† Corresponding author. E-mail:
Project supported by the National Natural Science Foundation of China (Grant No. 51477161), the National Key Research and Development Program of China (Grant No. 2018YFC0115200), and the Fund from the Chinese Academy of Sciences (Grant No. YZ201507).
Thermoacoustic imaging with current injection (TAI-CI) is a novel imaging technology that couples with electromagnetic and acoustic research, which combines the advantages of high contrast of the electrical impedance tomography and the high spatial resolution of sonography, and therefore has the potential for early diagnosis. To verify the feasibility of TAI-CI for complex bone-containing biological tissues, the principle of TAI-CI and the coupling characteristics of fluid and solid were analyzed. Meanwhile, thermoacoustic (TA) effects for fluid model and fluid–solid coupling model were analyzed by numerical simulations. Moreover, we conducted experiments on animal cartilage, hard bone and biological soft tissue phantom with low conductivity (0.5 S/m). By injecting a current into the phantom, the thermoacoustic signal was detected by the ultrasonic transducer with a center frequency of 1 MHz, thereby the B-scan image of the objects was obtained. The B-scan image of the cartilage experiment accurately reflects the distribution of cartilage and gel, and the hard bone has a certain attenuation effect on the acoustic signal. However, compared with the ultrasonic imaging, the thermoacoustic signal is only attenuated during the outward propagation. Even in this case, a clear image can still be obtained and the images can reflect the change of the conductivity of the gel. This study confirmed the feasibility of TAI-CI for the imaging of biological tissue under the presence of cartilage and the bone. The novel TAI-CI method provides further evidence that it can be used in the diagnosis of human diseases.
Cancer is the most commonly diagnosed type of serious human disease and it has the highest mortality rate.[1,2] However, current routine clinical structure imaging techniques cannot provide an early diagnosis of tumours very well, although it has been demonstrated that early detection can greatly increase the cure rate of breast cancer. Therefore, there is an urgent need to develop functional imaging techniques that enable early diagnosis. Compared with the normal tissue, the electrical characteristics of tumors are quite different in the process of occurrence and development,[3–6] while the change of electrical parameter of biological tissue often appears prior to the change of the structure.[7] Therefore, under the guidance of electrical impedance tomography (EIT), a functional imaging method based on the electrical parameter spectrum of biological tissue appears over time.[8–13]
For any imaging method, high contrast, high resolution, and enough penetration depths are important performance indexes. At present, EIT has lower sensitivity and spatial resolution, and conventional ultrasound is poor in soft tissues, which makes it difficult to reliably separate normal and malignant breast tissues.[14] A technique to obtain the electrical parameter spectrum using a single physics field will find it difficult to meet the performance requirements that encompass the entire above-mentioned indexes. Accordingly, it is desirable to meet all of the performance requirements with the help of multi-physical fields coupling methods.[15] So far, a variety of functional imaging techniques have been developed, which can be divided into two categories: the first based on magneto–acoustic effects[16–19] and the second using thermo–acoustic effects.[20–25] The latter contains photoacoustic,[26–28] microwave-induced thermo–acoustic imaging (MI-TAI),[20,23] magnetically mediated thermo–acoustic imaging (MM-TAI),[22,24] and thermo–acoustic imaging with current injection (TAI-CI), which is proposed in this paper.[25]
Compared with EIT, TAI-CI is a new multi-physical field imaging method that uses pulse current as an excitation source and can detect ultrasonic signals, which can improve the resolution and avoid the interference from contact impedance of detection electrode. A comparative study on MM-TAI and TAI-CI indicated that the magnetic acoustic effect exists in the thermo–acoustic effects.[29] The magnetic acoustic effect of TAI-CI is smaller for biological tissues than that of MM-TAI, so TAI-CI can avoid the issue of the mixing of magneto–acoustic and thermo–acoustic effects in MM-TAI. Meanwhile, TAI-CI can also reduce the excitation source power and increase the detected signal strength.
In comparison with microwave-induced thermo–acoustic imaging, MM-TAI has the potential of deeper penetration depth. For commonly used frequencies, such as 3 GHz, the penetration depths for fat and muscle are estimated to be 9 cm and 1.2 cm, respectively, while at 500 MHz, the penetration depths are estimated to be 23.5 cm and 3.4 cm, respectively.[30,31] The excitation source of MM-TAI has a width of
Up to now, the preliminary theoretical basis of TAI-CI has been formed and the experimental results of gel with low conductivity have been reported. The resolution of the imaging system can reach 2 mm when using an ultrasonic transducer with a center frequency of 1 MHz,[32] the resolution of image is higher in the recent study. In the current research on TAI-CI, the conductivity distribution acquired by acoustic pressure inversion is based on the assumption that the target is a whole fluid. However, the pure fluid model may not be suitable for the actual organism, such as head or chest, which contains solid matter. Obviously, it is necessary to investigate the influence of a complex structure on the reconstruction of an acoustic source or conductivity, starting with the acoustic field model.
