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Coherent and incoherent ultrasound backscatter from

cell aggregates

Romain de Monchy, François Destrempes, Ratan Saha, Guy Cloutier, Emilie

Franceschini

To cite this version:

Romain de Monchy, François Destrempes, Ratan Saha, Guy Cloutier, Emilie Franceschini. Coherent

and incoherent ultrasound backscatter from cell aggregates. Journal of the Acoustical Society of

America, Acoustical Society of America, 2016, 140 (3), pp.2173-2184. �10.1121/1.4962502�.

�hal-01783903�

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Coherent and incoherent ultrasound backscatter from cell aggregates Romain de Monchy

Laboratoire de M´ecanique et d’Acoustique, Aix-Marseille Universit´e, CNRS UPR 7051, Centrale Marseille, 4 impasse Nikola TESLA, CS 40006, 13453 Marseille cedex 13, France

Fran¸cois Destrempes

Laboratory of Biorheology and Medical Ultrasonics, University of Montreal Hospital Research Centre (CRCHUM), 900 St-Denis (suite R11.720), Montreal, Quebec, Canada, H2X 0A9

Ratan K. Saha

Department of Applied Sciences, Indian Institute of Information Technology Allahabad, Devghat, Jhalwa, Allahabad 210112, India

Guy Cloutier∗

Laboratory of Biorheology and Medical Ultrasonics, University of Montreal Hospital Research Centre (CRCHUM), 900 St-Denis (suite R11.720), Montreal, Quebec, H2X 0A9, Canada

Emilie Franceschini†

Laboratoire de M´ecanique et d’Acoustique LMA CNRS UPR 7051, Aix-Marseille Universit´e, Centrale Marseille, 4 impasse Nikola TESLA, CS 40006, 13453 Marseille cedex 13, France

(Dated: May 3, 2017)

The Effective Medium Theory (EMT) combined with the Structure Factor Model was recently developed to model the ultrasound backscatter from aggregating Red Blood Cells (RBCs) [Frances-chini, Metzger, Cloutier, IEEE UFFC, 2011]. The EMT assumes that aggregates can be treated as homogeneous effective spheres and the structure factor considers the interactions between the effective spheres. In this study, the EMT is further developed to decompose the differential backscattering cross section of a single cell aggregate into coherent and incoherent components. The coherent component corresponds to the average backscatter from the effective scatterer, and the incoherent component considers the fluctuation of the scattering wave around its average within the effective scatterer. A new theoretical expression for the incoherent component based on the structure factor is proposed and compared with another formulation based on the Gaussian direct correlation function. This theoretical improvement is assessed using computer simulations of ultrasound backscatter from aggregating cells. The consideration of the incoherent component based on the structure factor allows to approximate the simulations satisfactorily for a kraglimit around 2, against a kraglimit comprised between 1.07 and 1.47 with the former model considering only the coherent component.

PACS numbers: 43.80.Cs, 43.80.Qf, 43.35.Bf

Keywords: quantitative ultrasound, structure factor, aggregate, effective medium theory, ultrasound tissue characterization

I. INTRODUCTION

Ultrasound scattering from biological tissues exhibits a frequency dependence which is related to the structure of the insonified medium. For determining the tissue mi-crostructure, one approach consists in fitting the mea-sured frequency-dependent backscatter coefficient (BSC) to a theoretical BSC derived using an appropriate theo-retical scattering model. Two theotheo-retical scattering mod-els are often used in the field of quantitative ultrasound

Also at: Department of Radiology, Radio-Oncology and Nuclear Medicine, and Institute of Biomedical Engineering, University of Montreal, Montreal, Quebec, H3T IJ4, Canada

E-mail: franceschini@lma.cnrs-mrs.fr

(QUS) imaging. The first model, named the spherical Gaussian model, describes a tissue as a random inhomo-geneous continuum with impedance fluctuations.1 The

second model considers tissues as randomly distributed discrete scatterers with an impedance differing from a homogeneous background medium.2 In both models, the

scatterers are assumed to be independently and uni-formly randomly distributed, which may correspond to the case of a low scatterer concentration. However, bi-ological tissues often have high cellular concentrations and complex structures that invalidate the assumption of those models.3,4 For example, some tumors have densely

packed cells and eventually aggregating cells (such as breast sarcoma5); and blood contains a high volume

frac-tion of red blood cells (between 30 and 50%) that form aggregates having rouleaux structures in normal blood

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or clumps in some pathologies, as in diabetes mellitus.6,7 Therefore, theoretical scattering models have been pro-posed to include high cellular concentration together with aggregating cells, and to estimate scatterer structures.8,9

