Frequency division transmission imaging and synthetic aperture reconstruction

In synthetic transmit aperture imaging only a few transducer elements are used in every transmission, which limits the signal-to-noise ratio (SNR). The penetration depth can be increased by using all transmitters in every transmission. In this paper, a method for exciting all transmitters in every transmission and separating them at the receiver is proposed. The coding is done by designing narrow-band linearly frequency modulated signals, which are approximately disjointed in the frequency domain and assigning one waveform to each transmitter. By designing a filterbank consisting of the matched filters corresponding to the excitation waveforms, the different transmitters can be decoded at the receiver. The matched filter of a specific waveform will allow information only from this waveform to pass through, thereby separating it from the other waveforms. This means that all transmitters can be used in every transmission, and the information from the different transmitters can be separated instantaneously. Compared to traditional synthetic transmit aperture (STA) imaging, in which the different transmitters are excited sequentially, more energy is transmitted in every transmission, and a better signal-to-noise-ratio is attained. The method has been tested in simulation, in which the resolution and contrast was compared to a standard synthetic transmit aperture system with a single sinusoid excitation. The resolution and contrast was comparable for the two systems. The method also has been tested using the experimental ultrasound scanner RASMUS. The resolution was evaluated using a string phantom. The method was compared to a conventional STA using both sinusoidal excitation and linear frequency modulated (FM) signals as excitation. The system using the FM signals and the frequency division approach yielded the same performance concerning both axial (of approximately equal to 3 wavelengths) and lateral resolution (of approximately equal to 4.5 wavelengths). A SNR measurement showed an increase in SNR of 6.5 dB compared to the system using the conventional STA method and FM signal excitation.     

Use of modulated excitation signals in medical ultrasound. Part III: High frame rate imaging

This paper, the last from a series of three papers on the application of coded excitation signals in medical ultrasound, investigates the possibility of increasing the frame rate in ultrasound imaging by using modulated excitation signals. Linear array-coded imaging and sparse synthetic transmit aperture imaging are considered, and the trade-offs between frame rate, image quality, and SNR are discussed. It is shown that FM codes can be used to increase the frame rate by a factor of two without a degradation in image quality and by a factor of 5, if a slight decrease in image quality can be accepted. The use of synthetic transmit aperture imaging is also considered, and it is here shown that Hadamard spatial encoding in transmit with FM emission signals can be used to increase the frame rate by 12 to 25 times with either a slight or no reduction in signal-to-noise ratio and image quality. By using these techniques a complete ultrasound-phased array image can be created using only two emissions.     

Designing waveforms for temporal encoding using a frequency sampling method

In this paper a method for designing waveforms for temporal encoding in medical ultrasound imaging is described. The method is based on least squares optimization and is used to design nonlinear frequency modulated signals for synthetic transmit aperture imaging. By using the proposed design method, the amplitude spectrum of the transmitted waveform can be optimized, such that most of the energy is transmitted where the transducer has large amplification. To test the design method, a waveform was designed for a BK8804 linear array transducer. The resulting nonlinear frequency modulated waveform was compared to a linear frequency modulated signal with amplitude tapering, previously used in clinical studies for synthetic transmit aperture imaging. The latter had a relatively flat spectrum which implied that the waveform tried to excite all frequencies including ones with low amplification. The proposed waveform, on the other hand, was designed so that only frequencies where the transducer had a large amplification were excited. Hereby, unnecessary heating of the transducer could be avoided and the signal-to-noise ratio could be increased. The experimental ultrasound scanner RASMUS was used to evaluate the method experimentally. Due to the careful waveform design optimized for the transducer at hand, a theoretic gain in signal-to-noise ratio of 4.9 dB compared to the reference excitation was found, even though the energy of the nonlinear frequency modulated signal was 71% of the energy of the reference signal. This was supported by a signal-to-noise ratio measurement and comparison in penetration depth, where an increase of 1 cm was found in favor for the proposed waveform. Axial and lateral resolutions at full-width half-maximum were compared in a water phantom at depths of 42, 62, 82, and 102 mm. The axial resolutions of the nonlinear frequency modulated signal were 0.62, 0.69, 0.60, and 0.60 mm, respectively. The corresponding axial resolutions for the reference waveform were 0.58, 0.65, 0.62, and 0.60 mm, respectively. The compression properties of the matched filter (mismatched filter for the linear frequency modulated signal) were tested for both waveforms in simulation with respect to the Doppler frequency shift occurring when probing moving objects. It was concluded that the Doppler effect of moving targets does not significantly degrade the filtered output. Finally, in vivo measurements are shown for both methods, wherein the common carotid artery on a 27-year-old healthy male was scanned.     

