use of modulated excitation signals in medical ultrasound. part iii

12
208 ieee transactions on ultrasonics, ferroelectrics, and frequency control, vol. 52, no. 2, february 2005 Use of Modulated Excitation Signals in Medical Ultrasound. Part III: High Frame Rate Imaging Thanassis Misaridis and Jørgen Arendt Jensen, Senior Member, IEEE Abstract—This paper, the last from a series of three pa- pers on the application of coded excitation signals in medi- cal ultrasound, investigates the possibility of increasing the frame rate in ultrasound imaging by using modulated exci- tation signals. Linear array-coded imaging and sparse syn- thetic transmit aperture imaging are considered, and the trade-offs between frame rate, image quality, and SNR are discussed. It is shown that FM codes can be used to increase the frame rate by a factor of two without a degradation in image quality and by a factor of 5, if a slight decrease in image quality can be accepted. The use of synthetic trans- mit aperture imaging is also considered, and it is here shown that Hadamard spatial encoding in transmit with FM emis- sion signals can be used to increase the frame rate by 12 to 25 times with either a slight or no reduction in signal- to-noise ratio and image quality. By using these techniques a complete ultrasound-phased array image can be created using only two emissions. I. Introduction T he second objective of coded excitation (with the im- provement in signal-to-noise ratio (SNR) in ultra- sound images being the first) is the possibility of increasing the frame rate of image formation. Frame rate in medical ultrasound imaging systems is determined by the num- ber of transmit events per frame. In current systems the number of transmit events is equal to the number of scan lines to be formed, which limits the frame rate to about 30 to 40 frames/s. Increasing the frame rate in ultrasound imaging will allow tracking of the movement of the heart in present-day 2-D systems and will pave the way to the future real-time 3-D imaging systems. High frame can be also used for image enhancement methods such as video integration or compounding [1]. Frame rate can be increased with simultaneous trans- mission of a number of coded signals, i.e., multiple fo- cused coded beams along different directions. For good axial resolution, all signals in the set should have good auto-correlation properties. Separation of the echoes from all excitation signals requires that the cross-correlation of Manuscript received August 1, 2002; accepted July 6, 2004. This work was supported by grant 9700883 and 9700563 from the Danish Science Foundation and by B-K Medical A/S. T. Misaridis is with the National Technical University of Athens, I.A.S.A., P.O. Box 17214, 10024 Athens, Greece (email: [email protected]). J. A. Jensen is with the Center for Fast Ultrasound Imaging, ØrstedDTU, Bldg. 348, Technical University of Denmark, DK-2800 Lyngby, Denmark (email: [email protected]). any two signals in the set be low for all relative phase shifts. The cross-talk in the receiver results when the fil- ter matched to one of the signals is applied to the echoes originating from another transmitted signal in the set. Alternatively, frame rate can be increased by using syn- thetic transmit aperture (STA) techniques. One of the lim- itations of the otherwise very promising STA imaging is the poor SNR of the resulting images. In this case, utilization of coded excitation can make it possible to increase the frame rate without sacrificing the SNR. The arising issues, which are the topic of this paper, are: 1) the orthogonality among the transmitted signals that can be achieved; and 2) how these signals can be used, i.e., coding imaging strategies. More specifically, the first part will discuss the cross-correlation properties of linear FM signals and binary codes, in particular the Golay codes. In the second part, two imaging modes will be examined: linear array coded imaging and STA imaging. There is ongoing work on fast imaging, and the inter- ested reader is referred to our recent publications: [2] for fast phased array imaging, and [3] for a novel method for fast coded imaging, in which FM-coded pulse trains are generated acoustically. II. Waveform Diversity for the FM Signal In the second paper of this series [4], the compres- sion properties of the linear FM signal have been ana- lyzed. These are derived from the signal’s auto-correlation (matched filtering) and a weighted auto-correlation func- tion (mismatched filtering). What is of interest for fast imaging is the FM signal diversity, i.e., the number of FM signals that can be constructed and the cross-correlation properties of these signals. The design parameter of the FM signal is the FM slope µ, which is associated with the duration T and the bandwidth B. Fig. 1 illustrates two linear FM sig- nals having different slopes µ n and µ m . Cook and Bern- feld [5] have calculated analytically the mismatched filter response, which occurs when the transmitted signal has an FM slope of µ n and the slope at the receiver is µ m , i.e., the cross-correlation between FM signals with different slopes. Defining the mismatch factor γ as µ n µ m γ = , (1) µ n c 0885–3010/$20.00 © 2005 IEEE

Upload: others

Post on 03-Feb-2022

3 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Use of Modulated Excitation Signals in Medical Ultrasound. Part III

209 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 1 Diagram showing two linear FM signals with different FM slopes micron = BnTn and microm = BmTm and the same timeshybandwidth product TnBn = TmBm

the magnitude of the mismatched output is [5]

121 |g(t)| = ) [C(Y1) + C(Y2)]2 + [S(Y1) + S(Y2)]

2

2 |γ| (2)

where C and S are the Fresnel integrals [4] with arguments Y1 and Y2 equal to

γmicrom 2t

Y1 = Tm 1 minus 2 γTm (3)

γmicrom 2t Y2 = Tm 1 +

2 γTm

Due to the Fresnel structure of (2) the cross-correlation functions of FM signals with different FM slopes resemble linear FM spectra of low time-bandwidth product The 12 Fresnel term [C(Y1) + C(Y2)]

2 + [S(Y1) + S(Y2)]2 is

radic approximately equal to 2 for t = 0 Then the ratio of the amplitude of the distorted mismatched filter output to that of the ideal matched filter is [6]

(Mismatched filter output) 1 radic

γ

(Matched filter output)max =

Tm radic

microm (4) 1

= radic γTmBm

As an example let us consider two FM signals with the same time-bandwidth product of 67 one with T = 10 micros and B = 67 MHz and the other with T = 25 micros and B = 27 MHz From (1) the two signals have a mismatch factor of γ = 084 and from (4) the cross-correlation between )them will be 20 log( 084 middot 67) = 175 dB below the autoshycorrelation peak

A drawback of this design is that the two or more signals have different durations and bandwidths The duration is associated with the transmitted energy and the bandwidth is associated with the axial resolution of the image When such a set of FM signals is transmitted simultaneously from different elements of an ultrasound array transducer resolution and heating effects will not be uniform across the image

The obvious choice when only two linear FM signals are required is two signals with slopes equal in magnitude and

(a) (b)

Fig 2 Compression output (auto-correlation function minus AC) and cross-talk (cross-correlation function minus CC) for two tapered linear FM signals with equal and opposite FM slopes The first design (a) has minimum cross-talk and the second (b) has minimum axial sideshylobes

opposite in sign Such signals have the same duration and sweep the same bandwidth one with increasing and the other with decreasing frequencies Both signals can utilize the entire available time-bandwidth space which results in the best resolution and highest SNR gain This design also yields the highest possible value of 2 for the mismatch factor γ and thus the highest orthogonality among two FM signals

Fig 2 shows the compression output and cross-talk for such a pair of FM signals 20 micros in length with 69 MHz bandwidth and a time-bandwidth product of 140 When no weighting is applied at the receiver [Fig 2(a)] the cross-talk (cross-correlation function) is constant with amshy)plitude of 20 log( 2 middot 140) = 244 dB below the autoshycorrelation peak

As will be shown in a following section focusing reduces the interference among beams by an additional 35 dB Thus a cross-talk level of 244 dB due only to the crossshycorrelation properties of the signals can be sufficiently low for beam separation in focused ultrasound imaging Howshyever in this case the auto-correlation functions have high sidelobe levels which are inappropriate for imaging Unforshytunately when the usual approach of weighting is applied to the receiver filters the cross-talk increases from minus244 to minus12 dB [Fig 2(b)]

For limited energy signals the area under the squared magnitude of both the auto- and the cross-correlation functions is constant Therefore it can be reasoned [7] that the shape of the cross-correlation which gives the lowest values should be a constant function Mismatchshying of the receiver does not relax the volume constraints of the auto- and cross-correlation functions [8] and any weighting will yield higher cross-correlation than the conshystant unweighted cross-correlation shown in Fig 2(a) Fig 2(b) shows the results when the input signals are cross-correlated with weighted compression filters In this case the axial sidelobes have diminished but the crossshytalk has increased by 12 dB In conclusion the crossshycorrelation among FM signals with different slopes is low if no weighting is applied A set of such FM signals can be

212 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

TABLE I Simulation Parameters for Linear Array Imaging

Simulation Parameter Value

Central frequency 4 MHz Element pitch λ Element height 5 mm Number of elements 128 Transmit aperture size 22 elements Transmit apodization Hanning Transmit focus Fixed at 70 mm Receive aperture size 48 elements Receive apodization None (rectangular) Receive focus Focal zones every 5 mm

Fig 7 Cross-talk for single and parallel transmission in linear array imaging The plot labeled ldquosingle transmissionrdquo is the conventional imaging where a focused beam is transmitted by a sub-aperture and the amplitude of the echoes from a moving receive sub-aperture is measured To relate this graph to the geometric arrangement of Fig 6 the transmit aperture is fixed azimuthally at k while the 2 receive apertures for which the cross-talk is measured are increasingly separated by D In the second case labeled ldquoparallel transmissionrdquo both sub-apertures transmit simultaneously using two different FMshycoded signals with different slopes

formed data from line k + D as a function of the distance D between the two receive apertures ie the first subshyaperture in Fig 6 is fixed at k and the second sub-aperture is moving to the right The curve labeled ldquosingle transshymissionrdquo corresponds to the cross-talk when only the left sub-aperture transmits In case of single transmission it is immaterial in the cross-talk whether pulse or coded exshycitation is used This cross-talk depends on the number of elements on the transmit and receive apertures as well as on the apodization functions of both transmit and reshyceive apertures For instance the cross-talk reduces when the transmitting sub-aperture is apodized since the transshymitted beam becomes more focused Thus the simulation results of Fig 7 are indicative only of the order of the expected cross-talk under realistic imaging conditions

The second graph of Fig 7 labeled ldquoparallel transmisshysionrdquo shows the cross-talk when both sub-apertures transshymit different coded signals In this simulation two linear

Fig 8 The effect of simultaneous transmission of two beams on axial resolution For parallel transmission of two beams the cross-talk in the second channel reduces but the axial resolution of the measureshyment in the first channel becomes limited by the cross-talk

FM signals with the same bandwidth and opposite FM slopes are used As was shown in the last section the crossshytalk between two such signals is about 12 dB The received RF-data from each of the two receive apertures are correshylated with the corresponding compression filter and are subsequently beamformed to yield lines k and k + D as previously Then the cross-talk is plotted as a function of the distance D between the sub-apertures The cross-talk is reduced by about 75 dB which is less than the crossshycorrelation between the two signals The reason for this is that the received echoes from the second sub-aperture is a summation of two terms 1) the echoes resulting from the overlap between the mainlobe of the first transmitshyted beam with the sidelobes of the second received beam cross-correlated with the second code and 2) the autoshycorrelation of the echoes from the scatterer at k from transmitted acoustic energy present in the sidelobe of the second transmit beam received by the sidelobes of the second receive aperture

The consequences of simultaneous transmission of two coded beams are twofold the first is the reduction in crossshytalk for the corresponding lines that are beamformed sishymultaneously as shown in Fig 7 This interference will appear as ghost echoes in areas of the image where no scatterers actually exist What this figure does not show however is how the axial resolution is affected The axial sidelobes will result in shadows around strong scatterers that can mask weaker scatterers along this direction Fig 8 shows the effect of parallel transmission from two beams The centers of the two transmitted beams are spaced as far away as possible (53 elements apart) This corresponds to the far right points of Fig 7 The axial resolution of the point scatterer located at the focal point of the first transmitted beam degrades due to the cross-talk of the secshyond transmitted beam The cross-talk in the second beam reduces from minus372 to minus451 dB as also shown in Fig 7

Inspecting the simulation results just presented one can draw the following conclusion For the simulation paramshyeters used the best case in cross-talk without any codshying is minus372 dB occurring when the transmit-receive subshyapertures are as far apart as possible (most right points in Fig 7) If both sub-apertures transmit simultaneously

213 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 9 Firing sequence in coded linear array imaging with double frame rate Shaded elements indicate transmitting elements Two beams are formed in parallel for each transmit event Two FM signals of different slope are used for parallel transmission

Fig 11 Alternative firing sequence in coded linear array imaging where three or four beams are sent in parallel The number of transshymit events reduces from 107 (conventional imaging) to 22

Fig 10 Conventional linear array imaging (a) and linear array imagshying with double frame rate using two parallel FM-coded beams (b) The dynamic range of both simulated images is 45 dB

there will be an increase in frame rate by a factor of 2 but there will also be sidelobes of 372 dB both axially and latshyerally Assuming a desired dynamic range of 45 dB in the ultrasound image the frame rate in linear array imaging can be doubled without any degradation in image quality by using two coded sequences that have a cross-correlation of at least minus11 dB The firing sequence for linear arrayshycoded imaging with double frame rate compared to conshyventional linear array imaging is shown in Fig 9 Two beams are transmitted for every transmit event for this particular configuration three beams are sent in the first transmit event Fig 10 shows that linear array imaging with two parallel FM-coded beams yields good resolution images with a 45-dB dynamic range The firing sequence is that shown in Fig 9 Fig 10(a) shows the conventional linear array image for comparison Binary phase codes or the linear FM signals with frequency division discussed in the previous chapter can also be used In the latter case all sidelobes shown in Fig 8 will be eliminated down to minus90 dB with a 80 widening of the axial mainlobe

Fig 12 Simulated image of fast FM-coded linear array imaging using the firing scheme of Fig 11 The number of transmit events is almost 5 times less than in conventional imaging The dynamic range of the image is 45 dB

VI Other Firing and Coding Strategies

Further increase in frame rate is possible by reducshying the distance between the transmitting sub-apertures Fig 11 shows an alternative firing sequence where three or four beams are sent in parallel

Fig 12 shows the resulting simulated image when two FM signals with opposite slopes are used in the firing order shown in Fig 11 The sidelobe performance of this imagshying scheme can be assessed from Fig 7 In the first transshymit event the cross-talk between the parallel beamformed line pairs (123) (2345) (4567) and (6789) is minus375 dB (lower plot of Fig 7 for D = 22) This can be reduced by using a set of coded signals with lower cross-correlation such as binary codes or the FM signals with frequency dishyvision The cross-talk between the line pairs (145) (4589) and (2367) is minus362 dB (upper plot of Fig 7 for D = 44) This is the acoustic cross-talk between lines that use the same transmitted code The ghost echoes that are visible at a depth of 35 mm in Fig 12 manifest the presence of these sidelobes

It is therefore clear that fast imaging with the firing scheme of Fig 11 using only two coded signals can not

214 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

Fig 13 Simulated images of fast coded linear array imaging employshying four Golay pairs The image on the left is one of the two images using Golay codes The image on the right is the summation of the two complementary Golay-coded images The dynamic range of both images is 45 dB

eliminate the deleterious effects of acoustic interference If more than two coded sequences are to be employed the FM coding has to be abandoned since this family of signals can not offer such diversity

