scholarly journals Natural shear wave propagation speed is influenced by both changes in myocardial structural properties as well as loading conditions

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
S Bezy ◽  
J Duchenne ◽  
M Orlowska ◽  
M Amoni ◽  
A Caenen ◽  
...  
Keyword(s):  
Wave Propagation ◽  
Structural Properties ◽  
Shear Wave ◽  
Wave Speed ◽  
Propagation Speed ◽  
Left Ventricular ◽  
Balloon Occlusion ◽  
Frame Rate ◽  
Shear Wave Speed ◽  
Wave Propagation Speed

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Research Foundation - Flanders (FWO) Background Shear wave elastography (SWE) is a promising tool for the non-invasive assessment of myocardial stiffness. It is based on the evaluation of the propagation speed of shear waves by high frame rate echocardiography. These waves can be induced by for instance mitral valve closure (MVC) and the speed at which they travel is related to the instantaneous stiffness of the myocardium. Myocardial stiffness is defined by the local slope of the stress-strain relation and can therefore be altered by both changes in structural properties of the myocardium as well as loading conditions. Purpose The aim of this study was to investigate how changes in myocardial structural properties as well as loading conditions affect shear wave speed after MVC. Methods Until now, 8 pigs (weight: 33.6 ± 5.4 kg) were included. The following interventions were performed: 1) preload was reduced by balloon occlusion of the vena cava inferior, 2) afterload was increased by balloon occlusion of descending aorta, 3) preload was increased by intravenous administration of 500 ml of saline and 4) ischemia/reperfusion injury (I/R injury) was induced in the septal wall by balloon occlusion of the LAD for 90 min. with subsequent reperfusion for 40 min. Echocardiographic and left ventricular pressure recordings were simultaneously obtained during each intervention. Left ventricular parasternal long-axis views were acquired with an experimental high frame rate ultrasound scanner (average frame rate: 1279 ± 148 Hz). Shear waves were visualized on tissue acceleration maps by drawing an M-mode line along the interventricular septum. Shear wave propagation speed after MVC was calculated by assessing the slope of the wave pattern on the tissue acceleration map (Figure A). Results The change in left ventricular end-diastolic pressure (LVEDP) and shear wave speed after MVC between baseline and each intervention are shown in Figure B and C, respectively. Preload reduction resulted in significant lower LVEDP compared to baseline (p < 0.01), while the other loading changes did not have a significant effect. Shear wave speed after MVC significantly increased by afterload and preload increase (p < 0.01). I/R injury resulted in increased shear wave speed (p < 0.01) without significantly altering LVEDP. There was a good positive correlation between the change in LVEDP and the change in shear wave speed induced by loading changes (r = 0.76; p < 0.001) (Figure D). However, the correlation became less strong if data of I/R injury was taken into account as well (r = 0.63; p < 0.001). Conclusion Our results suggest that SWE is capable to characterize myocardial tissue properties and besides has the potential as a novel method for the estimation of left ventricular filling pressures. However, in the presence of structural changes of the myocardium, care should be taken when estimating filling pressures based on shear wave propagation speed. Abstract Figure.

scholarly journals The influence of hemodialysis-induced preload changes on the propagation speed of natural shear waves

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
S Bezy ◽  
M Orlowska ◽  
A Van Craenenbroeck ◽  
M Cvijic ◽  
J Duchenne ◽  
...  
Keyword(s):  
Wave Propagation ◽  
Shear Wave ◽  
Wave Speed ◽  
Shear Waves ◽  
Propagation Speed ◽  
Left Ventricular ◽  
Frame Rate ◽  
High Frame Rate ◽  
Shear Wave Speed ◽  
Wave Propagation Speed

