Systems and methods for making noninvasive assessments of cardiac tissue and parameters

• US 7,022,077 B2
• Filed: 07/01/2003
• Issued: 04/04/2006
• Est. Priority Date: 11/28/2000
• Status: Active Grant

• Current Assignee: PhysioSonics, Inc., University of Washington
• Original Assignee: Allez Physionix Ltd., University of Washington
• Inventors: Mourad, Pierre D., Kliot, Michel, Patterson, Rex, Rooke, Alec
• Primary Examiner(s): IMAM, ALI M
• Application Number:
  US10/612,483
• Publication Number:
  US 20040059220A1
• Time in Patent Office: 1,008 Days
• Field of Search: 600407-472, 600/481, 600/510, 128/916, 735/95, 736/02
• US Class Current: 600/449
• CPC Class Codes: A61B 5/0048 Detecting, measuring or recording by applying mechanical forces or stimuli A61B5/021, A61B5/4884 and A61B9/00 take precedence
• CPC Class Codes: A61B 5/031 Intracranial pressure
• CPC Class Codes: A61B 5/4519 Muscles A61B5/389, A61B5/224 take precedence
• CPC Class Codes: A61B 5/4824 Touch or pain perception evaluation A61B5/4821 takes precedence
• CPC Class Codes: A61B 5/4869 Determining body composition
• CPC Class Codes: A61B 6/503 for diagnosis of the heart
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography
• CPC Class Codes: A61B 8/00 Diagnosis using ultrasonic, sonic or infrasonic waves imaging of objects using sonar G01S15/00
• CPC Class Codes: A61B 8/04 Measuring blood pressure
• CPC Class Codes: A61B 8/065 to determine blood output from the heart in general A61B5/029
• CPC Class Codes: A61B 8/08 Detecting organic movements or changes, e.g. tumours, cysts, swellings A61B8/02 - A61B8/06 take precedence
• CPC Class Codes: A61B 8/0808 for diagnosis of the brain
• CPC Class Codes: A61B 8/0883 for diagnosis of the heart
• CPC Class Codes: A61B 8/0891 for diagnosis of blood vessels
• CPC Class Codes: A61B 8/4236 characterised by adhesive patches
• CPC Class Codes: A61B 8/4444 related to the probe
• CPC Class Codes: A61B 8/4472 Wireless probes
• CPC Class Codes: A61B 8/485 involving measuring strain or elastic properties
• CPC Class Codes: A61B 8/488 involving Doppler signals

Abstract

Systems and methods for noninvasive assessment of cardiac tissue properties and cardiac parameters using ultrasound techniques are disclosed. Determinations of myocardial tissue stiffness, tension, strain, strain rate, and the like, may be used to assess myocardial contractility, myocardial ischemia and infarction, ventricular filling and atrial pressures, and diastolic functions. Non-invasive systems in which acoustic techniques, such as ultrasound, are employed to acquire data relating to intrinsic tissue displacements are disclosed. Non-invasive systems in which ultrasound techniques are used to acoustically stimulate or palpate target cardiac tissue, or induce a response at a cardiac tissue site that relates to cardiac tissue properties and/or cardiac parameters are also disclosed.

Claims

1. A method for detecting a physiological property of target myocardial tissue, comprising:

monitoring the cardiac cycle;

non-invasively inducing a tissue displacement at a target myocardial tissue site at a determined time during the cardiac cycle by applying an ultrasound pulse;

non-invasively acquiring data relating to an acoustic property of the target myocardial tissue site that is directly related to at least one of myocardial tissue stiffness, myocardial tissue strain or strain rate, myocardial tissue tension and myocardial contractility at or in proximity to the target myocardial tissue site prior to and/or during and/or following the induction of tissue displacement; and

relating the acquired data with a physiological property of the myocardial target tissue or a cardiac parameter.

2. A method of claim 1, wherein the data acquired relating to an acoustic property of the target myocardial tissue site is acquired by administering a plurality of acoustic interrogation pulses to the target tissue site and collecting acoustic data from the target tissue site.

3. A method of claim 1, wherein the data relates to at least one of the magnitude, amplitude and phase of acoustic scatter.