One possibility is the transmission of four Golay pairs one for each of the parallel beams of Fig 11 Resulting images using this scheme are shown in Fig 13 The crossshycorrelation between the four Golay-coded signals as well as the cross-correlation between their complementary codes is around 9 to 12 dB depending on the chosen Golay sigshynals This ensures low lateral sidelobes The drawback of this method is that two emissions are required for every line one using the Golay codes and one using their compleshymentary Golay codes Therefore the number of emissions in this case is 44

VII Synthetic Transmit Aperture Imaging

Phased array imaging currently used in ultrasound scanners involves transmission of pulses from the entire transmit aperture which are relatively delayed to form a focused beam along a given direction The echoes received by all elements are beamformed to yield the image points along this direction In linear array imaging focused beams along a line are transmitted and received by the same subshyaperture There are two main limitations in both methods 1) the acquisition time is proportional to the number of lines in the image 2) the image has a fixed transmit focus

Synthetic transmit aperture imaging can overcome both these problems In STA imaging one element transmits a pulse and all elements receive the echoes Since each transshymission is a spherical wave insonifying the entire imaging region receive beamforming for all lines can yield a whole low-energy image for every transmission Then the next element is excited and this is repeated until the whole transmit aperture is synthesized The transmit sequence for sparse STA imaging with four emissions is shown in

Fig 14 Transmit succession scheme for sparse synthetic transmit aperture imaging using four emissions One element sends out a spherical wave for every transmit event and all elements receive the echoes All beams are formed simultaneously for every transmit event

Fig 14 The final synthetic image is the coherent sum of all beamformed images [13] In this way the final image is optimally focused in both transmit and receive

The frame rate in synthetic aperture imaging does not depend on the number of scan lines to be formed as in conventional imaging but on the number of transmit eleshyments If only two to five elements are used for transmitshyting a frame rate on the order of 1000 framess is possible which will pave the way to 3-D imaging The use of such a small number of transmit elements is necessitated by the problem of artifacts caused by tissue or transducer motion In contrast to linear and phased array imaging where each line is formed from a single transmission in synthetic apershyture imaging each line of the final image uses data from all transmit events which sets phase coherence requirements For instance using 5 transmissions with an 8-MHz transshyducer (corresponding to a wavelength of about 190 microm) tissue speed greater than about 20 mms gives motion close to half the wavelength and may cause motion phase artifacts This will be true in the case of heart imaging However Nikolov and Jensen [14] have shown clinical STA images of the carotid artery using 64 emissions which do not show visible motion artifacts

Such sparse transmit aperture in STA imaging can yield a high frame rate no motion artifacts and potentially optimally-focused images but raises two new issues The first is the resulting grating lobes in the radiation pattern of the array since the necessitated sparse transmit apershyture violates the half-wavelength element spacing This problem has been discussed in the literature [13] [15] and will not be addressed here It can be solved using the efshyfective aperture concept Briefly the convolution of the transmit with the receive aperture for each transmission is the effective sub-aperture The two-way radiation pattern of the synthetic image is the Fourier transform (at least in the far field) of the sum of the effective sub-apertures of all transmit events Therefore by proper apodization of the receive aperture for each transmit event a uniform λ2 spacing effective aperture can be created even in the case of only two transmit events [15]

The second problem of sparse STA imaging compared to conventional array imaging is the low SNR Utilization of

216 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

Fig 16 Simulated images of point targets The first row of images is a conventional phased array image and a typical uncoded STA image with 4 emissions The second row shows coded STA images using Hadamard encoding and tapered linear FM signals before (left) and after (right) compression The dynamic range of all images is 60 dB

Upon reception each of the four F -data sets is decoded by the Hadamard matrix The decoded RF-data are subshysequently compressed using the same compression filter in all channels The order of decoding and compression was immaterial in the simulations however in real images deshycoding might be a lot more sensitive than compression and should precede Finally the decoded compressed RF-data are beamformed for all directions yielding a low-energy image Fig 16 shows simulated encoded STA images before and after compression obtained with the simulation proshygram Field II [11] Fig 17 shows that the resolution both laterally and axially remains practically the same when Hadamard spatial encoding combined with FM time enshycoding is used Also notice that the matched filter aligns the RF-data axially at the center of each scatterer in conshytrast to pulsed excitation where each scatterer appears a little farther than it actually is due to convolution with the transducer impulse response

This coding strategy yields the same frame rate and apshyproximately the same SNR improvement as with the one reported in [1] The advantage of the proposed method lies in the robustness of compression of linear FM sigshynals and the immunity this signal has in frequency shifts On the other hand the complementarity of Golay codes breaks down at large depths due to attenuation in tisshysues resulting in image degradation It was shown in the second paper of this series [4] that with an attenuation of 07 dB[MHz times cm] the range of sidelobes for a Goshylay pair increases up to minus25 dB at a depth of 16 cm in

Fig 17 Lateral (a) and axial (b) resolution calculated from the simushylated images at the point at depth 50 mm The gray lines correspond to the typical STA image with 4 emissions and the black lines to the STA image with the proposed Hadamard+FM encoding The dotted line in the first plot shows the lateral resolution of the phased array image

Fig 18 Transmit succession scheme for fast sparse STA imaging using two orthogonal FM signals C1 and C2

contrast to the proposed tapered FM signal whose comshypression is very robust to attenuation The temporal FM coding can also work independently in the absence of the spatial Hadamard coding if the receiver is kept simpler This is not the case for the complementary coding sugshygested in [1] where it is the Hadamard coding that canshycels the sum of the cross-correlations between the mutual orthogonal codes The approach of the Golay codes is also more sensitive to motion artifacts since the cancellation of the sidelobes is based on two successive firings Finally in the proposed method image quality can be traded off with doubling of the frame rate

X STA Imaging with Double Frame Rate Using Orthogonal FM Signals

Doubling the frame rate can be done [3] by transmitshyting two linear FM signals from two pairs of transmitted elements as shown in Fig 18 If the two signals have low cross-correlation properties a 2 times 2 Hadamard matrix can decode the four signals In this way two images can be beamformed for every transmit event and the frame rate is doubled at a cost of SNR and resolution The two excishytation signals are an up- and a down-chirp with frequency division They have opposite FM slopes equal sweeping bandwidth and different central frequencies This design results in good auto- and cross-correlation properties disshycussed in Section III The axial sidelobes are less than minus70 dB and the cross-talk between the signals is around

217 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 19 STA-simulated image with double frame rate (2 emissions) using Hadamard encoding and two orthogonal preweighted linear FM signals with frequency division (b) The coded STA image using 4 emissions for the same 8 MHz array transducer (a) is shown for comparison The dynamic range of the images is 60 dB

Fig 20 Simulated images of point targets with added noise showshying the improvement in SNR for the various coding schemes The dynamic range of all images is 60 dB

minus60 dB The axial resolution is inversely proportional to the bandwidth of the coded signals and therefore with this method the axial resolution degrades by about 80 A loss in SNR is expected since the transmitted energy is not centered at the transducer central frequency The resulting STA image using only two emissions is shown in Fig 19(b) For comparison the STA images with Hadamard and FM encoding using 4 emissions is shown in Fig 19(a)

XI Evaluation of SNR in Coded STA Imaging

Fig 20 shows simulated images of five point targets usshying the various coding schemes White Gaussian noise was

added to all the received channels before beamforming to simulate electronic receiver noise Equal driving voltages are used for all images Note however that phased array imaging systems focus the pulses of all elements at the transmit focusing point In STA imaging only a single elshyement transmits an unfocused wave Therefore for equal driving voltages the transmitted power in STA imaging is much lower and the transmitted pulse amplitude can be increased more than an order of amplitude compared to conventional imaging without exceeding the intensity limshyitations [13] It is thus possible to achieve up to 10 dB higher SNR than what is shown here as long as the transshyducer elements can deliver such high power The gain in SNR that can be achieved by using spatially encoded FM excitation is apparent from the images of Fig 20 For quanshytitative evaluation the SNR has been estimated from the central line of the images The results are listed in Table II The entry for the phased array image is the maximum SNR calculated at the transmit focal point

In the case of STA with two coded transmissions using orthogonal chirps there is a trade-off between low crossshycorrelation among the signals and loss in SNR For a differshyent design of the two codes than the one presented here cross-correlation around minus65 dB is possible with an adshyditional loss of 5 dB in the SNR In conclusion the sugshygested coding scheme can yield synthetic aperture images with four transmissions which can have the same SNR as that for phased array imaging at the transmitted foshycal point while retaining image resolution In combination with the method of defocused transmit subapertures this SNR can be achieved with only two transmissions of orshythogonal preweighted linear FM signals

XII Conclusion

This paper has investigated different possibilities of usshying modulated transmitted signals in order to obtain high quality ultrasound images with high acquisition rates In the first part of the paper the limited available crossshycorrelation properties of both frequency and phase-coded signals has been pointed out Subsequently coded imaging strategies for linear array imaging have been suggested and it has been shown that it is still possible to double the frame rate by a factor of two without a degradation in imshyage quality and by a factor of 5 if a slight degradation can be tolerated Using convex arrays instead of linear arrays can of course increase the frame rate even more

In synthetic aperture imaging utilization of FM sigshynals can yield images with resolution and SNR comparashyble to those of phased array imaging with only four emisshysions Averaging of images can increase the SNR and image quality even further This paper has demonstrated the reshysults through simulations Ongoing work from our group has shown very encouraging clinical results on coded STA imaging by Nikolov and Jensen [14] Gammelmark and Jensen [21] and Jensen et al [22]

218 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

TABLE II Calculated SNR from the Central Line of the Simulated Images

Imaging Mode Emissions SNR (dB) Dependence

Phased array imaging 51 531 10 log(64 middot 64) STA w 1 xmit event 1 186 0 STA w 64 xmit events 64 364 10 log(64) STA w 4 xmit events 4 243 10 log(4) STA w 4 times 4 Hadamard coding 4 303 10 log(4 middot 4) STA w 4 times 4 Hadamard + linear FM 4 527 10 log(4 middot 4 middot TB) STA w 2 times 2 Hadamard + 2 linear FMs 2 476 10 log(2 middot 2 middot (TB1 + TB2))

Acknowledgments

The authors would like to thank Dr Nikolov for his beamformation toolbox used extensively for the synthetic aperture simulations

References

[1] R Y Chiao and L J Thomas ldquoMethod and apparatus for ulshytrasonic synthetic transmit aperture imaging using orthogonal complementary codesrdquo US Patent 6048315 2000

[2] T Misaridis P Munk and J A Jensen ldquoParallel multi-focusing using plane wave decompositionrdquo in Proc IEEE Ultrason Symp 2003 vol 2 pp 1565ndash1568

[3] T Misaridis M Fink and J A Jensen ldquoComplex pulsing schemes for high frame rate imagingrdquo in Proc IEEE Ultrason Symp 2002 vol 2 pp 1569ndash1572

[4] T Misaridis and J A Jensen ldquoUse of modulated excitation sigshynals in ultrasound Part II Design and performance for medical imaging applicationsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 pp 191ndash206 2005

[5] C E Cook and M Bernfeld Radar Signals Boston MA Artech House Inc 1993

[6] C E Cook ldquoLinear FM signal formats for beacon and comshymunication systemsrdquo IEEE Trans Aerosp Electron Syst vol AES-10 no 4 pp 471ndash478 1974

[7] G Chandran and J S Jaffe ldquoSignal set design with conshystrained amplitude spectrum and specified time-bandwidth productrdquo IEEE Trans Commun vol 44 no 6 pp 725ndash732 1996

[8] A W Rihaczek Principles of High-Resolution Radar New York McGraw-Hill 1969

[9] D Z Dokovic ldquoEquivalence classes and representatives of Golay sequencesrdquo Discrete Math vol 189 pp 79ndash93 1998

[10] S Z Budisin ldquoNew complementary pairs of sequencesrdquo Elecshytron Lett vol 26 no 13 pp 881ndash883 1990

[11] J A Jensen ldquoField A program for simulating ultrasound sysshytemsrdquo Med Biol Eng Comput vol 34 suppl 1 pt 1 pp 351ndash353 1996

[12] J A Jensen and N B Svendsen ldquoCalculation of pressure fields from arbitrarily shaped apodized and excited ultrasound transshyducersrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 39 pp 262ndash267 1992

[13] G R Lockwood J R Talman and S S Brunke ldquoReal-time 3-D ultrasound imaging using sparse synthetic aperture beamshyformingrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 45 pp 980ndash988 1998

[14] S I Nikolov and J A Jensen ldquoComparison between differshyent encoding schemes for synthetic aperture imagingrdquo in Proc SPIEmdashProgress in biomedical optics and imaging 2002 vol 3 pp 1ndash12

[15] C R Cooley and B S Robinson ldquoSynthetic aperture imaging using partial datasetsrdquo in Proc IEEE Ultrason Symp 1994 pp 1539ndash1542

[16] M Karaman P C Li and M OrsquoDonnel ldquoSynthetic aperture imaging for small scale systemsrdquo IEEE Trans Ultrason Fershyroelect Freq Contr vol 42 pp 429ndash442 1995

[17] R Y Chiao L J Thomas and S D Silverstein ldquoSparse arshyray imaging with spatially-encoded transmitsrdquo in Proc IEEE Ultrason Symp 1997 pp 1679ndash1682

[18] R Y Chiao and L J Thomas ldquoSynthetic transmit aperture imaging using orthogonal Golay coded excitationrdquo in Proc IEEE Ultrason Symp 2000 pp 1677ndash1680

[19] T Misaridis and J A Jensen ldquoUse of modulated excitation signals in ultrasound Part I Basic concepts and expected benshyefitsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 no 2 pp 176ndash190 2005 to be published

[20] T X Misaridis and J A Jensen ldquoAn effective coded excitation scheme based on a predistorted FM signal and an optimized digital filterrdquo in Proc IEEE Ultrason Symp 1999 pp 1589ndash 1593

[21] K Gammelmark and J A Jensen ldquoMulti-element synthetic transmit aperture imaging using temporal encodingrdquo in Proc SPIE Progress in biomedical optics and imaging 2002 pp 25ndash 36

[22] J A Jensen S I Nikolov T Misaridis and K L Gammelmark ldquoEquipment and methods for synthetic aperture anatomic and flow imagingrdquo in Proc IEEE Ultrason Symp 2002 pp 1518ndash 1527

Thanassis Misaridis received the BE and MS degrees in 1992 from the National Techshynical University of Athens in electrical engishyneering He received the MS degree in 1997 from the Pennsylvania State University in bioengineering and the PhD degree in 2001 from the Technical University of Denmark Lyngby Denmark

He was a research scientist at the Laboshyratoire Ondes et Acoustique in Paris France until 2003 He is currently a collaborator of Kretz GE Medical Systems in conjunction

with the National Technical University of Athens (NTUA) Greece He teaches ultrasound imaging at the University of Patras Patras Greece and at NTUA

Dr Misaridisrsquo current research interests include coded excitation in medical ultrasound array processing synthetic aperture and nonshylinear imaging

