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Ultrasound parametric imaging of the calcaneus:In vivo results with a new device

  • Clinical Investigations
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Abstract

An ultrasound transmission scanning system was constructed to makein vivo parametric images of the acoustic properties of the heel. Broadband ultrasonic attenuation (BUA) images were obtained in transmit mode by using a pair of broadband focused transducers (center frequency 0.5 MHz, diameter 29 mm, focus 50 mm) immersed in a water bath at room temperature. With these characteristics, the theoretical beam width at the focus was approximately 5 mm. The total duration of the acquisition period was 3 minutes. Comparison of the BUA image and the radiograph of the calcaneus was possible in one case and showed that all the anatomical details could be identified. The images reported here demonstrate the wide range of BUA found in both the whole bone and within a ROI centered in the posterior part of the bone thus reinforcing the idea of tremendous heterogeneity of the acoustic properties of bone. This suggests that the accurate control of the position of the measurement site is of the utmost importance for between-subject comparison and for repetitive measurements. We proposed a new method, the likelihood image, as an efficient way of highlighting the regions of the image suspected to be subject to waveform distortion. It could be used to guide the selection of the optimal measurement site. Our results suggest that ultrasound parametric imaging has the potential for enhancing the current ultrasound technique by (1) allowing reproducible, repetitive measurements, (2) permitting the selection of similar optimal measurement sites in all subjects, and (3) avoiding accuracy erros due to wave-form distortion.

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References

  1. Langton CM, Palmer SB, Porter RW (1984) The measurement of broadband ultrasonic attenuation in cancellous bone. Eng Med 13:89–91

    PubMed  CAS  Google Scholar 

  2. Glüer C, Wu C, Jergas M, Goldstein S, Genant H (1994) Three quantitative ultrasound parameters reflect bone structure. Calcif Tissue Int 55:46–52

    Article  PubMed  Google Scholar 

  3. Hans D, Schott AM, Meunier PJ (1993) Ultrasonic assessment of bone: a review. EJM 2:157–163

    PubMed  CAS  Google Scholar 

  4. Laugier P, Giat P, Berger G (1994) New ultrasonic methods of quantitative assessment of bone status. Eur J Ultrasound 1:23–38

    Google Scholar 

  5. Poll V, Cooper C, Cawley MID (1986) Broadband ultrasonic attenuation in the os calcis and single photon absorptiometry in the distal forearm: a comparative study. Clin Phys Physiol Meas 7:375–379

    Article  PubMed  CAS  Google Scholar 

  6. Hosie CJ, Smith DA, Deacon AD, Langton CM (1987) Comparison of broadband ultrasonic attenuation of the os calcis and quantitative computed tomography of the distal radius. Clin Phys Physiol Meas 8:303–308

    Article  PubMed  CAS  Google Scholar 

  7. Baran DT, Kelley AM, Karellas A, Gionet M, Price M, Leahey D, Steuterman S, McSherry B, Roche J (1988) Ultrasound attenuation of the os calcis in women with osteoporosis and hip fractures. Calcif Tissue Int 43:138–142

    PubMed  CAS  Google Scholar 

  8. Rossman P, Zagzebski J, Mesina C, Sorenson J, Mazess R (1989) Comparison of speed of sound and ultrasound attenuation in the os calcis to bone density of the radius, femur and lumbar spine. Clin Phys Physiol Meas 10:353–360

    Article  PubMed  CAS  Google Scholar 

  9. McCloskey EV, Murray AS, Miller C, Charlesworth D, Tindale W, Odorherty DP, Bickerstaff DR, Hamdy NAT, Kanis JA (1990) Broadband ultrasound attenuation in the os calcis: relationship to bone mineral at other skeletal sites. Clin Sci 78:227–233

    PubMed  CAS  Google Scholar 

  10. Porter RW, Miller CG, Grainger D, Palmer SB (1990) Prediction of hip fracture in elderly women: a prospective study. Br Med 7:638–641

