Hanna Piotrzkowska-Wróblewska, Ph.D., Eng.

Department of Ultrasound (ZU)
Division of Acoustic Microscopy (PMAk)
position: assistant professor
telephone: (+48) 22 826 12 81 ext.: 486
room: 519
e-mail: hpiotrzk

Doctoral thesis
2013-05-24Wyznaczanie parametrów skóry ludzkiej in vivo za pomocą ultradźwięków wysokiej częstotliwości 
supervisor -- Prof. Jerzy Litniewski, Ph.D., Dr. Habil., IPPT PAN
660
 
Recent publications
1.Piotrzkowska-Wróblewska H., Dobruch-Sobczak K., Byra M., Nowicki A., Open access database of raw ultrasonic signals acquired from malignant and benign breast lesions, Medical Physics, ISSN: 0094-2405, DOI: 10.1002/mp.12538, Vol.44, No.9, pp.1-5, 2017
Abstract:

Purpose: The aim of this paper is to provide access to a database consisting of the raw radio-frequency ultrasonic echoes acquired from malignant and benign breast lesions. The database is freely
available for study and signal analysis.
Acquisition and validation methods: The ultrasonic radio-frequency echoes were recorded from breast focal lesions of patients of the Institute of Oncology in Warsaw. The data were collected between 11/2013 and 10/2015. Patients were examined by a radiologist with 18 yr’ experience in the ultrasonic examination of breast lesions. The set of data includes scans from 52 malignant and 48 benign breast lesions recorded in a group of 78 women. For each lesion, two individual orthogonal scans from the pathological region were acquired with the Ultrasonix SonixTouch Research ultrasound scanner using the L14-5/38 linear array transducer. All malignant lesions were histologically assessed by core needle biopsy. In the case of benign lesions, part of them was histologically assessed and another part was observed over a 2-year period. Data format and usage notes: The radio-frequency echoes were stored in Matlab file format. For each scan, the region of interest was provided to correctly indicate the lesion area. Moreover, for each lesion, the BI-RADS category and the lesion class were included. Two code examples of data manipulation are presented. The data can be downloaded via the Zenodo repository (https://doi.org/10.5281/zenodo.545928) or the website http ://bluebox.ippt.gov.pl/~hpiotrzk.
Potential applications: The database can be used to test quantitative ultrasound techniques and ultrasound image processing algorithms, or to develop computer-aided diagno sis systems.

Keywords:

breast lesions, dataset, ultrasonic signals, ultrasonography

Affiliations:
Piotrzkowska-Wróblewska H.-IPPT PAN
Dobruch-Sobczak K.-IPPT PAN
Byra M.-IPPT PAN
Nowicki A.-IPPT PAN
2.Dobruch-Sobczak K., Piotrzkowska-Wróblewska H., Roszkowska-Purska K., Nowicki A., Jakubowski W., Usefulness of combined BI-RADS analysis and Nakagami statistics of ultrasound echoes in the diagnosis of breast lesions, Clinical Radiology, ISSN: 0009-9260, DOI: 10.1016/j.crad.2016.11.009, Vol.72, pp.339.e7-339.e15, 2017
Abstract:

AIM: To develop a method combining the statistics of the ultrasound backscatter and the Breast Imaging-Reporting and Data System (BI-RADS) classification to enhance the differentiation of breast tumours.
MATERIALS AND METHODS: The Nakagami shape parameter m was used to characterise the scatter properties of breast tumours. Raw data from the radiofrequency (RF) echo-signal and Bmode images from 107 (32 malignant and 75 benign) lesions and their surrounding tissue were recorded. Three different characteristic values of the shape parameters of m (maximum [mLmax], minimum [mLmin] and average [mLavg]) and differences between m parameters (Dmmax, Dmmin, Dmavg) of the lesions and their surrounding tissues were assessed. A lesion with a BI-RADS score of 3 was considered benign, while a lesion with a score of 4 was considered malignant (a cut-off of BI-RADS 3/4 was set for all patients).
RESULTS: The area under the receiver operating characteristic (ROC) curve (AUC) was equal to 0.966 for BI-RADS, with 100% sensitivity and 54.67% specificity. All malignant lesions were diagnosed correctly, whereas 34 benign lesions were biopsied unnecessarily. In assessing the Nakagami statistics, the sum of the sensitivity and specificity was the best for mLavg (62.5% and 93.33%, respectively). Only four of 20 lesions were found over the cut-off value in BI-RADS of 4a. When comparing the differences in m parameters, Dmavg had the highest sensitivity of 90% (only three of 32 lesions were false negative). These three lesions were classified as BIRADS category 4c. The combined use of B-mode and mLmin parameter improve the AUC up to 0.978 (pĽ0.088), compared to BI-RADS alone.
CONCLUSION: The combination of the parametric imaging and the BI-RADS assessment does not significantly improve the differentiation of breast lesions, but it has the potential to better identify the group of patients with mainly benign lesions that have a low level of suspicion for malignancy with a BI-RADS score of 4a.

