We propose a continuation and expansion of our current investigation into the science and engineering of elasticity imaging for improved breast cancer diagnosis and treatment. Our central hypothesis is that ultrasound offers unique opportunities to image key structural, functional and compositional properties of breast tissue in vivo. Recent advances in cellular and molecular biology are revealing the mechanisms by which tissues alter their architecture during tumor formation, and have spawned an array of new treatment strategies that can only be evaluated in vivo. Increases in regional vessel density, focal fibrosis, and desmoplasia are specific early indicators of neoplasia and metastatic potential that can be followed using ultrasonic methods. Developments in targeted therapeutics require new imaging techniques that allow investigators to conduct serial studies throughout the progression of disease. Phantom and patient studies will be conducted to validate the approach and discover diagnostic opportunities. We propose a plan to expand our investigation of elastic properties of tissues to include methods for imaging viscoelasticity, in vivo. The five-year plan is designed around four specific aims: (1) develop new viscoelasticity imaging techniques, (2) model viscoelastic properties of tissues from analysis of hydrogel measurements, (3) conduct a Phase II clinical trial, and (4), investigate image quality features. The intent is to develop new in vivo ultrasonic imaging techniques that describe the tumor microenvironment in ways that identify aggressive breast cancers early in development.
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Orescanin, Marko; Wang, Yue; Insana, Michael (2011) 3-D FDTD simulation of shear waves for evaluation of complex modulus imaging. IEEE Trans Ultrason Ferroelectr Freq Control 58:389-98 |
Qayyum, Muqeem A; Insana, Michael F (2011) Effects of radiotherapy fractionation on breast stromal activity. Conf Proc IEEE Eng Med Biol Soc 2011:282-5 |
Orescanin, Marko; Insana, Michael (2010) Shear modulus estimation with vibrating needle stimulation. IEEE Trans Ultrason Ferroelectr Freq Control 57:1358-67 |
Wang, Yue; Orescanin, Marko; Insana, Michael F (2010) In vivo measurement of the complex shear modulus of rat mammary tumors using shear wave imaging techniques. Conf Proc IEEE Eng Med Biol Soc 2010:29-32 |
Orescanin, Marko; Qayyum, Muqeem A; Toohey, Kathleen S et al. (2010) Dispersion and shear modulus measurements of porcine liver. Ultrason Imaging 32:255-66 |
Orescanin, Marko; Toohey, Kathleen S; Insana, Michael F (2009) Material properties from acoustic radiation force step response. J Acoust Soc Am 125:2928-36 |
Qiu, Yupeng; Insana, Michael F (2009) Ultrasonic viscoelasticity imaging of nonpalpable breast lesions. Conf Proc IEEE Eng Med Biol Soc 2009:4424-7 |
Coussot, Cecile; Kalyanam, Sureshkumar; Yapp, Rebecca et al. (2009) Fractional derivative models for ultrasonic characterization of polymer and breast tissue viscoelasticity. IEEE Trans Ultrason Ferroelectr Freq Control 56:715-26 |
Yapp, R D; Insana, M F (2009) pH-induced contrast in viscoelasticity imaging of biopolymers. Phys Med Biol 54:1089-109 |
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