Intrinsic Cardiovascular Wave and Strain Imaging
Abstract
Cardiovascular diseases remain America’s primary killer by a large margin, claiming the lives of more Americans than the next two main causes of death combined (cancer and pulmonary complications). In particular, coronary artery disease (CAD) is by far the most lethal, causing 17% of all (cardiac-related or not) deaths every year. One of the main reasons for this high death toll is the severe lack of effective and accessible imaging tools upon anomaly detected on the electrocardiogram (ECG), especially at the early stages when CAD can be stabilized with appropriate pharmacological regimen. Arrhythmias refer to the disruption of the natural heart rhythm. Cardiac arrhythmias lead to a significant number of cardiovascular morbidity and mortality. This irregular heart rhythm causes the heart to suddenly stop pumping blood. Atrial pathologies are the most common arrhythmias with atrial fibrillation and atrial flutter being the most prevalent. In this chapter, we introduce ultrasound-based methodologies that are based on inferring to the mechanical and electrical properties of the myocardium in order to better image the onset and progression of the aforementioned diseases.
Notes
Acknowledgements
The results presented herein were produced by current and previous members of the Ultrasound and Elasticity Imaging Laboratory: Ethan Bunting, Ph.D., Alexandre Costet, Ph.D., Julien Grondin, Ph.D., Wei-Ning Lee, Ph.D., Pierre Nauleau, Ph.D. and Jean Provost, Ph.D. The studies were in part supported by R01 EB006042 and R01 HL114358.
References
- 1.Amano J, Thomas JX, Lavallee M, Mirsky I, Glover D, Manders WT, Randall WC, Vatner SF (1987) Effects of myocardial-ischemia on regional function and stiffness in conscious dogs. Am J Physiol 252(1):H110–H117CrossRefGoogle Scholar
- 2.Bertrand ME, Rousseau MF, Lefebvre JM, Lablanche JM, Asseman PH, Carre AG, Lekieffre JP (1978) Left-ventricular compliance in acute transmural myocardial-infarction in man. Eur J Cardiol 7:179–193Google Scholar
- 3.Bunting EA, Provost J, Konofagou EE (2014) Stochastic precision analysis of 2D cardiac strain estimation in vivo. Phys Med Biol 59(22):6841–6858. Epub 2014/10/22. NIHMS638316. PMCID: PMC Journal—In ProcessCrossRefGoogle Scholar
- 4.Costet A, Provost J, Gambhir A, Bobkov Y, Danilo P Jr, Boink GJ, Rosen MR, Konofagou EE (2014) Electromechanical wave imaging of biologically and electrically paced canine hearts in vivo. Ultrasound Med Biol 40(1):177–87. PMCID: PMC3897195CrossRefGoogle Scholar
- 5.Edwards CH, Rankin JS, Mchale P, Ling D, Anderson RW (1981) Effects of ischemia on left-ventricular regional function in the conscious dog. Am J Physiol 240(3):H413–H420CrossRefGoogle Scholar
- 6.Go S et al (2014) Heart disease and stroke statistics–2014 update: a report from the American Heart Association. Circulation 129:e28–e292Google Scholar
- 7.Gurev V, Constantino J, Rice JJ, Trayanova N (2009) Three-dimensional activation sequence determines transmural changes in electromechanical delayGoogle Scholar
- 8.Haga JH, Beaudoin AJ, White JG, Strony J (1998) Quantification of the passive mechanical properties of the resting platelet. Ann Biomed Eng 26:268–277CrossRefGoogle Scholar
- 9.Hillman EMC, Bernus O, Pease E, Bouchard MB, Pertsov A (2007) Depth-resolved optical imaging of transmural electrical propagation in perfused heart. Opt Express 15:17827–17841CrossRefGoogle Scholar