A scattering model called the Effective Medium Theory combined with the Structure Factor Model (EMTSFM) was recently proposed.10 In this model, the aggregates of cells are viewed as individual scatterers which have effective properties determined by the acoustical char-acteristics and concentration of cells within aggregates. The approximation of cell aggregates as homogeneous ef-fective scatterers is combined with the structure factor model to consider the concentrated medium; i.e., to con-sider the interference effects caused by the correlations between the spatial positions of effective scatterers. The EMTSFM allows characterization of the radius and of the compactness of cell aggregates, as shown in a previ-ous simulation study.11

The goal of the current study was to further develop the EMTSFM and to extend its validity into a larger frequency range. In that aim, the Effective Medium Theory (EMT) was modified to decompose the differ-ential backscattering cross section of a single cell aggre-gate into coherent and incoherent components as pro-posed by Morse and Ingard.12 The coherent component

corresponds to the average wave emerging from the ef-fective scatterer, and the incoherent component repre-sents the fluctuation of the scattering wave around its average within the effective scatterer. Note that only the coherent component was taken into account in our previous works.10,11A new theoretical expression for the

incoherent component based on the structure factor is proposed. This theoretical improvement was assessed us-ing three dimensional (3D) computer simulations of ul-trasound backscatter from aggregating cells. The new incoherent component based on the structure factor was compared to the incoherent component based on a Gaus-sian direct correlation function proposed by Morse and Ingard.12

II. THEORY

In this section, the theoretical expression for the ultra-sound backscattering response from one aggregate of cells is proposed. Then, the theoretical BSC expression for an ensemble of identical aggregates that was developed in Ref. 10 is briefly recalled.

A. Differential backscattering cross-section σag of one

aggregate of cells

In the sequel, we consider identical cells distributed randomly inside an aggregate. It is assumed that the in-cident wavelength is large compared to the cell size. Con-sequently, the cell shape can be approximated by a sphere of radius a having an equivalent volume Vc =43πa3. Cells

are described in terms of their mass density ρc and

com-pressibility κc, and their surrounding medium is

charac-terized by its mass density ρ0and compressibility κ0. An

aggregate of cells, denoted Vag, is assumed to be

spheri-cal as it occurs in some tissues (e.g., red blood cell aggre-gates in pathological cases6,7or breast sarcoma tumors5). The EMT model assumes that an aggregate of cells can be treated as an effective homogeneous spherical scat-terer of radius rag. As previously studied by Morse and

Ingard,12the differential backscattering cross-section σ ag

of an aggregate can be decomposed into two components:

σag= σag,coh+ σag,inc, (1)

where the coherent component σag,cohcorresponds to the

average wave emerging from the effective scatterer, and the incoherent component σag,inc describes the

fluctua-tion of the scattering wave around its average within the effective scatterer, as detailed below.

1. The scattering amplitude

Using Born and far-field approximations, the tered wave pressure is expressed in terms of the backscat-tered amplitude Φag; i.e., ps(r) = eikr/r Φag(k), with13

Φag(k) = k2 4π Z Vag γκ(r0) − γρ(r0)e2ik n0·r0d3r0,

where k is the wavenumber, r0is the position in the three

dimensional space, n0 is the incident wave direction,

γκ(r0) = (κ(r0)−κ0)/κ0and γρ(r0) = (ρ(r0)−ρ0)/ρ(r0)

are the fractional variations in compressibility and mass density, respectively. One has

γκ(r0) − γρ(r0) =

 γκ− γρ (if r0is inside the cells)

0 (if r0is outside the cells),

(2) where γκ= (κc−κ0)/κ0and γρ= (ρc−ρ0)/ρc. Assuming

N identical cells inside an aggregate with centers located at positions rj, j = 1, ..., N , and considering the change

of variable r00= r0− rj, the scattering amplitude can be

expressed as Φag(k) = k2 κ− γρ) 4π Vc  Vc−1 Z Va e2ik n0·r00d3r0 0 XN j=1 e2ik n0·rj, (3) where Va is a sphere of radius a centered at the origin

(see Appendix A for details). The integral term in Eq. (3) is equal to Vc−1 Z Va e2ik n0·r00d3r0 0=

3 sin(2ka) − 2ka cos(2ka) (2ka)3



= F0(k; a),

(4) and F0(k; a)2 = F (k; a) is the spherical form factor.13

From there, the scattering amplitude resulting from one aggregate is expressed as Φag(k) = k2(γκ− γρ) 4π VcF0(k; a) N X j=1 e2ik n0·rj. (5)

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2. The coherent component

The coherent component of the differential backscat-tering cross-section of the effective scatterer is obtained from the coherent scattering amplitude as

σag,coh(k) = |hΦag(k)i|2,

where h·i represents the expected value of a random vari-able. One computes:

hΦag(k)i = k2 κ− γρ) 4π VcF0(k; a) N X j=1 he2ik n0·rji = k 2 κ− γρ) 4π φiVagF0(k; a) 1 N N X j=1 he2ik n0·r(6)ji,

where Vag= 43πrag3 is the volume of an aggregate of radius

rag, and φi = N Vc/Vag is the aggregate compactness.

