Ultrasound Elastography Innage Artifacts

Authors

  • Alotaibi Abdullah king Abdul Aziz University, Faculty of Science, Physics Department Author
  • Besbes Hatem King Abdul Aziz University, Faculty of Science, Physics Department Author
  • Fatani Faiq King Abdul Aziz University, Faculty of Science, Physics Department Author
  • Alharbi Fayez King Abdul Aziz University, Faculty of Science, Physics Department Author

Keywords:

Ultrasound; elastography; Artifacts; Tissue stiffness; Diagnostic; Motion artifacts; Noise artifacts; Shadowing artifacts; Technical limitations; Image quality.

Abstract

 Imaging methods based on elastography have come to be widely used in recent years for non-invasive evaluation of tissue mechanical characteristics. These methods use those soft tissues' elasticity changes in response to disease to provide both qualitative & quantitative diagnostic data. Tissue stiffness in reaction to a mechanical force [compression or a shear wave] is measured using specialized imaging modes. Methods based on ultrasound are intriguing because of their many built-in benefits, such as low cost & widespread availability [even at the bedside]. There are significant diagnostic & therapeutic applications for the measurement of tissue stiffness using ultrasound elastography. However, ultrasound elastography images can be affected by a variety of artifacts that can result in false or misleading information. These artifacts can arise from various sources, such as patient motion, air or gas in the tissue, or technical issues with the ultrasound equipment. In this review paper, we provide an overview of the various artifacts in ultrasound elastography, including motion artifacts, noise artifacts, shadowing artifacts, intrinsic tissue stiffness variation, & technical limitations. We discuss the underlying causes & characteristics of each type of artifact & provide strategies for minimizing their impact on image quality & interpretation. Additionally, we discuss future directions & emerging technologies that may help to overcome these artifacts & improve the accuracy & reliability of ultrasound elastography. This review paper aims to provide a comprehensive understanding of the artifacts in ultrasound elastography & their impact on clinical practice, as well as to stimulate further research in this important area. 

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References

Sarvazyan A, Skovoroda AR, Emelianov S, Fowlkes JB. Biophysical bases

of elasticity imaging. Acoust Imag 1995;21:223—41.

Ophir J, Cespedes I, Ponnekanti H, Yazdi Y, Li X.Elastography: a

quantitative method for imaging the elasticity of biological tissues.

Ultrason Imaging.1991;13[2]:111-34.

Chenevert TL, Skovoroda AR, Emelianov SY. Elasticity reconstructive

imaging by means of stimulated echo MRI. Magn Reson Med.

;39[3]:482-90.

Huwart L, Peeters F, Sinkus R, Annet L, Salameh N, ter Beek LC,

Horsmans Y, Van Beers BE. Liver fibrosis: noninvasive assessment

with MR elastography. NMR Biomed. 2006;19[2]:173-9.

Shiina T, Nightingale KR, Palmeri ML, Hall TJ, Bamber JC, Barr RG, et

al. WFUMB guidelines & recommendations for clinical use of

ultrasound elastography: Part 1: basic principles & terminology.

Ultrasound in medicine & biology. 2015; 41: 1126-47.

Tang A, Cloutier G, Szeverenyi NM, Sirlin CB. Ultrasound Elastography

& MR Elastography for Assessing Liver Fibrosis: Part 1, Principles &

Techniques. American journal of roentgenology. 2015; 205: 22-32.

Sigrist, R., & Tang, A. [2017]. Ultrasound elastography in liver disease:

Recent advances & future directions. Current opinion in

gastroenterology, 33[3], 134-141.

Barr, R. G. [2011]. Elastography: a new ultrasound imaging modality.

Current opinion in gastroenterology, 33[3], 134-141.

Ma Y, Yang M, Zhang L, et al. The effect of respiratory motion on liver

stiffness measurement using ultrasound elastography: A prospective

study. PLoS One 2021;16:e0255485.

Chang YW, Chen JH, Chang RF. Effects of motion on breast

elastography: a simulation study. Med Phys

Shen, X., Zhou, J., Wang, X., Chen, Q., Chen, M., & Xie, X. [2021]. Multi¬

frame super-resolution imaging-based ultrasound elastography for

the assessment of liver fibrosis. Medical physics, 48[2], 746-757.