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Research Foundation - Flanders (FWO) Background Shear wave elastography (SWE) is a novel ultrasound technique based on the detection of transverse waves travelling through the myocardium using high frame rate echocardiography. The propagation speed of these shear waves is dependent on the stiffness of the myocardium. Previous studies have shown the potential of SWE for the non-invasive assessment of myocardial stiffness. It is unclear, however, if preload changes lead to measurable changes in the shear wave propagation speed in the left ventricle. In patients undergoing hemodialysis, the volume status is acutely changed. In this way, the effect of preload changes on shear wave speed can be assessed. Purpose The aim of this study was to explore the influence of preload changes on end-diastolic shear wave propagation speed. Methods Until now, 6 patients (age: 80[53-85] years; female: n = 2) receiving hemodialysis treatment were included. Echocardiographic images were taken before and every hour during a 4 hour hemodialysis session. Left ventricular parasternal long-axis views were acquired with an experimental high frame rate ultrasound scanner (average frame rate: 1016[941-1310] Hz). Standard echocardiography was performed with a conventional ultrasound machine. Shear waves were visualized on tissue acceleration maps by drawing an M-mode line along the interventricular septum. Shear wave propagation speed after mitral valve closure (MVC) was calculated by measuring the slope of the wave pattern on the acceleration maps (Figure A). Results Over the course of hemodialysis, the systolic (141[135-156] mmHg vs. 165[105-176] mmHg; p = 0.35 among groups) and diastolic blood pressure (70[66-75] mmHg vs. 82[63-84] mmHg; p = 0.21 among groups), heart rate (56[54-73] bmp vs. 57[50-67] bpm; p = 0.76 among groups), E/A ratio (1.6[0.7-1.8] vs. 1.2[0.6-1.4]; p = 0.43 among groups) and E/e’ (14[9-15] vs. 9[8-13]; p = 0.24 among groups ) remained the same. The ultra-filtrated volumes are shown in Figure B. The shear wave propagation speed after MVC gradually decreased during hemodialysis (6.7[5.4-9.7] m/s vs. 4.4[3.6-9.0] m/s; p = 0.04 among groups) (Figure C). There was a moderate negative correlation between shear wave speed and the ultra-filtrated volume (r=-0.63; p < 0.01) (Figure D). Conclusion The shear wave propagation speed at MVC significantly decreased over the course of hemodialysis and correlated to the ultra-filtrated volume. These results indicate that alterations in left ventricular preload affect the speed of shear waves at end-diastole. End-diastolic shear wave speed might therefore be a potential novel parameter for the evaluation of the left ventricular filling state. More patients will be included in the future to further explore these findings. Abstract Figure.

scholarly journals Myocardial stiffness assessed by natural shear wave elastography is related to pressure-volume loop derived parameters

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
S Bezy ◽  
A Caenen ◽  
J Duchenne ◽  
M Orlowska ◽  
M Amoni ◽  
...  
Keyword(s):  
Shear Wave ◽  
Wave Speed ◽  
Propagation Speed ◽  
Shear Wave Elastography ◽  
Frame Rate ◽  
Myocardial Stiffness ◽  
High Frame Rate ◽  
Shear Wave Speed ◽  
Non Invasive ◽  
Operating Chamber

Abstract Background Several cardiovascular disorders are accompanied by a stiffening of the myocardium and may result in diastolic heart failure. The non-invasive assessment of myocardial stiffness could therefore improve the understanding of the pathophysiology and guide treatment. Shear wave elastography (SWE) is a recent technique with tremendous potential for evaluating myocardial stiffness in a non-invasive way. Using high frame rate echocardiography, the propagation speed of shear waves is evaluated, which is directly related to the stiffness of the myocardium. These waves are induced by for instance mitral valve closure (MVC) and propagate throughout the cardiac muscle. However, validation of SWE against an invasive gold standard method is lacking. Purpose The aim of this study was to compare echocardiographic shear wave elastography against invasive pressure-volume loops, a gold standard reference method for assessing chamber stiffness. Methods In 15 pigs (31.2±4.1 kg) stiffness of the myocardium was acutely changed by inducing ischemia/reperfusion (I/R) injury. For this, the proximal LAD was balloon occluded for 90 minutes with subsequent reperfusion for 40 minutes. Conventional and high frame rate echocardiographic images were acquired simultaneously with pressure-volume loops during baseline conditions and after the induction of the I/R injury. Preload was reduced in order to acquire a set of pressure-volume loops to derive the end-diastolic pressure volume relation (EDPVR). From the EDPVR, the stiffness coefficient β and the operating chamber stiffness dP/dV were obtained. High frame rate echocardiographic datasets of the parasternal long axis view were acquired with an experimental ultrasound scanner (HD-PULSE) at an average frame rate of 1304±115 Hz. Tissue acceleration maps were obtained by drawing an M-mode line along the interventricular septum in order to visualize shear waves after MVC (at end-diastole). The propagation speed was assessed by semi-automatically measuring the slope (Figure A). Results I/R injury led to an elevated chamber stiffness constant β (0.09±0.03 1/ml vs. 0.05±0.01 1/ml; p<0.001) and operating chamber stiffness dP/dV (1.09±0.38 mmHg/ml vs. 0.50±0.18 mmHg/ml; p<0.01). Likewise, shear wave speed after MVC increased after the induction of the I/R injury in comparison to baseline (6.1±1.2 m/s vs. 3.2±0.8 m/s; p<0.001). Shear wave speed had a moderate positive correlation with β (r=0.63; p<0.001) (Figure B) and a strong positive correlation with dP/dV (r=0.81; p<0.001) (Figure C). Conclusion End-diastolic shear wave speed is strongly related to chamber stiffness, assessed invasively by pressure-volume loops. These results indicate that shear wave propagation speed could be used as a novel non-invasive measurement of the mechanical properties of the ventricle. FUNDunding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): FWO - Research Foundation Flanders