Affiliations:
Dobruch-Sobczak K.-IPPT PAN
Piotrzkowska-Wróblewska H.-IPPT PAN
Roszkowska-Purska K.-other affiliation
Nowicki A.-IPPT PAN
Jakubowski W.-other affiliation
3.Byra M., Nowicki A., Piotrzkowska-Wróblewska H., Dobruch-Sobczak K., Classification of breast lesions using segmented quantitative ultrasound maps of homodyned K distribution parameters, Medical Physics, ISSN: 0094-2405, DOI: 10.1118/1.4962928, Vol.43, No.10, pp.5561-5569, 2016
Abstract:

Purpose:
Statistical modeling of an ultrasound backscattered echo envelope is used for tissue characterization. However, in the presence of complex structures within the analyzed area, estimation of parameters is disturbed and unreliable, e.g., in the case of breast tumor classification. In order to improve the differentiation of breast lesions, the authors proposed a method based on the segmentation of homodyned K distribution parameter maps. Regions within lesions of different scattering properties were extracted and analyzed. In order to improve the classification, the best-performing features were selected from various regions and then combined.

Methods:
A radio-frequency data set consisting of 103 breast lesions was used in the authors’ analysis. Maps of homodyned K distribution parameters were created using an algorithm based on signal-to-noise ratio, kurtosis, and skewness of fractional-order envelope moments. A Markov random field model was used to segment parametric maps. Features of different segments were extracted and evaluated based on bootstrapping and the receiver operating characteristic curve. To determine the best-performing feature subset, the authors applied the joint mutual information criterion.

Results:
It was found that there were individual features which performed better than the ones commonly used for lesion characterization, like the parameter obtained through averaging of values over the whole lesion. The authors selected and discussed the best-performing features. Properties of different extracted regions were important and improved the distinction between benign and malignant tumors. The best performance was obtained by combining four features with the area under the receiver operating curve of 0.84.

Conclusions:
The study showed that the analysis of internal changes in lesion parametric maps leads to a better classification of breast tumors. The authors recommend combining multiple features for characterization, instead of using only one parameter, especially in the case of heterogeneous lesions.

Keywords:

Cancer, Ultrasonography, Backscattering, Data sets, Medical image noise

Affiliations:
Byra M.-IPPT PAN
Nowicki A.-IPPT PAN
Piotrzkowska-Wróblewska H.-IPPT PAN
Dobruch-Sobczak K.-IPPT PAN
4.Piotrzkowska-Wroblewska H., Dobruch-Sobczak K., Litniewski J., Chrapowicki E., Roszkowska-Purska K., Nowicki A., Differentiation of the breast lesions using statistics of backscattered echoes, HYDROACOUSTICS, ISSN: 1642-1817, Vol.19, pp.319-328, 2016
Abstract:

The purpose of this study was to evaluate the accuracy of statistical properties of the backscttered ultrasound in differential diagnosis of the breast lesions. The B-mode images together with the appropriate RF echoes from the breast lesions and surrounding tissues were collected. The RF data were processed for the statistics of the backscattered echo signals using K and Nakagami distributions characterized by the M and m parameters, respectively. Based on both, M and m parameters, a set of 18 parameters was derived.

From the point of view of the sensitivity of detection of the cancer the best score was obtained using maximum value of M parameter, the best specificity was received using the differential Nakagami parameter (the differential values between lesions and surrounding tissues). In conclusion the quantitative sonography is a method which has potential to be a complementary tool for classification of the breast lesions.

Keywords:

quantitative ultrasound, breast cancer, Nakagami distribution, K dstribution

Affiliations:
Piotrzkowska-Wroblewska H.-IPPT PAN
Dobruch-Sobczak K.-IPPT PAN
Litniewski J.-IPPT PAN
Chrapowicki E.-Center of Oncology Memorial Institute (PL)
Roszkowska-Purska K.-other affiliation
Nowicki A.-IPPT PAN
5.Piotrzkowska H., Litniewski J., Szymańska E., Nowicki A., Quantitative sonography of basal cell carcinoma, ULTRASOUND IN MEDICINE AND BIOLOGY, ISSN: 0301-5629, DOI: 10.1016/j.ultrasmedbio.2014.11.016, Vol.41, No.3, pp.748-759, 2015
Abstract:

