Meng-Xing Tang

Imperial College London | Imperial · Department of Bioengineering

Super-resolution ultrasound can image microvascular structure and flow at sub-wave-diffraction resolution based on localising and tracking microbubbles. Currently, tracking microbubbles accurately under limited imaging frame rates and high microbubble concentrations remains a challenge, especially under the effect of cardiac pulsatility and in high...

The proposed technology aims to enable 3D localization of scatterers using single element ultrasonic transducers, which are traditionally limited to 1D measurements. This is achieved by designing a bespoke acoustic lens with a spiral-shaped pattern similar to the human outer ear, a shape that has evolved for sound source localization. This lens bre...

Objective: Despite being a low-cost, portable and safe medical imaging technique, transcranial ultrasound imaging is not used widely in adults because of the severe degradation and distortion of signals caused by the skull. Full-waveform inversion (FWI) has recently been found to have potential as an effective method for transcranial ultrasound to...

Objective: One big challenge with high intensity focused ultrasound (HIFU) is the difficulty in accurate prediction of focal location due to the complex wave propagation in heterogeneous medium even with imaging guidance. This study aims to overcome this by combining therapy and imaging guidance with one single HIFU transducer using the vibro-acou...

Background Coronary Flow Reserve (CFR) assessment has proven clinical utility, but Doppler-based methods are sensitive to noise and operator bias, limiting their clinical applicability. Objectives To expand the adoption of invasive Doppler CFR, through the development of artificial intelligence (AI) algorithms to automatically quantify coronary Do...

Filtering based on Singular Value Decomposition (SVD) provides substantial separation of clutter, flow and noise in high frame rate ultrasound flow imaging. The use of SVD as a clutter filter has greatly improved techniques such as vector flow imaging, functional ultrasound and super-resolution ultrasound localization microscopy. The removal of clu...

Super-resolution ultrasound can image microvascular structure and flow at sub-wave-diffraction resolution based on localising and tracking microbubbles. Currently, tracking microbubbles accurately under limited imaging frame rates and high microbubble concentrations remains a challenge, especially under the effect of cardiac pulsatility and in high...

Micro-vascular flow in the myocardium is of significant importance clinically but remains poorly understood. Up to 25% of patients with symptoms of coronary heart diseases have no obstructive coronary arteries and have suspected microvascular diseases. However, such microvasculature is difficult to image in vivo with existing modalities due to the...

Perfusion by the microcirculation is key to the development, maintenance and pathology of tissue. Its measurement with high spatiotemporal resolution is consequently valuable but remains a challenge in deep tissue. Ultrasound Localization Microscopy (ULM) provides very high spatiotemporal resolution but the use of microbubbles requires low contrast...

Ultrasound contrast enhanced imaging has seen widespread uptake in research and clinical diagnostic imaging. This includes applications such as vector flow imaging, functional ultrasound and super-resolution Ultrasound Localization Microscopy (ULM). All of these require testing and validation during development of new algorithms with ground truth d...

Arterial pulse waves contain clinically useful information about cardiac performance, arterial stiffness and vessel tone. Here we describe a novel method for non-invasively assessing wave properties, based on measuring changes in blood flow velocity and arterial wall diameter during the cardiac cycle. Velocity and diameter were determined by tracki...

Traditionally, single element transducers are used for localizing objects in 1D through A-mode scans, where only the echo envelope is used. Due to the transducer surface symmetry, A-mode scans performed for azimuthally or elevationally translated scatterers will produce the same 1D information, radial distance. The current study extends the previou...

Purpose Detecting and distinguishing metastatic lymph nodes (LNs) from those with benign lymphadenopathy are crucial for cancer diagnosis and prognosis but remain a clinical challenge. A recent advance in super-resolution ultrasound (SRUS) through localizing individual microbubbles has broken the diffraction limit and tracking enabled in vivo nonin...

Super-resolution ultrasound (SRUS) imaging through localising and tracking sparse microbubbles has been shown to reveal microvascular structure and flow beyond the wave diffraction limit. Most SRUS studies use standard delay and sum (DAS) beamforming, where large main lobe and significant side lobes make separation and localisation of densely distr...

The main techniques used to image the brain and obtain structural data are magnetic resonance imaging and X-ray computed tomography. These techniques produce images with high spatial resolution, but with the disadvantage of requiring very large equipment with special installation needs. In addition, X-ray tomography uses ionizing radiation, which l...

Background and objective: Advanced ultrasound computed tomography techniques like full-waveform inversion are mathematically complex and orders of magnitude more computationally expensive than conventional ultrasound imaging methods. This computational and algorithmic complexity, and a lack of open-source libraries in this field, represent a barrie...

Perfusion by the microcirculation is key to the development, maintenance and pathology of tissue. Its measurement with high spatiotemporal resolution is consequently valuable but remains a challenge in deep tissue. Ultrasound Localization Microscopy (ULM) provides very high spatiotemporal resolution but the use of microbubbles requires low contrast...

