1. Place animal in induction chamber and anesthetize the mouse and ensure sedation. 2. Once the animal is sedated, move it to a nose cone for hair removal using cream. Only apply cream to the area of the chest that will be utilized for imaging. Once the hair is removed, wipe area with wet gauze to ensure all hair is removed. 3. Move the animal to the imaging platform and tape its paws to the ECG lead plates and insert rectal probe. Body temperature should be maintained at 36-37°C. During imaging, reduce anesthesia to maintain proper heart rate. If the animal shows signs of being awake, use a higher concentration of anesthetic.

人唾液天疱疮抗原的纯化

A surgical instrument system can comprise a surgical instrument and an end effector, wherein the end effector can comprise a distal end, a proximal connection portion configured to attach the end effector to the surgical instrument, a first jaw, and a second jaw movable relative to the first jaw, wherein the second jaw is movable between an open orientation, a partially-closed orientation, and a closed orientation. The end effector can further comprise at least one sensor configured to detect the orientation of the second jaw and an array of indicators configured to simulate the orientation of the second jaw.

Closure indicator systems for surgical instruments

Most of ultrasound medical imaging systems currently on the market implement standard Delay and Sum (DAS) beamforming to form B-mode images. However, image resolution and contrast achievable with DAS are limited by the aperture size and by the operating frequency. For this reason, different beamformers have been presented in the literature that are mainly based on adaptive algorithms, which allow achieving higher performance at the cost of an increased computational complexity. In this paper, we propose the use of an alternative nonlinear beamforming algorithm for medical ultrasound imaging, which is called Delay Multiply and Sum (DMAS) and that was originally conceived for a RADAR microwave system for breast cancer detection. We modify the DMAS beamformer and test its performance on both simulated and experimentally collected linear-scan data, by comparing the Point Spread Functions, beampatterns, synthetic phantom and in vivo carotid artery images obtained with standard DAS and with the proposed algorithm. Results show that the DMAS beamformer outperforms DAS in both simulated and experimental trials and that the main improvement brought about by this new method is a significantly higher contrast resolution (i.e., narrower main lobe and lower side lobes), which turns out into an increased dynamic range and better quality of B-mode images.

The Delay Multiply and Sum Beamforming Algorithm in Ultrasound B-Mode Medical Imaging

Object tracking is a key enabling technology in the context of computer-assisted medical interventions. Allowing the continuous localization of medical instruments and patient anatomy, it is a prerequisite for providing instrument guidance to subsurface anatomical structures. The only widely used technique that enables real-time tracking of small objects without line-of-sight restrictions is electromagnetic (EM) tracking. While EM tracking has been the subject of many research efforts, clinical applications have been slow to emerge. The aim of this review paper is therefore to provide insight into the future potential and limitations of EM tracking for medical use. We describe the basic working principles of EM tracking systems, list the main sources of error, and summarize the published studies on tracking accuracy, precision and robustness along with the corresponding validation protocols proposed. State-of-the-art approaches to error compensation are also reviewed in depth. Finally, an overview of the clinical applications addressed with EM tracking is given. Throughout the paper, we report not only on scientific progress, but also provide a review on commercial systems. Given the continuous debate on the applicability of EM tracking in medicine, this paper provides a timely overview of the state-of-the-art in the field.

/pdf/electromagnetic-tracking-in-medicine-a-review-of-technology-4tkbhbr4he.pdf

Electromagnetic tracking in medicine--a review of technology, validation, and applications.

Recently, significant improvement in image resolution has been demonstrated by applying adaptive beamforming to medical ultrasound imaging. In this paper, we have used the minimum-variance beamformer to show how the low sidelobe levels and narrow beamwidth of adaptive methods can be used, not only to increase resolution, but also to enhance imaging in several ways. By using a minimum-variance beamformer instead of delay-and-sum on reception, reduced aperture, higher frame rates, or increased depth of penetration can be achieved without sacrificing image quality. We demonstrate comparable resolution on images of wire targets and a cyst phantom obtained with a 96-element, 18.5-mm transducer using delay-and-sum, and a 48-element, 9.25-mm transducer using minimum variance. To increase frame rate, fewer and wider transmit beams in combination with several parallel receive beams may be used. We show comparable resolution to delay-and-sum using minimum variance, 1/4th of the number of transmit beams and 4 parallel receive beams, potentially increasing the frame rate by 4. Finally, we show that by lowering the frequency of the transmitted beam and beamforming the received data with the minimum variance beamformer, increased depth of penetration is achieved without sacrificing lateral resolution.

Benefits of minimum-variance beamforming in medical ultrasound imaging

Medical ultrasound imaging is conventionally done by insonifying the imaged medium with focused beams. The backscattered echoes are beamformed using delay-and-sum operations that cannot completely eliminate the contribution of signals backscattered by structures off the imaging beam to the beamsum. It leads to images with limited resolution and contrast. This paper presents an adaptation of the Capon beam- former algorithm to ultrasound medical imaging with focused beams. The strategy is to apply data-dependent weight functions to the imaging aperture. These weights act as lateral spatial filters that filter out off-axis signals. The weights are computed for each point in the imaged medium, from the statistical analysis of the signals backscattered by that point to the different elements of the imaging probe when insonifying it with different focused beams. Phantom and in vivo images are presented to illustrate the benefits of the Capon algorithm over the conventional delay-and-sum approach. On heart sector images, the clutter in the heart chambers is decreased. The endocardium border is better defined. On abdominal linear array images, significant contrast and resolution enhancement are observed.

