Echographic image mean gray level changes with tissue dynamics: a system-based model study.

In echography, several groups have reported a systematic decrease in the total backscattering intensity or image mean gray level during myocardial contraction with a minimum at end-systole and maximum at end-diastole. In order to investigate this phenomenon, we use a three-dimensional inhomogeneous continuum model to mimic the tissue as a collection of cells that scatter the acoustic wave due to their individual impedance. The mathematical analysis clearly shows the relationship between the mean gray level changes and the size, orientation, and deformation of the cells that compose the tissue, as well as the frequency of the transducer. Using a myocardial model example, the mean gray level changes reported in the literature during contraction are described in terms of changes in orientation and deformation of cardiac fibers. The model is simple and should set the ground for further study and analysis of speckle pattern changes during tissue motion.