Computerized ultrasound risk evaluation system

1. A method for examining tissue, the method comprising:

maintaining a position for the tissue;

insonifying the tissue with a plurality of pulsed spherical or cylindrical acoustic waves into the tissue;

receiving scattered acoustic radiation from the tissue, wherein the scattered acoustic radiation includes a mix of reflected and transmitted acoustic waves; and

generating a three-dimensional representation of a physical property of a portion of the tissue from the received scattered acoustic radiation, wherein the three-dimensional representation is capable of providing three orthogonal views of arbitrary orientation and position of the portion of the tissue;

wherein generating the representation of the portion of the tissue comprises removing a direct coupling pulse from the received scattered acoustic radiation.

2. The method recited in claim 1 wherein the representation comprises an image.

3. The method recited in claim 1 wherein generating the representation of the portion of the tissue comprises:

generating an electrical signal from the received acoustic radiation; and

digitizing the electrical signal.

4. The method recited in claim 3 wherein generating the representation of the portion of the tissue further comprises amplifying the electrical signal.

5. The method recited in claim 3 wherein generating the representation of the portion of the tissue further comprises preprocessing the digitized electrical signal.

6. The method recited in claim 5 wherein preprocessing the digitized electrical signal comprises converting the electrical signal to a frequency domain.

7. The method recited in claim 5 wherein preprocessing the digitized electrical signal comprises generating an ultrasonic B mode image of the portion of the tissue.

8. The method recited in claim 1 wherein generating the representation of the portion of the tissue comprises:

deriving a first physical representation of the tissue from a data set extracted from the received acoustic radiation;

deriving a second physical representation of the tissue from the data set; and

producing a depiction that simultaneously illustrates the first and second physical representations.

9. The method recited in claim 8 wherein deriving the second physical representation comprises reconstructing an acoustic property of the portion of the tissue.

10. The method recited in claim 9 wherein the acoustic property comprises a property selected from the group consisting of sound speed, attenuation, density, compressibility, absorption, acoustic impedance change, and blood flow rate.

11. The method recited in claim 8 wherein deriving the second physical representation comprises implementing a fat-suppression imaging technique.

12. The method recited in claim 8 wherein the first and second physical representations are derived at different acoustic frequencies.

13. The method recited in claim 8 wherein the first and second physical representations are derived with different reconstruction techniques.

14. The method recited in claim 1 wherein maintaining the position for the tissue comprises compressing the tissue.

15. The method recited in claim 14 wherein compressing the tissue comprises contacting the tissue with a first paddle, the first paddle comprising a pliable bladder containing an acoustically transparent liquid.

16. The method recited in claim 15 wherein the paddle further comprises a first array of acoustic transmission elements and acoustic receiving elements, the array being configured for motion within the paddle to scan the portion of the tissue.

17. The method recited in claim 16 further comprising scanning the portion of the tissue by moving the first array.

18. The method recited in claim 17 ,

wherein compressing the tissue further comprises contacting the tissue with a second paddle, the second paddle comprising a second array of acoustic transmission elements and acoustic receiving elements; and

wherein scanning the portion of the array further comprises moving the second array in parallel with the first array.

19. The method recited in claim 18 wherein the paddle and second paddle are nonparallel.

20. The method recited in claim 18 wherein the paddle and second paddle are substantially orthogonal to each other.

21. The method recited in claim 15 wherein the paddle further comprises an array of electronically controlled transducer elements configured to effect a scan of the portion of the tissue without motion.

22. The method recited in claim 21 wherein the transducer elements comprise capacitive micromachined ultrasonic transducers.

23. The method recited in claim 1 further comprising imaging the portion of the tissue electromagnetically while the tissue is in the maintained position.

24. The method recited in claim 23 wherein imaging the portion of the tissue electromagnetically comprises:

irradiating the tissue with electromagnetic radiation;

receiving electromagnetic radiation propagated through the tissue; and

generating an image of the portion of the tissue from the received electromagnetic radiation.

25. The method recited in claim 24 further comprising combining the representation generated from the received scattered acoustic radiation with the image generated from the received electromagnetic radiation.

26. The method recited in claim 1 further comprising generating a second representation of the tissue by measuring an impedance of the tissue.

27. The method recited in claim 26 wherein the impedance comprises a complex impedance.

28. The method recited in claim 1 , wherein:

insonifying the tissue comprises:

positioning acoustic transducers in accordance with a shape of the tissue to define a volume for acquisition; and

activating the acoustic transducers; and

generating the three-dimensional representation comprises:

generating waveforms corresponding to the received scattered acoustic radiation;

converting the waveforms to a digital format;

applying an acoustic pulse timing signal to the converted waveforms; and

generating a three-dimensional reconstruction of the volume from the converted waveforms,

the method further comprising providing a display of the three-dimensional reconstruction.