Method and apparatus for quantifying organization in collagenous tissue
An apparatus uses a steered ultrasound beam to assess microstructure of the cervix revealed by backscatter power variation at a range of angles and depth. Analysis of a distribution of power loss at different angles and depths referenced to the structure of the cervix may be used to characterize cervical tissue.
1. A method of assessing tissue structure of a cervix using ultrasound comprising the steps of:
(a) applying an ultrasonic beam to tissue at multiple of angles to obtain backscatter power measurements from the tissue at a variety of depths so that tissue at each depth is measured at a variety of angles and recording a tissue angle measurement of the ultrasound beam with respect to a central axis of the cervix and a tissue depth measurement perpendicular to the central axis for each of the backscatter power measurements at the variety of depths and angles;
(b) quantify a variation in backscatter power measurements both as a function of tissue angle and tissue depth for a plurality of tissue volume elements;
(c) process the variation in backscatter power both as a function of tissue angle and tissue depth to determine a distribution among the volume elements of backscatter power loss as a function of tissue angle and tissue depth; and
(d) output a diagnostic indication to an operator based on the distribution.
2. The method of claim 1 wherein the tissue angle is at least one of an angle within a plane including the central axis and an angle in a plane perpendicular to the central axis.
3. The method of claim 1 further including characterizing a symmetry of the distribution with respect to tissue angle and wherein the output is based on this characterization of symmetry.
4. The method of claim 1 further including characterizing a total power loss over multiple voxels of the distribution and wherein the output is based on this characterization of total power loss.
5. The method of claim 1 further including determining minima in power loss for multiple tissue depths over a range of tissue angles and characterizing a variation in a location of the minima with tissue angle as a function of tissue depth and wherein the output is based on a variation in location of minima as a function of depth.
6. The method of claim 1 further including the step of determining voxels in a range of tissue angles symmetric about minima in the range and including characterizing a fraction of such voxels in the distribution and wherein the output is based on the fraction of such voxels.
7. The method of claim 1 wherein the output is based on a combination of at least two of a symmetry of the distribution in tissue angle, a sum of backscatter power loss in multiple voxels, a variation in power loss minima as a function of tissue depth and a measure of deviation of the minima from a center tissue angle of the distribution.
8. The method of claim 1 wherein the backscatter power loss is evaluated at a narrow band of frequencies that are less than a range of frequencies defined by half a maximum frequency of the ultrasound beam.
9. The method of claim 1 further including the step of measuring elasticity of tissue of the cervix and wherein the diagnostic indication is based on a combination of elasticity and the distribution.
10. The method of claim 1 wherein backscatter power measurement is selected from the group consisting of backscatter power loss, effective scatterer size, integrated backscatter, mean scatterer spacing, and number of scatterers per unit volume.
11. An apparatus for assessing tissue structure of a cervix using ultrasound comprising:
an ultrasound transducer and circuit adapted to apply an ultrasonic beam to tissue at multiple of angles to obtain backscatter power measurement from the tissue at a variety of depths so that tissue at each depth is measured at a variety of angles;
an electronic computer executing a program stored in non-transient media to:
(a) receive backscatter power measurements from the cervix at a variety of depths and variety of angles for each depth;
(b) recording a tissue agile measurement of the ultrasound beam with respect to a central axis of the cervix and a tissue depth measurement perpendicular to the central axis for each of the backscatter power measurements at the variety of depths and angles;
(c) quantify a variation in backscatter power measurements both as a function of tissue angle and tissue depth for a plurality of tissue volume elements;
(d) process the backscatter power both as a function of tissue angle and tissue depth to determine a distribution among the volume elements of backscatter power loss as a function of tissue angle and tissue depth; and
(e) output a diagnostic indication to an operator based on the distribution.
12. The apparatus of claim 11 wherein the tissue angle is at least one of an angle within a plane including the central axis and an angle in a plane perpendicular to the central axis.
13. The apparatus of claim 11 wherein the electronic computer further executes the program to characterize a symmetry of the distribution with respect to the tissue angle and wherein the output is based on this characterization of symmetry.
14. The apparatus of claim 11 further including characterizing a total power loss over multiple voxels of the distribution and wherein the output is based on this characterization of total power loss.
15. The apparatus of claim 11 further including determining minima in power loss for multiple depths over a range of tissue angles and characterizing a variation in a location of the minima with tissue angle as a function of tissue depth and wherein in the output is based on a variation in location of minima as a function of tissue depth.
16. The apparatus of claim 11 further including the step of determining voxels in a range of angles symmetric about minima and including characterizing a fraction of such voxels in the distribution and wherein the output is based on the fraction of such voxels.
17. The apparatus of claim 11 wherein the output is based on a combination of at least two of a symmetry of the distribution in tissue angle, a sum of backscatter power loss in multiple voxels, a variation in power loss minima as a function of tissue depth and a measure of deviation of the minima from a center tissue angle of the distribution.
18. The apparatus of claim 11 wherein the backscatter power loss is evaluated at a narrow band of frequencies less than half a maximum frequency of the ultrasound beam.
19. The apparatus of claim 11 wherein the electronic computer further executes the program to measure elasticity of the tissue of the cervix and wherein the diagnostic indication is based on a combination of elasticity and the distribution.
20. The apparatus of claim 11 wherein backscatter measurement is selected from the group consisting of backscatter power loss, effective scatterer size, integrated backscatter, mean scatterer spacing, and number of scatterers per unit volume.