Ultrasound super-resolution imaging through localisation and tracking of microbubbles can achieve sub-wave-diffraction resolution in mapping both micro-vascular structure and flow dynamics in deep tissue in vivo . Currently, it is still challenging to achieve high accuracy in localisation and tracking particularly with limited imaging frame rates...

In contrast enhancement ultrasound (CEUS), the vasculature image can be formed from nonlinear echoes arising from microbubbles in a blood flow. The use of binary-coded pulse compression is promising for improving the contrast of CEUS images by suppressing background noise. However, the amplitudes of nonlinear echoes can be reduced, and sidelobes by...

Heart failure is treatable, but in the United Kingdom, the 1-, 5- and 10-year mortality rates are 24.1, 54.5 and 75.5%, respectively. The poor prognosis reflects, in part, the lack of specific, simple and affordable diagnostic techniques; the disease is often advanced by the time a diagnosis is made. Previous studies have demonstrated that certain...

The C-X-C chemokine receptor 4 (CXCR4) is G protein-coupled receptor that upon binding to its cognate ligand, can lead to tumor progression. Several CXCR4-targeted therapies are currently under investigation, and with it comes the need for imaging agents capable of accurate depiction of CXCR4 for therapeutic stratification and monitoring. PET agent...

Row-column arrays have been shown to be able to generate 3-D ultrafast ultrasound images with an order of magnitude less independent electronic channels than traditional 2-D matrix arrays. Unfortunately, row-column array images suffer from major imaging artefacts due to high side-lobes, particularly when operating at high frame rates. This paper pr...

Advanced ultrasound computed tomography techniques like full-waveform inversion are mathematically challenging and orders of magnitude more computationally expensive than conventional ultrasound imaging methods. This computational and algorithmic complexity, and a lack of open-source libraries in this field, represent a barrier preventing the gener...

Visualizing vasculature beyond the diffraction limit can be achieved using ultrasound super-resolution imaging. Typically, ultrasound scanners model the target medium as homogeneous, assuming a constant speed-of-sound for time-of-flight based calculations. However, variations in ultrasound propagation velocity caused by varying tissue layers affect...

Ultrasound computed tomography techniques have the potential to provide clinicians with 3D, quantitative and high-resolution information of both soft and hard tissues such as the breast or the adult human brain. Their practical application requires accurate modelling of the acquisition setup: the spatial location, orientation, and impulse response...

The coronary flow reserve (CFR), relating to the volumetric flow rate, is an effective functional parameter to assess the stenosis in the left anterior descending (LAD) coronary artery. We have recently proposed to use high-frame-rate (HFR) contrast-enhanced ultrasound (CEUS) to estimate the volumetric flow rate using ultrasound (US) speckle decorr...

In medical ultrasound imaging using microbubbles (MBs), the nonlinear echoes from the MBs are used for contrast-specific image construction. Techniques such as pulse inversion, amplitude modulation, and the combined method (PIAM) are employed to increase nonlinear components in the echoes. In addition, employment of pulse compression using binary-c...

No PDF available ABSTRACT Localization-based ultrasound super-resolution imaging can visualize the microvascular structure beyond the diffraction limit but is sensitive to contrast concentration and requires acquisition for seconds. Low-boiling-point phase-change nanodroplets achieve super-resolved images with subsecond temporal resolution through...

Ultrasound computed tomography techniques have the potential to provide clinicians with 3D, quantitative and high-resolution information of both soft and hard tissues such as the breast or the adult human brain. Their practical application requires accurate modelling of the acquisition setup: the spatial location, orientation, and impulse response...

Row-column arrays have shown to be able to generate 3-D ultrafast ultrasound images with an order of magnitude less independent electronic channels than classic 2D matrix arrays. Unfortunately row-column array images suffer from major imaging artefacts due to the high side lobes. This paper proposes a row-column specific beamforming technique that...

Magnetic resonance imaging and X-ray computed tomography provide the two principal methods available for imaging the brain at high spatial resolution, but these methods are not easily portable and cannot be applied safely to all patients. Ultrasound imaging is portable and universally safe, but existing modalities cannot image usefully inside the a...

Conventionally an A-mode scan, a single measurement with a single element transducer, is only used to detect the depth of a reflector or scatterer. In this case, a single measurement reveals only one-dimensional information; the axial distance. However, if the number of scatterers in the ultrasonic field is sparse, it is possible to detect the loca...

Accurate wave-equation modelling is becoming increasingly important in modern imaging and therapeutic ultrasound methodologies such as ultrasound computed tomography, optoacoustic tomography or high-intensity focused ultrasound. All of them rely on the ability to accurately model the physics of wave propagation, including accurate characterisation...

Cardiac function and vascular function are closely related to the flow of blood within. The flow velocities in these larger cavities easily reach 1 m/s, and generally complex spatiotemporal flow patterns are involved, especially in a non-physiologic state. Visualization of such flow patterns using ultrasound can be greatly enhanced by administratio...

Ultrasound contrast agents (UCA), for contrast enhanced ultrasound (CEUS) imaging is revolutionising the role of medical ultrasound in clinical practice [1]. UCA are highly sensitive to ultrasound, and once introduced into the blood stream, they can generate significant signal enhancement. In echocardiography, UCA has significantly advanced our cap...