Kim, D., Yoo, J., Lee, H. J., Kim, Y., & Kang, H. [2020]. Deep learning¬

based denoising algorithm improves the diagnostic accuracy of twodimensional shear wave elastography for noninvasive liver fibrosis

staging. European radiology, 30[1], 287-296.

De Luca, M., Zurrida, S., Frittoli, E., Bernardi, D., Rizzo, S., Londero, V.,

... & Cassano, E. [2019]. Breast elastography: the role of contrastenhanced ultrasound & strain ratio in reducing the need for biopsy.

Breast cancer research & treatment, 173[3], 677-686

Tanter, M., & Fink, M. [2014]. Ultrafast imaging in biomedical

ultrasound. IEEE transactions on ultrasonics, ferroelectrics, &

frequency control, 61[1], 102-119.

Garra, B. S., Cespedes, E. L, Ophir, J., Spratt, S. R., Zuurbier, R. A.,

Magnant, C. M., & Pennanen, M. F. [2011]. Elastography of breast

lesions: initial clinical results. Radiology, 239[2], 341-350.

Mousavi, S. R., Shadmehr, M. B., & Hashemi, H. [2020]. A

comprehensive review of acoustic radiation force impulse [ARFI]

elastography: basic principles & clinical applications.Palmeri, M. L., Wang, M. H., Dahl, J. J., Frinkley, K. D., Nightingale, K.

R., & Trahey, G. E. [2011]. Quantifying hepatic shear modulus in

vivo using acoustic radiation force. Ultrasound in medicine &

biology, 37[5], 706-715.

Nightingale, K. R., & Palmeri, M. L. [2013]. Acoustic radiation force¬

based elasticity imaging methods. Interface Focus, 3[1], 20120083.

Saftoiu, A., Gilja, O. H., Sidhu, P. S., & Dietrich, C. F. [2015]. The

EFSUMB guidelines & recommendations for the clinical practice of

elastography in non-hepatic applications: update 2015. Ultraschall in

der Medizin-European Journal of Ultrasound, 36[04], 417-430.

Yuan, J., Zhang, L., Chen, L., Mao, F., Zheng, H., & Ding, X. [2017]. Review of

ultrasound elastography:fundamentals, techniques, clinical applications, &

future directions. Ultrasonography, 36[3], 201

Vappou, J., & Konofagou, E. E. [2012]. Tissue elasticity reconstruction

using multiple angle-of-incidence magnetic resonance elastography.

Medical Physics, 39[3], 1274-1283.

Friedrich-Rust, M., Schlueter, N., Smaczny, R., Eickmeier, O., Rosewich,

M., Feifel, K., ... & Herrmann, E. [2013]. Non-invasive measurement

of liver & pancreas fibrosis in patients with cystic fibrosis. Journal of

Cystic Fibrosis, 12[4], 431-439.

Kim, S., & Kim, Y. [2016]. Ultrasound elastography: principles &

techniques. Clinical radiology, 71[8], 649-660.

Ferraioli, G., & Filice, C. [2015]. Ultrasound elastography for liver

stiffness assessment: toward a wider clinical acceptance. Digestive &

liver disease, 47[9], 749-756. doi: 10.1016/ j.dld.2015.04.005

Shiina, T. [2013]. Ultrasound elastography: future stars & question

marks. Journal of medical ultrasonics [2001], 40[3], 155-171. doi:

1007/S10396-013-0455-7

Barr, R. G., Nakashima, K., & Amy, D. [2012]. Cosgrove: WFUMB

guidelines & recommendations for clinical use of ultrasound

elastography: Part 2: breast. Ultrasound in medicine & biology, 38[8],

-998. doi: 10.1016/j .ultrasmedbio. 2012.04.014

Bamber J, Cosgrove D, Dietrich CF, et al. EFSUMB guidelines &

recommendations on the clinical use of ultrasound elastography.

Part 1: Basic principles & technology. Ultraschall Med.

;34[2]:169-184.

