3D in Vitro Ultrasound Super-Resolution Imaging Using a Clinical System

Assessment of complex and disordered tumour vasculature requires full 3D visualization. Ultrasound super-resolution techniques are able to image microvascular structure and flow beyond the diffraction limit. Existing demonstrations have been predominantly 2D, where the elevational resolution remains restricted to around the millimeter range, while 3D demonstrations have either used mechanical scanning, or have required customized or state-of-the-art research systems to achieve true super-resolution in the third dimension. In this study, 3D super-resolution and velocity tracking is demonstrated in vitro using an ultrasound imaging system currently available in the clinic. This was performed at 1.25 MHz transmit frequency, with a frame rate of 54 Hz in contrast enhanced imaging mode. Three-dimensional super-resolved volumetric imaging of a twisted micro-vessel phantom was demonstrated at 3.5 cm depth, where between 66-70% of localizations where estimated to fall within the vessel internal diameter. Demonstration of 3D ultrasound super-resolution using a system currently available in the clinic demonstrates a fast route for clinical translation and application. In the future, 3D localization using microbubble signal onset could allow considerably improved microvascular visualization to aid early disease detection, diagnosis, and intervention for micro-vascular related diseases like cancer.