    Article  Google Scholar 

  11. Resch H, Pietschmann P, Bernecker P, Krexner E, Wilvonseder R (1990) Broadband ultrasound attenuation: a new diagnostic method in osteoporosis. AJR 155:825–828

    PubMed  CAS  Google Scholar 

  12. Agren M, Karellas A, Leahey D, Marks S, Baran D (1991) Ultrasound attenuation of the os calcis: a sensitive and specific screening test for osteopenia in postmenopausal women. Calcif Tissue Int 48:240–244

    PubMed  CAS  Google Scholar 

  13. Baran DT, McCarthy CK, Leahey D, Lew R (1991) Broadband ultrasound attenuation of the os calcis predicts lumbar and femoral neck density in Caucasian women: a preliminary study. Osteoporosis Int 1:110–113

    Article  CAS  Google Scholar 

  14. Zagzebski J, Rossman P, Mesina C, Mazess R, Madsen E (1991) Ultrasound transmission measurements through the os calcis. Calcif Tissue Int 49:107–111

    PubMed  CAS  Google Scholar 

  15. Damikalis JE, Drekatis E, Gourtsoyiannis NC (1992) Ultrasound attenuation of the calcaneus in female population: normative data. Calcif Tissue Int 51:180–183

    Article  Google Scholar 

  16. Truscott JG, Simpson M, Stewart SP, Milner R, Westmacott CF, Oldroyd B, Evans JA, Horsman A, Langton CM, Smith MA (1992) Bone ultrasonic attenuation in women: reproducibility, normal variation and comparison with photon absorptiometry. Clin Phys Physiol Meas 13:29–36

    Article  PubMed  CAS  Google Scholar 

  17. Herd RJ, Ramalingham T, Ryan PJ, Fogelman I, Blake GM (1992) Measurements of broadband ultrasonic attenuation in the calcaneus in premenopausal and postmenopausal women. Osteoporosis Int 2:247–251

    Article  CAS  Google Scholar 

  18. Glüer CC, Vhlensiek M, Faulkner KG, Engelke K, Black D, Genant HK (1992) Site-matched calcaneal measurements of broad-band ultrasound attenuation and single X-ray absorptiometry: Do they measure different skeletal properties? J Bone Min Res 7:1071–1079

    Article  Google Scholar 

  19. Waud CE, Lew R, Baran DT (1992) The relationship between ultrasound and densitometric measurements of bone mass at the calcaneus in women. Calcif Tissue Int 51:415–418

    Article  PubMed  CAS  Google Scholar 

  20. Palacios S, Menéndez C, Calderon J, Rubio S (1993) Spine and femur density and broadband ultrasound attenuation of the calcaneus in normal Spanish women. Calcif Tissue Int 53:99–102

    Article  Google Scholar 

  21. Massie A, Reid DM, Porter RW (1993) Screening for osteoporosis: comparison between dual energy X-ray absortiometry and broadband ultrasound attenuation in 1000 perimenopausal women. Osteoporosis Int 3:107–110

    Article  CAS  Google Scholar 

  22. Young H, Howey S, Purdie DW (1993) Broadband ultrasound attenuation compared with dual-energy X-ray absorptiometry in screening for postmenopausal low bone density. Osteoporosis Int 3:160–164

    Article  CAS  Google Scholar 

  23. Schott AM, Hans D, Sornay-Rendu E, Delmas PD, Meunier PJ (1993) Ultrasound measurements on os calcis: precision and age-related changes in a normal female population. Osteoporosis Int 3:249–254

    Article  CAS  Google Scholar 

  24. Roux C, Lemonnier E, Kolta S, Charpentier E, Dougados M, Amor B, Viens-Bitker C (1993) Broadband ultrasound attenuation of the os calcis and density measurements. Rev Rhum 60:771–780

    Google Scholar 

  25. Lees B, Stevenson JC (1993) Preliminary evaluation of a new ultrasound bone densitometer. Calcif Tissue Int 53:149–152

