Complex flow patterns are prevalent in the vasculature, but they are difficult to image non-invasively in real-time. This paper presents the first real-time scanning platform for a high frame rate ultrasound technique called color encoded speckle imaging (CESI) and its use in visualizing arterial flow dynamics in-vivo. CESI works by simultaneously rendering flow speckles and color-coded flow velocity estimates on a time-resolved basis. Its live implementation was achieved by integrating a 192-channel programmable ultrasound front-end module, a 4.8 GB/s capacity data streaming link, and a series of computing kernels implemented on the graphical processing unit (GPU) for beamforming and Doppler processing. A slow-motion replay mode was also included to offer coherent visualization of CESI frames acquired at high frame rate (3,000 fps in our experiments). The live CESI scanning platform was found to be effective in facilitating real-time image guidance (at least 20 fps for live video display with 55 fps GPU processing throughout). In vivo pilot trials also showed that live CESI, when running in replay mode, can temporally resolve triphasic flow at the brachial bifurcation and can reveal flow dynamics in the brachial vein during a fist-clenching maneuver. Overall, live CESI has potential for use in routine investigations in-vivo that seek to identify complex flow dynamics in real-time and relate these dynamics to vascular physiology.

Coded transmission is an approach to solve the inherent compromise between penetration and resolution required in ultrasound imaging. Our goal was to examine the applicability of the coded excitation to HF (20-35 MHz) ultrasound imaging. A novel real-time imaging system for research and evaluation of the coded transmission was developed. The digital programmable coder- digitizer module based on the field programmable gate array (FPGA) chip supports arbitrary waveform coded transmission and RF echo sampling up to 200 megasamples per second, as well as real-time streaming of digitized RF data via a high-speed USB interface to the PC. All RF and image data processing were implemented in the software. A novel balanced software architecture supports real-time processing and display at rates up to 30 frames/sec. The system was used to acquire quantitative data for sine burst and 16-bit Golay code excitation at 20 MHz fundamental frequency. SNR gain close to 14 dB was obtained. The example of the skin scan clearly shows the extended penetration and improved contrast when a 35-MHz Golay code is used. The system presented is a practical and low-cost implementation of a coded excitation technique in HF ultrasound imaging that can be used as a research tool as well as to be introduced into production.