- 10.Holmes JW, Borg TK, Covell JW (2005) Structure and mechanics of healing myocardial infarcts. Annu Rev Biomed Eng 7:223–253CrossRefGoogle Scholar
- 11.Jensen J (1996) Field: a program for simulating ultrasound systems. Paper presented at the 10th Nordic-Baltic conference on biomedical imaging, Published in Medical & Biological Engineering & Computing 34:1351–1353Google Scholar
- 12.Kallel F, Ophir J (1997) A least-squares strain estimator for elastography. Ultrason Imaging 19:195–208CrossRefGoogle Scholar
- 13.Konofagou E, D’hooge J, Ophir J (2000) Cardiac elastography—a feasibility study. Proc IEEE Ultrason Symp 1273–1276Google Scholar
- 14.Konofagou E, Ophir J (1998) A new elastographic method for estimation and imaging of lateral displacements, lateral strains, corrected axial strains and Poisson’s ratios in tissues. Ultrasound Med Biol 24:1183–1199CrossRefGoogle Scholar
- 15.Konofagou EE (1999) Estimation and imaging of three-dimensional motion and Poisson’s ratio in elastography. PhD dissertation, University of Houston, TXGoogle Scholar
- 16.Konofagou EE, Harrigan T, Solomon S (2001) Assessment of regional myocardial strain using cardiac elastography: distinguishing infarcted from non-infarcted myocardium. Proc IEEE Ultrason Symp 1589–1592Google Scholar
- 17.Konofagou EE, D’Hooge J, Ophir J (2002) Myocardial elastography—a feasibility study in vivo. Ultrasound Med Biol 28:475–482CrossRefGoogle Scholar
- 18.Konofagou EE, Manning W, Kissinger K, Solomon SD (2003) Myocardial elastography-comparison to results using MR cardiac tagging. Proc IEEE Ultrason Symp 130–133Google Scholar
- 19.Konofagou EE, Fung-Kee-Fung S, Luo J, Pernot M (2006a) Imaging the mechanics and electromechanics of the heart. Proc IEEE EMBS Conf 6648–6651Google Scholar
- 20.Konofagou EE, Luo J, Fujikura K, Cervantes D, Coromilas J (2006b) Imaging the electromechanical wave activation of the left ventricle in vivo. Proc IEEE Ultrason Symp 985–988Google Scholar
- 21.Konofagou EE, Lee W-N, Luo J (2008) Cardiovascular elasticity imaging. In: Fatemi M, Al-Jumaily A (eds) Biomedical applications of vibration and acoustics in imaging and characterizations. Chapter 6, 93-117. ASME Press, New York, NYGoogle Scholar
- 22.Konofagou EE, Luo J, Saluja D, Cervantes DO, Coromilas J, Fujikura K (2010) Noninvasive electromechanical wave imaging and conduction-relevant velocity estimation in vivo. Ultrasonics 50(2):208–215. [Invited] PMCID: PMC4005418CrossRefGoogle Scholar
- 23.Konofagou EE, Provost J (2012) Electromechanical wave imaging for noninvasive mapping of the 3D electrical activation sequence in canines and humans in vivo. J Biomech 45(5):856–864. [Invited] PMCID: PMC4005422CrossRefGoogle Scholar
- 24.Lauerma K et al (1997) Multislice MRI in assessment of myocardial perfusion in patients with single-vessel proximal left anterior descending coronary artery disease before and after revascularization. Circulation 96:2859–2867CrossRefGoogle Scholar
- 25.Lee WN, Ingrassia CM, Fung-Kee-Fung SD, Costa KD, Holmes JW, Konofagou EE (2007) Theoretical quality assessment of myocardial elastography with in vivo validation. IEEE Trans Ultrason Ferroelectr Freq Control 54:2233–2245CrossRefGoogle Scholar
- 26.Lee WN, Konofagou EE (2008) Angle-independent and multi-dimensional myocardial elastography—from theory to clinical validation. Ultrasonics 48:563–567CrossRefGoogle Scholar
