“…(Sarvazyan et al, 1998), and first demonstrated in vivo by our group (Nightingale et al, 2003), quantifies tissue stiffness by exciting the tissue with an ARFI push beam and monitoring the associated shear wave propagation through the region of interest. Time-of-flight (TOF) based reconstruction algorithms are then used to estimate the shear wave speed (SWS) (Palmeri et al, 2008; Wang et al, 2010; Rouze et al, 2010; Muller et al, 2009; Tanter et al, 2008; McAleavey et al, 2009; McLaughlin and Renzi, 2006; Chen et al, 2004), which in linear elastic materials is proportional to the square root of the shear modulus G divided by the density ρ:
SWS typically has units of m/s, G has units of kPa, and ρ has units of kg/m 3 and is generally assumed to be close to that of water (1000 kg/m 3 ) in tissue.…”