Radiological Society of North America/Quantitative Imaging Biomarker Alliance Shear Wave Speed Bias Quantification in Elastic and Viscoelastic Phantoms.

OBJECTIVES: To quantify the bias of shear wave speed (SWS) measurements between different commercial ultrasonic shear elasticity systems and a magnetic resonance elastography (MRE) system in elastic and viscoelastic phantoms. METHODS: Two elastic phantoms, representing healthy through fibrotic liver, were measured with 5 different ultrasound platforms, and 3 viscoelastic phantoms, representing healthy through fibrotic liver tissue, were measured with 12 different ultrasound platforms. Measurements were performed with different systems at different sites, at 3 focal depths, and with different appraisers. The SWS bias across the systems was quantified as a function of the system, site, focal depth, and appraiser. A single MRE research system was also used to characterize these phantoms using discrete frequencies from 60 to 500 Hz. RESULTS: The SWS from different systems had mean difference 95% confidence intervals of ±0.145 m/s (±9.6%) across both elastic phantoms and ± 0.340 m/s (±15.3%) across the viscoelastic phantoms. The focal depth and appraiser were less significant sources of SWS variability than the system and site. Magnetic resonance elastography best matched the ultrasonic SWS in the viscoelastic phantoms using a 140 Hz source but had a - 0.27 ± 0.027-m/s (-12.2% ± 1.2%) bias when using the clinically implemented 60-Hz vibration source. CONCLUSIONS: Shear wave speed reconstruction across different manufacturer systems is more consistent in elastic than viscoelastic phantoms, with a mean difference bias of < ±10% in all cases. Magnetic resonance elastographic measurements in the elastic and viscoelastic phantoms best match the ultrasound systems with a 140-Hz excitation but have a significant negative bias operating at 60 Hz. This study establishes a foundation for meaningful comparison of SWS measurements made with different platforms.

Sound speed correction in ultrasound imaging.

A constant sound speed of 1.54 mm/micros is generally used by ultrasound imaging systems for delay and timing. However, the body's sound speed in-homogeneity can lead to defocusing and increased clutter. To provide an improvement using standard transducers, the sound speed used in delay and timing was computed using different sound speeds. We observed improvement in lateral resolution and clutter in phantom, OB, abdominal, and breast imaging. In OB and abdominal imaging using a 4 MHz curved array, 1.48 mm/micros provided higher image quality in many situations. In breast with an 8 MHz linear array, 1.44 mm/micros provided better images in some cases. To provide an automated way to determine and adjust the sound speed used by the imaging system, an algorithm was developed that determines the sound speed that produces the best overall lateral image quality by analyzing the spatial frequency content in a single B-mode frame of channel data using images reconstructed using various trial sound speeds. The metric produced correlates well with the observed best lateral image quality.