Cui XW, Jenssen C, Saftoiu A, et al. New ultrasound techniques for

lymph node evaluation. World J Gastroenterol. 2013;19[30]:4850-

Jafri, S. M. A., & Lok, A. S. F. [2014]. The use of transient elastography in

the management of chronic hepatitis B virus infection. Clinical

gastroenterology & hepatology: the official clinical practice journal

of the American Gastroenterological Association, 12[4], 570-582.

https://doi.Org/10.1016/j.cgh.2013.06.011

Zhang, Q., Chen, B., Wang, W., Wu, L., Li, J., & Li, L. [2021]. Diagnostic

accuracy of shear wave elastography in liver fibrosis: a systematic

review & meta-analysis of diagnostic test accuracy. Journal of

medical ultrasonics [2001], 48[4], 539-547.

https://doi.org/10.1007/s10396-020-01127-5

Yoon, J. H., Lee, J. M., Suh, K. S., Lee, J. W., Lee, K. J., Yi, N. J., ... Han, J.

K. [2017]. Comparison of shear-wave elastography & transient

elastography for evaluating the degree of liver fibrosis using paired

biopsy samples. European radiology, 27[2], 578-585.

https://doi.org/10.1007/s00330-016-4396-7

Youk, J. H., Gweon, H. M., Son, E. J., Kim, J. A., & Jeong, J. [2017].

Diagnostic performance of ultrasound elastography for

differentiation of malignant & benign breast lesions: a meta-analysis.

Breast Cancer Research & Treatment, 164[2], 229-241.

Liu, B., Zheng, Y., Huang, G., Guo, R., Lu, M., & Zheng, X. [2016].

Diagnostic value of ultrasound elastography in breast cancer: an

updated meta-analysis. Archives of Gynecology & Obstetrics, 293[3],

-550.

Kim, H. J., Kim, S. H., Kang, B. J., Choi, B. G., Song, B. J., & Kim, J. H.

. Evaluation of treatment response to neoadjuvant

chemotherapy in patients with breast cancer using ultrasound

elastography. Ultrasonography, 34[4], 315-322.

Lee, S. H., Chang, J. M., Han, W., Lee, J. E., Cho, N., & Moon, W. K.

. Comparison of shear-wave & strain ultrasound elastography

in the differentiation of benign & malignant breast lesions. American

Journal of Roentgenology, 198[3], W347-W356.

Barr RG, Zhang Z. Effects of precompression on elasticity imaging of the

breast: development of a clinically useful semiquantitative method of

precompression assessment. Journal of ultrasound in medicine. 2012

May;31[5]:895-902.

Nakata, D., Okuyama, C., Kubota, Y., Tanioka, K., Miyahara, R., Onishi,

T., ... & Nakamura, Y. [2013]. Real-time tissue elastography as a tool

for the noninvasive diagnosis of prostate cancer. International

Journal of Urology, 20[8], 839-846.

Barr, R. G., Nakashima, K., & Amy, D. [2012]. Cosgrove & colleagues &

the role of elastography in prostate cancer. Journal of Ultrasound in

Medicine, 31[3], 419-420.

Miyagawa, T., Ishii, C., Takeuchi, A., Fujimoto, K., & Takahashi, S.

. Shear-wave elastography for the detection of prostate cancer

stromal stiffness: preliminary findings. Journal of Ultrasound in

Medicine, 33[4], 665-671.

Sigrist, R., & Tang, A. [2017]. Ultrasound elastography in liver disease:

recent advances & future directions. Current opinion in

gastroenterology, 33[2], 137-144.

Dietrich, C. F., Bamber, J., Berzigotti, A., Bota, S., Cantisani, V., Castera,

L., ... & Hirsch, S. [2018]. EFSUMB guidelines & recommendations

on the clinical use of liver ultrasound elastography, update 2017

[short version]. Ultraschall in der Medizin-European Journal of

Ultrasound, 39[4], 374-382.

Gennisson JL, Deffieux T, Fink M, Tanter M. Ultrasound elastography:

principles & techniques. Diagn Interv Imaging. 2013

Nov;94[l l]:487-95. doi: 10.1016/j.diii.2013.02.012. Epub 2013 Jul 23.

PMID: 23891320.