Next, we define

ρag = φiρc+ (1 − φi)ρ0

κag = [φi/κc+ (1 − φi)/κ0]−1

(7) which are obtained from the average values of 1/ρ and κ, respectively, within the aggregate, as mentioned in Eq. (8.2.23) of Morse & Ingard.12 Denoting γκ,ag =

(κag− κ0)/κ0 and γρ,ag= (ρag− ρ0)/ρag, one computes

(γκ− γρ)φi = γκ,ag− γρ,ag. Based on these definitions,

it follows that the coherent scattering amplitude of the aggregate is expressed as:

hΦag(k)i = k2 κ,ag− γρ,ag) 4π VagF0(k; a) 1 N N X j=1 he2ik n0·rji. (8) Note that in this derivation, no approximation was used, but rather algebraic manipulations and definitions.

The expression Fcoh(k) =

F0(k; a)1/NP N j=1he

2ik n0·rji corresponds to the Fourier

transform of the functionh1/NP χa(r − rj)i that

describes a system of spheres, where χa(r − rj) = 1

inside a sphere Va of radius a centered at rj, and 0

elsewhere. Since it is not straightforward to compute the expression Fcoh(k), we approximate this quantity

with the expression F0(k, r0) given in Eq. (4) for an

equivalent full sphere of radius r0. The full sphere choice was motivated here by the postulated spherical distribution of cells in aggregates. In order to match the low frequency approximations of the scattering amplitudes from the system of spheres and from the equivalent full sphere, their gyration radii Rg should be

equal. The gyration radius of a system of N spheres of radius a is equal to Rg= v u u t 3 5a 2+ 1 N N X j=1 |rj|2, (9)

where rjis the position vector of the jth cell with respect

to the aggregate center, as given in Eq. (6) of Saha et al.14So, the radius r0of the equivalent full sphere must be

expressed as: r0= q

5

3Rg, as demonstrated in Appendix

B. Henceforth, from Eq. (8), the coherent scattering am-plitude resulting from one aggregate is approximated as

hΦag(k)i ≈ k2 κ,ag− γρ,ag) 4π VagF0(k; r 5 3Rg). (10) All together, the coherent component of the differen-tial backscattering cross-section of the effective sphere is modeled as: σag,coh(k) ≈ k4(γκ,ag− γρ,ag)2 16π2 V 2 agF (k; r 5 3Rg). (11) One should note that in the former work,10the spherical form factor F given in Eq. (11), was computed by con-sidering the external radius of the aggregate rag(instead

ofp5/3Rg in the present work) . Comparison between

the former and the present coherent form factors will be presented in the subsection IV.A.

3. The incoherent component

Inside the aggregate, each cell produces a scattered wave as a sphere of radius a, with density ρc and

compressibility κc, in a surrounding medium of density

ρag and compressibility κag throughout the aggregate.

Therefore, the wavenumber inside the aggregate is mod-ified as12k

ag= k

√ ρagκag/

ρ0κ0. Based on Eq. (5), the

incoherent component of the differential backscattering cross-section of the effective scatterer is equal to

σag,inc(k) = h|Φag(kag) − hΦag(kag)i|2i (12) = k 4 ag(γκ− γρ)2 16π2 V 2 cN F (kag; a)S0(kag; a, φ(13)i), where S0(k; a, φi) = * 1 N N X j=1 e2ik n0·rj N X j=1 he2ik n0·rji 2 + (14) is the structure factor for a collection of N randomly dis-tributed identical spheres of radius a and of concentration φi within an aggregate. Assuming that the aggregate is

sufficiently large, Eq. (14) corresponds to Eq. (10) in Ref. 15. This latter structure factor was analytically cal-culated as established by Wertheim,16 which is denoted

here S(kag; a, φi). One thus obtains the expression

σag,inc(k) ≈

k4

ag(γκ− γρ)2

16π2 VagVcφiF (kag; a)S(kag; a, φi).