The conventional ultrasonic imaging method is based on the echo principle—a beam of ultrasound is sent to the human body by the acoustic probe, and the ultrasonic reflected signal is received by the receiving probe. An image of the internal organs can then be obtained. In the process of receiving and transmitting, the ultrasonic signal is attenuated twice due to the presence of bones. The thermal expansion of the internal organs of the TAI-CI excites the thermo–acoustic signal and the ultrasonic signal is only attenuated during outward propagation. Therefore, TAI-CI is expected to optimize signal attenuation problems caused by bone decay.
In this paper, the principle of thermo–acoustic imaging with current injection and the coupling characteristics of fluid and solid are analyzed. Moreover, the thermo–acoustic effects of pure fluid model and fluid–solid coupling model are analyzed by numerical simulation. Meanwhile, the experimental system is established to test the animal cartilage, hard bone and biological soft tissue phantom with low-conductivity (0.5 S/m), and the acoustic signal is detected by an ultrasonic transducer with a center frequency of 1 MHz. The mutual verification of theory, simulation, and experiment is realized. It is further proven that this method is feasible for biological imaging. The fluid–solid coupling model developed in this research will provide an analytical means for accurate imaging in the presence of a complex biological structure.
TAI-CI is a multi-field coupling imaging method that combines electric, thermal, and acoustic techniques. A schematic diagram of TAI-CI is shown in Fig.
Because malignant tissue can absorb more energy than normal tissue and emit stronger acoustic wave, the locations, dimensions, and morphologies of tumors can be determined from the image.
The electromagnetic field forward problem is as follows: the electrical conductivity of the object is a known quantity, and it is required to solve the the heat absorption distribution produced by the injection current. The acoustic field forward problem needs to solve the ultrasonic signal based on the known heat absorption distribution. The ultrasonic signal reflects the process of spreading outward of the acoustic wave.
According to the Helmholtz theorem, the electric field can be expressed as Eq. (
According to the current continuity theorem, the equations of electric field and the boundary conditions of target can be described as follows:
The current density distribution in an object is expressed as follows:
The short duration of pulse allows us to restrict the energy deposition and minimize the effect of thermal diffusion on the thermo–acoustic waves. For this thermo–acoustic imaging, the pulse duration
The instantaneous short pulse excites the joule heat. The heating function can then be described by the power deposition in the object. The heating function can be written in the following
For frequencies below 100 MHz, the resistance loss of biological materials dominates over the dielectric loss.[36] For 1 MHz, the dielectric loss can almost be ignored. Equation (
According to Refs. [20 and 33], the heating function
The short pulse can be regarded as a Dirac delta function
Heat absorption distribution
To demonstrate the validity of electromagnetic field model for TAI-CI, a simulation was conducted to calculate the two-dimensional (2D) distribution of the heating absorption. The geometric model is shown in Fig.
When three regions are all fluid, the fluid model can be built and solved for the acoustic problem.
Thermal diffusion in the thermo–acoustic process can be neglected because the power pulse width (
The generation and propagation of thermo–acoustic signals for TAI-CI are described by the thermo–acoustic wave equation[36]
The ultrafast pulse excitation combined with the low values of the thermal diffusivity α in soft tissue results in faster temperature changes and negligible heat transfer
Then equation (
By substituting Eq. (
The right-hand side of Eq. (
With product separate contribution of the spatial
So, for the pure fluid model the thermo–acoustic wave equation and the corresponding boundary conditions can be described as follows:
The acoustic pressure
When the three regions include a fluid and solid, it is necessary to establish a fluid–solid coupling model and solve the coupled acoustic field problem. It is assumed that regions
In the regions
When the acoustic signal encountered solid materials during the transmission process in the flow, acoustic pressure is converted to force at the interface between fluid and solid, and then the displacement produced by vibration force in a solid. When the elastic medium is in the state of stress and strain, the resultant force of physical force and surface force acting on the element should be balanced with the inertial force, the equilibrium equation, temperature field equation and the boundary condition describing this process in the regions
The geometric models for numerical simulation were established to evaluate the proposed mathematical model. The characteristics of TAI-CI were tested by simulation with different parameters of setups, fluid model and fluid–solid coupling model were both analyzed.