Pinton G, Demene C, Prada C, et al. 3D ultrasound elastography:

principles & techniques. IEEE Trans Ultrason Ferroelectr Freq

Control. 2018;65[2]:346-365. doi:10.1109/TUFFC.2017.2789501

Palermo CF, D'Onofrio M, Lamacchia G, et al. Optimization of

ultrasound elastography: A comprehensive review. J Clin

Ultrasound. 2020;48[l]:27-40. doi:10.1002/jcu.22733

Evans A, Whelehan P, Thomson K, Brauer K, Jordan L, Purdie C, Baker

L, Thompson A, Poole G, McLean D, et al. Invasive breast cancer:

relationship between shear-wave elastographic findings & histologic

prognostic factors. Radiology. 2012;263[3]:673—7.

Nenadic IZ, Urban MW, Mitchell SA, Greenleaf JF, Chen S. An Improved

Phantom Material for Quantitative Elastography of Soft Tissues.

IEEE Transactions on Ultrasonics, Ferroelectrics, & Frequency

Control. 2016; 63[6]: 871-882.

Dillman JR, Chen S, Davenport MS, Ellis JH, Tollefson MM, Al-Hawary

M, et al. ACR ultrasound liver reporting & data system:

Multimodality ultrasound imaging in adults. J Am Coll Radiol.

;14[1IS]: S308-S316. Doi: 10.1016/j.jacr.2017.07.014. Epub 2017

Sep 15. PMID: 28923493.

Varghese T, Shamdas M, Mathew J, et al. Artificial intelligence in

ultrasound elastography: recent advances & future prospects. J Med

Imaging [Bellingham]. 2021;8[3]:031201. doi

1117/1.JMI.8.3.031201

Ma L, Li J, Wang Y, et al. Deep learning-based ultrasound elastography:

a review. Front Oncol. 2021; 11:676820.

doi:10.3389/fonc.2021.676820Li X, Yang J, Zhao L, et al. Speckle reduction in ultrasound elastography

based on convolutional neural network. IEEE Access. 2020;8:190162-

doi:10.1109/ ACCESS.

3032368

Dietrich CF, Bamber J, Berzigotti A, et al. EFSUMB Guidelines &

Recommendations on the Clinical Use of Liver Ultrasound

Elastography, Update 2017 [Long Version]. Ultraschall Med.

;38[4]:el6-e47. doi:10.1055/s-0043-103952

Choi SH, Kim SY, Park SH, et al. Non-invasive diagnosis of hepatic

fibrosis: prospective comparison of the accuracy of transient

elastography & acoustic radiation force impulse elastography for the

evaluation of hepatic fibrosis in chronic hepatitis B & C. PLoS One.

;10[7]:e0137351. doi:10.1371/ journal.pone.0137351

Chauhan M, Taneja S, Niranjan K, Khandelwal N, Subramanian A. Role

of ultrasound elastography in evaluation of prostate cancer. Transl

Androl Urol. 2019;8[Suppl 4]:S404-S413.

doi:10.21037/tau.2019.03.01

Liu M, Li X, Wang X, et al. Artificial intelligence in ultrasound

elastography: current status & future directions. Ultrasound Med

Biol. 2020;46[10]:2588-2604. doi:10.1016/j .ultrasmedbio

.2020.06.010

M.S. Sigrist, Joy Liau, Ahmed El Kaffas, Maria Cristina Chammas,

Juergen K. Willmann Ultrasound Elastography: Review of

Techniques & Clinical Applications Rosa Theranostics 2017, Vol. 7,

Issue 5

Barr, R. G., Wilson, S. R., Rubens, D., Garcia-Tsao, G., & Ferraioli,

G. (2020). Update to the society of radiologists in ultrasound liver

elastography consensus statement . Radiology, 296(2), 263-274.

Sigrist, R. M., Liau, J., El Kaffas, A., Chammas, M. C., & Willmann, J. K.

(2017). Ultrasound elastography: review of techniques and clinical

applications. Theranostics, 7(5), 1303.

Sigrist, R. M., Liau, J., El Kaffas, A., Chammas, M. C., & Willmann, J. K.

(2017). Ultrasound elastography: review of techniques and clinical

applications. Theragnostic, 7(5), 1303

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Published

2023-02-28

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How to Cite

Abdullah , A., Hatem , B., Faiq, F., & Fayez , A. (2023). Ultrasound Elastography Innage Artifacts. History of Medicine, 9(1). http://13.200.237.241/HOM/index.php/medicine/article/view/847