(15) In the sequel, we compute the differential backscattering cross-section σag= σag,coh+ σag,incof an aggregate using

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Eqs. (1), (11) and (15).

Let us mention that one can derive an alternative ex-pression of the incoherent component of the differen-tial backscattering cross-section based on a Gaussian di-rect correlation function σag,inc,G as proposed by Morse

and Ingard.12 The proposed computation of σ

ag,inc,G is a

modified version of the incoherent component of Ref. 12 and is expressed as follows:

σag,inc,G(k) ≈ k4 ag(γκ− γρ)2 16π2 Vagφi(1−φi) 8√2π3/2 3 d 5k2 age −d2k ag, (16) where d is the correlation distance related to the cell ra-dius a as d = 21/6

31/3π1/6a ≈ 0.643092×a, as proposed by

In-sana and Brown (see Eq. (81) p.107 in Ref. 13). Details can be found in Appendix C. The differential backscat-tering cross-section of an aggregate based on Eqs. (1), (11) and (16) is denoted σag,Gin the sequel.

B. Backscatter coefficient BSCEMTSFM from an ensemble

of identical aggregates

The BSC from an ensemble of identical aggregates is obtained by summing the contributions from individual effective scatterers and modeling the effective sphere in-teraction by a statistical mechanics structure factor Sag

as follows:10,11

BSCEMTSFM(k) = magσag(k)Sag(k; rag, φag), (17)

where mag is the number density of effective spheres,

which is related to the volume fraction of effective spheres φag as mag = φag/Vag and σag is computed using Eqs.

(1), (11) and (15). In Eq. (17), Sagis the structure factor

for a collection of randomly distributed identical effective spheres of radius rag and of concentration φag,

analyti-cally computed as established by Wertheim.16 The vol-ume fraction of effective scatterers is equal to the volvol-ume fraction of cells in the tissue φ divided by the aggregate compactness φi: φag= φ/φi.

III. 3D SIMULATION METHOD

The 3D simulation study was conducted based on the Structure Factor Model (SFM). The SFM is an ultra-sound scattering model largely used to predict the fre-quency dependence of the BSC from aggregated cells in the field of ultrasound tissue characterization.4,8,10,14,17

The SFM consists of summing contributions from indi-vidual cells and modeling cell interaction by a statistical mechanics structure factor, whatever the complexity of the cells spatial distribution such as cell aggregates. The structure factor computation for a complex particle spa-tial distribution was described in details in Section 6.3.1 of Ref. 17. The current section focuses on the procedure for obtaining cell aggregates in the computer simulations,

and then on the simulation of the differential backscat-tering cross section of one cell aggregate, denoted σag,sim,

and of the BSCsim from aggregated cells based on the

SFM.

A. Simulation of spatial distribution of cells within one aggregate

We describe here how the cell distribution inside one aggregate was computed. The cell particle radius a was set to 2.75 µm for all simulations, which corresponds to the red blood cell size usually used in blood computer simulations.11 We specified the aggregate radius r

ag

de-fined as the radius of the external envelope (Fig. 1) and the aggregate compactness φi that fixes the number of

cells N within the aggregate. N cells were uniformly ran-domly distributed such that cells within a radius of rag

could overlap, and the total number of overlapping pairs was counted. Then, the system was able to evolve by moving randomly selected cells to another position than the initial. If the number of overlapping pairs of the new system equaled or was lower than in the previous sys-tem, the displacement was accepted and the procedure was repeated until no overlapping was detected. This process allowed to reach aggregate compactness φi up to

40% in 3D, whereas a method using a random sequential absorption18 would give compactness near 30%. Figure

1 illustrates spatial arrangements of cells within a single aggregate for two aggregate compactnesses of 10% and 40% with an identical aggregate radius rag/a = 7. The

radius of gyration was computed using Eq. (9). For the aggregate example given in Fig. 1, a change of compact-ness from 10% to 40% induces a slight increase of the radius of gyration from Rg = 12.56 µm to Rg = 14.02

µm.

B. Computation of a simulated σag,sim curve

The simulated differential backscattering cross section of one cell aggregate σag,sim, was computed using the

SFM10,11 as follows

σag,sim(k) = N σb(k)Ssim0 (k), (18)

where σbis the differential backscattering cross section of

a single cell given by the fluid-filled sphere expression12,13

σb(k) =

k4V2 cγz2

4π2 F (k; a), (19)

and Ssim0 is the simulated structure factor representing the spatial positioning of the cells inside the aggregate and defined as Ssim0 (k) = * 1 N N X j=1 e−2ikn0·rj 2 + (20)

(6)

where the cell positions rj are given using the procedure

described in section III.A. The simulated structure fac-tor Ssim0 was determined from the 3D Fourier transform of the spatial distribution of cells.17 A mean σ

ag,sim curve

was computed by averaging over 1000 different realiza-tions for averaging purposes.