Capon beamforming in medical ultrasound imaging with focused beams

In the past decade ultrasound (US) has become the preferred modality for a number of interventional procedures, offering excellent soft tissue visualization. The main limitation however is limited visualization of surgical tools. A new method is proposed for robust 3D tracking and US image enhancement of surgical tools under US guidance. Small US sensors are mounted on existing surgical tools. As the imager emits acoustic energy, the electrical signal from the sensor is analyzed to reconstruct its 3D coordinates. These coordinates can then be used for 3D surgical navigation, similar to current day tracking systems. A system with realtime 3D tool tracking and image enhancement was implemented on a commercial ultrasound scanner and 3D probe. Extensive water tank experiments with a tracked 0.2mm sensor show robust performance in a wide range of imaging conditions and tool position/orientations. The 3D tracking accuracy was 0.36 ± 0.16mm throughout the imaging volume of 55° × 27° × 150mm. Additionally, the tool was successfully tracked inside a beating heart phantom. This paper proposes an image enhancement and tool tracking technology with sub-mm accuracy for US-guided interventions. The technology is non-disruptive, both in terms of existing clinical workflow and commercial considerations, showing promise for large scale clinical impact.

/pdf/a-non-disruptive-technology-for-robust-3d-tool-tracking-for-4s93m3d54w.pdf

A non-disruptive technology for robust 3d tool tracking for ultrasound-guided interventions

Ultrasound cavitation of microbubble contrast agents has a potential for therapeutic applications such as sonothrombolysis (STL) in acute ischemic stroke. For safety, efficacy, and reproducibility of treatment, it is critical to evaluate the cavitation state (moderate oscillations, stable cavitation, and inertial cavitation) and activity level in and around a treatment area. Acoustic passive cavitation detectors (PCDs) have been used to this end but do not provide spatial information. This paper presents a prototype of a 2-D cavitation imager capable of producing images of the dominant cavitation state and activity level in a region of interest. Similar to PCDs, the cavitation imaging described here is based on the spectral analysis of the acoustic signal radiated by the cavitating microbubbles: ultraharmonics of the excitation frequency indicate stable cavitation, whereas elevated noise bands indicate inertial cavitation; the absence of both indicates moderate oscillations. The prototype system is a modified commercially available ultrasound scanner with a sector imaging probe. The lateral resolution of the system is 1.5 mm at a focal depth of 3 cm, and the axial resolution is 3 cm for a therapy pulse length of 20 μs. The maximum frame rate of the prototype is 2 Hz. The system has been used for assessing and mapping the relative importance of the different cavitation states of a microbubble contrast agent. In vitro (tissue-mimicking flow phantom) and in vivo (heart, liver, and brain of two swine) results for cavitation states and their changes as a function of acoustic amplitude are presented.

/pdf/microbubble-cavitation-imaging-44orosql3z.pdf

Microbubble cavitation imaging

In one aspect, an ultrasound receive beamformer (212) is configured for one-way only beamforming (112) of transmissive ultrasound using one-way delays. The receive beamforming in some embodiments is used to track, in real time, a catheter, needle or other surgical tool within an image of a region of interest. The tool can have embedded at its tip a small ultrasound transmitter or receiver for transmitting or receiving the transmissive ultrasound. Optionally, additional transducers are fixed along the tool to provide the orientation of the tool.

Ultrasonic tracking of ultrasound transducer(s) aboard an interventional tool

Ultrasound induced cavitation has been explored as a method of dissolving intravascular and microvascular thrombi in acute myocardial infarction. The purpose of this study was to determine the type of cavitation required for success, and whether longer pulse duration therapeutic impulses (sustaining the duration of cavitation) could restore both microvascular and epicardial flow with this technique. Accordingly, in 36 hyperlipidemic atherosclerotic pigs, thrombotic occlusions were induced in the mid-left anterior descending artery. Pigs were then randomized to either a) ½ dose tissue plasminogen activator (0.5 mg/kg) alone; or same dose plasminogen activator and an intravenous microbubble infusion with either b) guided high mechanical index short pulse (2.0 MI; 5 usec) therapeutic ultrasound impulses; or c) guided 1.0 mechanical index long pulse (20 usec) impulses. Passive cavitation detectors indicated the high mechanical index impulses (both long and short pulse duration) induced inertial cavitation within the microvasculature. Epicardial recanalization rates following randomized treatments were highest in pigs treated with the long pulse duration therapeutic impulses (83% versus 59% for short pulse, and 49% for tissue plasminogen activator alone; p<0.05). Even without epicardial recanalization, however, early microvascular recovery occurred with both short and long pulse therapeutic impulses (p<0.005 compared to tissue plasminogen activator alone), and wall thickening improved within the risk area only in pigs treated with ultrasound and microbubbles. We conclude that although short pulse duration guided therapeutic impulses from a diagnostic transducer transiently improve microvascular flow, long pulse duration therapeutic impulses produce sustained epicardial and microvascular re-flow in acute myocardial infarction.

/pdf/diagnostic-ultrasound-induced-inertial-cavitation-to-non-25g2jyziuc.pdf

Francois Guy Gerard Marie Vignon

Papers

Capon beamforming in medical ultrasound imaging with focused beams

A non-disruptive technology for robust 3d tool tracking for ultrasound-guided interventions

Microbubble cavitation imaging

Ultrasonic tracking of ultrasound transducer(s) aboard an interventional tool

Diagnostic ultrasound induced inertial cavitation to non-invasively restore coronary and microvascular flow in acute myocardial infarction.