A 30-MHz ultrasonic scanner was used to collect B-scan images together with appropriate radiofrequency echoes from diseased and healthy skin regions of patients with diagnosed basal cell carcinoma and pre-cancerous lesions (actinic keratosis). Radiofrequency data were processed to obtain the attenuation coefficient and statistics of the backscattered echo signal determination (K-distribution and effective density of scatterers [EDS]). The attenuation coefficient was significantly higher for patients with basal cell carcinoma than for healthy patients. Also, the pre-cancerous skin lesions had increased attenuation. The averaged EDS values for cancer lesions were significantly lower than those for pre-cancerous lesions and healthy skin. The successful differentiation between the tissue groups examined suggests the potential value of the attenuation coefficient and EDS for carcinoma characterization.

Keywords:

Quantitative ultrasound, High frequency, Human skin, Skin lesions, K-distribution, Attenuation coefficient, Tissue characterization

Affiliations:
Piotrzkowska H.-IPPT PAN
Litniewski J.-IPPT PAN
Szymańska E.-other affiliation
Nowicki A.-IPPT PAN
6.Piotrzkowska H., Litniewski J., Szymańska E., Nowicki A., Ultrasonic Echosignal Applied to Human Skin Lesions Characterization, ARCHIVES OF ACOUSTICS, ISSN: 0137-5075, Vol.37, No.1, pp.103-108, 2012
Abstract:

The paper presents a classification of the healthy skin and the skin lesions (basal cell carcinoma) basing on a statistics of the envelope of ultrasonic echoes. The echoes envelopes distributions were modeled using Rayleigh and K-distribution. The distributions were compared with empirical data to find which of them better models the statistics of the echo-signal obtained from the human skin. The results indicated that the K-distribution provides a better fit. Also, a characteristic parameter of the K-distribution, the effective number of scatterers (M), was investigated. The values of the M parameter, obtained for the skin cancer (basal cell carcinoma), were lower as compared to those obtained for the healthy skin. The results indicate that the statistical quantitative ultrasound parameters have a potential for extracting information useful for characterization of the skin condition.

Keywords:

statistics, K-distribution, Rayleigh distribution, ultrasonic scattering, human dermis

Affiliations:
Piotrzkowska H.-IPPT PAN
Litniewski J.-IPPT PAN
Szymańska E.-other affiliation
Nowicki A.-IPPT PAN
7.Piotrzkowska H., Litniewski J., Szymańska E., Nowicki A., Statistical Analysis of Ultrasound Echo for Skin Lesions Classification, HYDROACOUSTICS, ISSN: 1642-1817, Vol.15, pp.171-178, 2012
Abstract:

Propagation of ultrasonic waves in the tissue is sensitive to the alternation of tissue composition and structure.. This paper presents the classification of healthy skin and skin lesions (basal cell carcinoma (BCC)) based on statistic parameters of the envelope of echosignal. The statistics of envelope of the ultrasonic signal was modeled using Rayleigh and non-Rayleigh (the K-distribution) statistics. Furthermore the characteristic parameter of K-distribution, the effective number of scaterrers (M) was investigated.
Comparison of the results obtained for region of the skin where the BCC was diagnosed and the regions of healthy skin has shown differences in the values of M parameter. These results indicate that this parameter has the potential for extracting information useful for characterizing skin lesions.

Keywords:

high frequency, ultrasound, basall cell carcinoma, ststistics

Affiliations:
Piotrzkowska H.-IPPT PAN
Litniewski J.-IPPT PAN
Szymańska E.-other affiliation
Nowicki A.-IPPT PAN
8.Piotrzkowska H., Litniewski J., Szymańska E., Lewandowski M., Nowicki A., Statistics of envelope of high frequency ultrasound signal backscattered in human dermis, HYDROACOUSTICS, ISSN: 1642-1817, Vol.13, pp.205-214, 2010
Abstract:

The scattering of ultrasonic waves depends on the size, shape, acoustical properties and concentration of scatterers in tissue. In these study K distribution of the ultrasound backscatter envelope was used to assess the structural properties of the skin tissue. The custom-designed high frequency ultrasonic scanner was applied to obtain RF B-scans of the skin in vivo at the frequency of 20-30MHz.
The results are encouraging. The K distribution models the envelope statistics very well. The parameters of the K-distribution, namely, the effective number of scatterers may be useful for the skin characterization.