Joslashrgen Arendt Jensen (Mrsquo93ndashSrsquo02) earned his Master of Science in electrical engineering in 1985 and the PhD degree in 1989 both from the Technical University of Denmark He received the DrTechn degree from the Unishyversity in 1996 He has published a number of papers on signal processing and medical ulshytrasound and the book Estimation of Blood Velocities Using Ultrasound Cambridge Unishyversity Press in 1996 He is also developer of the Field II simulation program He has been a visiting scientist at Duke University Stanshy

ford University and the University of Illinois at Urbana-Champaign He is currently full professor of Biomedical Signal Processing at the

219 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Technical University of Denmark at OslashrstedbullDTU and head of the Center for Fast Ultrasound Imaging He has given courses on blood velocity estimation at both Duke University and the University of Illinois and teaches biomedical signal processing and medical imagshying at the Technical University of Denmark He has given several short courses on simulation synthetic aperture imaging and flow estimation at international scientific conferences He is also the coshyorganizer of a new biomedical engineering education offered by the Technical University of Denmark and the University of Copenhagen His research is centered around simulation of ultrasound imaging synthetic aperture imaging and blood flow estimation and constructshying systems for such imaging

Page 2: Use of Modulated Excitation Signals in Medical Ultrasound. Part III

212 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

TABLE I Simulation Parameters for Linear Array Imaging

Simulation Parameter Value

Central frequency 4 MHz Element pitch λ Element height 5 mm Number of elements 128 Transmit aperture size 22 elements Transmit apodization Hanning Transmit focus Fixed at 70 mm Receive aperture size 48 elements Receive apodization None (rectangular) Receive focus Focal zones every 5 mm

Fig 7 Cross-talk for single and parallel transmission in linear array imaging The plot labeled ldquosingle transmissionrdquo is the conventional imaging where a focused beam is transmitted by a sub-aperture and the amplitude of the echoes from a moving receive sub-aperture is measured To relate this graph to the geometric arrangement of Fig 6 the transmit aperture is fixed azimuthally at k while the 2 receive apertures for which the cross-talk is measured are increasingly separated by D In the second case labeled ldquoparallel transmissionrdquo both sub-apertures transmit simultaneously using two different FMshycoded signals with different slopes

formed data from line k + D as a function of the distance D between the two receive apertures ie the first subshyaperture in Fig 6 is fixed at k and the second sub-aperture is moving to the right The curve labeled ldquosingle transshymissionrdquo corresponds to the cross-talk when only the left sub-aperture transmits In case of single transmission it is immaterial in the cross-talk whether pulse or coded exshycitation is used This cross-talk depends on the number of elements on the transmit and receive apertures as well as on the apodization functions of both transmit and reshyceive apertures For instance the cross-talk reduces when the transmitting sub-aperture is apodized since the transshymitted beam becomes more focused Thus the simulation results of Fig 7 are indicative only of the order of the expected cross-talk under realistic imaging conditions

The second graph of Fig 7 labeled ldquoparallel transmisshysionrdquo shows the cross-talk when both sub-apertures transshymit different coded signals In this simulation two linear

Fig 8 The effect of simultaneous transmission of two beams on axial resolution For parallel transmission of two beams the cross-talk in the second channel reduces but the axial resolution of the measureshyment in the first channel becomes limited by the cross-talk

FM signals with the same bandwidth and opposite FM slopes are used As was shown in the last section the crossshytalk between two such signals is about 12 dB The received RF-data from each of the two receive apertures are correshylated with the corresponding compression filter and are subsequently beamformed to yield lines k and k + D as previously Then the cross-talk is plotted as a function of the distance D between the sub-apertures The cross-talk is reduced by about 75 dB which is less than the crossshycorrelation between the two signals The reason for this is that the received echoes from the second sub-aperture is a summation of two terms 1) the echoes resulting from the overlap between the mainlobe of the first transmitshyted beam with the sidelobes of the second received beam cross-correlated with the second code and 2) the autoshycorrelation of the echoes from the scatterer at k from transmitted acoustic energy present in the sidelobe of the second transmit beam received by the sidelobes of the second receive aperture

The consequences of simultaneous transmission of two coded beams are twofold the first is the reduction in crossshytalk for the corresponding lines that are beamformed sishymultaneously as shown in Fig 7 This interference will appear as ghost echoes in areas of the image where no scatterers actually exist What this figure does not show however is how the axial resolution is affected The axial sidelobes will result in shadows around strong scatterers that can mask weaker scatterers along this direction Fig 8 shows the effect of parallel transmission from two beams The centers of the two transmitted beams are spaced as far away as possible (53 elements apart) This corresponds to the far right points of Fig 7 The axial resolution of the point scatterer located at the focal point of the first transmitted beam degrades due to the cross-talk of the secshyond transmitted beam The cross-talk in the second beam reduces from minus372 to minus451 dB as also shown in Fig 7

Inspecting the simulation results just presented one can draw the following conclusion For the simulation paramshyeters used the best case in cross-talk without any codshying is minus372 dB occurring when the transmit-receive subshyapertures are as far apart as possible (most right points in Fig 7) If both sub-apertures transmit simultaneously

213 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 9 Firing sequence in coded linear array imaging with double frame rate Shaded elements indicate transmitting elements Two beams are formed in parallel for each transmit event Two FM signals of different slope are used for parallel transmission

Fig 11 Alternative firing sequence in coded linear array imaging where three or four beams are sent in parallel The number of transshymit events reduces from 107 (conventional imaging) to 22

Fig 10 Conventional linear array imaging (a) and linear array imagshying with double frame rate using two parallel FM-coded beams (b) The dynamic range of both simulated images is 45 dB

there will be an increase in frame rate by a factor of 2 but there will also be sidelobes of 372 dB both axially and latshyerally Assuming a desired dynamic range of 45 dB in the ultrasound image the frame rate in linear array imaging can be doubled without any degradation in image quality by using two coded sequences that have a cross-correlation of at least minus11 dB The firing sequence for linear arrayshycoded imaging with double frame rate compared to conshyventional linear array imaging is shown in Fig 9 Two beams are transmitted for every transmit event for this particular configuration three beams are sent in the first transmit event Fig 10 shows that linear array imaging with two parallel FM-coded beams yields good resolution images with a 45-dB dynamic range The firing sequence is that shown in Fig 9 Fig 10(a) shows the conventional linear array image for comparison Binary phase codes or the linear FM signals with frequency division discussed in the previous chapter can also be used In the latter case all sidelobes shown in Fig 8 will be eliminated down to minus90 dB with a 80 widening of the axial mainlobe

Fig 12 Simulated image of fast FM-coded linear array imaging using the firing scheme of Fig 11 The number of transmit events is almost 5 times less than in conventional imaging The dynamic range of the image is 45 dB

VI Other Firing and Coding Strategies

Further increase in frame rate is possible by reducshying the distance between the transmitting sub-apertures Fig 11 shows an alternative firing sequence where three or four beams are sent in parallel

Fig 12 shows the resulting simulated image when two FM signals with opposite slopes are used in the firing order shown in Fig 11 The sidelobe performance of this imagshying scheme can be assessed from Fig 7 In the first transshymit event the cross-talk between the parallel beamformed line pairs (123) (2345) (4567) and (6789) is minus375 dB (lower plot of Fig 7 for D = 22) This can be reduced by using a set of coded signals with lower cross-correlation such as binary codes or the FM signals with frequency dishyvision The cross-talk between the line pairs (145) (4589) and (2367) is minus362 dB (upper plot of Fig 7 for D = 44) This is the acoustic cross-talk between lines that use the same transmitted code The ghost echoes that are visible at a depth of 35 mm in Fig 12 manifest the presence of these sidelobes

It is therefore clear that fast imaging with the firing scheme of Fig 11 using only two coded signals can not

214 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

Fig 13 Simulated images of fast coded linear array imaging employshying four Golay pairs The image on the left is one of the two images using Golay codes The image on the right is the summation of the two complementary Golay-coded images The dynamic range of both images is 45 dB

eliminate the deleterious effects of acoustic interference If more than two coded sequences are to be employed the FM coding has to be abandoned since this family of signals can not offer such diversity

One possibility is the transmission of four Golay pairs one for each of the parallel beams of Fig 11 Resulting images using this scheme are shown in Fig 13 The crossshycorrelation between the four Golay-coded signals as well as the cross-correlation between their complementary codes is around 9 to 12 dB depending on the chosen Golay sigshynals This ensures low lateral sidelobes The drawback of this method is that two emissions are required for every line one using the Golay codes and one using their compleshymentary Golay codes Therefore the number of emissions in this case is 44

VII Synthetic Transmit Aperture Imaging

Phased array imaging currently used in ultrasound scanners involves transmission of pulses from the entire transmit aperture which are relatively delayed to form a focused beam along a given direction The echoes received by all elements are beamformed to yield the image points along this direction In linear array imaging focused beams along a line are transmitted and received by the same subshyaperture There are two main limitations in both methods 1) the acquisition time is proportional to the number of lines in the image 2) the image has a fixed transmit focus

Synthetic transmit aperture imaging can overcome both these problems In STA imaging one element transmits a pulse and all elements receive the echoes Since each transshymission is a spherical wave insonifying the entire imaging region receive beamforming for all lines can yield a whole low-energy image for every transmission Then the next element is excited and this is repeated until the whole transmit aperture is synthesized The transmit sequence for sparse STA imaging with four emissions is shown in

Fig 14 Transmit succession scheme for sparse synthetic transmit aperture imaging using four emissions One element sends out a spherical wave for every transmit event and all elements receive the echoes All beams are formed simultaneously for every transmit event

Fig 14 The final synthetic image is the coherent sum of all beamformed images [13] In this way the final image is optimally focused in both transmit and receive

The frame rate in synthetic aperture imaging does not depend on the number of scan lines to be formed as in conventional imaging but on the number of transmit eleshyments If only two to five elements are used for transmitshyting a frame rate on the order of 1000 framess is possible which will pave the way to 3-D imaging The use of such a small number of transmit elements is necessitated by the problem of artifacts caused by tissue or transducer motion In contrast to linear and phased array imaging where each line is formed from a single transmission in synthetic apershyture imaging each line of the final image uses data from all transmit events which sets phase coherence requirements For instance using 5 transmissions with an 8-MHz transshyducer (corresponding to a wavelength of about 190 microm) tissue speed greater than about 20 mms gives motion close to half the wavelength and may cause motion phase artifacts This will be true in the case of heart imaging However Nikolov and Jensen [14] have shown clinical STA images of the carotid artery using 64 emissions which do not show visible motion artifacts

Such sparse transmit aperture in STA imaging can yield a high frame rate no motion artifacts and potentially optimally-focused images but raises two new issues The first is the resulting grating lobes in the radiation pattern of the array since the necessitated sparse transmit apershyture violates the half-wavelength element spacing This problem has been discussed in the literature [13] [15] and will not be addressed here It can be solved using the efshyfective aperture concept Briefly the convolution of the transmit with the receive aperture for each transmission is the effective sub-aperture The two-way radiation pattern of the synthetic image is the Fourier transform (at least in the far field) of the sum of the effective sub-apertures of all transmit events Therefore by proper apodization of the receive aperture for each transmit event a uniform λ2 spacing effective aperture can be created even in the case of only two transmit events [15]

The second problem of sparse STA imaging compared to conventional array imaging is the low SNR Utilization of

216 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

Fig 16 Simulated images of point targets The first row of images is a conventional phased array image and a typical uncoded STA image with 4 emissions The second row shows coded STA images using Hadamard encoding and tapered linear FM signals before (left) and after (right) compression The dynamic range of all images is 60 dB

Upon reception each of the four F -data sets is decoded by the Hadamard matrix The decoded RF-data are subshysequently compressed using the same compression filter in all channels The order of decoding and compression was immaterial in the simulations however in real images deshycoding might be a lot more sensitive than compression and should precede Finally the decoded compressed RF-data are beamformed for all directions yielding a low-energy image Fig 16 shows simulated encoded STA images before and after compression obtained with the simulation proshygram Field II [11] Fig 17 shows that the resolution both laterally and axially remains practically the same when Hadamard spatial encoding combined with FM time enshycoding is used Also notice that the matched filter aligns the RF-data axially at the center of each scatterer in conshytrast to pulsed excitation where each scatterer appears a little farther than it actually is due to convolution with the transducer impulse response

This coding strategy yields the same frame rate and apshyproximately the same SNR improvement as with the one reported in [1] The advantage of the proposed method lies in the robustness of compression of linear FM sigshynals and the immunity this signal has in frequency shifts On the other hand the complementarity of Golay codes breaks down at large depths due to attenuation in tisshysues resulting in image degradation It was shown in the second paper of this series [4] that with an attenuation of 07 dB[MHz times cm] the range of sidelobes for a Goshylay pair increases up to minus25 dB at a depth of 16 cm in

Fig 17 Lateral (a) and axial (b) resolution calculated from the simushylated images at the point at depth 50 mm The gray lines correspond to the typical STA image with 4 emissions and the black lines to the STA image with the proposed Hadamard+FM encoding The dotted line in the first plot shows the lateral resolution of the phased array image

Fig 18 Transmit succession scheme for fast sparse STA imaging using two orthogonal FM signals C1 and C2

contrast to the proposed tapered FM signal whose comshypression is very robust to attenuation The temporal FM coding can also work independently in the absence of the spatial Hadamard coding if the receiver is kept simpler This is not the case for the complementary coding sugshygested in [1] where it is the Hadamard coding that canshycels the sum of the cross-correlations between the mutual orthogonal codes The approach of the Golay codes is also more sensitive to motion artifacts since the cancellation of the sidelobes is based on two successive firings Finally in the proposed method image quality can be traded off with doubling of the frame rate

X STA Imaging with Double Frame Rate Using Orthogonal FM Signals

Doubling the frame rate can be done [3] by transmitshyting two linear FM signals from two pairs of transmitted elements as shown in Fig 18 If the two signals have low cross-correlation properties a 2 times 2 Hadamard matrix can decode the four signals In this way two images can be beamformed for every transmit event and the frame rate is doubled at a cost of SNR and resolution The two excishytation signals are an up- and a down-chirp with frequency division They have opposite FM slopes equal sweeping bandwidth and different central frequencies This design results in good auto- and cross-correlation properties disshycussed in Section III The axial sidelobes are less than minus70 dB and the cross-talk between the signals is around

217 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 19 STA-simulated image with double frame rate (2 emissions) using Hadamard encoding and two orthogonal preweighted linear FM signals with frequency division (b) The coded STA image using 4 emissions for the same 8 MHz array transducer (a) is shown for comparison The dynamic range of the images is 60 dB

Fig 20 Simulated images of point targets with added noise showshying the improvement in SNR for the various coding schemes The dynamic range of all images is 60 dB

minus60 dB The axial resolution is inversely proportional to the bandwidth of the coded signals and therefore with this method the axial resolution degrades by about 80 A loss in SNR is expected since the transmitted energy is not centered at the transducer central frequency The resulting STA image using only two emissions is shown in Fig 19(b) For comparison the STA images with Hadamard and FM encoding using 4 emissions is shown in Fig 19(a)