2-D array for 3-D ultrasound imaging using synthetic aperture techniques

A two-dimensional (2-D) array of 256 X 256 = 65,536 elements, with total area 4 X 4 = 16 cm2, serves as a flexible platform for developing acquisition schemes for 3-D rectilinear ultrasound imaging at 10 MHz using synthetic aperture techniques. This innovative system combines a simplified interconnect scheme and synthetic aperture techniques with a 2-D array for 3-D imaging. A row-column addressing scheme is used to access different elements for different transmit events. This addressing scheme is achieved through a simple interconnect, consisting of one top, one bottom single-layer, flex circuits that, compared to multilayer flex circuits, are simpler to design, cheaper to manufacture, and thinner so their effect on the acoustic response is minimized. We present three designs that prioritize different design objectives: volume acquisiton time, resolution, and sensitivity, while maintaining acceptable figures for the other design objectives. For example, one design overlooks time-acquisition requirements, assumes good noise conditions, and optimizes for resolution, achieving -6 dB and -20 dB beamwidths of less than 0.2 and 0.5 mm, respectively, for an F/2 aperture. Another design can acquire an entire volume in 256 transmit events, with -6 dB and -20 dB beamwidths in the order of 0.4 and 0.8 mm, respectively.     

Coherent array imaging using phased subarrays. Part II: simulations and experimental results

The basic principles and theory of phased subarray (PSA) imaging imaging provides the flexibility of reducing the number of front-end hardware channels between that of classical synthetic aperture (CSA) imaging--which uses only one element per firing event--and full-phased array (FPA) imaging-which uses all elements for each firing. The performance of PSA generally ranges between that obtained by CSA and FPA using the same array, and depends on the amount of hardware complexity reduction. For the work described in this paper, we performed FPA, CSA, and PSA imaging of a resolution phantom using both simulated and experimental data from a 3-MHz, 3.2-cm, 128-element capacitive micromachined ultrasound transducer (CMUT) array. The simulated system point responses in the spatial and frequency domains are presented as a means of studying the effects of signal bandwidth, reconstruction filter size, and subsampling rate on the PSA system performance. The PSA and FPA sector-scanned images were reconstructed using the wideband experimental data with 80% fractional bandwidth, with seven 32-element subarrays used for PSA imaging. The measurements on the experimental sector images indicate that, at the transmit focal zone, the PSA method provides a 10% improvement in the 6-dB lateral resolution, and the axial point resolution of PSA imaging is identical to that of FPA imaging. The signal-to-noise ratio (SNR) of PSA image was 58.3 dB, 4.9 dB below that of the FPA image, and the contrast-to-noise ratio (CNR) is reduced by 10%. The simulated and experimental test results presented in this paper validate theoretical expectations and illustrate the flexibility of PSA imaging as a way to exchange SNR and frame rate for simplified front-end hardware.     

Coded excitation for synthetic aperture ultrasound imaging

Peak acoustic power limits the signal-to-noise ratio (SNR) of real-time ultrasound images. For most conventional scan formats, however, the average power is well below heating limits. This means the SNR can be significantly increased using coded excitation. A coded system transmits a broadband, temporally elongated excitation pulse with a finite time-bandwidth product. The received signal must be decoded to produce an imaging pulse with improved SNR resulting from the higher average power in the elongated excitation. Decoding can produce significant range side lobes, however, greatly reducing image quality. All practical coding designs, therefore, represent a trade-off between SNR gain and range side lobes. A specific coding scheme appropriate for synthetic aperture imaging is presented. A 14.5 dB SNR improvement with acceptable range side lobes is demonstrated on a forward-looking imaging system appropriate for intravascular applications.     

