2019 AAPM Annual Meeting
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Session Title: Advanced Ultrasound Imaging in Clinical Applications
Question 1: Myocardial Elastography uses radiofrequency (RF) signals for motion estimation because:
Reference:E. E. Konofagou, et al., "Myocardial elastography--a feasibility study in vivo," Ultrasound Med Biol, vol. 28, pp. 475-82, Apr 2002
Choice A:No other type of signals is available in the ultrasound scanner
Choice B:Motion can be estimated only from RF signals
Choice C:RF signals contain phase information, allowing of better motion estimation
Choice D:All of the above
Choice E:None of the above
Question 2: Linear interpolation of beamformed RF signals in the lateral direction:
Reference:E. Konofagou and J. Ophir, "A new elastographic method for estimation and imaging of lateral displacements, lateral strains, corrected axial strains and Poisson's ratios in tissues," Ultrasound Med Biol, vol. 24, pp. 1183-99, Oct 1998
Choice A:Deteriorates lateral displacement estimation accuracy
Choice B:Improves lateral displacement estimation accuracy
Choice C:Speeds up displacement estimation computation
Choice D:Has no effect on displacement estimation
Question 3: End-systolic radial strain in an ischemic region of the ventricle is generally:
Reference:J. Grondin, et al., "Evaluation of Coronary Artery Disease Using Myocardial Elastography with Diverging Wave Imaging: Validation against Myocardial Perfusion Imaging and Coronary Angiography," Ultrasound Med Biol, vol. 43, pp. 893-902, May 2017
Choice A:Lower than in a normal region
Choice B:Higher than in a normal region
Choice C:The same as in a normal region
Choice D:Cannot be estimated
Question 4: Electromechanical wave imaging (EWI) of the heart shows temporal variation of:
Reference:J. Provost, et al., "Imaging the electromechanical activity of the heart in vivo," Proc Natl Acad Sci U S A, vol. 108, pp. 8565-70, May 24 2011
Choice A:End-systolic cumulative strains
Choice B:Beat-to-beat peak strains
Choice C:Beat-to-beat post-systolic strains
Choice D:Inter-frame axial strains
Question 5: Local electromechanical activation of the myocardium in a given cardiac cycle:
Reference:J. Provost, et al., "Imaging the electromechanical activity of the heart in vivo," Proc Natl Acad Sci U S A, vol. 108, pp. 8565-70, May 24 2011
Choice A:Precedes local electrical activation
Choice B:Is simultaneous with local electrical activation
Choice C:Follows local electrical activation
Choice D:Is independent from local electrical activation
Question 6: Which of the following imaging rate allows for better electromechanical activation times estimation:
Reference:J. Provost, et al., "Single-heartbeat electromechanical wave imaging with optimal strain estimation using temporally unequispaced acquisition sequences," Phys Med Biol, vol. 57, pp. 1095-112, Feb 21 2012
Choice A:<30 frames per second
Choice B:30-100 frames per second
Choice C:100-500 frames per second
Choice D:>500 frames per second
Choice E:It does not depend on the frame rate
Question 7: What is one of the clinical advantages of short-lag spatial coherence applied to breast ultrasound data?
Reference:Wiacek A, Rindal OMH, Falomo E, Myers K, Fabrega-Foster K, Harvey S, Bell MAL, Robust Short-Lag Spatial Coherence Imaging of Breast Ultrasound Data: Initial Clinical Results, IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control, 66(3):527-540, 2019
Choice A:distinguish benign from fluid masses
Choice B:distinguish invasive ductal carcinomas
Choice C:distinguish fluid from solid hypoechoic masses
Choice D:distinguish malignant from solid hyperechoic masses
Question 8: A novel approach to photoacoustic-guided surgery is to attach custom-designed light delivery systems to ________________ in order to visualize the proximity of major hidden blood vessels and their relationship to surgical tool tips. Fill in the blank.
Reference:Eddins B and Bell MAL, Design of a multifiber light delivery system for photoacoustic-guided surgery, Journal of Biomedical Optics, 22(4),041011, 2017 Allard M, Shubert J, Bell MAL, Feasibility of photoacoustic guided teleoperated hysterectomies, Journal of Medical Imaging: Special Issue on Image-Guided Procedures, Robotic Interventions, and Modeling, 5(2), 021213, 2018
Choice A:surgical tools
Choice B:ultrasound catheters
Choice C:acoustic probes
Choice D:deep learning
Question 9: A deep learning alternative to beamforming may be used to differentiate point-like photoacoustic sources from:
Reference:Allman D, Reiter A, Bell MAL, Photoacoustic source detection and reflection artifact removal enabled by deep learning, IEEE Transactions on Medical Imaging, 37(6):1464-1477, 2018
Choice A:blood vessels
Choice B:needle tips
Choice C:acoustic signals
Choice D:reflection artifacts
Question 10: Which of the following is NOT a component of novel photoacoustic system designs to guide surgeries?
Reference:Bell MAL, Ostrowski AK, Li K, Kazanzides P, Boctor EM. Localization of transcranial targets for photoacoustic-guided endonasal surgeries, Photoacoustics, 3(2):78-87, 2015 Eddins B and Bell MAL, Design of a multifiber light delivery system for photoacoustic-guided surgery, Journal of Biomedical Optics, 22(4),041011, 2017
Choice A:flexible fiber-probe separation
Choice B:light delivery systems that are integrated with ultrasound probes
Choice C:local, internal illumination
Choice D:surgical tools surrounded by optical fibers
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