Relative Ultrasonographic Echogenicity of Standard, Dimpled, and Polymeric-coated Needles

Culp, William C.; McCowan, Timothy C.; Goertzen, Timothy C.; Habbe, Thomas G.; Hummel, Michael M.; LeVeen, Robert F.; Anderson, Joseph C.

doi:10.1016/s1051-0443(07)61429-8

Cited by 81 publications

(65 citation statements)

References 9 publications

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“…Several methods have been proposed to enhanced needle tip visibility and improved image guidance in 2D US imaging [2,[9][10][11]; however, no data are available for 3D ultrasound imaging, a modality that has great potential for image guidance interventions [6].…”

Section: Discussionmentioning

confidence: 99%

Needle tip visibility in 3D ultrasound images

2017

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Aim Needle visibility is crucial for effective and safe ultrasound-guided interventional procedures. Several studies have investigated needle visibility in 2D ultrasound imaging, but less information is available for 3D ultrasound imaging, a modality that has great potential for image guidance interventions. We performed a prospective study, to quantitatively compare the echogenicity of various commercially available needles in 3D ultrasound images used in clinical practice under freehand needle introduction. Materials and Methods A set of seven needles, containing biopsy needles, a TIPS needle, an ablation needle and a puncture needle, were included in the study. A livermimicking phantom and cow liver were punctured by each needle. 3D sweeps and real-time 3D data were acquired at three different angles (20°, 55°and 90°). Needle visibility was quantified by calculating contrast-to-noise ratio. Results In the liver-mimicking phantom, all needles showed better visibility than in the cow liver. At large angles, contrast-to-noise ratio and needle visibility were almost similar in both cases, but at lower angles differences in visibility were observed with different types of needles. Conclusion The contrast-to-noise ratio increased with the increase in angle of insonation. The difference in visibility of different needles is more pronounced at 20°angle. The echogenic properties of inhomogeneous cow liver tissues make the needles visibility worse as compared to a homogenous phantom. The needle visibility becomes worse in 3D real-time data as compared to 3D ultrasound sweeps.

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Section: Discussionmentioning

confidence: 99%

Needle tip visibility in 3D ultrasound images

2017

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“…In deep vein thrombus, poor visualization of the puncture needle during needle puncture of the popliteal vein is caused by the elevated echogenicity of the thrombus in the vessels and thick limb edema, with subcutaneous fat pushing the popliteal vein deep [13] . Therefore, modifications to improve visualization of the vascular puncture needle would improve safety during these procedures [17,[20][21][22][23][24][25][26] . Of the four modified needles assessed in the present study, the re-cut modification showed no significant increase in needle visibility compared with the control.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have described devices for gauging the puncture angle and needle depth, and the use of fourdimensional US for improving needle visualization [17,18] . Biopsy needles and nerve-block needles with a specific coating or type of cut at the needle tip are commercially available for improving US needle visualization [19][20][21][22][23][24][25][26] . Nevertheless, no vascular needle has been devised specifically for this purpose.…”

Section: Brief Articlementioning

confidence: 99%

Evaluation of vascular puncture needles with specific modifications for enhanced ultrasound visibility:In vitrostudy

Kawai

Minamiguchi²,

Sato

et al. 2012

WJR

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“…To account for the damping, one may consider adding a velocity damping term to (1). From our experiments, the needle vibrating velocity is typically in the range of 10-80 cm/s, which leads to the assumption that viscous damping is the predominate damping [15].…”

Section: Discussionmentioning

confidence: 99%

“…One way to improve device visualization is to modify the devices by adding an echogenic coating or by scoring, etching, or dimpling, all of which improve the backscatter from the device. Studies have shown that making such modifications can increase visualization of the treated device when compared to a similar untreated device [1]- [4]. Despite this improved visualization, tip localization is not necessarily improved in all cases.…”

Section: Introductionmentioning

confidence: 99%

Analysis of a Vibrating Interventional Device to Improve 3-D Colormark Tracking

Fronheiser

Smith

2007

IEEE Trans. Ultrason., Ferroelect., Freq. Contr.

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Abstract-Ultrasound guidance of interventional devices during minimally invasive surgical procedures has been investigated by many researchers. Previously, we extended the methods used by the Colormark tracking system to several interventional devices using a real-time, threedimensional (3-D) ultrasound system. These results showed that we needed to improve the efficiency and reliability of the tracking. In this paper, we describe an analytical model to predict the transverse vibrations along the length of an atrial septal puncture needle to enable design improvements of the tracking system. We assume the needle can be modeled as a hollow bar with a circular cross section with a fixed proximal end and a free distal end that is suspended vertically to ignore gravity effects. The initial results show an ability to predict the natural nodes and antinodes along the needle using the characteristic equation for free vibrations. Simulations show that applying a forcing function to the device at a natural antinode yields an order of magnitude larger vibration than when driving the device at a node. Pulsed wave spectral Doppler data was acquired along the distal portion of the needle in a water tank using a 2-D matrix array transesophageal echocardiography probe. This data was compared to simulations of forced vibrations from the model. These initial results suggest that the model is a good first order approximation of the vibrating device in a water tank. It is our belief that knowing the location of the natural nodes and antinodes will improve our ability to drive the device to ensure the vibrations at the proximal end will reach the tip of the device, which in turn should improve our ability to track the device in vivo.

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Relative Ultrasonographic Echogenicity of Standard, Dimpled, and Polymeric-coated Needles

Cited by 81 publications

References 9 publications

Needle tip visibility in 3D ultrasound images

Needle tip visibility in 3D ultrasound images

Evaluation of vascular puncture needles with specific modifications for enhanced ultrasound visibility:In vitrostudy

Analysis of a Vibrating Interventional Device to Improve 3-D Colormark Tracking

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