XI Evaluation of SNR in Coded STA Imaging

Fig 20 shows simulated images of five point targets usshying the various coding schemes White Gaussian noise was

added to all the received channels before beamforming to simulate electronic receiver noise Equal driving voltages are used for all images Note however that phased array imaging systems focus the pulses of all elements at the transmit focusing point In STA imaging only a single elshyement transmits an unfocused wave Therefore for equal driving voltages the transmitted power in STA imaging is much lower and the transmitted pulse amplitude can be increased more than an order of amplitude compared to conventional imaging without exceeding the intensity limshyitations [13] It is thus possible to achieve up to 10 dB higher SNR than what is shown here as long as the transshyducer elements can deliver such high power The gain in SNR that can be achieved by using spatially encoded FM excitation is apparent from the images of Fig 20 For quanshytitative evaluation the SNR has been estimated from the central line of the images The results are listed in Table II The entry for the phased array image is the maximum SNR calculated at the transmit focal point

In the case of STA with two coded transmissions using orthogonal chirps there is a trade-off between low crossshycorrelation among the signals and loss in SNR For a differshyent design of the two codes than the one presented here cross-correlation around minus65 dB is possible with an adshyditional loss of 5 dB in the SNR In conclusion the sugshygested coding scheme can yield synthetic aperture images with four transmissions which can have the same SNR as that for phased array imaging at the transmitted foshycal point while retaining image resolution In combination with the method of defocused transmit subapertures this SNR can be achieved with only two transmissions of orshythogonal preweighted linear FM signals

XII Conclusion

This paper has investigated different possibilities of usshying modulated transmitted signals in order to obtain high quality ultrasound images with high acquisition rates In the first part of the paper the limited available crossshycorrelation properties of both frequency and phase-coded signals has been pointed out Subsequently coded imaging strategies for linear array imaging have been suggested and it has been shown that it is still possible to double the frame rate by a factor of two without a degradation in imshyage quality and by a factor of 5 if a slight degradation can be tolerated Using convex arrays instead of linear arrays can of course increase the frame rate even more

In synthetic aperture imaging utilization of FM sigshynals can yield images with resolution and SNR comparashyble to those of phased array imaging with only four emisshysions Averaging of images can increase the SNR and image quality even further This paper has demonstrated the reshysults through simulations Ongoing work from our group has shown very encouraging clinical results on coded STA imaging by Nikolov and Jensen [14] Gammelmark and Jensen [21] and Jensen et al [22]

218 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

TABLE II Calculated SNR from the Central Line of the Simulated Images

Imaging Mode Emissions SNR (dB) Dependence

Phased array imaging 51 531 10 log(64 middot 64) STA w 1 xmit event 1 186 0 STA w 64 xmit events 64 364 10 log(64) STA w 4 xmit events 4 243 10 log(4) STA w 4 times 4 Hadamard coding 4 303 10 log(4 middot 4) STA w 4 times 4 Hadamard + linear FM 4 527 10 log(4 middot 4 middot TB) STA w 2 times 2 Hadamard + 2 linear FMs 2 476 10 log(2 middot 2 middot (TB1 + TB2))

Acknowledgments

The authors would like to thank Dr Nikolov for his beamformation toolbox used extensively for the synthetic aperture simulations

References

[1] R Y Chiao and L J Thomas ldquoMethod and apparatus for ulshytrasonic synthetic transmit aperture imaging using orthogonal complementary codesrdquo US Patent 6048315 2000

[2] T Misaridis P Munk and J A Jensen ldquoParallel multi-focusing using plane wave decompositionrdquo in Proc IEEE Ultrason Symp 2003 vol 2 pp 1565ndash1568

[3] T Misaridis M Fink and J A Jensen ldquoComplex pulsing schemes for high frame rate imagingrdquo in Proc IEEE Ultrason Symp 2002 vol 2 pp 1569ndash1572

[4] T Misaridis and J A Jensen ldquoUse of modulated excitation sigshynals in ultrasound Part II Design and performance for medical imaging applicationsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 pp 191ndash206 2005

[5] C E Cook and M Bernfeld Radar Signals Boston MA Artech House Inc 1993

[6] C E Cook ldquoLinear FM signal formats for beacon and comshymunication systemsrdquo IEEE Trans Aerosp Electron Syst vol AES-10 no 4 pp 471ndash478 1974

[7] G Chandran and J S Jaffe ldquoSignal set design with conshystrained amplitude spectrum and specified time-bandwidth productrdquo IEEE Trans Commun vol 44 no 6 pp 725ndash732 1996

[8] A W Rihaczek Principles of High-Resolution Radar New York McGraw-Hill 1969

[9] D Z Dokovic ldquoEquivalence classes and representatives of Golay sequencesrdquo Discrete Math vol 189 pp 79ndash93 1998

[10] S Z Budisin ldquoNew complementary pairs of sequencesrdquo Elecshytron Lett vol 26 no 13 pp 881ndash883 1990

[11] J A Jensen ldquoField A program for simulating ultrasound sysshytemsrdquo Med Biol Eng Comput vol 34 suppl 1 pt 1 pp 351ndash353 1996

[12] J A Jensen and N B Svendsen ldquoCalculation of pressure fields from arbitrarily shaped apodized and excited ultrasound transshyducersrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 39 pp 262ndash267 1992

[13] G R Lockwood J R Talman and S S Brunke ldquoReal-time 3-D ultrasound imaging using sparse synthetic aperture beamshyformingrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 45 pp 980ndash988 1998

[14] S I Nikolov and J A Jensen ldquoComparison between differshyent encoding schemes for synthetic aperture imagingrdquo in Proc SPIEmdashProgress in biomedical optics and imaging 2002 vol 3 pp 1ndash12

[15] C R Cooley and B S Robinson ldquoSynthetic aperture imaging using partial datasetsrdquo in Proc IEEE Ultrason Symp 1994 pp 1539ndash1542

[16] M Karaman P C Li and M OrsquoDonnel ldquoSynthetic aperture imaging for small scale systemsrdquo IEEE Trans Ultrason Fershyroelect Freq Contr vol 42 pp 429ndash442 1995

[17] R Y Chiao L J Thomas and S D Silverstein ldquoSparse arshyray imaging with spatially-encoded transmitsrdquo in Proc IEEE Ultrason Symp 1997 pp 1679ndash1682

[18] R Y Chiao and L J Thomas ldquoSynthetic transmit aperture imaging using orthogonal Golay coded excitationrdquo in Proc IEEE Ultrason Symp 2000 pp 1677ndash1680

[19] T Misaridis and J A Jensen ldquoUse of modulated excitation signals in ultrasound Part I Basic concepts and expected benshyefitsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 no 2 pp 176ndash190 2005 to be published

[20] T X Misaridis and J A Jensen ldquoAn effective coded excitation scheme based on a predistorted FM signal and an optimized digital filterrdquo in Proc IEEE Ultrason Symp 1999 pp 1589ndash 1593

[21] K Gammelmark and J A Jensen ldquoMulti-element synthetic transmit aperture imaging using temporal encodingrdquo in Proc SPIE Progress in biomedical optics and imaging 2002 pp 25ndash 36

[22] J A Jensen S I Nikolov T Misaridis and K L Gammelmark ldquoEquipment and methods for synthetic aperture anatomic and flow imagingrdquo in Proc IEEE Ultrason Symp 2002 pp 1518ndash 1527

Thanassis Misaridis received the BE and MS degrees in 1992 from the National Techshynical University of Athens in electrical engishyneering He received the MS degree in 1997 from the Pennsylvania State University in bioengineering and the PhD degree in 2001 from the Technical University of Denmark Lyngby Denmark

He was a research scientist at the Laboshyratoire Ondes et Acoustique in Paris France until 2003 He is currently a collaborator of Kretz GE Medical Systems in conjunction

with the National Technical University of Athens (NTUA) Greece He teaches ultrasound imaging at the University of Patras Patras Greece and at NTUA

Dr Misaridisrsquo current research interests include coded excitation in medical ultrasound array processing synthetic aperture and nonshylinear imaging

Joslashrgen Arendt Jensen (Mrsquo93ndashSrsquo02) earned his Master of Science in electrical engineering in 1985 and the PhD degree in 1989 both from the Technical University of Denmark He received the DrTechn degree from the Unishyversity in 1996 He has published a number of papers on signal processing and medical ulshytrasound and the book Estimation of Blood Velocities Using Ultrasound Cambridge Unishyversity Press in 1996 He is also developer of the Field II simulation program He has been a visiting scientist at Duke University Stanshy

ford University and the University of Illinois at Urbana-Champaign He is currently full professor of Biomedical Signal Processing at the

219 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Technical University of Denmark at OslashrstedbullDTU and head of the Center for Fast Ultrasound Imaging He has given courses on blood velocity estimation at both Duke University and the University of Illinois and teaches biomedical signal processing and medical imagshying at the Technical University of Denmark He has given several short courses on simulation synthetic aperture imaging and flow estimation at international scientific conferences He is also the coshyorganizer of a new biomedical engineering education offered by the Technical University of Denmark and the University of Copenhagen His research is centered around simulation of ultrasound imaging synthetic aperture imaging and blood flow estimation and constructshying systems for such imaging

Page 3: Use of Modulated Excitation Signals in Medical Ultrasound. Part III

213 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 9 Firing sequence in coded linear array imaging with double frame rate Shaded elements indicate transmitting elements Two beams are formed in parallel for each transmit event Two FM signals of different slope are used for parallel transmission

Fig 11 Alternative firing sequence in coded linear array imaging where three or four beams are sent in parallel The number of transshymit events reduces from 107 (conventional imaging) to 22

Fig 10 Conventional linear array imaging (a) and linear array imagshying with double frame rate using two parallel FM-coded beams (b) The dynamic range of both simulated images is 45 dB

there will be an increase in frame rate by a factor of 2 but there will also be sidelobes of 372 dB both axially and latshyerally Assuming a desired dynamic range of 45 dB in the ultrasound image the frame rate in linear array imaging can be doubled without any degradation in image quality by using two coded sequences that have a cross-correlation of at least minus11 dB The firing sequence for linear arrayshycoded imaging with double frame rate compared to conshyventional linear array imaging is shown in Fig 9 Two beams are transmitted for every transmit event for this particular configuration three beams are sent in the first transmit event Fig 10 shows that linear array imaging with two parallel FM-coded beams yields good resolution images with a 45-dB dynamic range The firing sequence is that shown in Fig 9 Fig 10(a) shows the conventional linear array image for comparison Binary phase codes or the linear FM signals with frequency division discussed in the previous chapter can also be used In the latter case all sidelobes shown in Fig 8 will be eliminated down to minus90 dB with a 80 widening of the axial mainlobe

Fig 12 Simulated image of fast FM-coded linear array imaging using the firing scheme of Fig 11 The number of transmit events is almost 5 times less than in conventional imaging The dynamic range of the image is 45 dB

VI Other Firing and Coding Strategies

Further increase in frame rate is possible by reducshying the distance between the transmitting sub-apertures Fig 11 shows an alternative firing sequence where three or four beams are sent in parallel

Fig 12 shows the resulting simulated image when two FM signals with opposite slopes are used in the firing order shown in Fig 11 The sidelobe performance of this imagshying scheme can be assessed from Fig 7 In the first transshymit event the cross-talk between the parallel beamformed line pairs (123) (2345) (4567) and (6789) is minus375 dB (lower plot of Fig 7 for D = 22) This can be reduced by using a set of coded signals with lower cross-correlation such as binary codes or the FM signals with frequency dishyvision The cross-talk between the line pairs (145) (4589) and (2367) is minus362 dB (upper plot of Fig 7 for D = 44) This is the acoustic cross-talk between lines that use the same transmitted code The ghost echoes that are visible at a depth of 35 mm in Fig 12 manifest the presence of these sidelobes

It is therefore clear that fast imaging with the firing scheme of Fig 11 using only two coded signals can not

214 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

Fig 13 Simulated images of fast coded linear array imaging employshying four Golay pairs The image on the left is one of the two images using Golay codes The image on the right is the summation of the two complementary Golay-coded images The dynamic range of both images is 45 dB

eliminate the deleterious effects of acoustic interference If more than two coded sequences are to be employed the FM coding has to be abandoned since this family of signals can not offer such diversity

One possibility is the transmission of four Golay pairs one for each of the parallel beams of Fig 11 Resulting images using this scheme are shown in Fig 13 The crossshycorrelation between the four Golay-coded signals as well as the cross-correlation between their complementary codes is around 9 to 12 dB depending on the chosen Golay sigshynals This ensures low lateral sidelobes The drawback of this method is that two emissions are required for every line one using the Golay codes and one using their compleshymentary Golay codes Therefore the number of emissions in this case is 44

VII Synthetic Transmit Aperture Imaging

Phased array imaging currently used in ultrasound scanners involves transmission of pulses from the entire transmit aperture which are relatively delayed to form a focused beam along a given direction The echoes received by all elements are beamformed to yield the image points along this direction In linear array imaging focused beams along a line are transmitted and received by the same subshyaperture There are two main limitations in both methods 1) the acquisition time is proportional to the number of lines in the image 2) the image has a fixed transmit focus

Synthetic transmit aperture imaging can overcome both these problems In STA imaging one element transmits a pulse and all elements receive the echoes Since each transshymission is a spherical wave insonifying the entire imaging region receive beamforming for all lines can yield a whole low-energy image for every transmission Then the next element is excited and this is repeated until the whole transmit aperture is synthesized The transmit sequence for sparse STA imaging with four emissions is shown in

Fig 14 Transmit succession scheme for sparse synthetic transmit aperture imaging using four emissions One element sends out a spherical wave for every transmit event and all elements receive the echoes All beams are formed simultaneously for every transmit event

Fig 14 The final synthetic image is the coherent sum of all beamformed images [13] In this way the final image is optimally focused in both transmit and receive

The frame rate in synthetic aperture imaging does not depend on the number of scan lines to be formed as in conventional imaging but on the number of transmit eleshyments If only two to five elements are used for transmitshyting a frame rate on the order of 1000 framess is possible which will pave the way to 3-D imaging The use of such a small number of transmit elements is necessitated by the problem of artifacts caused by tissue or transducer motion In contrast to linear and phased array imaging where each line is formed from a single transmission in synthetic apershyture imaging each line of the final image uses data from all transmit events which sets phase coherence requirements For instance using 5 transmissions with an 8-MHz transshyducer (corresponding to a wavelength of about 190 microm) tissue speed greater than about 20 mms gives motion close to half the wavelength and may cause motion phase artifacts This will be true in the case of heart imaging However Nikolov and Jensen [14] have shown clinical STA images of the carotid artery using 64 emissions which do not show visible motion artifacts

Such sparse transmit aperture in STA imaging can yield a high frame rate no motion artifacts and potentially optimally-focused images but raises two new issues The first is the resulting grating lobes in the radiation pattern of the array since the necessitated sparse transmit apershyture violates the half-wavelength element spacing This problem has been discussed in the literature [13] [15] and will not be addressed here It can be solved using the efshyfective aperture concept Briefly the convolution of the transmit with the receive aperture for each transmission is the effective sub-aperture The two-way radiation pattern of the synthetic image is the Fourier transform (at least in the far field) of the sum of the effective sub-apertures of all transmit events Therefore by proper apodization of the receive aperture for each transmit event a uniform λ2 spacing effective aperture can be created even in the case of only two transmit events [15]

