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Abstract

The aim of the study was to assess the physiological stiffness of the normal canine jejunal mucosa based on shear wave elastography. The study was carried out on 60 dogs. In all the animals studied, the abdominal ultrasound was carried out using the SuperSonic Imagine Aixplorer system. The site of the jejunal elastography was determined using standard ultrasonography and all the measurements were carried out thrice. The stiffness of the area examined was determined during each measurement. Mean values were calculated based on the results obtained. The normal stiffness of the jejunal mucosa ranged from 1.305 kPa to 9.319 kPa (mean 5.31 ± 2.04 kPa). Based on our findings, we determined the range of normal values of the jejunal mucosal stiffness in healthy dogs. In addition, shear wave elastography was found to be safe and easy to perform. Moreover, it did not require anaesthesia or patient immobilisation for long periods.

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Authors and Affiliations

J. Spużak
K. Kubiak
ORCID: ORCID
K. Glińska-Suchocka
M. Jankowski
P. Borusewicz
D. Kubiak-Nowak
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Abstract

The purpose of this paper is to present the results of the pilot experiments demonstrating proof of concept of three-dimensional strain elastography, based on freehand ultrasound for the assessment of strain induced by endogenous motion. The technique was tested by inducing pulsatility in an agar-based tissue mimicking phantom with inclusions having different stiffness and scanning the 1D array with an electromagnetic position sensor. The proof of concept is explored with a defined physical phantom and the adopted algorithm for strain analysis. The agar-based phantom was manufactured with two cylindrical inclusions having different stiffness (7 kPa and 75 kPa in comparison to the background 25 kPa) and scattering properties. The internal strain in the phantom was introduced by mimicking a pulsating artery. The agar mixture displacements were estimated by using the GLUE algorithm. The 3D isosurfaces of inclusion from rendered volumes obtained from the B-mode image set and strain elastograms were reconstructed and superimposed for a quantitative comparison. The correspondence between the B-mode image-based inclusion volume and the strain elastography-based volume was good (the Jaccard similarity coefficient in the range 0.64–0.74). The obtained results confirm the 3D freehand endogenous motion-based elastography as a feasible technique. The visualization of the inclusions was successful. However, quantitative measurements showed that the accuracy of the method in volumetric measurements is limited.
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Authors and Affiliations

Andrius Sakalauskas
1
Rytis Jurkonis
2
Arūnas Lukoševičius
2

  1. TELEMED, Ultrasound Medical Systems, Vilnius, Lithuania
  2. Biomedical Engineering Institute, Kaunas University of Technology, Kaunas, Lithuania

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