- 27.Lee WN, Provost J, Fujikura K, Wang J, Konofagou EE (2011) In vivo study of myocardial elastography under graded ischemia conditions. Phys Med Biol 56(4):1155–72. PMCID: PMC4005801CrossRefGoogle Scholar
- 28.Luo J, Konofagou EE (2008) High-frame rate, full-view myocardial elastography with automated contour tracking in murine left ventricles in vivo. IEEE Trans Ultrason Ferroelectr Freq Control 55:240–248CrossRefGoogle Scholar
- 29.Luo J, Lee W-N, Konofagou EE (2009) Fundamental performance assessment of 2-D myocardial elastography in a phased array configuration. IEEE Trans Ultrason Ferroelectr Freq Control (in press)Google Scholar
- 30.Luo J, Konofagou E (2010) A fast normalized cross-correlation calculation method for motion estimation. IEEE Trans Ultrason Ferroelectr Freq Control. 57(6):1347–57. PMCID: PMC4123965Google Scholar
- 31.Nauleau P, Melki L, Wan E, Konofagou E (2017) A 3-D rendering algorithm for electromechanical wave imaging of a beating heart. Med Phys 44(9):4766–4772CrossRefGoogle Scholar
- 32.Provost J, Lee WN, Fujikura K, Konofagou EE (2010) Electromechanical wave imaging of normal and ischemic hearts in vivo. IEEE Trans Med Imaging 29(3):625–635. PMCID: PMC3093312CrossRefGoogle Scholar
- 33.Provost J, Gurev V, Trayanova N, Konofagou EE (2011) Mapping of cardiac electrical activation with electromechanical wave imaging: an in silico-in vivo reciprocity study. Heart Rhythm 8(5):752–759. PMC3100212CrossRefGoogle Scholar
- 34.Provost J, Nguyen VT, Legrand D, Okrasinski S, Costet A, Gambhir A, Garan H, Konofagou EE (2011) Electromechanical wave imaging for arrhythmias. Phys Med Biol 56(22):L1–L11 PMID: 22024555CrossRefGoogle Scholar
- 35.Provost J, Thiebault S, Luo J, Konofagou EE (2012) Single-heartbeat electromechanical wave imaging with optimal strain estimation using temporally unequispaced acquisition sequences. Phys Med Biol 57(4):1095–1112. NIHMS375306 [PMCID in Process]CrossRefGoogle Scholar
- 36.Ramanathan C, Ghanem RN, Jia P, Ryu K, Rudy Y (2004) Noninvasive electrocardiographic imaging for cardiac electrophysiology and arrhythmia. Nat Med 10:422–428CrossRefGoogle Scholar
- 37.Righetti R, Ophir J, Ktonas P (2002) Axial resolution in elastography. Ultrasound Med Biol 28(1):101–113CrossRefGoogle Scholar
- 38.Schilling RJ, Peters NS, Davies W (1998) Simultaneous endocardial mapping in the human left ventricle using a noncontact catheter—comparison of contact and reconstructed electrograms during sinus rhythm. Circulation 98:887–898CrossRefGoogle Scholar
- 39.Varma N, Eberli FR, Apstein CS (2000) Increased diastolic chamber stiffness during demand ischemia—response to quick length change differentiates rigor-activated from calcium-activated tension. Circulation 101(18):2185–2192CrossRefGoogle Scholar
- 40.Varma N, Eberl FR, Apstein CS (2001) Left ventricular diastolic dysfunction during demand ischemia: rigor underlies increased stiffness without calcium-mediated tension. Amelioration by glycolytic substrate. J Am Coll Cardiol 37(8):2144–2153CrossRefGoogle Scholar
- 41.Wang SG, Lee WN, Provost J, Luo J, Konofagou EE (2008) A composite high-frame-rate system for clinical cardiovascular imaging. IEEE Trans Ultrason Ferroelectr Freq Control 55:2221–2233CrossRefGoogle Scholar
- 42.Zervantonakis IK, Fung-Kee-Fung SD, Lee WN, Konofagou EE (2007) A novel, view-independent method for strain mapping in myocardial elastography: eliminating angle and centroid dependence. Phys Med Biol 52:4063–4080CrossRefGoogle Scholar