    Article  PubMed  CAS  Google Scholar 

  26. Salamone LM, Krall EA, Harris S, Dawson-Hughes B (1994) Comparison of broadband ultrasound attenuation to single X-ray absorptiometry measurements at the calcaneus in postmenopausal women. Calcif Tissue Int 54:87–90

    Article  PubMed  CAS  Google Scholar 

  27. Stegman MR, Heaney RP, Recker RR (1995) Comparison of speed of sound ultrasound with single photon absorptiometry for determining fracture odds ratio. J Bone Miner Res 10:346–351

    PubMed  CAS  Google Scholar 

  28. Kröger H, Jurvelin J, Arnala I, Penttilä K, Rask A, Vainio P, Alhava E (1995) Ultrasound attenuation of the calcaneus in normal subjects and patients with wrist fracture. Acta Orthop Scand 66:47–52

    PubMed  Google Scholar 

  29. Heaney RP, Avioli LV, Chesnut CH, Lappe J, Recker RR, Brandeburger GH (1995) Ultrasound velocity through bone predicts incident vertebral deformity. J Bone Miner Res 10:341–345

    PubMed  CAS  Google Scholar 

  30. Schott AM, Weil-Engerer S, Hans D, Duboeuf F, Delmas PD, Meunier PJ (1995) Quantitative ultrasound and vertebral fracture in postmenopausal women. J Bone Min Res 10:243–249

    CAS  Google Scholar 

  31. Schott AM, Weiu-Engerer S, Hans D, Duboeuf F, Delmas PD, Meunier PJ (1995) Ultrasound discriminates patients with hip fracture equally well as dual energy X-ray absorptiometry and independently of bone mineral density. J Bone Miner Res 10:353–358

    Google Scholar 

  32. Funke M, Kopka L, Vosshenrich R, Fischer U, Ueberschaer A, Oestmann JW, Grabbe E (1995) Broadband ultrasound attenuation in the diagnosis of osteoporosis: correlation with osteodensitometry and fracture. Radiology 194:77–81

    PubMed  CAS  Google Scholar 

  33. Laugier P, Giat P, Berger G (1994) Broadband ultrasonic attenuation imaging: a new imaging technique of the os calcis. Calcif Tissue Int 54:83–86

    Article  PubMed  CAS  Google Scholar 

  34. Laugier P, Giat P, Berger G (1994) Ultrasound attenuation imaging in the os calcis: an improved method. Ultrason Imag 16:65–76

    Article  CAS  Google Scholar 

  35. Robinson DE, Wilson LS, Kossoff G (1981) Shadowing and enhancement in ultrasonic echograms by reflection and refraction. J Clin Ultrasound 9:181–188

    PubMed  CAS  Google Scholar 

  36. LaFollette PS, Ziskin M (1986) Geometric and intensity distortion in echography. Ultrasound Med Biol 12:953–963

    Article  PubMed  Google Scholar 

  37. Sommer FG, Filly RA, Minton MJ (1979) Acoustic shadowing due to refractive and reflective effects. AJR 132:973–977

    PubMed  CAS  Google Scholar 

  38. Goss SA, Johnston RL, Dunn F (1978) Comprehensive compilation of empirical ultrasonic properties of mammalian tissues. J Acoust Soc Am 64:423–457

    Article  PubMed  CAS  Google Scholar 

  39. Roux C, Fournier B, Laugier P, Chappard C, Kolta S, Berger G, Dougados M (1995) Precision of ultrasound attenuation imaging in vivo. J Bone Miner Res 10:S498

    Google Scholar 

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Laugier, P., Fournier, B. & Berger, G. Ultrasound parametric imaging of the calcaneus:In vivo results with a new device. Calcif Tissue Int 58, 326–331 (1996). https://doi.org/10.1007/BF02509380

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  • DOI: https://doi.org/10.1007/BF02509380

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