The second problem of sparse STA imaging compared to conventional array imaging is the low SNR Utilization of

216 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

Fig 16 Simulated images of point targets The first row of images is a conventional phased array image and a typical uncoded STA image with 4 emissions The second row shows coded STA images using Hadamard encoding and tapered linear FM signals before (left) and after (right) compression The dynamic range of all images is 60 dB

Upon reception each of the four F -data sets is decoded by the Hadamard matrix The decoded RF-data are subshysequently compressed using the same compression filter in all channels The order of decoding and compression was immaterial in the simulations however in real images deshycoding might be a lot more sensitive than compression and should precede Finally the decoded compressed RF-data are beamformed for all directions yielding a low-energy image Fig 16 shows simulated encoded STA images before and after compression obtained with the simulation proshygram Field II [11] Fig 17 shows that the resolution both laterally and axially remains practically the same when Hadamard spatial encoding combined with FM time enshycoding is used Also notice that the matched filter aligns the RF-data axially at the center of each scatterer in conshytrast to pulsed excitation where each scatterer appears a little farther than it actually is due to convolution with the transducer impulse response

This coding strategy yields the same frame rate and apshyproximately the same SNR improvement as with the one reported in [1] The advantage of the proposed method lies in the robustness of compression of linear FM sigshynals and the immunity this signal has in frequency shifts On the other hand the complementarity of Golay codes breaks down at large depths due to attenuation in tisshysues resulting in image degradation It was shown in the second paper of this series [4] that with an attenuation of 07 dB[MHz times cm] the range of sidelobes for a Goshylay pair increases up to minus25 dB at a depth of 16 cm in

Fig 17 Lateral (a) and axial (b) resolution calculated from the simushylated images at the point at depth 50 mm The gray lines correspond to the typical STA image with 4 emissions and the black lines to the STA image with the proposed Hadamard+FM encoding The dotted line in the first plot shows the lateral resolution of the phased array image

Fig 18 Transmit succession scheme for fast sparse STA imaging using two orthogonal FM signals C1 and C2

contrast to the proposed tapered FM signal whose comshypression is very robust to attenuation The temporal FM coding can also work independently in the absence of the spatial Hadamard coding if the receiver is kept simpler This is not the case for the complementary coding sugshygested in [1] where it is the Hadamard coding that canshycels the sum of the cross-correlations between the mutual orthogonal codes The approach of the Golay codes is also more sensitive to motion artifacts since the cancellation of the sidelobes is based on two successive firings Finally in the proposed method image quality can be traded off with doubling of the frame rate

X STA Imaging with Double Frame Rate Using Orthogonal FM Signals

Doubling the frame rate can be done [3] by transmitshyting two linear FM signals from two pairs of transmitted elements as shown in Fig 18 If the two signals have low cross-correlation properties a 2 times 2 Hadamard matrix can decode the four signals In this way two images can be beamformed for every transmit event and the frame rate is doubled at a cost of SNR and resolution The two excishytation signals are an up- and a down-chirp with frequency division They have opposite FM slopes equal sweeping bandwidth and different central frequencies This design results in good auto- and cross-correlation properties disshycussed in Section III The axial sidelobes are less than minus70 dB and the cross-talk between the signals is around

217 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 19 STA-simulated image with double frame rate (2 emissions) using Hadamard encoding and two orthogonal preweighted linear FM signals with frequency division (b) The coded STA image using 4 emissions for the same 8 MHz array transducer (a) is shown for comparison The dynamic range of the images is 60 dB

Fig 20 Simulated images of point targets with added noise showshying the improvement in SNR for the various coding schemes The dynamic range of all images is 60 dB

minus60 dB The axial resolution is inversely proportional to the bandwidth of the coded signals and therefore with this method the axial resolution degrades by about 80 A loss in SNR is expected since the transmitted energy is not centered at the transducer central frequency The resulting STA image using only two emissions is shown in Fig 19(b) For comparison the STA images with Hadamard and FM encoding using 4 emissions is shown in Fig 19(a)

XI Evaluation of SNR in Coded STA Imaging

Fig 20 shows simulated images of five point targets usshying the various coding schemes White Gaussian noise was

added to all the received channels before beamforming to simulate electronic receiver noise Equal driving voltages are used for all images Note however that phased array imaging systems focus the pulses of all elements at the transmit focusing point In STA imaging only a single elshyement transmits an unfocused wave Therefore for equal driving voltages the transmitted power in STA imaging is much lower and the transmitted pulse amplitude can be increased more than an order of amplitude compared to conventional imaging without exceeding the intensity limshyitations [13] It is thus possible to achieve up to 10 dB higher SNR than what is shown here as long as the transshyducer elements can deliver such high power The gain in SNR that can be achieved by using spatially encoded FM excitation is apparent from the images of Fig 20 For quanshytitative evaluation the SNR has been estimated from the central line of the images The results are listed in Table II The entry for the phased array image is the maximum SNR calculated at the transmit focal point

In the case of STA with two coded transmissions using orthogonal chirps there is a trade-off between low crossshycorrelation among the signals and loss in SNR For a differshyent design of the two codes than the one presented here cross-correlation around minus65 dB is possible with an adshyditional loss of 5 dB in the SNR In conclusion the sugshygested coding scheme can yield synthetic aperture images with four transmissions which can have the same SNR as that for phased array imaging at the transmitted foshycal point while retaining image resolution In combination with the method of defocused transmit subapertures this SNR can be achieved with only two transmissions of orshythogonal preweighted linear FM signals

XII Conclusion

This paper has investigated different possibilities of usshying modulated transmitted signals in order to obtain high quality ultrasound images with high acquisition rates In the first part of the paper the limited available crossshycorrelation properties of both frequency and phase-coded signals has been pointed out Subsequently coded imaging strategies for linear array imaging have been suggested and it has been shown that it is still possible to double the frame rate by a factor of two without a degradation in imshyage quality and by a factor of 5 if a slight degradation can be tolerated Using convex arrays instead of linear arrays can of course increase the frame rate even more

In synthetic aperture imaging utilization of FM sigshynals can yield images with resolution and SNR comparashyble to those of phased array imaging with only four emisshysions Averaging of images can increase the SNR and image quality even further This paper has demonstrated the reshysults through simulations Ongoing work from our group has shown very encouraging clinical results on coded STA imaging by Nikolov and Jensen [14] Gammelmark and Jensen [21] and Jensen et al [22]

218 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

TABLE II Calculated SNR from the Central Line of the Simulated Images

Imaging Mode Emissions SNR (dB) Dependence

Phased array imaging 51 531 10 log(64 middot 64) STA w 1 xmit event 1 186 0 STA w 64 xmit events 64 364 10 log(64) STA w 4 xmit events 4 243 10 log(4) STA w 4 times 4 Hadamard coding 4 303 10 log(4 middot 4) STA w 4 times 4 Hadamard + linear FM 4 527 10 log(4 middot 4 middot TB) STA w 2 times 2 Hadamard + 2 linear FMs 2 476 10 log(2 middot 2 middot (TB1 + TB2))

Acknowledgments

The authors would like to thank Dr Nikolov for his beamformation toolbox used extensively for the synthetic aperture simulations

References

[1] R Y Chiao and L J Thomas ldquoMethod and apparatus for ulshytrasonic synthetic transmit aperture imaging using orthogonal complementary codesrdquo US Patent 6048315 2000

[2] T Misaridis P Munk and J A Jensen ldquoParallel multi-focusing using plane wave decompositionrdquo in Proc IEEE Ultrason Symp 2003 vol 2 pp 1565ndash1568

[3] T Misaridis M Fink and J A Jensen ldquoComplex pulsing schemes for high frame rate imagingrdquo in Proc IEEE Ultrason Symp 2002 vol 2 pp 1569ndash1572

[4] T Misaridis and J A Jensen ldquoUse of modulated excitation sigshynals in ultrasound Part II Design and performance for medical imaging applicationsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 pp 191ndash206 2005

[5] C E Cook and M Bernfeld Radar Signals Boston MA Artech House Inc 1993

[6] C E Cook ldquoLinear FM signal formats for beacon and comshymunication systemsrdquo IEEE Trans Aerosp Electron Syst vol AES-10 no 4 pp 471ndash478 1974

[7] G Chandran and J S Jaffe ldquoSignal set design with conshystrained amplitude spectrum and specified time-bandwidth productrdquo IEEE Trans Commun vol 44 no 6 pp 725ndash732 1996

[8] A W Rihaczek Principles of High-Resolution Radar New York McGraw-Hill 1969

[9] D Z Dokovic ldquoEquivalence classes and representatives of Golay sequencesrdquo Discrete Math vol 189 pp 79ndash93 1998

[10] S Z Budisin ldquoNew complementary pairs of sequencesrdquo Elecshytron Lett vol 26 no 13 pp 881ndash883 1990

[11] J A Jensen ldquoField A program for simulating ultrasound sysshytemsrdquo Med Biol Eng Comput vol 34 suppl 1 pt 1 pp 351ndash353 1996

[12] J A Jensen and N B Svendsen ldquoCalculation of pressure fields from arbitrarily shaped apodized and excited ultrasound transshyducersrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 39 pp 262ndash267 1992

[13] G R Lockwood J R Talman and S S Brunke ldquoReal-time 3-D ultrasound imaging using sparse synthetic aperture beamshyformingrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 45 pp 980ndash988 1998

[14] S I Nikolov and J A Jensen ldquoComparison between differshyent encoding schemes for synthetic aperture imagingrdquo in Proc SPIEmdashProgress in biomedical optics and imaging 2002 vol 3 pp 1ndash12

[15] C R Cooley and B S Robinson ldquoSynthetic aperture imaging using partial datasetsrdquo in Proc IEEE Ultrason Symp 1994 pp 1539ndash1542

[16] M Karaman P C Li and M OrsquoDonnel ldquoSynthetic aperture imaging for small scale systemsrdquo IEEE Trans Ultrason Fershyroelect Freq Contr vol 42 pp 429ndash442 1995

[17] R Y Chiao L J Thomas and S D Silverstein ldquoSparse arshyray imaging with spatially-encoded transmitsrdquo in Proc IEEE Ultrason Symp 1997 pp 1679ndash1682

[18] R Y Chiao and L J Thomas ldquoSynthetic transmit aperture imaging using orthogonal Golay coded excitationrdquo in Proc IEEE Ultrason Symp 2000 pp 1677ndash1680

[19] T Misaridis and J A Jensen ldquoUse of modulated excitation signals in ultrasound Part I Basic concepts and expected benshyefitsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 no 2 pp 176ndash190 2005 to be published

[20] T X Misaridis and J A Jensen ldquoAn effective coded excitation scheme based on a predistorted FM signal and an optimized digital filterrdquo in Proc IEEE Ultrason Symp 1999 pp 1589ndash 1593

[21] K Gammelmark and J A Jensen ldquoMulti-element synthetic transmit aperture imaging using temporal encodingrdquo in Proc SPIE Progress in biomedical optics and imaging 2002 pp 25ndash 36

[22] J A Jensen S I Nikolov T Misaridis and K L Gammelmark ldquoEquipment and methods for synthetic aperture anatomic and flow imagingrdquo in Proc IEEE Ultrason Symp 2002 pp 1518ndash 1527

Thanassis Misaridis received the BE and MS degrees in 1992 from the National Techshynical University of Athens in electrical engishyneering He received the MS degree in 1997 from the Pennsylvania State University in bioengineering and the PhD degree in 2001 from the Technical University of Denmark Lyngby Denmark

He was a research scientist at the Laboshyratoire Ondes et Acoustique in Paris France until 2003 He is currently a collaborator of Kretz GE Medical Systems in conjunction

with the National Technical University of Athens (NTUA) Greece He teaches ultrasound imaging at the University of Patras Patras Greece and at NTUA

Dr Misaridisrsquo current research interests include coded excitation in medical ultrasound array processing synthetic aperture and nonshylinear imaging

Joslashrgen Arendt Jensen (Mrsquo93ndashSrsquo02) earned his Master of Science in electrical engineering in 1985 and the PhD degree in 1989 both from the Technical University of Denmark He received the DrTechn degree from the Unishyversity in 1996 He has published a number of papers on signal processing and medical ulshytrasound and the book Estimation of Blood Velocities Using Ultrasound Cambridge Unishyversity Press in 1996 He is also developer of the Field II simulation program He has been a visiting scientist at Duke University Stanshy

ford University and the University of Illinois at Urbana-Champaign He is currently full professor of Biomedical Signal Processing at the

219 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Technical University of Denmark at OslashrstedbullDTU and head of the Center for Fast Ultrasound Imaging He has given courses on blood velocity estimation at both Duke University and the University of Illinois and teaches biomedical signal processing and medical imagshying at the Technical University of Denmark He has given several short courses on simulation synthetic aperture imaging and flow estimation at international scientific conferences He is also the coshyorganizer of a new biomedical engineering education offered by the Technical University of Denmark and the University of Copenhagen His research is centered around simulation of ultrasound imaging synthetic aperture imaging and blood flow estimation and constructshying systems for such imaging

Page 4: Use of Modulated Excitation Signals in Medical Ultrasound. Part III

214 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

Fig 13 Simulated images of fast coded linear array imaging employshying four Golay pairs The image on the left is one of the two images using Golay codes The image on the right is the summation of the two complementary Golay-coded images The dynamic range of both images is 45 dB

eliminate the deleterious effects of acoustic interference If more than two coded sequences are to be employed the FM coding has to be abandoned since this family of signals can not offer such diversity

One possibility is the transmission of four Golay pairs one for each of the parallel beams of Fig 11 Resulting images using this scheme are shown in Fig 13 The crossshycorrelation between the four Golay-coded signals as well as the cross-correlation between their complementary codes is around 9 to 12 dB depending on the chosen Golay sigshynals This ensures low lateral sidelobes The drawback of this method is that two emissions are required for every line one using the Golay codes and one using their compleshymentary Golay codes Therefore the number of emissions in this case is 44

VII Synthetic Transmit Aperture Imaging

Phased array imaging currently used in ultrasound scanners involves transmission of pulses from the entire transmit aperture which are relatively delayed to form a focused beam along a given direction The echoes received by all elements are beamformed to yield the image points along this direction In linear array imaging focused beams along a line are transmitted and received by the same subshyaperture There are two main limitations in both methods 1) the acquisition time is proportional to the number of lines in the image 2) the image has a fixed transmit focus

Synthetic transmit aperture imaging can overcome both these problems In STA imaging one element transmits a pulse and all elements receive the echoes Since each transshymission is a spherical wave insonifying the entire imaging region receive beamforming for all lines can yield a whole low-energy image for every transmission Then the next element is excited and this is repeated until the whole transmit aperture is synthesized The transmit sequence for sparse STA imaging with four emissions is shown in

Fig 14 Transmit succession scheme for sparse synthetic transmit aperture imaging using four emissions One element sends out a spherical wave for every transmit event and all elements receive the echoes All beams are formed simultaneously for every transmit event