Ultrasound synthetic aperture imaging: monostatic approach

An ultrasound synthetic aperture imaging method based on a monostatic approach was studied experimentally. The proposed synthetic aperture method offers good dynamical resolution along with fast numerical reconstruction. In this study complex object data were recorded coherently in a two-dimensional hologram using a 3.5 MHz single transducer with a fairly wide-angle beam. Image reconstruction which applies the wavefront backward propagation method and the near-field curvature compensation was performed numerically in a microcomputer using the spatial frequency domain. This approach allows an efficient use of the FFT-algorithms. Because of the simple and fast scanning scheme and the efficient reconstruction algorithms the method can be made real-time. The image quality of the proposed method was studied by evaluating the spatial and dynamical resolution in a waterbath and in a typical tissue-mimicking phantom. The lateral as well as the range resolution (-6 dB) were approximately 1 mm in the depth range of 30-100 mm. The dynamical resolution could be improved considerably when the beam width was made narrower. Although it resulted in a slightly reduced spatial resolution this compromise has to be done for better resolution of low-contrast targets such as cysts. The study showed that cysts as small as 2 mm by diameter could be resolved     

A study of synthetic-aperture imaging with virtual source elements in B-mode ultrasound imaging systems

We propose an all point transmit and receive focusing method based on transmit synthetic focusing combined with receive dynamic focusing in a linear array transducer. In the method, on transmit, a virtual source element is assumed to be located at the transmit focal depth of conventional B-mode imaging systems, and transmit synthetic focusing is used in two half planes, one before and the other after the transmit focal depth, using the RF data of each scanline, together with all other relevant RF scanline data previously stored. The proposed new method uses the same data acquisition scheme as the conventional focusing method while maintaining the same frame rate via high-speed signal processing, but it is not suitable for imaging moving objects. It improves upon the lateral resolution and sidelobe level at all imaging depths. Also, it increases the transmit power and image signal-to-noise ratio (SNR), due to transmit field synthesis, and extends the image penetration depth as well. Evaluations with simulation and experimental data show much improvement in resolution and SNR at all imaging depths.     

Optimization of a phased-array transducer for multiple harmonic imaging in medical applications: frequency and topology

Second-harmonic imaging is currently one of the standards in commercial echographic systems for diagnosis, because of its high spatial resolution and low sensitivity to clutter and near-field artifacts. The use of nonlinear phenomena mirrors is a great set of solutions to improve echographic image resolution. To further enhance the resolution and image quality, the combination of the 3rd to 5th harmonics--dubbed the superharmonics--could be used. However, this requires a bandwidth exceeding that of conventional transducers. A promising solution features a phased-array design with interleaved low- and high-frequency elements for transmission and reception, respectively. Because the amplitude of the backscattered higher harmonics at the transducer surface is relatively low, it is highly desirable to increase the sensitivity in reception. Therefore, we investigated the optimization of the number of elements in the receiving aperture as well as their arrangement (topology). A variety of configurations was considered, including one transmit element for each receive element (1/2) up to one transmit for 7 receive elements (1/8). The topologies are assessed based on the ratio of the harmonic peak pressures in the main and grating lobes. Further, the higher harmonic level is maximized by optimization of the center frequency of the transmitted pulse. The achievable SNR for a specific application is a compromise between the frequency-dependent attenuation and nonlinearity at a required penetration depth. To calculate the SNR of the complete imaging chain, we use an approach analogous to the sonar equation used in underwater acoustics. The generated harmonic pressure fields caused by nonlinear wave propagation were modeled with the iterative nonlinear contrast source (INCS) method, the KZK, or the Burger's equation. The optimal topology for superharmonic imaging was an interleaved design with 1 transmit element per 6 receive elements. It improves the SNR by ~5 dB compared with the interleaved (1/2) design reported in literature. The optimal transmit frequency for superharmonic echocardiography was found to be 1.0 to 1.2 MHz. For superharmonic abdominal imaging this frequency was found to be 1.7 to 1.9 MHz. For 2nd-harmonic echocardiography, the optimal transmit frequency of 1.8 MHz reported in the literature was corroborated with our simulation results.     

