High resolution three-dimensional prostate ultrasound imaging

摘要

This work reports on the application of ultrasound elastography to prostate cancer detection using a high resolution three-dimensional (3D) ultrasound imaging system. The imaging was performed at a relatively high frequency (14 MHz), yielding very fine resolution that is optimal for prostate ultrasound imaging. The fine resolution achieved aids in locating smaller lesions than are normally detectable. Elasticity was measured with a quantitative and automatically controlled "Synthetic Digital Rectal Examination (SDRE)" wherein a smoothly increasing force was applied by injecting water, controlled by an electronic syringe pump, into a latex cover over the transrectal transducer. The lesion identified as stiffened tissue was visually enhanced by colorizing and superimposing it over the conventional B-mode image. Experimental results using a tissue-mimicking phantom demonstrated that the reconstruction accuracy of the I-Beam transducer resulted in less than 15% volumetric error. Thus, this high resolution 3D prostate elastography is possible and may provide reliable and accurate determination of the size and the location of cancers, which may result in improved specificity and sensitivity of cancer detection.