Pressure–velocity-based analysis of arterial wave intensity gives clinically relevant information about the performance of the heart and vessels, but its utility is limited because accurate pressure measurements can only be obtained invasively. Diameter–velocity-based wave intensity can be obtained noninvasively using ultrasound; however, due to th...

Abnormal blood flow and wall shear stress (WSS) can cause and be caused by cardiovascular disease. To date, however, no standard method has been established for mapping WSS in vivo. Here we demonstrate wide-field assessment of WSS in the rabbit abdominal aorta using contrast-enhanced ultrasound image velocimetry (UIV). Flow and WSS measurements wer...

Cardiac imaging has a pivotal role in the prevention, diagnosis and treatment of ischaemic heart disease. SPECT is most commonly used for clinical myocardial perfusion imaging, whereas PET is the clinical reference standard for the quantification of myocardial perfusion. MRI does not involve exposure to ionizing radiation, similar to echocardiograp...

Introduction: The ventricles accelerate and decelerate blood; the resulting disturbances propagate through the arterial system as waves. These waves contain clinically useful information: e.g. their magnitude and timing varies with cardiac performance and their speed depends on arterial stiffness. These properties can be studied using Wave Intensit...

The majority of exchanges of oxygen and nutrients are performed around vessels smaller than 100 μm, allowing cells to thrive everywhere in the body. Pathologies such as cancer, diabetes and arteriosclerosis can profoundly alter the microvasculature. Unfortunately, medical imaging modalities only provide indirect observation at this scale. Inspired...

High frame rate (HFR) or ultrafast echocardiography imaging using unfocus diverging wave transmission, multiline transmission and/or acquisition, have shown their great benefit in non-contrast cardiac imaging to improve B-Mode images [1-4], Doppler for tissue or left ventricle (LV) imaging [1] [3], blood flow dynamics [5] [6], and also for shear wa...

Introduction Blood flow visualization and quantification methods with microbubble contrast agents using High-Frame-Rate (HFR) ultrasound have been investigated but the real-time visual feedback can be challenging because of the high computational cost, particularly if in 3D. Nanodroplets have been investigated as an alternative to microbubbles, due...

Magnetic resonance imaging and X-ray computed tomography provide the two principal methods available for imaging the brain at high spatial resolution, but these methods are not easily portable and cannot be applied safely to all patients. Ultrasound imaging is portable and universally safe, but existing modalities cannot image usefully inside the a...

High frame rate 3-D ultrasound imaging technology combined with super-resolution processing method can visualize 3-D microvascular structures by overcoming the diffraction limited resolution in every spatial direction. However, 3-D superresolution ultrasound imaging using a full 2-D array requires a system with large number of independent channels,...

Direct measurement of volumetric flow rate in the cardiovascular system with ultrasound is valuable but has been a challenge because most current 2-D flow imaging techniques are only able to estimate the flow velocity in the scanning plane (in-plane). Our recent study demonstrated that high frame rate contrast ultrasound and speckle decorrelation (...

3-D blood vector flow imaging is of great value in understanding and detecting cardiovascular diseases. Currently, 3-D ultrasound vector flow imaging requires 2-D matrix probes, which are expensive and suffer from suboptimal image quality. Our recent study proposed an interpolation algorithm to obtain a divergence-free reconstruction of the 3-D flo...

Contrast-enhanced ultrasound (CEUS) utilising microbubbles shows great potential for visualising lymphatic vessels and identifying sentinel lymph nodes (SLNs) which are valuable for axillary staging in breast cancer patients. However, current CEUS imaging techniques have limitations that affect the accurate visualisation and tracking of lymphatic v...

Localization-based ultrasound super-resolution imaging using microbubble contrast agents and phase-change nanodroplets has been developed to visualize microvascular structures beyond the diffraction limit. However, the long data acquisition time makes the clinical translation more challenging. In this study, fast acoustic wave sparsely activated lo...

A number of acoustic super-resolution techniques have recently been developed to visualize microvascular structure and flow beyond the diffraction limit. A crucial aspect of all ultrasound super-resolution (SR) methods using single microbubble localization is time-efficient detection of individual bubble signals. Due to the need for bubbles to circ...

Microbubble (MB) contrast agents have revolutionised the way we understand ultrasound (US) imaging. Contrast-enhanced US offers improvements in soft-tissue contrast, as well as the ability to visualise disease processes at the molecular level. However, its inability to provide in vivo whole-body imaging can hamper the development of new MB formulat...

Direct quantification of physiologically-relevant tendon forces can be used in a wide range of clinical applications. However, tendon forces have usually been estimated either indirectly by computational models or invasively using force transducers, and direct non-invasive measurement of forces remains a big challenge. The aim of this study was to...

Background Variations in lymph node (LN) microcirculation can be indicative of metastasis. The identification and quantification of metastatic LNs remains essential for prognosis and treatment planning, but a reliable noninvasive imaging technique is lacking. Three-dimensional super-resolution (SR) US has shown potential to noninvasively visualize...