 4: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Ultrasounds: principle

Specular (vessels, cardiaccavity, epicardium)

scattering (capillars, myocardial fiber

Page 5: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

ECHO IMAGE GENERATION

Probe

Tissue 1Tissue 2

1. US Signal Emission2. Discontinuity surface

4. Echo detection

3. Signal transmission

Ultrasound Imaging

US imaging is based on the detection of echoes due to discontinuities in the tissue or among tissues

Page 6: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Transducer measures echoTransducer measures echo--signal amplitude signal amplitude (depending on tissue characteristics) that ultimately (depending on tissue characteristics) that ultimately

affects gray level imageaffects gray level image

elem. 1

elem. 2

...

...

elem. n

ECHO IMAGE GENERATION

Ultrasound Imaging

probe

Page 7: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

AnyAny Probe Probe OperatesOperates in in MultifrequencyMultifrequency ModeMode

5.0 5.0 MHzMHz 7.5 7.5 MHzMHz

LinearLinear ArrayArrayCurvedCurved LinearLinear ArrayArray

5.0 5.0 MHzMHz & 3.5 & 3.5 MHzMHz

APA 3.25 APA 3.25 MHzMHzAPA 2.5 APA 2.5 MHzMHz

APA 5.0 APA 5.0 MHzMHzAPA 7.5 APA 7.5 MHzMHz

AnularAnular ArrayArray

2.5 2.5 MHzMHz 3.5 3.5 MHzMHz 5.0 5.0 MHzMHz

PhasedPhased ArrayArray TEE TEE MultiplaneMultiplane probesprobes

AMPTE 5.0 AMPTE 5.0 MHzMHzMPTE 5.0 MPTE 5.0 MHzMHz

PMPTE 6.0 PMPTE 6.0 MHzMHz

Page 8: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

During beam steering a region of tissue is irradiatedby ultrasound energy.At any acoustic discontinuityin the tissue a backscatteredsignal is generated, processed and represented in a gray scale monitor

US: Image formation

Page 9: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Color doppler

Page 10: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

3D probe

3D Ultrasound Imaging

Page 11: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Foetus 3D Ultrasound Imaging

Ultrasound Imaging

Page 12: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Ecography exploits vibrationalenergy in the frequency range of 1.5 to 50 MHz,Peculiarities:

non-ionizingHigh spatial and temporal resolutionRiskless for patientLow cost

Ultrasound ImagingUltrasound Imaging

Page 13: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

MagneticMagnetic ResonanceResonance ImagingImaging(MRI)(MRI)

Page 14: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

MR: Hardware

Page 15: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

RF coils generate the Rf pulse and detect the MR signal

“Body coil”

“Braincoil”

MR: Hardware

“single coil”

“phased array coil”

Page 16: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

MRI MRI -- AcquisitionAcquisition1 2 3 4 5 6

Page 17: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

3D Cardiovascular Reconstruction

Magnetic Resonance Imaging

Page 18: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Unità

MR Arbitrarie

tempo (s)

Serie temporale associata a diversi voxel

Descrizione del paradigma sperimentale

(es. tempi di presentazione di due categorie di stimoli)

ISI (intervallo inter stimolo)

Tempo di presentazione stimolo

Risposte in diverse aree

Il paradigma sperimentale

Page 19: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

- Tharin S, Golby A. Neurosurgery. 2007;60(4 Suppl 2):185-201- C. Gentili et al Brain Research Bulletin, 77, Issue 5, 25 November 2008, Pages 286-292, 2008- E. Ricciardi et al Cerebral Cortex. Advance Access published March 19, 2007. doi:10.1093/cercor/bhm01840)

Applicazioni

Psichiatria

i.e. Fobia sociale

Planning prechirurgico

Studio delle funzioni sensori/motorie cognitive

Page 20: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

XX--RayRay ImagingImaging (XR)(XR)

Page 21: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

ConventionalConventional XRXR

Digital XR

Portable XR

Page 22: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

XR: Examples

Digital XR

Portable XR

Page 23: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Angiography with subtraction of background image

• XR angiography

• Monoplane

• Biplane

• Multi-angle

Page 24: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

ComputerizedComputerized TomographyTomography (CT) (CT) ImagingImaging

Page 25: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

CT: Computerized Tomography

M(ϕ

,ξ)

M(ϕ,ξ)

Page 26: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

CT: Example

Page 27: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

CT: Hardware

• Continuous linear movement of the bed during scanning

Spiral CT

Page 28: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

• Aortic Stent • Colon (7mm polipus)

CT: Applications

3D Visualization

Page 29: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

3D Visualization

CT: Applications

Page 30: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

3D Visualization

CT: Applications

Page 31: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Single Single PhotonPhoton EmissionEmissionComputerizedComputerized TomographyTomography

(SPECT) (SPECT) ImagingImaging

Page 32: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Acquisizione di immagini SPECT

γ

99TC

99mTC

Page 33: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

SPECT

Page 34: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Dipyridamole Redistribution

SPECT

Page 35: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

PositronPositron EmissionEmission ComputerizedComputerizedTomographyTomography (PET) (PET) ImagingImaging

Page 36: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

I. Principio fisico della PET2 2 fotonifotoni γγ in in coincidenzacoincidenza a 511 a 511 keVkeV, ,

provenientiprovenienti dalladalla stessastessaannichilazioneannichilazione lungolungo unauna linealinea

rettaretta

Rivelatore

Rivelatore 

γ

γ15O emette

positroni (β+)

Il positrone annichiliscecon un elettrone

e‐

e+

Sono emessisimultaneamente due fotoni γ a 511  KeV

setto

Page 37: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Acquisizione di immagini PET

Data acquired by detectors represent the number of counting and the time relevant to counting (synograms).In order to obtain images, synograms are further processed by means of reconstruction algorithms.

Page 38: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

I. Risoluzione spaziale e conteggi

5 mm 6 mm 9 mm 14 mm

105 106 107 conteggi

Page 39: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

PET: PET: examplesexamples

Tracer: 13NH3 – ammoniaUsually employed for flux measurements

Page 40: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Regional brainglucose metabolism

Hepatic cancer

Colon inflammation

Total-body imaging

PET: examples

Page 41: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

Cerebral glucose metabolism in healthy and pathological state (Depression, Alzheimer Disease, FrontoTemporal Dementia)

PET: examples

Page 42: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

MolecularMolecular ImagingImaging of Gene of Gene ExpressionExpressionCoronaryCoronary EndotheliumEndothelium and and MuscleMuscle

The "present"

"Immunoistochemistry ex vivo"

The "future"

"PET reporter-gene in vivo "

Page 43: Ultrasound Imaging (US) - unipi.it · Ultrasound Imaging probe. Any Probe Operates in Multifrequency Mode 5.0 MHz 7.5 MHz Linear Array Curved Linear Array 5.0 MHz & 3.5 MHz APA 3.25

MRI Anatomy

and structure

PET physiologic imaging

Combined imaging

heart Heart metabolism

New trends: microimaging and molecular imaging

eyes eye metabolism