The behaviour of natural shear waves under different loading conditions

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S Bezy ◽  
J Duchenne ◽  
M Orlowska ◽  
L Wouters ◽  
A Caenen ◽  
...  
Keyword(s):  
Wave Propagation ◽  
Shear Wave ◽  
Propagation Velocity ◽  
Shear Waves ◽  
Left Ventricular ◽  
Balloon Occlusion ◽  
Frame Rate ◽  
Funding Source ◽  
Preload Reduction ◽  
Propagation Velocities

Abstract Background Shear wave imaging (SWI) is a novel ultrasound technique based on the detection of transverse waves traveling through the myocardium using high frame rate echocardiography. These waves can be naturally induced e.g. by mitral valve closure (MVC). Their propagation velocity is dependent on the stiffness of the myocardium. Previous studies have shown the potential of SWI for the non-invasive assessment of myocardial stiffness. So far, the influence of loading on shear wave propagation velocities has not been extensively investigated. Purpose The aim of this study was to explore how loading changes affect shear wave propagation velocities after MVC. Methods Until now, 5 pigs (weight: 33.5±6.9 kg) were included. Echocardiographic images and left ventricular pressure recordings were simultaneously acquired during acute loading alterations: 1) preload was reduced by balloon occlusion of the vena cava inferior, 2) afterload was increased by balloon occlusion of the descending aorta and 3) preload was increased by intra-venous administration of 500 ml of saline. Left ventricular parasternal long-axis views were acquired with an experimental high frame rate ultrasound scanner (average frame rate: 1247±179 Hz). Shear waves were visualized on tissue acceleration maps by drawing an M-mode line along the interventricular septum. Shear wave propagation velocities after MVC were calculated by measuring the slope of the wave front on the acceleration maps (Figure A). Results The changes in left ventricular end-diastolic pressures (LV EDP) between baseline and each intervention are shown in Figure B. Preload reduction resulted in significantly reduced LV EDP (p<0.01). The shear wave propagation velocities after MVC dropped with preload reduction and increased significantly by increasing afterload as well as preload (both p<0.05) (Figure C). There was a good positive correlation between the change in LV EDP and the change in shear wave velocities (r=0.83; p<0.001) (Figure D). Conclusion The shear wave propagation velocity after MVC was significantly influenced by alterations in left ventricular loading conditions and changes in these velocities were related to changes in LV EDP. These results indicate that shear wave measurements at MVC might be a potential novel parameter for the estimation of left ventricular filling pressures. More pigs will be included in the future to further confirm these findings. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): Fonds Wetenschappelijk Onderzoek - Vlaanderen

Sensitivity of the Shear Wave Speed-Stress Relationship to Soft Tissue Material Properties and Fiber Alignment

2021 ◽  
Author(s):  
Jonathon Blank ◽  
Darryl Thelen ◽  
Matthew S. Allen ◽  
Joshua Roth
Keyword(s):  
Wave Propagation ◽  
Shear Modulus ◽  
Shear Wave ◽  
Wave Speed ◽  
Axial Stress ◽  
Beam Model ◽  
Fiber Alignment ◽  
Wave Speeds ◽  
Shear Wave Speed ◽  
Constitutive Properties

The use of shear wave propagation to noninvasively gauge material properties and loading in tendons and ligaments is a growing area of interest in biomechanics. Prior models and experiments suggest that shear wave speed primarily depends on the apparent shear modulus (i.e., shear modulus accounting for contributions from all constituents) at low loads, and then increases with axial stress when axially loaded. However, differences in the magnitudes of shear wave speeds between ligaments and tendons, which have different substructures, suggest that the tissue’s composition and fiber alignment may also affect shear wave propagation. Accordingly, the objectives of this study were to (1) characterize changes in the apparent shear modulus induced by variations in constitutive properties and fiber alignment, and (2) determine the sensitivity of the shear wave speed-stress relationship to variations in constitutive properties and fiber alignment. To enable systematic variations of both constitutive properties and fiber alignment, we developed a finite element model that represented an isotropic ground matrix with an embedded fiber distribution. Using this model, we performed dynamic simulations of shear wave propagation at axial strains from 0% to 10%. We characterized the shear wave speed-stress relationship using a simple linear regression between shear wave speed squared and axial stress, which is based on an analytical relationship derived from a tensioned beam model. We found that predicted shear wave speeds were both in-range with shear wave speeds in previous in vivo and ex vivo studies, and strongly correlated with the axial stress (R2 = 0.99). The slope of the squared shear wave speed-axial stress relationship was highly sensitive to changes in tissue density. Both the intercept of this relationship and the apparent shear modulus were sensitive to both the shear modulus of the ground matrix and the stiffness of the fibers’ toe-region when the fibers were less well-aligned to the loading direction. We also determined that the tensioned beam model overpredicted the axial tissue stress with increasing load when the model had less well-aligned fibers. This indicates that the shear wave speed increases likely in response to a load-dependent increase in the apparent shear modulus. Our findings suggest that researchers may need to consider both the material and structural properties (i.e., fiber alignment) of tendon and ligament when measuring shear wave speeds in pathological tissues or tissues with less well-aligned fibers.