Synthetic aperture imaging for small scale systems

Multi-element synthetic aperture imaging methods suitable for applications with severe cost and size limitations are explored. Array apertures are synthesized using an active multi-element receive subaperture and a multi-element transmit subaperture defocused to emulate a single-element spatial response with high acoustic power. Echo signals are recorded independently by individual elements of the receive subaperture. Each method uses different spatial frequencies and acquisition strategies for imaging, and therefore different sets of active transmit/receive element combinations. Following acquisition, image points are reconstructed using the complete data set with full dynamic focus on both transmit and receive. Various factors affecting image quality have been evaluated and compared to conventional imagers through measurements with a 3.5 MHz, 128-element transducer array on different gel phantoms. Multielement synthetic aperture methods achieve higher electronic signal to noise ratio and better contrast resolution than conventional synthetic aperture techniques, approaching conventional phased array performance     

Synthetic aperture techniques with a virtual source element

A new imaging technique has been proposed that combines conventional B-mode and synthetic aperture imaging techniques to overcome the limited depth of field for a highly focused transducer. The new technique improves lateral resolution beyond the focus of the transducer by considering the focus a virtual element and applying synthetic aperture focusing techniques. In this paper, the use of the focus as a virtual element is examined, considering the issues that are of concern when imaging with an array of actual elements: the tradeoff between lateral resolution and sidelobe level, the tradeoff between system complexity (channel count/amount of computation) and the appearance of grating lobes, and the issue of signal to noise ratio (SNR) of the processed image. To examine these issues, pulse-echo RF signals were collected for a tungsten wire in degassed water, monofilament nylon wires in a tissue-mimicking phantom, and cyst targets in the phantom. Results show apodization lowers the sidelobes, but only at the expense of lateral resolution, as is the case for classical synthetic aperture imaging. Grating lobes are not significant until spatial sampling is more than one wavelength, when the beam is not steered. Resolution comparable to the resolution at the transducer focus can be achieved beyond the focal region while obtaining an acceptable SNR. Specifically, for a 15-MHz focused transducer, the 6-dB beamwidth at the focus is 157 mum, and with synthetic aperture processing the 6-dB beamwidths at 3, 5, and 7 mm beyond the focus are 189 mum, 184 mum, and 215 mum, respectively. The image SNR is 38.6 dB when the wire is at the focus, and it is 32.8 dB, 35.3 dB, and 38.1 dB after synthetic aperture processing when the wire is 3, 5, and 7 mm beyond the focus, respectively. With these experiments, the virtual source has been shown to exhibit the same behavior as an actual transducer element in response to synthetic aperture processing techniques.     

Parallel beamforming using synthetic transmit beams

Parallel beamforming is frequently used to increase the acquisition rate of medical ultrasound imaging. However, such imaging systems will not be spatially shift invariant due to significant variation across adjacent beams. This paper investigates a few methods of parallel beam-forming that aims at eliminating this flaw and restoring the shift invariance property. The beam-to-beam variations occur because the transmit and receive beams are not aligned. The underlying idea of the main method presented here is to generate additional synthetic transmit beams (STB) through interpolation of the received, unfocused signal at each array element prior to beamforming. Now each of the parallel receive beams can be aligned perfectly with a transmit beam--synthetic or real--thus eliminating the distortion caused by misalignment. The proposed method was compared to the other compensation methods through a simulation study based on the ultrasound simulation software Field II. The results have been verified with in vitro experiments. The simulations were done with parameters similar to a standard cardiac examination with two parallel receive beams and a transmit-line spacing corresponding to the Rayleigh criterion, wavelength times f-number (lambda x f#). From the results presented, it is clear that straightforward parallel beamforming reduces the spatial shift invariance property of an ultrasound imaging system. The proposed method of using synthetic transmit beams seems to restore this important property, enabling higher acquisition rates without loss of image quality.     

Real-time 3-D ultrasound imaging using sparse synthetic aperture beamforming

A method for real-time three-dimensional (3-D) ultrasound imaging using a mechanically scanned linear phased array is proposed. The high frame rate necessary for real-time volumetric imaging is achieved using a sparse synthetic aperture beamforming technique utilizing only a few transmit pulses for each image. Grating lobes in the two-way radiation pattern are avoided by adjusting the transmit element spacing and the receive aperture functions to account for the missing transmit elements. The signal loss associated with fewer transmit pulses is minimized by increasing the power delivered to each transmit element and by using multiple transmit elements for each transmit pulse. By mechanically rocking the array, in a way similar to what is done with an annular array, a 3-D set of images can be collected in the time normally required for a single image.     

