Method and apparatus for elasticity imaging

• US 5,524,636 A
• Filed: 12/21/1992
• Issued: 06/11/1996
• Est. Priority Date: 12/21/1992
• Status: Expired due to Term

• Current Assignee: ProUroCare Medical, Inc.
• Original Assignee: Artann Corporation
• Inventors: Sarvazyan, Armen P., Skovoroda, Andrei R.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US07/994,109
• Time in Patent Office: 1,268 Days
• Field of Search: 73/818, 73/788, 73/789, 73/790, 73/794, 73/795, 73/796, 73/798, 364/413.13, 364/508, 364/556, 128/774, 128/660.01, 128/660.07, 128/661.07
• US Class Current: 600/587
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/0053 by applying pressure, e.g. compression, indentation, palpation, grasping, gauging
• CPC Class Codes: A61B 5/036 by means introduced into body tracts A61B5/032 and A61B5/035 take precedence
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 5/4312 Breast evaluation or disorder diagnosis A61B5/0091 takes precedence
• CPC Class Codes: A61B 8/0825 for diagnosis of the breast, e.g. mammography
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/485 involving measuring strain or elastic properties
• CPC Class Codes: G01S 7/52042 determining elastic properties of the propagation medium or of the reflective target diagnostic techniques involving the measurement of strain A61B8/485

Abstract

An apparatus and method for imaging a portion of the body tissue comprises support for a portion of the tissue, and a force applying member that tends to deform the tissue relative to a reference position, while at the same time a pressure pattern distribution is generated indicating areas of greater pressure which are a function of the amount of deformation and localized portions of the tissue being deformed.

Claims

1. A method of identifying a region within a tissue portion having a different elasticity than the surrounding tissue of the tissue portion comprising:

causing a deformation of the tissue portion to create stress and strain in the tissue portion;

determining at least one property of at least one of the created stress and strain in the tissue portion when the tissue portion is deformed to yield a pattern of the at least one property of the created stress and strain in the tissue portion; and

evaluating the pattern of the at least one property in the tissue portion by the further steps of;

defining a model of the tissue portion with homogeneous tissue and with given boundary conditions for the tissue portion;

calculating the pattern of the at least one property for the defined model;

comparing the pattern obtained in the determining step and the calculated pattern to obtain the difference between the patterns, this difference indicating the presence and location of a differing elasticity region of tissue within the tissue portion; and

calculating elasticity characteristics of the tissue portion by varying a spatial distribution of modulus of elasticity in the defined model to minimize the difference between the pattern from the determining step and that calculated for the defined model thereby solving an inverse mechanical problem and obtaining spatial distribution of elasticity modulus in the tissue portion.

2. The method of claim 1 wherein the determining step further comprises:

determining a resistance pressure pattern sensed at locations along a surface of the tissue portion when the tissue portion is deformed to yield the pattern of the stress on the tissue portion.

3. The method of claim 2 wherein the pressure determining step further comprises:

measuring the resistance pressure at a plurality of locations on each of at least two accessible surfaces of the tissue portion to yield a pressure pattern for each accessible surface.

4. The method of claim 1 wherein the determining step further comprises:

determining strain in the tissue portion by comparing images of an internal structure of the tissue portion before and after deformation to yield the pattern of strain in the tissue portion.

5. The method according to claim 1 wherein the determining step includes the step of motion tagging of internal tissue particles to yield the pattern of strain in the tissue portion.

6. The method of claim 5 the determining step further comprising:

imaging the tissue portion and evaluating an image of an internal structure of the tissue portion before and after deformation of the tissue portion to identify boundaries of regions of tissue comprising the tissue portion by determining the ratios of strain characteristic values for regions of the tissue portion having different elasticity.

7. The method of claim 6 wherein changes in modulus of elasticity of the tissue portion along selected reference planes is determined by imaging tissue particles and tagging tissue particles and determining shifting of particles after deformation.

8. The method of claim 5 wherein the step of calculating the pattern forming part of the evaluating step further comprises:

calculating a strain value for each tagged tissue particle along an axis of measurement of the tissue portion;

calculating a ratio of the calculated strain value of a first tissue particle relative to the calculated strain value of a second tissue particle adjacent to the first tissue particle but spaced therefrom along the measurement axis, the ratio being calculated for each pair of adjacent tissue particles along the measurement axis;

identifying a profile of ratios of strain value of adjacent tissue particles having a calculated strain value ratio equal to non-unity, the profile of ratios indicating the boundary between a different elasticity region and the remaining tissue of the tissue portion.

9. The method of claim 8 wherein the axis of measurement is substantially parallel to an axis of force used for causing deformation of the tissue portion.

10. The method of claim 8 wherein the axis of measurement is at a non-parallel angle to an axis of force causing deformation of the tissue portion.

11. The method of claim 8 including the step of determining a pressure resisting deformation at a plurality of locations on a surface of the tissue portion to yield a pattern of stress on the tissue portion.

12. The method of claim 1 wherein the determining step further comprises:

determining changes in both of the properties of stress and strain in the tissue portion when the tissue portion is deformed by measuring pressure at locations on a surface portion to provide the stress pattern, and imaging internal tissue structure after deformation to provide the pattern of stress and the pattern of strain in the tissue portion.

13. The method of claim 1 wherein the deformation causing step further comprises:

causing an additional local deformation in a second surface of the tissue portion opposite the first surface, the second deformation occurring over a substantially smaller area than a region of the first mentioned deformation by probing to additionally compress parts of the tissue portion.

