This monograph presents a tutorial review of the current state-of-the-art in ultrasonic attenuation estimation in reflection. Clinical indications which provide the motivation for attempting in vivo attenuation estimation are discussed. Frequency and time domain techniques and their respective tradeoffs and problems are presented. Finally, current clinical results obtained with the various techniques are summarized and further areas of study are suggested.

A method for phase-aberration correction of phased-array images is tested using a model of near-field velocity inhomogeneities. A set of grooved room-temperature vulcanizing plates was constructed to simulate near-field aberrations encountered in clinical ultrasound imaging. As expected, large image distortion was experienced when grooved plates producing significant aberrations were placed near the surface of the array. An iterative aberration correction procedure based on cross-correlation measures between neighboring elements in a phased array, using signals reflected from diffuse scatterers, significantly reduced the effects of these aberrations, producing images nearly identical to those generated in the absence of aberrations. The results suggest that a practical phase-aberration correction system can be constructed for medical ultrasound imaging and possibly all coherent imaging systems by using a sampled aperture.

In clinical applications using large apertures, a significant number of phased array elements may be blocked due to discontinuous acoustic windows into the body. These blocked elements produce undesired beamforming artifacts, degrading spatial and contrast resolution. To minimize these artifacts, an algorithm using multiple receive beams and the total-least-squares method is proposed. Simulations and experimental results show that this algorithm can effectively reduce imperfections in the point spread function of the imager. Combined with first-and second-order scatterer statistics derived from multiple receive beams, the algorithm is modified for blocked element compensation on distributed scattering sources. Results also indicate that compensated images are comparable to full array images, and that even full array images can be improved by removing undesired sidelobe contributions. This method, therefore, can enhance detection of low contrast lesions using large phased-array apertures.

Various means of characterizing ultrasonic attenuation in tissue are reviewed. A simple method for estimating frequency-dependent attenuation via measurement of the zero crossing density of the signal is presented and validated. Both the effects of the frequency dependence of scatter and stochastic variability of the measurement are considered and discussed. Results of measurements made in phantoms, animals and humans are presented and compared to the theoretical model. The technique is shown to be technically feasible.