Spatial Variations in Achilles Tendon Shear Wave Speed Using a Cost-Effective Method of Accelerometers

2019 ◽  
Author(s):  
Muhammad Salman ◽  
Conghui Ge ◽  
Clint Morris
Keyword(s):  
Mechanical Properties ◽  
Signal Processing ◽  
Wave Propagation ◽  
Achilles Tendon ◽  
Shear Wave ◽  
Wave Speed ◽  
Cost Effective ◽  
Complex Signal ◽  
Signal Processing Technique ◽  
Shear Wave Speed

Abstract Currently there are no cost-effective ways to quantitatively measure the in-vivo mechanical properties of the Achilles tendon. Stiffness can be used as a measure of tone and mechanical integrity of both muscles and tendons. Stiffness of the Achilles tendon (AT) can be quantified by the speed of shear wave propagation. The speed of propagation can then be used to find the instantaneous shear modulus. Currently there are other methods such as Ultrasound (US) imaging and Magnetic Resonance Imaging (MRI) which are used clinically to determine the variations in stiffness of the AT. However, these methods require complex signal processing and experienced technicians. Moreover, US imaging technique is limited in measuring high shear wave speed values which are greater than 17 m/s. In this research, one-dimensional accelerometers were used to measure acceleration through the AT. Then a cross-correlation signal processing technique was used to convert acceleration to the velocity of shear wave propagation across the AT. This method could potentially evaluate the mechanical properties of both normal and damaged tendons. This process has proven to be a cost-effective and simple way to assess the stiffness of the AT. The modulus of elasticity (E) was found using the following relation: E = 3ρV2.

Measurements of Shear Wave Propagation Speed in Gas-Liquid Foam

1994 ◽  
Vol 163 (2) ◽  
pp. 269-276 ◽  
Author(s):  
Qian Sun ◽  
James P. Butler ◽  
Béla Suki ◽  
Dimitrije Stamenović
Keyword(s):  
Wave Propagation ◽  
Shear Wave ◽  
Propagation Speed ◽  
Wave Propagation Speed ◽  
Liquid Foam

Acoustic Radiation Force Creep and Shear Wave Propagation Method for Elasticity Imaging

2012 ◽  
Author(s):  
Carolina Amador ◽  
Matthew W. Urban ◽  
Shigao Chen ◽  
James F. Greenleaf
Keyword(s):  
Wave Propagation ◽  
Shear Wave ◽  
Wave Speed ◽  
Acoustic Radiation ◽  
Radiation Force ◽  
Acoustic Radiation Force ◽  
Time Dependent ◽  
Elasticity Imaging ◽  
Shear Wave Speed ◽  
Model Independent

Elasticity imaging methods have been used to study tissue mechanical properties and have demonstrated that tissue elasticity changes with disease state. Quantitative mechanical properties can be measured in a model independent manner if both shear wave speed and attenuation are known. However, measuring shear wave speed attenuation is challenging in the field of elasticity imaging. Typically, only shear wave speed is measured and rheological models, such as Kelvin-Voigt, Maxwell and Standard Linear Solid, are used to solve for shear viscoelastic complex modulus. Acoustic radiation force has been used to study quasi-static viscoelastic properties of tissue during creep and relaxation conditions, however, as with shear wave propagation methods, a rheological model needs to be fit to the creep or relaxation experimental data to solve for viscoelastic parameters. This paper presents a method to quantify viscoelastic properties in a model-independent way by estimating complex shear elastic modulus over a wide frequency range using time-dependent creep response induced by acoustic radiation force. The acoustic radiation force induced creep (RFIC) method uses a conversion formula that is the analytic solution of the constitutive equation relating time dependent stress and time dependent strain. The RFIC method in combination with shear wave propagation is used to measure the complex shear modulus so that knowledge of the applied radiation force magnitude is not necessary. Numerical simulation of creep strain and compliance using the Kelvin-Voigt model shown that the conversion formula is sensitive to sampling frequency, the first reliable measure in time and the long term viscosity approximation. Experimental data are obtained in homogeneous tissue mimicking phantoms and excised swine kidneys.

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