It is reported that the conductivity of human or animal tissues is commonly below 1.0 S/m.[40] For the same type of tissue, the differences between the electrical properties of malignant and that of normal are greatest in the mammary gland (average difference of conductivity is about 577%).[41] The conductivity of cartilage is commonly from 0.15 S/m to 0.3 S/m, and conductivity of bone is about from 0.02 S/m to 0.04 S/m in the frequency of 1 MHz.[37,38] This provides a reference for parameter selection in the simulation model.[42,43] The simulation geometric models were established to simulate normal, tumor tissue, and bone, as in Fig.
The model was made of a rectangle measuring 50 mm×120 mm and a concentric inner rectangle measuring 5 mm×50 mm, the outer rectangle was used to simulate the normal tissue, and the inner rectangle was used to simulate the tumor tissue. The materials were set to muscle, and the electrical conductivity of the outer rectangle and the inner rectangle were set to 0.4 S/m and 1 S/m, respectively. There was also a rectangle measuring 5 mm×120 mm on the right-hand side of the outer rectangle to simulate the bone—including cartilage and hard bone. To couple the acoustic field, the model should be immersed into the insulating oil—the speed of sound in the insulating oil was set to 1481 m/s. The acoustic system was set to be uniform without consideration of any acoustic dispersion, attenuation and reflection. The function of the pulse excitation added to the edges of the outer rectangle is
When all of the targets are fluids, a fluid simulation model can be built. While the actual organism contains solid structures such as fluid and bone, all of the objects are considered to be equivalent to a fluid to simplify the modeling, create a geometric model of the tumor embedded in the normal tissue, and treat the bone as a fluid. The physical and acoustic properties were then set.
The fluid model shown in Fig.
Figure
An acoustic signal is then excited due to thermal expansion. The distance between the data acquisition site and the center of the model is 0.035 m, which means that the position of the simulative transducer is at the point (0.035 m, 0 m). In practical experiments, the signals obtained by the transducers are actually the convolution between the impulse response of the ultrasonic transducers and the acoustic pressure. Consequently, the simulation signals are processed by the convolution to compare with experiments. The impulse response and amplitude–frequency characteristic of the ultrasonic transducers are shown in Fig.
There is a cluster at the right-hand edge of the right-hand rectangle model in the acoustic pressure waveform. Based on the distances from edges to the transducer and speed of sound, we analyzed the acoustic propagation time from edge of model to the transducer and then compared the theoretical and simulation value. According to the theoretical calculation, the corresponding time of each cluster is
The error is related to the calculation error and the result of acoustic pressure convolving with probe characteristic response. Even so, the numerical analysis result shows that the changes of the acoustic signal and the thermo–acoustic source reflect the conductivity changes of the object, the acoustic signal can reflect the anterior and posterior interface of simulative cartilage, and the positions of the clusters in the numerical results are basically consistent with the positions of electrical conductivity change.
The fluid–solid coupling model should be analyzed according to the corresponding theoretical analysis above, including the electromagnetic field model and the acoustic field model for fluid–solid coupling. The model is shown in Fig.
Figure
The acoustic signal is then excited due to thermal expansion. The distance between the data acquisition site and the center of the model was 0.035 m. The signals obtained by the transducers are actually the convolution between the impulse response of the ultrasonic transducers and the acoustic pressure. The simulation signals were then processed with the convolution. Figure
There is no cluster on the right-hand edge of the right-hand rectangle model in the acoustic pressure waveform. The acoustic propagation time from edge of object to the transducer can be analyzed according to the distances from edges to the transducer and speed of sound. By comparing theoretical analysis, simulated values and theoretical calculations, the corresponding times of each cluster are
To verify the results of theoretical and simulation analysis, the TAI-CI experimental system as shown in Fig.
The experimental system mainly includes four parts: excitation source system, ultrasonic detection system, scanning system, acquisition, and imaging system.
Excitation source system: The pulse excitation source system consists of the signal generation system, pulse source, and a pair of excitation sheet copper electrode. The signal generation system controls the working state of the pulse source by controlling the input square wave pulse signal of the pulse source. The power switching tube is used to realize the quick charge and discharge of energy storage capacitors. The pulse current is then generated and injected into the target body through the copper electrodes. The pulse width of the current is
Acoustic signal detection system: The acoustic signal detection system mainly includes ultrasonic transducer, low noise preamplifier, filter and data acquisition system. The ultrasonic transducer is placed in a glass tank filled with insulating oil, and the transducer and the targets are at the same height. The acoustic signal is detected by the ultrasonic transducer with a center frequency of 1 MHz and the bandwidth of 0.87 MHz to 1.27 MHz. The signal was then amplified by 60-dB low noise preamplifier and filtered by 0.1 MHz∼3 MHz band pass filter. The acoustic pressure signals were then collected and stored. The pressure data will then be used to reconstruct the images.