Keywords:

skin characterization, ultrasound, K distribution

Affiliations:
Piotrzkowska H.-IPPT PAN
Litniewski J.-IPPT PAN
Szymańska E.-other affiliation
Lewandowski M.-IPPT PAN
Nowicki A.-IPPT PAN
9.Piotrzkowska H., Litniewski J., Lewandowski M., Szymańska E., Nowicki A., Use of quantitative ultrasound to measure acoustic properties of human skin, ARCHIVES OF ACOUSTICS, ISSN: 0137-5075, Vol.34, No.4, pp.471-480, 2009
Abstract:

The scattering of ultrasonic waves depends on the size, shape, acoustical properties and concentration of scatterers in the tissue. The spectrum of the ultrasonic backscatter can be used to characterize non-invasively the structural and mechanical properties of tissue. We intend to apply the custom-designed high-frequency ultrasonic scanner for the skin and cutaneous lesions characterization by evaluating their attenuating and scattering properties. In this pilot study, we have explored the possibility of extracting the human skin backscattering coefficient (BC) from the ultrasonic B-scans obtained in vivo at 20–30 MHz. The measured BC values of normal skin (dermis) agree well with the published data. We have found also that the spatial resolution of the BC determination using our scanner is sufficient (aprox. 1 mm2) to characterize small skin lesions and assess their penetration depth.

Keywords:

attenuation coefficient, backscattering coefficient, dermis

Affiliations:
Piotrzkowska H.-IPPT PAN
Litniewski J.-IPPT PAN
Lewandowski M.-IPPT PAN
Szymańska E.-other affiliation
Nowicki A.-IPPT PAN

List of chapters in recent monographs
1.
494
Klimonda Z., Dobruch-Sobczak K., Piotrzkowska-Wróblewska H., Tymkiewicz R., Litniewski J., Postępy Akustyki 2016, rozdział: Obrazowanie tłumienia ultradźwięków w tkance nowotworowej, Polskie Towarzystwo Akustyczne, Oddział Warszawski, Warszawa, Poland, pp.39-48, 2016
2.
495
Litniewski J., Klimonda Z., Karwat P., Piotrzkowska-Wróblewska H., Dobruch-Sobczak K., Tymkiewicz R., Gambin B., Postępy Akustyki 2016, rozdział: Cancer malignancy sonic markers, Polskie Towarzystwo Akustyczne, Oddział Warszawski, Warszawa, Poland, pp.49-60, 2016
3.
496
Piotrzkowska-Wróblewska H., Litniewski J., Postępy Akustyki 2016, rozdział: Wpływ własności rozproszeniowych ośrodka na wartości efektywnej liczby rozpraszaczy, Polskie Towarzystwo Akustyczne, Oddział Warszawski, Warszawa, Poland, Instytut Podstawowych Problemów Techniki PAN, pp.61-72, 2016
4.
248
Piotrzkowska H., Litniewski J., Nowicki A., Szymańska E., Acoustical Imaging, rozdział: STATISTICAL PROPERTIES OF ECHOSIGNAL OBTAINED FROM HUMAN DERMIS IN VIVO, Springer, Nowicki A., Litniewski J., Kujawska T. (Eds.), 31, pp.123-133, 2012

Conference papers
1.Byra M., Nowicki A., Piotrzkowska H., Dobruch-Sobczak K., Litniewski J., Correcting the influence of tissue attenuation on Nakagami distribution shape parameter estimation, IUS 2015, IEEE International Ultrasonics Symposium, 2015-10-21/10-24, Taipei (TW), DOI: 10.1109/ULTSYM.2015.0408, pp.P1B6-3-4, 2015
Abstract:

Nakagami distribution is used to model the statistical properties of backscattered echoes in tissue. The proper estimate requires the compensation of attenuation along each scanning line. Attenuation of the wave results in decreasing of the envelope mean intensity with depth what modifies the Nakagami scale parameter. This phenomenon violates the assumption that envelope samples within region of interest are identically distributed and disrupts estimation. Here, we investigate the influence of wave attenuation on Nakagami shape parameter estimators for various scattering scenarios, attenuation coefficients and region of interest size. Three methods are proposed to solve this issue. Scans of a thyroid and of a breast lesion are analyzed. It was found that proposed methods improved the estimation, especially when larger regions were used to collect envelope samples.