C. Computation of a simulated BSC from several aggregates

Random distributions of non-overlapping aggregates were computed within the simulated cubical volume 4803 µm3by specifying the volume fraction φ of cells of radius

a, the aggregate radius rag and the aggregate

compact-ness φi. The spatial distribution of cells inside each

ag-gregate was performed using the procedure described in section III.A. The simulated cubical volume was peri-odized; i.e., interactions between aggregates were deter-mined under periodic boundary conditions, in order to remove the edge effects. The BSC from aggregated cells was then computed using the SFM as follows

BSCsim(k) =

φ Vc

σb(k)Ssim(k), (21)

where Ssimis the simulated structure factor representing

the spatial positioning of the cells inside the simulated tissue. For each distribution of cells, the 3-D Fourier Transform of the cell spatial positioning was computed to obtain the simulated structure factor.17. The mean BSCsim curve was obtained by averaging over 100

real-izations for averaging purposes. Only 100 realreal-izations were used here (against 1000 realizations in the case of the σag,sim computation) because one simulated volume

involve several thousands of cells (against a few dozen of cells per aggregate for the σag,sim computation).

IV. RESULTS

A. Comparison of the simulated and theoretical σag The frequency-dependent differential backscattering cross section of one cell aggregate σag,sim computed with

the SFM is given in Fig. 2 for a single aggregate of radius rag/a = 6 and of compactness φi= 30%. Also shown in

Fig. 2(a) (and Fig. 2(b), respectively) are the theoretical differential backscattering cross section considering only the coherent component (and considering both coherent and incoherent components, respectively). In Fig. 2(a), the dashed line (or the solid line, respectively) represents the theoretical σag,cohgiven in Eq. (11) using F (rag) (or

F (p5/3Rg), respectively). The first peaks of σag,sim and

σag,coh using F (p5/3Rg) occur at the same frequency

(approximately 22.1 MHz). On the other hand, the first peak of σag,cohusing F (rag) does not match perfectly the

simulation and occurs at a lower frequency around 20.5 MHz.

In Fig. 2(b), the solid line represents σag =

σag,coh + σag,inc using Eqs. (1), (11) and (15) and

the dashed line represents σag,G = σag,coh + σag,inc,G

using Eqs. (1), (11) and (16). The consideration of the incoherent component allows to better match the σag,sim behavior at higher frequencies, whatever the

considered expression for the incoherent component σag,inc or σag,inc,G. Indeed, the σag,coh curve shows very

deep dips (Fig. 2(a)), whereas both σagand σag,Gcurves

match much better the dip behavior of the σag,simcurve.

Figure 3 represents the simulated σag,sim (symbols)

for a radius rag/a = 6 and aggregate compactnesses

φi = 10, 20, 30 and 40%. One can note that the

σag,sim curves have more pronounced frequency dips

when the aggregate compactness increases. For the lower aggregate compactness, only the first peak is well pronounced and the first dip is smooth, whereas the first two peaks and the first dip are clearly enhanced for the higher aggregate compactnesses. This behavior suggests that for compact aggregates, the incident wave tends to be scattered as if the aggregate was a well defined sphere, whereas for the lower aggregate compactness, the boundaries of the aggregates are not well defined. The occurence of the first frequency peak also shifts toward higher frequencies from 22.6 MHz to 25.8 MHz when the aggregate compactness decreases from 40% to 10%. Also represented in Fig. 3 are the theoretical σag

(solid line) and σag,G (dashed line). Both models are

very accurate at φi = 30%. The σag,G curve matches

better the simulation results for the highest aggregate compactness φi = 40%, whereas the σag curve matches

better the two lower compactnesses φi= 10% and 20%.

Figure 3 also allows to compare the general σag

be-havior over all frequencies, however, in order to eval-uate a workable frequency bandwidth for each model, the product krag for which the relative error was less

than 20% was determined, as done previously in our two-dimensional study (see Fig. 7 of Franceschini et al.10).