14. The method of claim 1 wherein the deformation causing step further comprises:

causing shear deformation in the tissue portion by laterally shifting one part of the tissue portion relative to another part of the tissue portion on a support structure.

15. The method of claim 14, wherein said support structure is internal skeletal structure.

16. The method of claim 15 wherein the internal skeletal structure is a rib cage and the one part of the tissue portion is adjacent a surface of the tissue overlying the rib cage and is shifted in direction along the rib cage.

17. The method of claim 1 wherein the deformation causing step further comprises:

tilting a support member for the tissue portion while deformation is being caused in the tissue portion.

18. The method of claim 1 wherein the deformation causing step further comprises:

supporting the tissue portion on a surface of a support member while providing a force on a surface of the tissue portion urging the tissue portion toward the support member;

tilting the support member in first and second directions about an axis transverse to the direction of force provided while measuring pressure applied at a plurality of locations on the surface of the tissue portion.

19. The method of claim 1 wherein the tissue portion is a tubular conduit of tissue and the deformation includes expanding the tubular conduit.

20. The method of claim 19 wherein the tubular conduit is of size to receive an expandable probe, and said determining step includes sensing pressure at a plurality of locations on an interior surface of the tubular conduit.

21. The method of claim 19 wherein the tubular conduit is a blood vessel, and the determining step includes providing a tissue imaging device on an interior of the blood vessel.

22. The method of claim 1, wherein the step of causing a deformation of the tissue portion comprises muscle activity affecting and deforming the tissue portion.

23. The method of claim 1 wherein the step of calculating the pattern forming part of the evaluating step further comprises:

calculating deformation induced changes of a ratio for each of a plurality of tissue particles of a horizontal dimension of each tissue particle over a vertical dimension of the same tissue particle to yield a strain characteristic value for each tissue particle;

comparing strain characteristic values of the plurality of tissue particles to identify any region of such tissue particles having strain characteristic values substantially different than the strain characteristic values of tissue particles of a remaining part of the tissue portion, the region corresponding to the location and approximate boundary of a different elasticity region of tissue in the tissue portion.

24. The method of claim 23 and further comprising:

determining the relative elasticity between the different elasticity tissue region and the remaining tissue portion by comparing the different elasticity region strain characteristic value to the remaining tissue portion strain characteristic value.

25. The method of claim 1 wherein said evaluating step includes the step of analyzing under a known condition of deformation changes in the pattern caused by natural mechanical activity of human tissue, to determine structural and dynamic features of human tissue.

26. An apparatus for determining variations in elasticity of bodily tissue comprising:

means for applying pressure to an accessible surface of said tissue to provide at least two conditions of compression loading of tissue to be examined;

means for measuring at least one of the parameters of stress and strain under the at least two different conditions of loading for establishing a pattern of at least one of the parameters in the tissue comprising members that have portions extendable to engage the tissue with a force, and wherein said members comprise a plurality of members in an array across a surface portion of the tissue; and

means for evaluating an elasticity of the tissue from changes in the pattern of at least one of the parameters of stress and strain from at least two different conditions of loading.

27. The apparatus of claim 26 wherein the loading comprises compression loading of the tissue to be examined, and the means for measuring at least one parameter comprises means for determining a surface stress pattern on at least part of the accessible surface from the two different conditions of loading, and the means for evaluating the elasticity of the tissue from the surface stress pattern.

28. The apparatus of claim 27 wherein said means for determining the surface stress pattern comprises an array of pressure sensors for obtaining a surface stress pressure pattern of the compressed tissue.

29. The apparatus of claim 26 wherein the parameter measured is strain and the means for evaluating the elasticity of the tissue comprises means for imaging internal tissue structure at the different conditions of loading to evaluate internal strain patterns by detecting changes in boundaries between different internal tissue portions and means for evaluating the spatial distribution of the elasticity modulus from the strain pattern.

30. The apparatus of claim 29 wherein said means for imaging internal structure comprises means for ultrasonic imaging of the internal structure.

31. The apparatus of claim 29 wherein the means for imaging internal structure comprises a magnetic resonance imaging device.

32. The apparatus of claim 29 wherein said means for imaging internal structure comprises means for providing x-ray imaging of internal tissue.

33. The apparatus of claim 26 wherein the parameter measured is strain, and the means for evaluating the elasticity of tissue comprises means to evaluate internal strain patterns by tagging motion of compressed tissue particles and determining changes in locations of tagged tissue particles at the different conditions of loading.

34. The apparatus of claim 33 wherein said means for imaging internal structure comprises means for ultrasonic imaging of the internal structure.

35. The apparatus of claim 33 wherein the means for imaging internal structure comprises a magnetic resonance imaging device.

36. The apparatus of claim 26 wherein said portions of said members are individually actuatable to provide for a preselected pattern of displacement and forces across the surface portion of the tissue to be examined.

37. The apparatus of claim 36 wherein said members comprise fluid pressure actuated cylinders having first and second piston assemblies, said piston assemblies being substantially concentric, and one piston being annular and surrounding the other, and both pistons being individually actuatable to provide variations in pressures on the tissue portion.

38. The apparatus of claim 37 and means for individually actuating the fluid pressure actuated cylinders in a preselected sequence in localized areas across the portion of the tissue being analyzed to create areas of greater load and less load, and means for imaging the internal structure of the tissue during the individual loading sequence.