Fig 14 The final synthetic image is the coherent sum of all beamformed images [13] In this way the final image is optimally focused in both transmit and receive

The frame rate in synthetic aperture imaging does not depend on the number of scan lines to be formed as in conventional imaging but on the number of transmit eleshyments If only two to five elements are used for transmitshyting a frame rate on the order of 1000 framess is possible which will pave the way to 3-D imaging The use of such a small number of transmit elements is necessitated by the problem of artifacts caused by tissue or transducer motion In contrast to linear and phased array imaging where each line is formed from a single transmission in synthetic apershyture imaging each line of the final image uses data from all transmit events which sets phase coherence requirements For instance using 5 transmissions with an 8-MHz transshyducer (corresponding to a wavelength of about 190 microm) tissue speed greater than about 20 mms gives motion close to half the wavelength and may cause motion phase artifacts This will be true in the case of heart imaging However Nikolov and Jensen [14] have shown clinical STA images of the carotid artery using 64 emissions which do not show visible motion artifacts

Such sparse transmit aperture in STA imaging can yield a high frame rate no motion artifacts and potentially optimally-focused images but raises two new issues The first is the resulting grating lobes in the radiation pattern of the array since the necessitated sparse transmit apershyture violates the half-wavelength element spacing This problem has been discussed in the literature [13] [15] and will not be addressed here It can be solved using the efshyfective aperture concept Briefly the convolution of the transmit with the receive aperture for each transmission is the effective sub-aperture The two-way radiation pattern of the synthetic image is the Fourier transform (at least in the far field) of the sum of the effective sub-apertures of all transmit events Therefore by proper apodization of the receive aperture for each transmit event a uniform λ2 spacing effective aperture can be created even in the case of only two transmit events [15]

The second problem of sparse STA imaging compared to conventional array imaging is the low SNR Utilization of

216 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

Fig 16 Simulated images of point targets The first row of images is a conventional phased array image and a typical uncoded STA image with 4 emissions The second row shows coded STA images using Hadamard encoding and tapered linear FM signals before (left) and after (right) compression The dynamic range of all images is 60 dB

Upon reception each of the four F -data sets is decoded by the Hadamard matrix The decoded RF-data are subshysequently compressed using the same compression filter in all channels The order of decoding and compression was immaterial in the simulations however in real images deshycoding might be a lot more sensitive than compression and should precede Finally the decoded compressed RF-data are beamformed for all directions yielding a low-energy image Fig 16 shows simulated encoded STA images before and after compression obtained with the simulation proshygram Field II [11] Fig 17 shows that the resolution both laterally and axially remains practically the same when Hadamard spatial encoding combined with FM time enshycoding is used Also notice that the matched filter aligns the RF-data axially at the center of each scatterer in conshytrast to pulsed excitation where each scatterer appears a little farther than it actually is due to convolution with the transducer impulse response

This coding strategy yields the same frame rate and apshyproximately the same SNR improvement as with the one reported in [1] The advantage of the proposed method lies in the robustness of compression of linear FM sigshynals and the immunity this signal has in frequency shifts On the other hand the complementarity of Golay codes breaks down at large depths due to attenuation in tisshysues resulting in image degradation It was shown in the second paper of this series [4] that with an attenuation of 07 dB[MHz times cm] the range of sidelobes for a Goshylay pair increases up to minus25 dB at a depth of 16 cm in

Fig 17 Lateral (a) and axial (b) resolution calculated from the simushylated images at the point at depth 50 mm The gray lines correspond to the typical STA image with 4 emissions and the black lines to the STA image with the proposed Hadamard+FM encoding The dotted line in the first plot shows the lateral resolution of the phased array image

Fig 18 Transmit succession scheme for fast sparse STA imaging using two orthogonal FM signals C1 and C2

contrast to the proposed tapered FM signal whose comshypression is very robust to attenuation The temporal FM coding can also work independently in the absence of the spatial Hadamard coding if the receiver is kept simpler This is not the case for the complementary coding sugshygested in [1] where it is the Hadamard coding that canshycels the sum of the cross-correlations between the mutual orthogonal codes The approach of the Golay codes is also more sensitive to motion artifacts since the cancellation of the sidelobes is based on two successive firings Finally in the proposed method image quality can be traded off with doubling of the frame rate

X STA Imaging with Double Frame Rate Using Orthogonal FM Signals

Doubling the frame rate can be done [3] by transmitshyting two linear FM signals from two pairs of transmitted elements as shown in Fig 18 If the two signals have low cross-correlation properties a 2 times 2 Hadamard matrix can decode the four signals In this way two images can be beamformed for every transmit event and the frame rate is doubled at a cost of SNR and resolution The two excishytation signals are an up- and a down-chirp with frequency division They have opposite FM slopes equal sweeping bandwidth and different central frequencies This design results in good auto- and cross-correlation properties disshycussed in Section III The axial sidelobes are less than minus70 dB and the cross-talk between the signals is around

217 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 19 STA-simulated image with double frame rate (2 emissions) using Hadamard encoding and two orthogonal preweighted linear FM signals with frequency division (b) The coded STA image using 4 emissions for the same 8 MHz array transducer (a) is shown for comparison The dynamic range of the images is 60 dB

Fig 20 Simulated images of point targets with added noise showshying the improvement in SNR for the various coding schemes The dynamic range of all images is 60 dB

minus60 dB The axial resolution is inversely proportional to the bandwidth of the coded signals and therefore with this method the axial resolution degrades by about 80 A loss in SNR is expected since the transmitted energy is not centered at the transducer central frequency The resulting STA image using only two emissions is shown in Fig 19(b) For comparison the STA images with Hadamard and FM encoding using 4 emissions is shown in Fig 19(a)

XI Evaluation of SNR in Coded STA Imaging

Fig 20 shows simulated images of five point targets usshying the various coding schemes White Gaussian noise was

added to all the received channels before beamforming to simulate electronic receiver noise Equal driving voltages are used for all images Note however that phased array imaging systems focus the pulses of all elements at the transmit focusing point In STA imaging only a single elshyement transmits an unfocused wave Therefore for equal driving voltages the transmitted power in STA imaging is much lower and the transmitted pulse amplitude can be increased more than an order of amplitude compared to conventional imaging without exceeding the intensity limshyitations [13] It is thus possible to achieve up to 10 dB higher SNR than what is shown here as long as the transshyducer elements can deliver such high power The gain in SNR that can be achieved by using spatially encoded FM excitation is apparent from the images of Fig 20 For quanshytitative evaluation the SNR has been estimated from the central line of the images The results are listed in Table II The entry for the phased array image is the maximum SNR calculated at the transmit focal point

In the case of STA with two coded transmissions using orthogonal chirps there is a trade-off between low crossshycorrelation among the signals and loss in SNR For a differshyent design of the two codes than the one presented here cross-correlation around minus65 dB is possible with an adshyditional loss of 5 dB in the SNR In conclusion the sugshygested coding scheme can yield synthetic aperture images with four transmissions which can have the same SNR as that for phased array imaging at the transmitted foshycal point while retaining image resolution In combination with the method of defocused transmit subapertures this SNR can be achieved with only two transmissions of orshythogonal preweighted linear FM signals

XII Conclusion

This paper has investigated different possibilities of usshying modulated transmitted signals in order to obtain high quality ultrasound images with high acquisition rates In the first part of the paper the limited available crossshycorrelation properties of both frequency and phase-coded signals has been pointed out Subsequently coded imaging strategies for linear array imaging have been suggested and it has been shown that it is still possible to double the frame rate by a factor of two without a degradation in imshyage quality and by a factor of 5 if a slight degradation can be tolerated Using convex arrays instead of linear arrays can of course increase the frame rate even more

In synthetic aperture imaging utilization of FM sigshynals can yield images with resolution and SNR comparashyble to those of phased array imaging with only four emisshysions Averaging of images can increase the SNR and image quality even further This paper has demonstrated the reshysults through simulations Ongoing work from our group has shown very encouraging clinical results on coded STA imaging by Nikolov and Jensen [14] Gammelmark and Jensen [21] and Jensen et al [22]

218 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

TABLE II Calculated SNR from the Central Line of the Simulated Images

Imaging Mode Emissions SNR (dB) Dependence

Phased array imaging 51 531 10 log(64 middot 64) STA w 1 xmit event 1 186 0 STA w 64 xmit events 64 364 10 log(64) STA w 4 xmit events 4 243 10 log(4) STA w 4 times 4 Hadamard coding 4 303 10 log(4 middot 4) STA w 4 times 4 Hadamard + linear FM 4 527 10 log(4 middot 4 middot TB) STA w 2 times 2 Hadamard + 2 linear FMs 2 476 10 log(2 middot 2 middot (TB1 + TB2))

Acknowledgments

The authors would like to thank Dr Nikolov for his beamformation toolbox used extensively for the synthetic aperture simulations

References

[1] R Y Chiao and L J Thomas ldquoMethod and apparatus for ulshytrasonic synthetic transmit aperture imaging using orthogonal complementary codesrdquo US Patent 6048315 2000

[2] T Misaridis P Munk and J A Jensen ldquoParallel multi-focusing using plane wave decompositionrdquo in Proc IEEE Ultrason Symp 2003 vol 2 pp 1565ndash1568

[3] T Misaridis M Fink and J A Jensen ldquoComplex pulsing schemes for high frame rate imagingrdquo in Proc IEEE Ultrason Symp 2002 vol 2 pp 1569ndash1572

[4] T Misaridis and J A Jensen ldquoUse of modulated excitation sigshynals in ultrasound Part II Design and performance for medical imaging applicationsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 pp 191ndash206 2005

[5] C E Cook and M Bernfeld Radar Signals Boston MA Artech House Inc 1993

[6] C E Cook ldquoLinear FM signal formats for beacon and comshymunication systemsrdquo IEEE Trans Aerosp Electron Syst vol AES-10 no 4 pp 471ndash478 1974

[7] G Chandran and J S Jaffe ldquoSignal set design with conshystrained amplitude spectrum and specified time-bandwidth productrdquo IEEE Trans Commun vol 44 no 6 pp 725ndash732 1996

[8] A W Rihaczek Principles of High-Resolution Radar New York McGraw-Hill 1969

[9] D Z Dokovic ldquoEquivalence classes and representatives of Golay sequencesrdquo Discrete Math vol 189 pp 79ndash93 1998

[10] S Z Budisin ldquoNew complementary pairs of sequencesrdquo Elecshytron Lett vol 26 no 13 pp 881ndash883 1990

[11] J A Jensen ldquoField A program for simulating ultrasound sysshytemsrdquo Med Biol Eng Comput vol 34 suppl 1 pt 1 pp 351ndash353 1996

[12] J A Jensen and N B Svendsen ldquoCalculation of pressure fields from arbitrarily shaped apodized and excited ultrasound transshyducersrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 39 pp 262ndash267 1992

[13] G R Lockwood J R Talman and S S Brunke ldquoReal-time 3-D ultrasound imaging using sparse synthetic aperture beamshyformingrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 45 pp 980ndash988 1998

[14] S I Nikolov and J A Jensen ldquoComparison between differshyent encoding schemes for synthetic aperture imagingrdquo in Proc SPIEmdashProgress in biomedical optics and imaging 2002 vol 3 pp 1ndash12

[15] C R Cooley and B S Robinson ldquoSynthetic aperture imaging using partial datasetsrdquo in Proc IEEE Ultrason Symp 1994 pp 1539ndash1542

[16] M Karaman P C Li and M OrsquoDonnel ldquoSynthetic aperture imaging for small scale systemsrdquo IEEE Trans Ultrason Fershyroelect Freq Contr vol 42 pp 429ndash442 1995

[17] R Y Chiao L J Thomas and S D Silverstein ldquoSparse arshyray imaging with spatially-encoded transmitsrdquo in Proc IEEE Ultrason Symp 1997 pp 1679ndash1682

[18] R Y Chiao and L J Thomas ldquoSynthetic transmit aperture imaging using orthogonal Golay coded excitationrdquo in Proc IEEE Ultrason Symp 2000 pp 1677ndash1680

[19] T Misaridis and J A Jensen ldquoUse of modulated excitation signals in ultrasound Part I Basic concepts and expected benshyefitsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 no 2 pp 176ndash190 2005 to be published

[20] T X Misaridis and J A Jensen ldquoAn effective coded excitation scheme based on a predistorted FM signal and an optimized digital filterrdquo in Proc IEEE Ultrason Symp 1999 pp 1589ndash 1593

[21] K Gammelmark and J A Jensen ldquoMulti-element synthetic transmit aperture imaging using temporal encodingrdquo in Proc SPIE Progress in biomedical optics and imaging 2002 pp 25ndash 36

[22] J A Jensen S I Nikolov T Misaridis and K L Gammelmark ldquoEquipment and methods for synthetic aperture anatomic and flow imagingrdquo in Proc IEEE Ultrason Symp 2002 pp 1518ndash 1527

Thanassis Misaridis received the BE and MS degrees in 1992 from the National Techshynical University of Athens in electrical engishyneering He received the MS degree in 1997 from the Pennsylvania State University in bioengineering and the PhD degree in 2001 from the Technical University of Denmark Lyngby Denmark

He was a research scientist at the Laboshyratoire Ondes et Acoustique in Paris France until 2003 He is currently a collaborator of Kretz GE Medical Systems in conjunction

with the National Technical University of Athens (NTUA) Greece He teaches ultrasound imaging at the University of Patras Patras Greece and at NTUA

Dr Misaridisrsquo current research interests include coded excitation in medical ultrasound array processing synthetic aperture and nonshylinear imaging

Joslashrgen Arendt Jensen (Mrsquo93ndashSrsquo02) earned his Master of Science in electrical engineering in 1985 and the PhD degree in 1989 both from the Technical University of Denmark He received the DrTechn degree from the Unishyversity in 1996 He has published a number of papers on signal processing and medical ulshytrasound and the book Estimation of Blood Velocities Using Ultrasound Cambridge Unishyversity Press in 1996 He is also developer of the Field II simulation program He has been a visiting scientist at Duke University Stanshy

ford University and the University of Illinois at Urbana-Champaign He is currently full professor of Biomedical Signal Processing at the

219 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Technical University of Denmark at OslashrstedbullDTU and head of the Center for Fast Ultrasound Imaging He has given courses on blood velocity estimation at both Duke University and the University of Illinois and teaches biomedical signal processing and medical imagshying at the Technical University of Denmark He has given several short courses on simulation synthetic aperture imaging and flow estimation at international scientific conferences He is also the coshyorganizer of a new biomedical engineering education offered by the Technical University of Denmark and the University of Copenhagen His research is centered around simulation of ultrasound imaging synthetic aperture imaging and blood flow estimation and constructshying systems for such imaging

Page 5: Use of Modulated Excitation Signals in Medical Ultrasound. Part III

216 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

Fig 16 Simulated images of point targets The first row of images is a conventional phased array image and a typical uncoded STA image with 4 emissions The second row shows coded STA images using Hadamard encoding and tapered linear FM signals before (left) and after (right) compression The dynamic range of all images is 60 dB