Ultrasonic imaging using a 5-MHz multilayer/single-layer hybrid array for increased signal-to-noise ratio

Conventional diagnostic ultrasound scanners are bulky and require significant amounts of electrical power during operation. Reducing the size, weight, and consumption of electrical power is made easier through the use of highly integrated compact transmit and receive electronics that may be incorporated in the transducer handle. This necessitates the use of low voltage transmitters and low power receive preamplifiers. Conventional scanners typically use approximately 100-V pulses during transmit; therefore, decreasing the transmit voltage to 15 V decreases the transmit sensitivity. Conventional receive electronics that are located at the scanner degrade the received signal-to-noise ratio (SNR) because the array element cannot efficiently drive the coaxial cable. Transmit sensitivity and received SNR can be radically improved using a multilayer/single-layer hybrid array making integration of electronics into the transducer handle more feasible. In this paper, we discuss the design, fabrication, and testing of a 5-MHz hybrid linear array. The hybrid array included 16 multilayer transmit elements (10 Omega impedance) and 24 single-layer receive elements at a half wavelength element pitch. Low voltage transmitters with an output resistance of 7 Omega and high impedance JFET preamplifiers using 15 V for biasing were located adjacent to the hybrid array in the transducer handle. The transmit sensitivity and received SNR of the hybrid array were compared with a conventional array using 50-Omega transmitters and receive preamplifiers at the scanner. The transmit sensitivity improved by 12.8 dB, and the received SNR improved by 7.8 dB, yielding an overall improvement of 20.6 dB, which compared well with predictions from the KLM model. Images of phantoms and in vivo images of the kidney obtained with the Siemens Model 1200 phased array system showed the increased SNR using the hybrid array. Estimates of penetration in tissue mimicking phantoms (alpha=0.5 dB/(cm MHz)) improved by 7 cm compared with the control.     

Transmit beams adapted to reverberation noise suppression using dual-frequency SURF imaging

A method that uses dual-frequency pulse complexes of widely separated frequency bands to suppress noise caused by multiple scattering or multiple reflections in medical ultrasound imaging is presented. The excitation pulse complexes are transmitted to generate a second order ultrasound field (SURF) imaging synthetic transmit beam. This beam has reduced amplitude near the transducer, which illustrates the multiple scattering suppression ability of the imaging method. Field simulations solving a nonlinear wave equation are used to calculate SURF imaging beams, which are compared with beams for pulse inversion (PI) and fundamental imaging. In addition, a combined SURF and PI beam generation is described and compared with the beams mentioned above. A quality ratio, relating the energy within the near-field to that within the imaging region, is defined and used to score the multiple scattering and multiple reflection suppression abilities when imaging with the different beams. The realized combined SURF-PI beam scores highest, followed by SURF, PI (that score equally well), and the fundamental. The amplitude in the imaging region and therefore also the SNR is highest for the fundamental followed by SURF, PI, and SURF-PI. The work hence indicates that when substituting PI for SURF, one may trade increased SNR into use of increased imaging frequencies without loss of multiple scattering and multiple reflection noise suppression.     

Lateral RF image synthesis using a synthetic aperture imaging technique

The oscillating profile naturally present in ultrasound images has been shown to be extremely valuable in different applications, particularly in motion estimation. Recent studies have shown that it is possible to produce images with transverse oscillations (TOs) based on a specific type of beamforming. However, there is still a great difference between the nature of the lateral oscillations produced with current methods and the axial profile of ultrasound images. In this study, we propose to combine synthetic aperture imaging (synthetic transmit aperture, STA) using a specific beamformer in both transmit mode and receive mode combined with a heterodyning demodulation method to produce lateral radiofrequency signals (LRFs). The aim was to produce lateral signals as close as possible to conventional axial signals, which would make it possible to estimate lateral displacements with the same accuracy as in the axial direction. The feasibility of this approach was validated in simulation and experimentally on an ultrasound research platform, the Ultrasonix RP system. We show that the combination of STA and the heterodyning demodulation can divide the wavelength of the LRF signals by 4 and divide the width of the lateral envelope of the point spread function (PSF) by 2 compared with the previous approaches using beamforming in receive mode only. Finally, we also illustrate the potential of our beamforming for motion estimation compared with previous TO methods.     