Scanning system: The acoustic pressure signals were collected by B-scan. The scanning system is shown in Fig.
Imaging system: Imaging of the acoustic pressure and the thermo–acoustic source distribution is carried out by using the processed acoustic pressure signal.
Submerged inside insulating oil for acoustic coupling, the sample and the ultrasonic transducer are placed in a glass tank that is filled with insulating oil. The position of the target imaging is at the same level as the ultrasonic transducer.
The instantaneous energy density and repetition frequency ensure tat there is enough energy density to produce sound. The matching between the dominant frequency of excitation source and that of the ultrasonic transducer is another important factor to detect the acoustic signals effectively.
A safety assessment was carried out. A phantom with a conductivity of 0.2 S/m was used for the experiment. The width of the pulse current was less than
In the experiments, the 0.27% sodium chloride solution was mixed with agar powder and was then heated. The gel was then formed by cooling—the conductivity of this gel is 0.5 S/m. The gel was used to simulate biological tissue, the crescent cartilage and hard bone of pig were tightly attached on one side of the gel. The experimental research was then carried out to verify the effect of bone on acoustic signal detection and imaging.
As shown in Fig.
The hard bone used in the experiment is shown in Fig.
A high voltage narrow pulse excitation source is used to inject pulse current into the target body through a pair of copper electrodes, the pulse width of pulse current is
Both experiments using the pure gel without bone shielding and the coupled bone shielding are carried out. The bone is located between the gel and the transducer, and it is tightly attached on the surface of the gel. The distance between this surface of the gel and the ultrasonic transducer is 5.5 cm.
The position of the ultrasonic transducer is shown in Fig.
In Fig.
In comparison with the theoretical results, the experimental time difference between the ultrasonic signal propagating from these two boundaries to the ultrasonic transducer is
An experiment was performed to verify the effect of cartilage on the TAI-CI ultrasonic signal, as shown in Fig.
It can be seen in Fig.
The height of the ultrasonic transducer in the insulating oil is kept constant.The transducer is moved in the length direction of the gel in the step of 1 mm. The acoustic signals are then collected and processed. Finally, the normalized image is reconstructed using processed data, as shown in Fig.
The result shows that the image structure is in agreement with the original photograph of the phantom and cartilage structure in Fig.
For thicker hard bone and lower electrical conductivity, the experiment was carried out using gel phantom and hard bone. The applied pulse excitation parameters remained the same. The acoustic signal was obtained as a means of evaluating the impact of the hard bone. The waveform diagram of ultrasonic signal and the B-scan image are shown in Figs.
There are four clusters. The position of each cluster corresponds to the boundaries of the outer and inner rectangle models. The amplitude of ultrasonic signal in Fig.
Images of samples were also obtained using the B-Scan approach, the transducer was moved in the length direction of the gel in the step of 1 mm, and the acoustic signals were collected and processed. The normalized image was then reconstructed using collected data, as shown in Fig.
In conclusion, By comparing Fig.
In this paper, we highlighted the potential of the TAI-CI as a new method for cancer detection. The basic principle, simulation for both of pure fluid and fluid–solid coupling models, and experiment including cartilage and hard bone are reported in this paper. This research indicates that the results of cartilage test agree well with the simulation results of pure fluid model. The acoustic signal can reflect the anterior and posterior interface of cartilage, which illustrates the crescent cartilage selected in this paper can be equivalent to the fluid. The conductivity of cartilage has difference with outer rectangle gel and insulating oil. Meanwhile the results of the hard bone experiment are consistent with the simulation results of the fluid–solid coupling model, which means that the hard bone should be regarded as a solid in the simulation analysis. Consequently, our theoretical analysis, simulation results, and data from proof-of-concept experiments provide a more accurate interpretation of the difference in thermo–acoustic signals between the two targets. The structure distribution of gel with different conductivity shown by the B-scan can confirm that the imaging can reflect the variation of electrical parameters of target. The validity and reliability analytical methods for the pure fluid and the fluid–solid model have been verified. We will further study the reconstruction of conductivity based on this improved model.
The simulation and experiments on cartilage and hard bone combined with low electrical conductivity gel verify the feasibility of TAI-CI for low conductivity target and biological tissue target, even with bone shielding. This benefits from the thermo–acoustic signal, which is attenuated only during the outward propagation. This provides a basis for further study on the reconstruction of conductivity images of complex biological tissues. The imaging of brain tumors, liver cancers, and breast cancer can be considered as further applications of this imaging system. This method and system will promote the application of multiple physical field coupled imaging technology in the early diagnosis of these diseases.
Li Yan-Hong would like to thank Mr. Tong J Z for useful discussions about the numerical simulation and experimental study.
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