Upon reception each of the four F -data sets is decoded by the Hadamard matrix The decoded RF-data are subshysequently compressed using the same compression filter in all channels The order of decoding and compression was immaterial in the simulations however in real images deshycoding might be a lot more sensitive than compression and should precede Finally the decoded compressed RF-data are beamformed for all directions yielding a low-energy image Fig 16 shows simulated encoded STA images before and after compression obtained with the simulation proshygram Field II [11] Fig 17 shows that the resolution both laterally and axially remains practically the same when Hadamard spatial encoding combined with FM time enshycoding is used Also notice that the matched filter aligns the RF-data axially at the center of each scatterer in conshytrast to pulsed excitation where each scatterer appears a little farther than it actually is due to convolution with the transducer impulse response

This coding strategy yields the same frame rate and apshyproximately the same SNR improvement as with the one reported in [1] The advantage of the proposed method lies in the robustness of compression of linear FM sigshynals and the immunity this signal has in frequency shifts On the other hand the complementarity of Golay codes breaks down at large depths due to attenuation in tisshysues resulting in image degradation It was shown in the second paper of this series [4] that with an attenuation of 07 dB[MHz times cm] the range of sidelobes for a Goshylay pair increases up to minus25 dB at a depth of 16 cm in

Fig 17 Lateral (a) and axial (b) resolution calculated from the simushylated images at the point at depth 50 mm The gray lines correspond to the typical STA image with 4 emissions and the black lines to the STA image with the proposed Hadamard+FM encoding The dotted line in the first plot shows the lateral resolution of the phased array image

Fig 18 Transmit succession scheme for fast sparse STA imaging using two orthogonal FM signals C1 and C2

contrast to the proposed tapered FM signal whose comshypression is very robust to attenuation The temporal FM coding can also work independently in the absence of the spatial Hadamard coding if the receiver is kept simpler This is not the case for the complementary coding sugshygested in [1] where it is the Hadamard coding that canshycels the sum of the cross-correlations between the mutual orthogonal codes The approach of the Golay codes is also more sensitive to motion artifacts since the cancellation of the sidelobes is based on two successive firings Finally in the proposed method image quality can be traded off with doubling of the frame rate

X STA Imaging with Double Frame Rate Using Orthogonal FM Signals

Doubling the frame rate can be done [3] by transmitshyting two linear FM signals from two pairs of transmitted elements as shown in Fig 18 If the two signals have low cross-correlation properties a 2 times 2 Hadamard matrix can decode the four signals In this way two images can be beamformed for every transmit event and the frame rate is doubled at a cost of SNR and resolution The two excishytation signals are an up- and a down-chirp with frequency division They have opposite FM slopes equal sweeping bandwidth and different central frequencies This design results in good auto- and cross-correlation properties disshycussed in Section III The axial sidelobes are less than minus70 dB and the cross-talk between the signals is around

217 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 19 STA-simulated image with double frame rate (2 emissions) using Hadamard encoding and two orthogonal preweighted linear FM signals with frequency division (b) The coded STA image using 4 emissions for the same 8 MHz array transducer (a) is shown for comparison The dynamic range of the images is 60 dB

Fig 20 Simulated images of point targets with added noise showshying the improvement in SNR for the various coding schemes The dynamic range of all images is 60 dB

minus60 dB The axial resolution is inversely proportional to the bandwidth of the coded signals and therefore with this method the axial resolution degrades by about 80 A loss in SNR is expected since the transmitted energy is not centered at the transducer central frequency The resulting STA image using only two emissions is shown in Fig 19(b) For comparison the STA images with Hadamard and FM encoding using 4 emissions is shown in Fig 19(a)

XI Evaluation of SNR in Coded STA Imaging

Fig 20 shows simulated images of five point targets usshying the various coding schemes White Gaussian noise was

added to all the received channels before beamforming to simulate electronic receiver noise Equal driving voltages are used for all images Note however that phased array imaging systems focus the pulses of all elements at the transmit focusing point In STA imaging only a single elshyement transmits an unfocused wave Therefore for equal driving voltages the transmitted power in STA imaging is much lower and the transmitted pulse amplitude can be increased more than an order of amplitude compared to conventional imaging without exceeding the intensity limshyitations [13] It is thus possible to achieve up to 10 dB higher SNR than what is shown here as long as the transshyducer elements can deliver such high power The gain in SNR that can be achieved by using spatially encoded FM excitation is apparent from the images of Fig 20 For quanshytitative evaluation the SNR has been estimated from the central line of the images The results are listed in Table II The entry for the phased array image is the maximum SNR calculated at the transmit focal point

In the case of STA with two coded transmissions using orthogonal chirps there is a trade-off between low crossshycorrelation among the signals and loss in SNR For a differshyent design of the two codes than the one presented here cross-correlation around minus65 dB is possible with an adshyditional loss of 5 dB in the SNR In conclusion the sugshygested coding scheme can yield synthetic aperture images with four transmissions which can have the same SNR as that for phased array imaging at the transmitted foshycal point while retaining image resolution In combination with the method of defocused transmit subapertures this SNR can be achieved with only two transmissions of orshythogonal preweighted linear FM signals

XII Conclusion

This paper has investigated different possibilities of usshying modulated transmitted signals in order to obtain high quality ultrasound images with high acquisition rates In the first part of the paper the limited available crossshycorrelation properties of both frequency and phase-coded signals has been pointed out Subsequently coded imaging strategies for linear array imaging have been suggested and it has been shown that it is still possible to double the frame rate by a factor of two without a degradation in imshyage quality and by a factor of 5 if a slight degradation can be tolerated Using convex arrays instead of linear arrays can of course increase the frame rate even more

In synthetic aperture imaging utilization of FM sigshynals can yield images with resolution and SNR comparashyble to those of phased array imaging with only four emisshysions Averaging of images can increase the SNR and image quality even further This paper has demonstrated the reshysults through simulations Ongoing work from our group has shown very encouraging clinical results on coded STA imaging by Nikolov and Jensen [14] Gammelmark and Jensen [21] and Jensen et al [22]

218 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

TABLE II Calculated SNR from the Central Line of the Simulated Images

Imaging Mode Emissions SNR (dB) Dependence

Phased array imaging 51 531 10 log(64 middot 64) STA w 1 xmit event 1 186 0 STA w 64 xmit events 64 364 10 log(64) STA w 4 xmit events 4 243 10 log(4) STA w 4 times 4 Hadamard coding 4 303 10 log(4 middot 4) STA w 4 times 4 Hadamard + linear FM 4 527 10 log(4 middot 4 middot TB) STA w 2 times 2 Hadamard + 2 linear FMs 2 476 10 log(2 middot 2 middot (TB1 + TB2))

Acknowledgments

The authors would like to thank Dr Nikolov for his beamformation toolbox used extensively for the synthetic aperture simulations

References

[1] R Y Chiao and L J Thomas ldquoMethod and apparatus for ulshytrasonic synthetic transmit aperture imaging using orthogonal complementary codesrdquo US Patent 6048315 2000

[2] T Misaridis P Munk and J A Jensen ldquoParallel multi-focusing using plane wave decompositionrdquo in Proc IEEE Ultrason Symp 2003 vol 2 pp 1565ndash1568

[3] T Misaridis M Fink and J A Jensen ldquoComplex pulsing schemes for high frame rate imagingrdquo in Proc IEEE Ultrason Symp 2002 vol 2 pp 1569ndash1572

[4] T Misaridis and J A Jensen ldquoUse of modulated excitation sigshynals in ultrasound Part II Design and performance for medical imaging applicationsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 pp 191ndash206 2005

[5] C E Cook and M Bernfeld Radar Signals Boston MA Artech House Inc 1993

[6] C E Cook ldquoLinear FM signal formats for beacon and comshymunication systemsrdquo IEEE Trans Aerosp Electron Syst vol AES-10 no 4 pp 471ndash478 1974

[7] G Chandran and J S Jaffe ldquoSignal set design with conshystrained amplitude spectrum and specified time-bandwidth productrdquo IEEE Trans Commun vol 44 no 6 pp 725ndash732 1996

[8] A W Rihaczek Principles of High-Resolution Radar New York McGraw-Hill 1969

[9] D Z Dokovic ldquoEquivalence classes and representatives of Golay sequencesrdquo Discrete Math vol 189 pp 79ndash93 1998

[10] S Z Budisin ldquoNew complementary pairs of sequencesrdquo Elecshytron Lett vol 26 no 13 pp 881ndash883 1990

[11] J A Jensen ldquoField A program for simulating ultrasound sysshytemsrdquo Med Biol Eng Comput vol 34 suppl 1 pt 1 pp 351ndash353 1996

[12] J A Jensen and N B Svendsen ldquoCalculation of pressure fields from arbitrarily shaped apodized and excited ultrasound transshyducersrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 39 pp 262ndash267 1992

[13] G R Lockwood J R Talman and S S Brunke ldquoReal-time 3-D ultrasound imaging using sparse synthetic aperture beamshyformingrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 45 pp 980ndash988 1998

[14] S I Nikolov and J A Jensen ldquoComparison between differshyent encoding schemes for synthetic aperture imagingrdquo in Proc SPIEmdashProgress in biomedical optics and imaging 2002 vol 3 pp 1ndash12

[15] C R Cooley and B S Robinson ldquoSynthetic aperture imaging using partial datasetsrdquo in Proc IEEE Ultrason Symp 1994 pp 1539ndash1542

[16] M Karaman P C Li and M OrsquoDonnel ldquoSynthetic aperture imaging for small scale systemsrdquo IEEE Trans Ultrason Fershyroelect Freq Contr vol 42 pp 429ndash442 1995

[17] R Y Chiao L J Thomas and S D Silverstein ldquoSparse arshyray imaging with spatially-encoded transmitsrdquo in Proc IEEE Ultrason Symp 1997 pp 1679ndash1682

[18] R Y Chiao and L J Thomas ldquoSynthetic transmit aperture imaging using orthogonal Golay coded excitationrdquo in Proc IEEE Ultrason Symp 2000 pp 1677ndash1680

[19] T Misaridis and J A Jensen ldquoUse of modulated excitation signals in ultrasound Part I Basic concepts and expected benshyefitsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 no 2 pp 176ndash190 2005 to be published

[20] T X Misaridis and J A Jensen ldquoAn effective coded excitation scheme based on a predistorted FM signal and an optimized digital filterrdquo in Proc IEEE Ultrason Symp 1999 pp 1589ndash 1593

[21] K Gammelmark and J A Jensen ldquoMulti-element synthetic transmit aperture imaging using temporal encodingrdquo in Proc SPIE Progress in biomedical optics and imaging 2002 pp 25ndash 36

[22] J A Jensen S I Nikolov T Misaridis and K L Gammelmark ldquoEquipment and methods for synthetic aperture anatomic and flow imagingrdquo in Proc IEEE Ultrason Symp 2002 pp 1518ndash 1527

Thanassis Misaridis received the BE and MS degrees in 1992 from the National Techshynical University of Athens in electrical engishyneering He received the MS degree in 1997 from the Pennsylvania State University in bioengineering and the PhD degree in 2001 from the Technical University of Denmark Lyngby Denmark

He was a research scientist at the Laboshyratoire Ondes et Acoustique in Paris France until 2003 He is currently a collaborator of Kretz GE Medical Systems in conjunction

with the National Technical University of Athens (NTUA) Greece He teaches ultrasound imaging at the University of Patras Patras Greece and at NTUA

Dr Misaridisrsquo current research interests include coded excitation in medical ultrasound array processing synthetic aperture and nonshylinear imaging

Joslashrgen Arendt Jensen (Mrsquo93ndashSrsquo02) earned his Master of Science in electrical engineering in 1985 and the PhD degree in 1989 both from the Technical University of Denmark He received the DrTechn degree from the Unishyversity in 1996 He has published a number of papers on signal processing and medical ulshytrasound and the book Estimation of Blood Velocities Using Ultrasound Cambridge Unishyversity Press in 1996 He is also developer of the Field II simulation program He has been a visiting scientist at Duke University Stanshy

ford University and the University of Illinois at Urbana-Champaign He is currently full professor of Biomedical Signal Processing at the

219 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Technical University of Denmark at OslashrstedbullDTU and head of the Center for Fast Ultrasound Imaging He has given courses on blood velocity estimation at both Duke University and the University of Illinois and teaches biomedical signal processing and medical imagshying at the Technical University of Denmark He has given several short courses on simulation synthetic aperture imaging and flow estimation at international scientific conferences He is also the coshyorganizer of a new biomedical engineering education offered by the Technical University of Denmark and the University of Copenhagen His research is centered around simulation of ultrasound imaging synthetic aperture imaging and blood flow estimation and constructshying systems for such imaging

Page 6: Use of Modulated Excitation Signals in Medical Ultrasound. Part III

217 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Fig 19 STA-simulated image with double frame rate (2 emissions) using Hadamard encoding and two orthogonal preweighted linear FM signals with frequency division (b) The coded STA image using 4 emissions for the same 8 MHz array transducer (a) is shown for comparison The dynamic range of the images is 60 dB

Fig 20 Simulated images of point targets with added noise showshying the improvement in SNR for the various coding schemes The dynamic range of all images is 60 dB

minus60 dB The axial resolution is inversely proportional to the bandwidth of the coded signals and therefore with this method the axial resolution degrades by about 80 A loss in SNR is expected since the transmitted energy is not centered at the transducer central frequency The resulting STA image using only two emissions is shown in Fig 19(b) For comparison the STA images with Hadamard and FM encoding using 4 emissions is shown in Fig 19(a)

XI Evaluation of SNR in Coded STA Imaging

Fig 20 shows simulated images of five point targets usshying the various coding schemes White Gaussian noise was

added to all the received channels before beamforming to simulate electronic receiver noise Equal driving voltages are used for all images Note however that phased array imaging systems focus the pulses of all elements at the transmit focusing point In STA imaging only a single elshyement transmits an unfocused wave Therefore for equal driving voltages the transmitted power in STA imaging is much lower and the transmitted pulse amplitude can be increased more than an order of amplitude compared to conventional imaging without exceeding the intensity limshyitations [13] It is thus possible to achieve up to 10 dB higher SNR than what is shown here as long as the transshyducer elements can deliver such high power The gain in SNR that can be achieved by using spatially encoded FM excitation is apparent from the images of Fig 20 For quanshytitative evaluation the SNR has been estimated from the central line of the images The results are listed in Table II The entry for the phased array image is the maximum SNR calculated at the transmit focal point

In the case of STA with two coded transmissions using orthogonal chirps there is a trade-off between low crossshycorrelation among the signals and loss in SNR For a differshyent design of the two codes than the one presented here cross-correlation around minus65 dB is possible with an adshyditional loss of 5 dB in the SNR In conclusion the sugshygested coding scheme can yield synthetic aperture images with four transmissions which can have the same SNR as that for phased array imaging at the transmitted foshycal point while retaining image resolution In combination with the method of defocused transmit subapertures this SNR can be achieved with only two transmissions of orshythogonal preweighted linear FM signals