First, we assess the improvement of the krag limit for

the σag,coh expression using F



p5/3Rg



(see the solid curves in Fig. (4)). In comparison with the former mod-eling using F (rag), the use of F



p5/3Rg



increases the krag limit from 1.07 to 1.76 on average for φi = 10%,

and from 1.47 to 1.91 on average for φi= 40% (the limit

being computed as the mean krag for rag/a values

vary-ing from 5 to 9). Secondly, we focus on the improvement of the krag limit considering the incoherent component

expressions (see the dashed curves in Fig. (4)). For the lowest aggregate compactness of 10%, consideration of the incoherent component based on the structure fac-tor σag,inc allowed to increase the krag limit from 1.76

to 2.12, whereas the incoherent component based on the Gaussian direct correlation function σag,inc,G did not

al-low to improve the krag limit. For the highest aggregate

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in the krag limit whether the incoherent component was

considered or not: it means that the krag limit increase

is only due to the modification of Fp5/3Rg

 in the coherent component. To conclude, the overall best re-sults are obtained by taking into account (1) the modifi-cation of Fp5/3Rg



in the coherent component, and (2) the incoherent component based on the structure fac-tor σag,inc. Thus, in the sequel, for the results presented

later, we will use the differential backscattering cross sec-tion σag computed with Eqs. (1), (11) and (15).

B. Comparison of the simulated and theoretical BSC

Figure 5 (a) shows simulated and theoretical frequency dependent BSCs for three aggregate sizes rag/a = 5, 7

and 9, a fixed aggregate compactness φi = 40% and a

fixed cell volume fraction φ = 16%. The symbols repre-sent the BSCsim computed with the SFM. The solid and

dashed lines depicts the BSCEMTSFMusing the proposed

model of Eqs. (1), (11), (15), and (17). The theoretical BSCEMTSFM matches well the simulated BSCsim,

espe-cially for the amplitude and the frequency occurence of the first two peaks and dips, whatever the aggregate size considered in this work. In Fig. 5(b) are shown simu-lated and theoretical BSCs for three aggregate compact-nesses φi = 10, 25 and 40%, at a lower φ = 4%, and a

fixed aggregate radius of rag/a = 7. Note that for the

study of the aggregate compactness variation, we limit the total cell volume fraction to φ = 4% and the lower aggregate compactness to φi= 10% (corresponding to a

value φag = 40%), because the maximum volume

frac-tion of aggregates achievable in computer simulafrac-tion is approximately 40% using the method described section III.C.

The influence of the structure factor of the effective medium Sag on the BSC curves was also studied. In

that aim, we observe the spectral slope (i.e. the linear slope of the BSC as a function of frequency in a log-log scale) of the BSCsim curves before the first peak

oc-currence. The spectral slope increases above 4 for the BSCsim curves with an aggregate concentration φag =

φ/φi = 40% presented in Fig. 5(a), and for the BSCsim

curve with the clustering condition (φ = 4%, φi = 10%,

φag= φ/φi= 40%) presented in Fig. 5(b). On the other

hand the BSCsimcurve shows a fourth power

frequency-dependence (i.e. a spectral slope of 4) with the cluster-ing condition (φ = 4%, φi = 40%, φag = φ/φi = 10%)

presented in Fig. 5(b). So, the more the aggregate con-centration φag increases, the greater the influence of Sag

becomes observable in the BSC frequency dependence.

V. DISCUSSION

A. On the use of simple spatial distribution of cells

The method used in this study to obtain the cell spatial distribution was not based on a generic physical model of interactions between cells. Rather, we used a simple and fast method to generate hundreds of simulated media with a large scale ratio between the cell size (2.75 µm) and the whole medium size (4803µm3). The purpose was to build a controlled medium containing non-overlapping spherical aggregates, all aggregates having the same ra-dius and compactness with a unique cell spatial distribu-tion defined by a structure factor. The main advantage of this method was the possibility to have various ag-gregate compactnesses with the same size of agag-gregates, which allowed to demonstrate the role of the incoherent scattering component on the BSC frequency dependence at high frequencies. Indeed, the σag,sim curves had well

pronounced peaks and dips for the higher aggregate com-pactnesses, whereas the first peak was well enhanced and the first dip was smooth for the lower aggregate compact-ness (see Fig. 3). Theoretical predictions of the σagbased

on the structure factor for the incoherent component pro-posed in Eq. (15) agreed well with the simulations and validated the proposed theoretical modeling.

In the 3-D computer simulations of this study, we had to limit the total volume fraction of cells to a maximum of 16%. Indeed, the procedure we chose to distribute the cells within aggregates allowed reaching a maximum aggregate compactness φi,max of 40%. The upper limit

of 40% is easily understandable because placing non-deformable identical spheres randomly enough inside a larger sphere without overlapping is not straightforward. In comparison, a standard method using a random se-quential absorption18 would give a compactness close to

30%. The maximum aggregate volume fraction φag,max

was thus also fixed to 40%. As a consequence, the maxi-mum value of the total volume fraction φmaxwas limited

to φmax= φi,maxφag,max= (40%)2= 16%.