Keywords:

ultrasound, breast cancer, Nakagami distribution

Affiliations:
Byra M.-IPPT PAN
Nowicki A.-IPPT PAN
Piotrzkowska H.-IPPT PAN
Dobruch-Sobczak K.-IPPT PAN
Litniewski J.-IPPT PAN
2.Nowicki A., Piotrzkowska H., Dobruch-Sobczak K., Litniewski J., Byra M., Gambin B., Kruglenko E., Differentiation of normal tissue and tissue lesions using statistical properties of backscattered ultrasound in breast, IUS 2015, IEEE International Ultrasonics Symposium, 2015-10-21/10-24, Taipei (TW), DOI: 10.1109/ULTSYM.2015.0417, pp.P1B6-15-4, 2015
Abstract:

The aim of the study was finding the relationship between BIRADS classification combined with envelope K and Nakagami statistics of the echoes backscattered in the breast tissue in vivo and the histological data. 107 breast lesions were examined. Both, the RF echo-signal and B-mode images from the lesions and surrounding tissue were recorded. The analysis method was based on the combining data from BIRADS classifications and both distributions parameters. 107 breasts lesions - 32 malignant and 75 benign - were examined. When only BIRADS classification was used all malignant lesions were diagnosed correctly, however 34 benign lesions were sent for the biopsy unnecessarily. For K distribution the sensitivity and specificity were 78.13%, and 86.67% while for Nakagami statistics the sensitivity and specificity were 62.50% and 93.33%, respectively. Combined K and BIRADS resulted in sensitivity of 96.67% and specificity 60%. Combined BIRADS (3/4a cut-off) plus Nakagami statistics showed 100% of sensitivity with specificity equal 57.33%, decreasing the number of lesions which were biopsied from 34 to 28.

Keywords:

breast cancer, quantitative ultrasound, BIRADS

Affiliations:
Nowicki A.-IPPT PAN
Piotrzkowska H.-IPPT PAN
Dobruch-Sobczak K.-IPPT PAN
Litniewski J.-IPPT PAN
Byra M.-IPPT PAN
Gambin B.-IPPT PAN
Kruglenko E.-IPPT PAN
3.Litniewski J., Piotrzkowska H., Nowicki A., Szymańska E., Statistics of envelope of Ultrasonic Backscatter from Basal Cell Carcinoma and Actinic Keratosis lesion, IUS 15, IEEE International Ultrasonics Symposium, 2014-09-03/09-06, Chicago (US), DOI: 10.1109/ULTSYM.2014.0474, pp.1908-1911, 2014
Abstract:

Basal cell carcinoma is the most common cutaneous malignancy, representing 80% of all skin cancer cases. The quantitative ultrasound can provide information potentially helpful in diagnosing. The goal of this study was to find the quantitative measure of the skin tissue backscattering properties that could be used for differentiating the changes of tissue structure induced by Basal Cell Carcinoma (BCC) and precancerous lesions - Actinic Keratosis (AK). The study presents the results concerning the statistical properties of ultrasonic echoes scattered in cancer lesions and attenuation coefficient determined from the backscatter.

Keywords:

tissue characterization, quantitative ultrasound,skin lesions, statistical distribution, attenuation coefficient

Affiliations:
Litniewski J.-IPPT PAN
Piotrzkowska H.-IPPT PAN
Nowicki A.-IPPT PAN
Szymańska E.-other affiliation
4.Piotrzkowska H., Nowicki A., Litniewski J., Gambin B., Dobruch-Sobczak K., Breast carcinoma tissues characterization using statistics of ultrasonic backscatter, FA2014, 7th FORUM ACUSTICUM 2014, 2014-09-07/09-12, Kraków (PL), No.SS27_7, pp.1-9, 2014
Abstract:

The Ultrasonix SonixTouch scanner with the special RF block was used to collect Bmode images together with appropriate RF echoes from the pathological and healthy breasts regions of patients with diagnosed malignant and benign breast lesions. The RF data were processed for the statistics of the backscattered echo signals assessment (K distribution and effective density of scatterers – M and Nakagami distribution and its shape parameter m). The comparison of signals recorded from malignant and healthy tissues showed, that in 80% of examined cases the values of the statistical parameters M were higher for carcinomas tissues than for healthy tissue. Beside of that in the case of benign lesions obtained results was able to distinguish the fibroadenoma from the other with probability of 75%.