XII Conclusion

This paper has investigated different possibilities of usshying modulated transmitted signals in order to obtain high quality ultrasound images with high acquisition rates In the first part of the paper the limited available crossshycorrelation properties of both frequency and phase-coded signals has been pointed out Subsequently coded imaging strategies for linear array imaging have been suggested and it has been shown that it is still possible to double the frame rate by a factor of two without a degradation in imshyage quality and by a factor of 5 if a slight degradation can be tolerated Using convex arrays instead of linear arrays can of course increase the frame rate even more

In synthetic aperture imaging utilization of FM sigshynals can yield images with resolution and SNR comparashyble to those of phased array imaging with only four emisshysions Averaging of images can increase the SNR and image quality even further This paper has demonstrated the reshysults through simulations Ongoing work from our group has shown very encouraging clinical results on coded STA imaging by Nikolov and Jensen [14] Gammelmark and Jensen [21] and Jensen et al [22]

218 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

TABLE II Calculated SNR from the Central Line of the Simulated Images

Imaging Mode Emissions SNR (dB) Dependence

Phased array imaging 51 531 10 log(64 middot 64) STA w 1 xmit event 1 186 0 STA w 64 xmit events 64 364 10 log(64) STA w 4 xmit events 4 243 10 log(4) STA w 4 times 4 Hadamard coding 4 303 10 log(4 middot 4) STA w 4 times 4 Hadamard + linear FM 4 527 10 log(4 middot 4 middot TB) STA w 2 times 2 Hadamard + 2 linear FMs 2 476 10 log(2 middot 2 middot (TB1 + TB2))

Acknowledgments

The authors would like to thank Dr Nikolov for his beamformation toolbox used extensively for the synthetic aperture simulations

References

[1] R Y Chiao and L J Thomas ldquoMethod and apparatus for ulshytrasonic synthetic transmit aperture imaging using orthogonal complementary codesrdquo US Patent 6048315 2000

[2] T Misaridis P Munk and J A Jensen ldquoParallel multi-focusing using plane wave decompositionrdquo in Proc IEEE Ultrason Symp 2003 vol 2 pp 1565ndash1568

[3] T Misaridis M Fink and J A Jensen ldquoComplex pulsing schemes for high frame rate imagingrdquo in Proc IEEE Ultrason Symp 2002 vol 2 pp 1569ndash1572

[4] T Misaridis and J A Jensen ldquoUse of modulated excitation sigshynals in ultrasound Part II Design and performance for medical imaging applicationsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 pp 191ndash206 2005

[5] C E Cook and M Bernfeld Radar Signals Boston MA Artech House Inc 1993

[6] C E Cook ldquoLinear FM signal formats for beacon and comshymunication systemsrdquo IEEE Trans Aerosp Electron Syst vol AES-10 no 4 pp 471ndash478 1974

[7] G Chandran and J S Jaffe ldquoSignal set design with conshystrained amplitude spectrum and specified time-bandwidth productrdquo IEEE Trans Commun vol 44 no 6 pp 725ndash732 1996

[8] A W Rihaczek Principles of High-Resolution Radar New York McGraw-Hill 1969

[9] D Z Dokovic ldquoEquivalence classes and representatives of Golay sequencesrdquo Discrete Math vol 189 pp 79ndash93 1998

[10] S Z Budisin ldquoNew complementary pairs of sequencesrdquo Elecshytron Lett vol 26 no 13 pp 881ndash883 1990

[11] J A Jensen ldquoField A program for simulating ultrasound sysshytemsrdquo Med Biol Eng Comput vol 34 suppl 1 pt 1 pp 351ndash353 1996

[12] J A Jensen and N B Svendsen ldquoCalculation of pressure fields from arbitrarily shaped apodized and excited ultrasound transshyducersrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 39 pp 262ndash267 1992

[13] G R Lockwood J R Talman and S S Brunke ldquoReal-time 3-D ultrasound imaging using sparse synthetic aperture beamshyformingrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 45 pp 980ndash988 1998

[14] S I Nikolov and J A Jensen ldquoComparison between differshyent encoding schemes for synthetic aperture imagingrdquo in Proc SPIEmdashProgress in biomedical optics and imaging 2002 vol 3 pp 1ndash12

[15] C R Cooley and B S Robinson ldquoSynthetic aperture imaging using partial datasetsrdquo in Proc IEEE Ultrason Symp 1994 pp 1539ndash1542

[16] M Karaman P C Li and M OrsquoDonnel ldquoSynthetic aperture imaging for small scale systemsrdquo IEEE Trans Ultrason Fershyroelect Freq Contr vol 42 pp 429ndash442 1995

[17] R Y Chiao L J Thomas and S D Silverstein ldquoSparse arshyray imaging with spatially-encoded transmitsrdquo in Proc IEEE Ultrason Symp 1997 pp 1679ndash1682

[18] R Y Chiao and L J Thomas ldquoSynthetic transmit aperture imaging using orthogonal Golay coded excitationrdquo in Proc IEEE Ultrason Symp 2000 pp 1677ndash1680

[19] T Misaridis and J A Jensen ldquoUse of modulated excitation signals in ultrasound Part I Basic concepts and expected benshyefitsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 no 2 pp 176ndash190 2005 to be published

[20] T X Misaridis and J A Jensen ldquoAn effective coded excitation scheme based on a predistorted FM signal and an optimized digital filterrdquo in Proc IEEE Ultrason Symp 1999 pp 1589ndash 1593

[21] K Gammelmark and J A Jensen ldquoMulti-element synthetic transmit aperture imaging using temporal encodingrdquo in Proc SPIE Progress in biomedical optics and imaging 2002 pp 25ndash 36

[22] J A Jensen S I Nikolov T Misaridis and K L Gammelmark ldquoEquipment and methods for synthetic aperture anatomic and flow imagingrdquo in Proc IEEE Ultrason Symp 2002 pp 1518ndash 1527

Thanassis Misaridis received the BE and MS degrees in 1992 from the National Techshynical University of Athens in electrical engishyneering He received the MS degree in 1997 from the Pennsylvania State University in bioengineering and the PhD degree in 2001 from the Technical University of Denmark Lyngby Denmark

He was a research scientist at the Laboshyratoire Ondes et Acoustique in Paris France until 2003 He is currently a collaborator of Kretz GE Medical Systems in conjunction

with the National Technical University of Athens (NTUA) Greece He teaches ultrasound imaging at the University of Patras Patras Greece and at NTUA

Dr Misaridisrsquo current research interests include coded excitation in medical ultrasound array processing synthetic aperture and nonshylinear imaging

Joslashrgen Arendt Jensen (Mrsquo93ndashSrsquo02) earned his Master of Science in electrical engineering in 1985 and the PhD degree in 1989 both from the Technical University of Denmark He received the DrTechn degree from the Unishyversity in 1996 He has published a number of papers on signal processing and medical ulshytrasound and the book Estimation of Blood Velocities Using Ultrasound Cambridge Unishyversity Press in 1996 He is also developer of the Field II simulation program He has been a visiting scientist at Duke University Stanshy

ford University and the University of Illinois at Urbana-Champaign He is currently full professor of Biomedical Signal Processing at the

219 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Technical University of Denmark at OslashrstedbullDTU and head of the Center for Fast Ultrasound Imaging He has given courses on blood velocity estimation at both Duke University and the University of Illinois and teaches biomedical signal processing and medical imagshying at the Technical University of Denmark He has given several short courses on simulation synthetic aperture imaging and flow estimation at international scientific conferences He is also the coshyorganizer of a new biomedical engineering education offered by the Technical University of Denmark and the University of Copenhagen His research is centered around simulation of ultrasound imaging synthetic aperture imaging and blood flow estimation and constructshying systems for such imaging

Page 7: Use of Modulated Excitation Signals in Medical Ultrasound. Part III

218 ieee transactions on ultrasonics ferroelectrics and frequency control vol 52 no 2 february 2005

TABLE II Calculated SNR from the Central Line of the Simulated Images

Imaging Mode Emissions SNR (dB) Dependence

Phased array imaging 51 531 10 log(64 middot 64) STA w 1 xmit event 1 186 0 STA w 64 xmit events 64 364 10 log(64) STA w 4 xmit events 4 243 10 log(4) STA w 4 times 4 Hadamard coding 4 303 10 log(4 middot 4) STA w 4 times 4 Hadamard + linear FM 4 527 10 log(4 middot 4 middot TB) STA w 2 times 2 Hadamard + 2 linear FMs 2 476 10 log(2 middot 2 middot (TB1 + TB2))

Acknowledgments

The authors would like to thank Dr Nikolov for his beamformation toolbox used extensively for the synthetic aperture simulations

References

[1] R Y Chiao and L J Thomas ldquoMethod and apparatus for ulshytrasonic synthetic transmit aperture imaging using orthogonal complementary codesrdquo US Patent 6048315 2000

[2] T Misaridis P Munk and J A Jensen ldquoParallel multi-focusing using plane wave decompositionrdquo in Proc IEEE Ultrason Symp 2003 vol 2 pp 1565ndash1568

[3] T Misaridis M Fink and J A Jensen ldquoComplex pulsing schemes for high frame rate imagingrdquo in Proc IEEE Ultrason Symp 2002 vol 2 pp 1569ndash1572

[4] T Misaridis and J A Jensen ldquoUse of modulated excitation sigshynals in ultrasound Part II Design and performance for medical imaging applicationsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 pp 191ndash206 2005

[5] C E Cook and M Bernfeld Radar Signals Boston MA Artech House Inc 1993

[6] C E Cook ldquoLinear FM signal formats for beacon and comshymunication systemsrdquo IEEE Trans Aerosp Electron Syst vol AES-10 no 4 pp 471ndash478 1974

[7] G Chandran and J S Jaffe ldquoSignal set design with conshystrained amplitude spectrum and specified time-bandwidth productrdquo IEEE Trans Commun vol 44 no 6 pp 725ndash732 1996

[8] A W Rihaczek Principles of High-Resolution Radar New York McGraw-Hill 1969

[9] D Z Dokovic ldquoEquivalence classes and representatives of Golay sequencesrdquo Discrete Math vol 189 pp 79ndash93 1998

[10] S Z Budisin ldquoNew complementary pairs of sequencesrdquo Elecshytron Lett vol 26 no 13 pp 881ndash883 1990

[11] J A Jensen ldquoField A program for simulating ultrasound sysshytemsrdquo Med Biol Eng Comput vol 34 suppl 1 pt 1 pp 351ndash353 1996

[12] J A Jensen and N B Svendsen ldquoCalculation of pressure fields from arbitrarily shaped apodized and excited ultrasound transshyducersrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 39 pp 262ndash267 1992

[13] G R Lockwood J R Talman and S S Brunke ldquoReal-time 3-D ultrasound imaging using sparse synthetic aperture beamshyformingrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 45 pp 980ndash988 1998

[14] S I Nikolov and J A Jensen ldquoComparison between differshyent encoding schemes for synthetic aperture imagingrdquo in Proc SPIEmdashProgress in biomedical optics and imaging 2002 vol 3 pp 1ndash12

[15] C R Cooley and B S Robinson ldquoSynthetic aperture imaging using partial datasetsrdquo in Proc IEEE Ultrason Symp 1994 pp 1539ndash1542

[16] M Karaman P C Li and M OrsquoDonnel ldquoSynthetic aperture imaging for small scale systemsrdquo IEEE Trans Ultrason Fershyroelect Freq Contr vol 42 pp 429ndash442 1995

[17] R Y Chiao L J Thomas and S D Silverstein ldquoSparse arshyray imaging with spatially-encoded transmitsrdquo in Proc IEEE Ultrason Symp 1997 pp 1679ndash1682

[18] R Y Chiao and L J Thomas ldquoSynthetic transmit aperture imaging using orthogonal Golay coded excitationrdquo in Proc IEEE Ultrason Symp 2000 pp 1677ndash1680

[19] T Misaridis and J A Jensen ldquoUse of modulated excitation signals in ultrasound Part I Basic concepts and expected benshyefitsrdquo IEEE Trans Ultrason Ferroelect Freq Contr vol 52 no 2 pp 176ndash190 2005 to be published

[20] T X Misaridis and J A Jensen ldquoAn effective coded excitation scheme based on a predistorted FM signal and an optimized digital filterrdquo in Proc IEEE Ultrason Symp 1999 pp 1589ndash 1593

[21] K Gammelmark and J A Jensen ldquoMulti-element synthetic transmit aperture imaging using temporal encodingrdquo in Proc SPIE Progress in biomedical optics and imaging 2002 pp 25ndash 36

[22] J A Jensen S I Nikolov T Misaridis and K L Gammelmark ldquoEquipment and methods for synthetic aperture anatomic and flow imagingrdquo in Proc IEEE Ultrason Symp 2002 pp 1518ndash 1527

Thanassis Misaridis received the BE and MS degrees in 1992 from the National Techshynical University of Athens in electrical engishyneering He received the MS degree in 1997 from the Pennsylvania State University in bioengineering and the PhD degree in 2001 from the Technical University of Denmark Lyngby Denmark

He was a research scientist at the Laboshyratoire Ondes et Acoustique in Paris France until 2003 He is currently a collaborator of Kretz GE Medical Systems in conjunction

with the National Technical University of Athens (NTUA) Greece He teaches ultrasound imaging at the University of Patras Patras Greece and at NTUA

Dr Misaridisrsquo current research interests include coded excitation in medical ultrasound array processing synthetic aperture and nonshylinear imaging

Joslashrgen Arendt Jensen (Mrsquo93ndashSrsquo02) earned his Master of Science in electrical engineering in 1985 and the PhD degree in 1989 both from the Technical University of Denmark He received the DrTechn degree from the Unishyversity in 1996 He has published a number of papers on signal processing and medical ulshytrasound and the book Estimation of Blood Velocities Using Ultrasound Cambridge Unishyversity Press in 1996 He is also developer of the Field II simulation program He has been a visiting scientist at Duke University Stanshy

ford University and the University of Illinois at Urbana-Champaign He is currently full professor of Biomedical Signal Processing at the

219 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Technical University of Denmark at OslashrstedbullDTU and head of the Center for Fast Ultrasound Imaging He has given courses on blood velocity estimation at both Duke University and the University of Illinois and teaches biomedical signal processing and medical imagshying at the Technical University of Denmark He has given several short courses on simulation synthetic aperture imaging and flow estimation at international scientific conferences He is also the coshyorganizer of a new biomedical engineering education offered by the Technical University of Denmark and the University of Copenhagen His research is centered around simulation of ultrasound imaging synthetic aperture imaging and blood flow estimation and constructshying systems for such imaging

Page 8: Use of Modulated Excitation Signals in Medical Ultrasound. Part III

219 misaridis and jensen use of modulated excitation signals in ultrasound part iii

Technical University of Denmark at OslashrstedbullDTU and head of the Center for Fast Ultrasound Imaging He has given courses on blood velocity estimation at both Duke University and the University of Illinois and teaches biomedical signal processing and medical imagshying at the Technical University of Denmark He has given several short courses on simulation synthetic aperture imaging and flow estimation at international scientific conferences He is also the coshyorganizer of a new biomedical engineering education offered by the Technical University of Denmark and the University of Copenhagen His research is centered around simulation of ultrasound imaging synthetic aperture imaging and blood flow estimation and constructshying systems for such imaging