4. A method of claim 1, additionally comprising collecting acoustic data from the target myocardial tissue site using an ultrasound transducer operating in at least one of the following modes:

transmission mode, reflection mode, scatter mode, backscatter mode, emission mode, echo mode, Doppler mode, color Doppler mode, harmonic or sub-harmonic imaging modes, a-mode, b-mode or in-mode; and

correlating the acoustic data relating to the induced tissue displacement with a physiological property of the target tissue.

5. A method of claim 1, wherein the target myocardial tissue site includes or is in proximity to a blood vessel and a physiological property detected is arterial blood pressure.

6. A method of claim 1, additionally comprising comparing the acquired data with an empirically determined standard.

7. A method of claim 1 wherein the target myocardial tissue site comprises myocardial ventricular tissue.

8. A method of claim 1 additionally comprising inducing tissue displacements at the target myocardial tissue site and monitoring at least one of myocardial contractility, myocardial strain and strain rate and/or myocardial tension over a period of at least several cardiac cycles and observing changes in the properties of the target myocardial tissue site over time.

9. A method of claim 1 comprising inducing a tissue displacement and acquiring data relating to an acoustic property of the target myocardial tissue site during diastole.

10. A method of claim 1, additionally comprising applying a plurality of different ultrasound pulses to the target myocardial tissue site and acquiring data relating to acoustic properties induced by the different ultrasound pulses.

11. A method of claim 1, additionally comprising applying a plurality of ultrasound pulses to a plurality of target tissue sites and acquiring data relating to the induced tissue displacements at the plurality of target tissue sites.

12. A method of claim 1, comprising:

applying focused ultrasound and inducing oscillation of the target myocardial tissue at the target myocardial tissue site at a determined time during the cardiac cycle;

measuring the frequency of an acoustic signal emitted from the target myocardial tissue; and

relating the frequency of the emitted acoustic signal to a physiological tissue property.

13. A method for assessing a physiological property of a target myocardial tissue, comprising the steps of:

monitoring the cardiac cycle;

acquiring acoustic data relating to intrinsic tissue displacements at a target myocardial tissue site at multiple time points over the course of at least one cardiac cycle, and relating the acoustic data with a physiological property of the target myocardial tissue, wherein said acoustic data is collected by using an ultrasound transducer.

14. The method of claim 13, wherein said ultrasound transducer operates in at least one of the following modes:

transmission mode, reflection mode, scatter mode, backscatter mode, emission mode, echo mode, Doppler mode, color Doppler mode, harmonic or sub-harmonic imaging modes, a-mode, b-mode or in-mode; and

correlating the acquired acoustic data relating to intrinsic tissue displacement with a physiological property of the target tissue.

15. The method of claim 13, further comprising the step of acquiring acoustic data relating to intrinsic tissue displacements at multiple target tissue sites at multiple time points over the course of at least one cardiac cycle.

16. The method of claim 13, wherein the acoustic data acquired relating to the intrinsic tissue displacement at the target myocardial tissue site relates to acoustic properties of the target myocardial tissue.

17. The method of claim 13, wherein said acoustic properties of the target myocardial tissue are selected from the group consisting of changes in the amplitude of acoustic signals, changes in phase of acoustic signals, changes in frequency of acoustic signals, changes in acoustic emission signals, changes in length of scattered signals relative to an interrogation signal, changes in maximum and/or minimum amplitude of an acoustic signal within a cardiac cycle, the ratio of the maximum and/or minimum amplitude to that of the mean or variance of subsequent oscillations within a cardiac cycle, changes in temporal or spatial variance of scattered signals at different times in the same location and/or at the same time in different locations, and rates of change of tissue displacement or relaxation.

18. The method of claim 13, wherein said acoustic data relating to said intrinsic tissue displacement at the target myocardial tissue site is acquired by administering acoustic interrogation pulses to the target myocardial tissue site and collecting acoustic scatter data.

19. The method of claim 13, further comprising the step of relating the intrinsic tissue displacement data and additional data relating to blood pressure, cardiac and/or respiratory cycles, to a physiological property of said target myocardial tissue.

20. The method of claim 13, wherein said acoustic data is collected using an ultrasound transducer array.