Effect of Interstitial Fluid Pressure on Ultrasound Axial Strain and Axial Shear Strain Elastography

Anuj Chaudhry, Namhee Kim, Ginu Unnikrishnan, Sanjay Nair, J. N. Reddy, Raffaella Righetti

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Ultrasound elastography is an imaging modality that has been used to diagnose tumors of the breast, thyroid, and prostate. Both axial strain elastography and axial shear strain elastography (ASSE) have shown significant potentials to differentiate between benign and malignant tumors. Elevated interstitial fluid pressure (IFP) is a characteristic of many malignant tumors and a major barrier in targeted drug delivery therapies. This parameter, however, has not received significant attention in ultrasound elastography and, in general, in most diagnostic imaging modalities yet. In this paper, we investigate the effect of an underlying IFP contrast on ultrasound axial strain and axial shear strain imaging using finite element analysis. Our results show that an underlying contrast in IFP creates a new contrast mechanism in both the axial strain and axial shear strain elastographic images. This information might be important for a better interpretation of elastographic images of tumors.

Original languageEnglish (US)
Pages (from-to)137-146
Number of pages10
JournalUltrasonic Imaging
Issue number2
StatePublished - Mar 1 2017


  • axial shear strain
  • axial strain
  • cancer imaging
  • elastography
  • interstitial fluid pressure
  • permeability
  • targeted delivery
  • ultrasound

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging


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