Hybrid multi/single layer array transducers for increased signal-to-noise ratio

In medical ultrasound imaging, two-dimensional (2-D) array transducers are necessary to implement dynamic focusing in two dimensions, phase correction in two dimensions and high speed volumetric imaging. However, the small size of a 2-D array element results in a small clamped capacitance and a large electrical impedance, which decreases the transducer signal-to-noise ratio (SNR). We have previously shown that SNR is improved using transducers made from multi-layer PZT, due to their lower electrical impedance. In this work, we hypothesize that SNR is further increased using a hybrid array configuration: in the transmit mode, a 10 Omega electronic transmitter excites a 10 Omega multi-layer array element; in the receive mode, a single layer element drives a high impedance preamplifier located in the transducer handle. The preamplifier drives the coaxial cable connected to the ultrasound scanner. For comparison, the following control configuration was used: in the transmit mode, a 50 Omega source excites a single layer element, and in the receive mode, a single layer element drives a coaxial cable load. For a 5x102 hybrid array operating at 7.5 MHz, maximum transmit output power was obtained with 9 PZT layers according to the KLM transmission line model. In this case, the simulated pulse-echo SNR was improved by 23.7 dB for the hybrid configuration compared to the control. With such dramatic improvement in pulse-echo SNR, low voltage transmitters can be used. These can be fabricated on integrated circuits and incorporated into the transducer handle.     

Coded excitation system for improving the penetration of real-time phased-array imaging systems

Based on an analysis of the inherent signal-to-noise ratio (SNR) in medical ultrasound imaging, SNR improvements of 15-20 dB are theoretically possible for real-time phased-array imagers using coded excitation. A very simple coded excitation for phased arrays based on the principles of ;pseudochirp' excitation and equalization filtering is described. This system is capable of SNR improvements of about 15 dB with range sidelobe levels acceptable for many medical imaging applications. Such improvements permit increased operating frequencies, and hence enhanced spatial resolution, for real-time array imagers. Both simulations and measurements are used to demonstrate the efficacy of the method.     

Directional velocity estimation using a spatio-temporal encoding technique based on frequency division for synthetic transmit aperture ultrasound

This paper investigates the possibility of flow estimation using spatio-temporal encoding of the transmissions in synthetic transmit aperture imaging (STA). The spatial encoding is based on a frequency division approach. In STA, a major disadvantage is that only a single transmitter (denoting single transducer element or a virtual source) is used in every transmission. The transmitted acoustic energy will be low compared to a conventional focused transmission in which a large part of the aperture is used. By using several transmitters simultaneously, the total transmitted energy can be increased. However, to focus the data properly, the signals originating from the different transmitters must be separated. To do so, the pass band of the transducer is divided into a number of subbands with disjoint spectral support. At every transmission, each transmitter is assigned one of the subbands. In receive, the signals are separated using a simple filtering operation. To attain high axial resolution, broadband spectra must be synthesized for each of the transmitters. By multiplexing the different waveforms on different transmitters over a number of transmissions, this can be accomplished. To further increase the transmitted energy, the waveforms are designed as linear frequency modulated signals. Therefore, the full excitation amplitude can be used during most of the transmission. The method has been evaluated for blood velocity estimation for several different velocities and incident angles. The program Field II was used. A 128-element transducer with a center frequency of 7 MHz was simulated. The 64 transmitting elements were used as the transmitting aperture and 128 elements were used as the receiving aperture. Four virtual sources were created in every transmission. By beamforming lines in the flow direction, directional data were extracted and correlated. Hereby, the velocity of the blood was estimated. The pulse repetition frequency was 16 kHz. Three different setups were investigated with flow angles of 45, 60, and 75 degrees with respect to the acoustic axis. Four different velocities were simulated for each angle at 0.10, 0.25, 0.50, and 1.00 m/s. The mean relative bias with respect to the peak flow for the three angles was less than 2%, 2%, and 4%, respectively.     

Strain imaging using conventional and ultrafast ultrasound imaging: numerical analysis

In elasticity imaging, the ultrasound frames acquired during tissue deformation are analyzed to estimate the internal displacements and strains. If the deformation rate is high, high-frame-rate imaging techniques are required to avoid the severe decorrelation between the neighboring ultrasound images. In these high-frame-rate techniques, however, the broader and less focused ultrasound beam is transmitted and, hence, the image quality is degraded. We quantitatively compared strain images obtained using conventional and ultrafast ultrasound imaging methods. The performance of the elasticity imaging was evaluated using custom-designed, numerical simulations. Our results demonstrate that signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR) and spatial resolutions in displacement and strain images acquired using conventional and ultrafast ultrasound imaging are comparable. This study suggests that the high-frame-rate ultrasound imaging can be reliably used in elasticity imaging if frame rate is critical