Systems and methods for measurement of tissue perfusion

• US 9,750,480 B2
• Filed: 12/18/2014
• Issued: 09/05/2017
• Est. Priority Date: 12/24/2013
• Status: Active Grant

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: Clement, Gregory T.
• Primary Examiner(s): Lamprecht, Joel
• Application Number:
  US14/575,219
• Publication Number:
  US 20150173704A1
• Time in Patent Office: 992 Days
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/481 involving the use of contrast agent, e.g. microbubbles introduced into the bloodstream analysis of echo signal exploiting properties of a contrast enhancer in devices for short-range imaging with acoustic waves G01S7/52039
• CPC Class Codes: A61B 8/5207 involving processing of raw data to produce diagnostic data, e.g. for generating an image reconstruction G06T11/00

Abstract

One aspect of the present disclosure relates to a system that can measure profusion through a volume of tissue. The system can include a non-transitory memory that stores instructions and a processor that can be configured to execute the instructions to at least: receive an ultrasound signal response of a contrast agent within a volume of interest and determine the perfusion through the volume of tissue based on a probabilistic constant related to the geometry, the tissue density, the ultrasound signal response, and a feature of the geometry. The ultrasound signal response can include a time dimension and three position dimensions. The volume of interest can include a tissue density and a geometry.

Claims

1. A system that measures perfusion through a volume of tissue, the system comprising:

a non-transitory memory to store computer-executable instructions; and

a processor that executes the computer-executable instructions to at least;

receive an ultrasound signal response of a contrast agent within a volume of tissue as a function of time, wherein the contrast agent is infused into a patient'"'"'s vasculature at a constant rate,

wherein the volume of tissue comprises a and a geometry, wherein the geometry is a rectangular prism with a corresponding length, width, and height;

determine a probabilistic constant based on the geometry of the volume of tissue;

determine a ratio of mean velocity to mean path length based on the ultrasound signal response at a first time representing a transitory intensity and a second time corresponding to a steady state intensity;

determine a tissue density of the volume of tissue; and

determine a mean perfusion through the volume of tissue based on the probabilistic constant, the ratio of mean velocity to mean path length, the tissue density, the width, and the height.

2. The system of claim 1, wherein the processor executes the computer-executable instructions to determine the mean perfusion through the volume of tissue (<

Q>

) according to the following equation;

3. The system of claim 1, wherein the ratio of mean velocity to mean path length comprises a ratio of a first derivative of the ultrasound signal response over a first time period comprising the first time and a second derivative of the ultrasound signal response over a second time period comprising the second time.

4. The system of claim 1, wherein the processor is further configured to execute the computer-executable instructions to calibrate the mean perfusion based on intensities of borders of the volume of tissue to achieve an absolute measure of perfusion through the volume of tissue.

5. The system of claim 4, wherein the mean perfusion is calibrated by:

identifying a voxel comprising a maximum intensity corresponding to 100% of the voxel filled with blood from the ultrasound signal response;

identifying the voxel as within a blood vessel;

storing the intensity value corresponding to the voxel;

normalizing a plurality of intensity values corresponding to a plurality of voxels on the outer surface of the volume of tissue to achieve a fluid percentage within each of the plurality of voxels;

assuming 50% of the fluid percentage flows into the volume of interest and 50% of the fluid percentage flows out of the volume of interest, such that half of the fluid flied area is used as the surface area of blood input to the volume of interest.

6. A method comprising the steps of:

receiving, by a system comprising a processor, an ultrasound signal response of a contrast agent within a volume of tissue as a function of time, wherein the contrast agent is infused into a patient'"'"'s vasculature at a constant rate, wherein the volume of tissue comprises a geometry, wherein the geometry is a rectangular prism with a corresponding length, width, and height;

determining, by the system, a probabilistic constant based on the geometry of the volume of the tissue;

determining, by the system, a ratio of mean velocity to mean path length based on the ultrasound signal response at a first time representing a transitory intensity and a second time representing a steady state intensity;

determining, by the system, a tissue density of the volume of the tissue; and

determining, by the system, a mean perfusion through the volume of tissue based on the probabilistic constant, the ratio of mean velocity to mean path length, the tissue density, the width, and the height.

7. The method of claim 6, wherein the ratio of mean velocity to mean path length comprises a ratio of a first derivative of the ultrasound signal response over a first time period comprising the first time and a second derivative of the ultrasound signal response over a second time period comprising the second time.

8. The method of claim 6, wherein the probabilistic constant is determined based on a feature of the geometry and a scale of the volume of tissue.

9. The method of claim 6, wherein the mean perfusion through the volume of tissue (<

Q>

) is determined according to the following equation;

10. A non-transitory computer-readable medium having stored thereon instructions that, upon execution, cause a processor of one or more computing devices to perform operations, the operations comprising:

receiving an ultrasound signal response of a contrast agent within a volume of tissue as a function of time, wherein the contrast agent is infused into a patient'"'"'s vasculature at a constant rate, wherein the volume of tissue comprises a geometry, wherein the geometry is a rectangular prism with a corresponding length, width, and height;

determining a probabilistic constant based on to the geometry of the volume of the tissue;

determining a ratio of mean velocity to mean path length based on the ultrasound signal response at a first time representing a transitory intensity and a second time representing a steady state intensity; and

determining a mean perfusion through the volume of tissue based on the probabilistic constant, the ratio of mean velocity to mean path length, the tissue density, the width, and the height.

11. The computer-readable medium of claim 10, wherein the mean perfusion through the volume of tissue (<

Q>

) is determined according to the following equation;

12. The computer-readable medium of claim 10, further comprising calibrating the mean perfusion through the volume of tissue to obtain a value of absolute perfusion, comprising:

identifying a voxel comprising a maximum intensity corresponding to 100% of the voxel filled with blood from the ultrasound signal response;

identifying the voxel as within a blood vessel;

storing the intensity value corresponding to the voxel;

normalizing a plurality of intensity values corresponding to a plurality of voxels on the outer surface of the volume of interest to achieve a fluid percentage within each of the plurality of voxels;

assuming 50% of the fluid percentage flows into the volume of interest and 50% of the fluid percentage flows out of the volume of interest, such that half of the fluid flied area is used as the surface area of blood input to the volume of interest.