Keywords:

quantitative ultrasound, breast cancer, statistics

Affiliations:
Piotrzkowska H.-IPPT PAN
Nowicki A.-IPPT PAN
Litniewski J.-IPPT PAN
Gambin B.-IPPT PAN
Dobruch-Sobczak K.-other affiliation
5.Piotrzkowska H., Litniewski J., Nowicki A., Szymańska E., Basal Cell Carcinoma Lesions Characterization With Ultrasound, IUS 2012, IEEE International Ultrasonics Symposium, 2012-10-07/10-10, Dresden (DE), DOI: 10.1109/ULTSYM.2012.0596, pp.1-6, 2012
Abstract:

Quantitative ultrasounds were applied for the detection and assessment of skin lesions. 30MHz ultrasonic scanner was used to collect B-scan images together with appropriate RF echoes from the pathological and healthy skin regions of skin of patients with diagnosed Basal Cell Carcinoma and precancerous states. The RF data were processed for the attenuation coefficient and statistics assessment (K distribution and effective number of scatterers – M). For patients with BCC the attenuation coefficient was significantly higher than for the healthy skin ones. Also, precancerous skin lesions revealed increased attenuation. The averaged M parameter for cancer lesions was significantly lower than for precancerous states and healthy skin. Similar results were obtained from numerical simulations of the ultrasonic echoes scattered in skin and skin lesions.

Keywords:

skin cancer, K distribution, effective number of scatterers, high frequency ultrasound

Affiliations:
Piotrzkowska H.-IPPT PAN
Litniewski J.-IPPT PAN
Nowicki A.-IPPT PAN
Szymańska E.-other affiliation
6.Piotrzkowska H., Litniewski J., Szymańska E., Nowicki A., Skin lesions assessment using attenuating and statistical properties of the backscattered ultrasound, IUS 2011, IEEE International Ultrasonics Symposium, 2011-10-18/10-21, Orlando (US), DOI: 10.1109/ULTSYM.2011.0338, pp.1368-1371, 2011
Abstract:

While the needles biopsy is still the gold standard in skin cancer diagnosis there is a growing interest in application of the high frequency ultrasound for the skin lesions detection and their thickness assessment. The quantitative ultrasound can provide additional information, potentially helpful in diagnosis. The purpose of this study was to assess the usefulness of the attenuating and statistical properties of the backscattered ultrasounds for the skin tissues characterization. The paper presents the classification of the healthy skin and skin lesions (BCC-basal cell carcinoma and AK-actinic keratosis). For patients with BCC the attenuation coefficient was significantly higher than for the healthy ones. Also, precancerous skin lesions revealed increased attenuation. The statistical properties were different for BCC comparing to AK lesions and healthy skin.

Keywords:

basal cell carcinoma, actinic keratosis, attenuation coefficient, statistical properties, high frequency ultrasound

Affiliations:
Piotrzkowska H.-IPPT PAN
Litniewski J.-IPPT PAN
Szymańska E.-other affiliation
Nowicki A.-IPPT PAN
7.Piotrzkowska H., Characterization of human skin using statistics of backscattered signal envelope, 57 Otwarte Seminarium z Akustyki, 2010-09-20/09-24, Gliwice (PL), pp.149-152, 2010
Abstract:

The scattering of ultrasonic waves depends on the size, shape, acoustical properties and concentration of scatterers in tissue. In these study the statistics of envelope of signal was used to assess the structural properties of the skin tissue. Ultrasound backscatter data were obtained from healthy and pathological human dermis in vivo. The signal envelope statistics were examined by fitting the Rayleigh and K distributions. The fit between the K distribution and the data shown much smaller error than the Rayleigh model. The parameter of the K-distribution, namely, the effective number of scatterer was calculated and the potential of the effective number of scatterers to distinguish between normal and disease tissues was investigated. Obtained results indicate that the parameter of the K-distribution maybe useful in classification of the skin lesions.

Keywords:

high frequency, ultrasound, skin, K distribution

Affiliations:
Piotrzkowska H.-IPPT PAN

Conference abstracts
1.Klimonda Z., Dobruch-Sobczak K., Piotrzkowska-Wróblewska H., Tymkiewicz R., Litniewski J., Ultrasound attenuation imaging of tumor tissue, OSA 16, LXIII Otwarte Seminarium z Akustyki, 2016-09-13/09-16, Białowieża (PL), DOI: 10.1515/aoa-2016-0059, pp.619-620, 2016
Keywords:

attenuation estimation, parametric imaging

Affiliations:
Klimonda Z.-IPPT PAN
Dobruch-Sobczak K.-IPPT PAN
Piotrzkowska-Wróblewska H.-IPPT PAN
Tymkiewicz R.-IPPT PAN
Litniewski J.-IPPT PAN
2.Piotrzkowska-Wróblewska H., Litniewski J., Influece of Scattering Conditions of the Medium on the Value of the Effective Number of Scatters, OSA 16, LXIII Otwarte Seminarium z Akustyki, 2016-09-13/09-16, Białowieża (PL), DOI: 10.1515/aoa-2016-0059, No.3, pp.625, 2016
3.Litniewski J., Klimonda Z., Karwat P., Piotrzkowska-Wróblewska H., Dobruch-Sobczak K., Tymkiewicz R., Gambin B., Cancer Malignancy Sonic Markers, OSA 16, LXIII Otwarte Seminarium z Akustyki, 2016-09-13/09-16, Białowieża (PL), DOI: 10.1515/aoa-2016-0059, No.3, pp.622, 2016
4.Nowicki A., Dobruch-Sobczak K., Piotrzkowska H., Litniewski J., Gambin B., Roszkowska K., Chrapowicki E., Clinical Validation of the Statistical Analysis of US RF Signals in Differentiation of the Breast Lesions, AIUM 2015, Ultrasound in Medicine and Biology Annual Convention, 2015-03-21/03-25, Lake Buena Vista (US), DOI: 10.1016/j.ultrasmedbio.2014.12.403, Vol.41, No.4S, Special issue: 2015 AIUM Annual Convention and Preconvention Program Hosting WFUMB Congress, ABSTRACT 2088809, pp.S98-S99, 2015
Abstract:

The scattering is the fundamental phenomena used for US imaging of specific organs. In this study the method searching for best fitted statistical distribution of the acquired echoes from the breast tissue is discussed, especially addressing the ‘‘effective’’ number of scatterers. The aim of the study was finding the relationship between the specific properties of statistics of envelope of the ultrasonic echoes backscattered in the breast tissue in vivo, and its morphological properties for normal tissue and the pathological lesions.
Methods: 72 patients with 83 suspicious breast lesions (BIRADS 3, 4, 5) were examined. The analysis method was based on the parametric imaging representing a map of local statistical properties of the scattering of ultrasound waves in normal and pathological tissues. Both, the RF echo-signal and B-mode images from the lesions and surrounding tissue were recorded. The statistics of backscattered speckle-like echoes envelopes were modelled using K and Nakagami distributions. For all lesions the set of sub-ROIs covering full lesion was chosen. The statistical analysis was done for every sub-ROI separately. The shape parameters were calculated including the compensation for TGC applied and for the attenuation.
Results: The evaluation of all 83 breasts lesions revealed 23 malignant and 60 benign lesions. Typically, both, shape parameters for malignant lesions were statistically larger than for surrounding tissue. On the other hand, the benign lesions revealed much larger variance of the parameters comparing to the surrounding and malignant tissue. The sensitivity and specificity of B-mode imaging with the cut-off points BIRADS-4a/4b were 93%, 86%. For K and Nakagami distributions obtained sensitivity and specificity were respectively 85% and 91%.
Conclusions: The quantitative measurements of the breast tissue backscattering statistical properties improve the specificity of B-mode examinations and can be helpful in the differentiation the character of the breast lesions. It was proved that the range of the shape parameters appears to be rather large and can not be interpreted without taking into account the corresponding values in the surrounding ‘‘normal’’ tissue.

Keywords:

breast cancer, ultrasound, RF echo-signal

Affiliations:
Nowicki A.-IPPT PAN
Dobruch-Sobczak K.-IPPT PAN
Piotrzkowska H.-IPPT PAN
Litniewski J.-IPPT PAN
Gambin B.-IPPT PAN
Roszkowska K.-other affiliation
Chrapowicki E.-Center of Oncology Memorial Institute (PL)
5.Gambin B., Kruglenko E., Byra M., Nowicki A., Piotrzkowska H., Dobruch-Sobczak K., Changes in ultrasound echoes of a breast tissue in vivo after exposure to heat - a case study, PCM-CMM 2015, 3rd Polish Congress of Mechanics and 21st Computer Methods in Mechanics, 2015-09-08/09-11, Gdańsk (PL), pp.217-218, 2015
Abstract:

A B-mode ultrasonography provides structural information on the tissue under investigation encoding the echo strength in gray scale in a two-dimensional image. Interpretation of the B-mode image of breast tissue is done by a physician. The analysis of statistical properties of backscattered RF signal has been recently applied successfully to distinct healthy tissue from tissue lesions regions as a new method of quantitative ultrasound (QUS). Up till now, the most reliable results were obtained for liver and renal tissue lesions, because their normal, healthy structures are nearly homogeneous while a heterogeneous breast tissue classification is still an open issue. The recent study revealed that the medium contraction and expansion induced by a temperature change may cause variations in the relative position of scatterers in a tissue. We have developed a new procedure of heating the patient breast and allowing to observe and record in vivo the influence of temperature changes on a B-mode image and properties of unprocessed radio frequency (RF) backscattered echoes. The initial, feasibility studies of influence of the temperature increase in breast tissue on the intensity, spectrum and statistics of ultrasonic echoes will be discussed.