B. The benefit of considering the incoherent component

A new theoretical modeling of the differential backscattering cross section from a single cell aggregate was developed in this work and consisted in taking into account a coherent component and an incoherent component in the expression of σag. This modeling was

compared to numerical simulations based on the SFM. Concerning the coherent component, a slight modifica-tion of the σag,coh expression using F



p5/3Rg

 was proposed and allowed the EMT to better match the frequency occurrences of peaks and dips observed in simulations. Concerning the incoherent component, two expressions of σag,inc based on the structure factor and

on a Gaussian direct correlation function proposed by Morse and Ingard12 were compared. The numerical

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study demonstrated the superiority of the formulation using the structure factor over that with the Gaussian direct correlation function, regarding the krag limit

study of Fig. 4. The consideration of the incoherent component σag,inc based on the structure factor allowed

to approximate the simulations satisfactorily for an average krag limit around 2, against an average krag

limit comprised between 1.07 and 1.47 with the former model considering only the coherent component.

It is interesting to observe that the simulated σag,sim

curves showed a fourth power frequency dependence (Rayleigh scattering) before the first peak occurrence (see Figures 2 and 3). When the aggregate compactness var-ied (Fig. 3), the σag,sim frequency dependence differed

mainly at high frequencies after the first peak. To better understand this high frequency behavior, we analyzed the theoretical respective influence of each scattering compo-nent (coherent and incoherent) on the σagbehavior, while

varying the aggregate compactness. According to Eqs. (11) and (15), the σag frequency dependence is mainly

determined by the spherical form factor from an effec-tive sphere Fp5/3Rg



that intervenes in the coher-ent componcoher-ent, and the structure factor S(a, φi) that

intervenes in the incoherent component. As shown in Fig. 6(a), an increase of the compactness induces a de-crease of the structure factor amplitude S(k; a, φi), and

a slight shift toward lower frequencies of the form factor F (k; rag0 ) peaks and dips. In Fig. 6(b) (or (c), respec-tively) are plotted the theoretical backscattering cross sections (solid lines), the corresponding coherent com-ponent σag,coh (dashed lines) and incoherent component

σag,inc(dotted lines) as defined in Eq. (1), for the same

aggregating condition with rag/a = 6 and φi = 10% (or

φi= 40%, respectively). The relative influence of the

in-coherent component is more important for lower aggre-gate compactnesses, giving rise to smoother peaks and dips. Also, the frequency shift of the peaks and dips ob-served in the simulations can be explained theoretically by a dependance of the form factor Fp5/3Rg

 on the aggregate compactness. Indeed, the gyration radius value depends on the aggregate compactness as mentioned in section III.A. In the framework of an inverse problem ap-proach, it would be useful to approximate the gyration radius as a function of the radius rag of the aggregate

envelope and the aggregate compactness φi. Based on

the 3D building of isotropic aggregates using the method described in section III.A, the relationship between Rg,

ragand φi was empirically determined as follows:

Rg≈

p

3/5 0.96 × rag+ 7.06 × 10−6φi− 2.71 × 10−6.

(22) This approximation, obtained from a linear regression analysis, shows less than 5% relative error for all tested radii rag/a (varying from 4 to 9) and compactnesses

(varying from 5% to 40%). The estimated R-squared value and p-value were 0.996 and 5.39 × 10−101

respec-tively.

VI. CONCLUSION

The EMT was further developed to decompose the dif-ferential backscattering cross section of a single cell ag-gregate into coherent and incoherent components. The coherent component, corresponding to the average wave emerging from the effective scatterer, was approximated by the scattering of an effective fluid sphere, whose ra-dius depends on the gyration rara-dius of the cell aggregate. An important contribution of this new EMT is the taking into account of the incoherent component based on the structure factor, which allowed to approximate the com-puter simulations satisfactorily for a product krag up to

2.

The EMTSFM assumes that all cells are aggregated and that aggregates are identical and isotropic. There-fore, the BSC behavior obtained in all simulations showed a pronounced first peak. In experimental conditions when insonifying aggregated red blood cells9 or clus-ters of tumor cells5, the BSC behavior was smoother

and the peaks were less pronounced. The reason be-hind this might be that real tissues contain several sizes of aggregates, and since the location of BSC peaks are different for different aggregate populations, a relatively smoother BSC curve can be obtained. Therefore, future improvements should consider incorporating polydisper-sity in aggregate size and compactness to provide an op-timal EMTSFM for the inversion of experimental data.