Keywords:

breast tissue, RF signal, backscattered signal amplitude statistics, spectral properties

Affiliations:
Gambin B.-IPPT PAN
Kruglenko E.-IPPT PAN
Byra M.-IPPT PAN
Nowicki A.-IPPT PAN
Piotrzkowska H.-IPPT PAN
Dobruch-Sobczak K.-IPPT PAN
6.Dobruch-Sobczak K., Gumińska A., Bakuła-Zalewska E., Piotrzkowska H., Mlosek K., Słapa R.Z., Wareluk P., Migda B., Olszewski W., Jakubowski W., Nowicki A., Dedecjus M., Wartość sonoelastografii fali poprzecznej (SWE) w szacowaniu ryzyka złośliwości zmian ogniskowych tarczycy, V Konferencja Rak Tarczycy i inne nowotwory zlośliwe układu wydzielania wewnętrznego, 2015-11-14/11-17, Wisła (PL), Vol.66, pp.1, 2015
7.Dobruch-Sobczak K., Gumińska A., Bakuła-Zalewska E., Kaczor A., Piotrzkowska H., Jakubowski W., Nowicki A., Dedecjus M., Zastosowanie elastografii fali poprzecznej w diagnostyce raka rdzeniastego tarczycy, V Konferencja Rak Tarczycy i inne nowotwory zlośliwe układu wydzielania wewnętrznego, 2015-11-14/11-17, Wisła (PL), DOI: 10.15557/JoU.2015.003, Vol.66, No.15, pp.358-367, 2015
Abstract:

Elastografia fali poprzecznej jest nowoczesną metodą oceny sztywności tkanek. Obserwuje się wzrost zainteresowania tą techniką w różnicowaniu charakteru zmian ogniskowych w tarczycy również w diagnostyce przedoperacyjnej. Cel pracy: Celem niniejszej pracy była ocena klinicznej przydatności elastografi i fali poprzecznej w diagnostyce raka rdzeniastego tarczycy (RRT). Materiał i metoda: W badanej grupie 139 pacjentów stwierdzono 169 zmian ogniskowych, a u 4 pacjentów (średni wiek: 45 lat) rozpoznano 6 RRT. Wykonano USG B-mode oraz elastografię fali poprzecznej aparatem Aixplorer (Super-Sonic, Aix-en-Provence), głowicą liniową o częstotliwości 4–15 MHz. W USG oceniano echogeniczność i echo strukturę zmian, ich brzegi, objaw „halo”, stosunek wysokości dogłębokości (W/G), obecność zwapnień oraz wzorzec unaczynienia. Następnie analizowano: maksymalne i średnie wartości modułu Younga (E) dla największego ROI dla RRT (EmaxLR, EmeanLR ) oraz dla otaczających tkanek w miąższu gruczołu (EmaxSR , EmeanSR), a także średnie wartości E (EmeanLRz) dla 2 mm obszaru zainteresowania z najsztywniejszej części zmiany. Zmiany zweryfikowano histopatologicznie i/lub cytologicznie. Wyniki: W ocenie B-mode wszystkie RRT były hipoechogeniczne, bez obecności objawu „halo”, oraz zawierał y mikro- i/lub makrozwapnienia. Nieostre granice zmiany obecne były w 4 z 6 raków. Wartość ilorazu WG >1 dotyczył a 4 na 6 zmian. Niejednorodną echo strukturę oraz typ III unaczynienia stwierdzono w 5 na 6 zmian. W SWE średnia wartość E maxLR w obrębie RRT wynosił a 89,5 kPa, w otoczeniu – 39,7 kPa. Średnie wartości E meanLR , E meanSR wynosił y odpowiednio: 34,6 kPa i 24,4 kPa. Wartość średnia E meanLRz=49,2 kPa. Wnioski: W SWE RRT przedstawiały się jako zmiany sztywniejsze w porównaniu z otaczającymi tkankami. W ocenie B-mode spełniały wskazania do biopsji spiracyjnej cienkoigłowej. Jednak algorytm diagnostyczny RRT opiera się na pomiarze stężenia kalcytoniny w surowicy krwi, ocenie USG B-mode oraz biopsji.

Keywords:

rak rdzeniasty, tarczyca, badanie USG, sonoelastografia fali poprzecznej

Affiliations:
Dobruch-Sobczak K.-IPPT PAN
Gumińska A.-other affiliation
Bakuła-Zalewska E.-Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology (PL)
Kaczor A.-other affiliation
Piotrzkowska H.-IPPT PAN
Jakubowski W.-other affiliation
Nowicki A.-IPPT PAN
Dedecjus M.-Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology (PL)