ACKNOWLEDGMENT

This research was supported by the Canadian In-stitutes of Health Research (grant #MOP-84358), the CNRS, the CSIR New Delhi, as well as the Labex MEC (ANR-10-LABX-0092) and the A∗MIDEX project (ANR-11-IDEX-0001-02) funded by the Investissements d’Avenir French Government program managed by the French National Research Agency (ANR). F. Destrem-pes was an invited researcher at the Laboratoire de M´ecanique et d’Acoustique LMA, CNRS, UPR 7051, Aix-Marseille University, Centrale Marseille, F-13402 Marseille Cedex 20, France, in July 2013 to work on this project.

Appendix A

The model underlying Eq. (2) is equivalent to the fol-lowing expression for the tissue function

γκ(r0) − γρ(r0) = (γκ− γρ) N

X

j=1

χ(r0− rj), (23)

where χ(r0) = 1 inside a sphere Va of radius a centered

(9)

We then compute based on Eq. (23) Z Vag γκ(r0)−γρ(r0)e2ik n0·r0d3r0= N X j=1 (γκ−γρ) Z Vag χ(r0−rj)e2ik n0·r0d3r0.

Next, considering the change of variable r00= r0−rj, one

obtains Z Vag χ(r0− rj)e2ik n0·r0d3r0= Z Va e2ik n0·(r00+rj)d3r0 0.

Lastly, since e2ik n0·(r00+rj) = e2ik n0·r00e2ik n0·rj, one

concludes that Z Vag γκ(r0) − γρ(r0)e2ik n0·r0d3r0= (γκ− γρ) Z Va e2ik n0·r00d3r0 0 XN j=1 e2ik n0·rj = (γκ− γρ)Vc  Vc−1 Z Va e2ik n0·r00d3r0 0 XN j=1 e2ik n0·rj. Appendix B

This appendix gives the computation steps to ob-tain the low frequency approximation of Fcoh(k) =

F0(k; a)1/NP N j=1he

2ik n0·rji.

Firstly, by assuming centrosymetric aggregates, one has 1 N N X j=1 he2ik n0·rji = 1 N N X j=1 hcos(2k n0· rj)i = 1 N N X j=1  sin(2k |rj|) 2k |rj|  ≈ 1 −2 3k 2 * 1 N N X j=1 |rj|2 + ,

where the last approximation corresponds to the second order Taylor expansion of the expression. An equivalent approach can be found in Guinier & Fournet19pp. 7 and

8. A second order Taylor expansion of Fcoh(k) thus gives:

Fcoh(k) ≈ 1 − 2 3k 2   3 5a 2+ * 1 N N X j=1 |rj|2 + = 1 − 2 3k 2R2 g,

by using the definition of Rg given in Eq. (9), and the

Taylor expansion of F0(k; a)(≈ 1 −25k2a2). Lastly, since

for the equivalent full sphere of radius r0, F0(k; r0) ≈

1 −2 5k

2r02, we need r0=p(5/3)R

gin order to match the

low frequency approximations of the form factors Fcoh(k)

and F0(k; r0).

Appendix C

This appendix gives the computation steps to obtain the incoherent component of the differential backscat-tering cross-section σag,inc,G based on a Gaussian direct

correlation function as proposed by Morse and Ingard.12

Firstly, one has

γκ,ag(r0) − γρ,ag(r0) = χ(r0)(γκ− γρ),

where χ is the characteristic function of the cells: χ(r0) =

1 inside cells and χ(r0) = 0, otherwise. Moreover, we use

the following approximation

hγκ,ag(r0) − γρ,ag(r0)i ≈ φi(γκ− γρ).

From there, one obtains the expression Φag,inc(k) = Φag(kag) − hΦag(kag)i ≈k 2 ag 4π Z Vag (γκ− γρ)(χ(r0) − φi)e2ikagn0·r0d3r0.

Note that the function (γκ− γρ)(χ(r0) − φi) corresponds

to the function δ modified from Ref. 12 (Eq. (8.2.24)). Therefore, the incoherent component of the differential backscattering cross-section can be computed using the direct correlation function Υ of the compressibility and density fluctuations as follows:

σag,inc(k) = h|Φag,inc(k)|2i ≈ k 4 ag(γκ− γρ)2 16π2 Vag Z Vag Υ(∆r)e2ikagn0·∆rd3(24)∆r, where Υ(∆r) = 1 Vag h Z Vag (χ(r0) − φi)(χ(r0+ ∆r) − φi) d3r0i.

The function Υ depends only on ∆r = |∆r| and must have the following properties: the mean value of Υ(∆r) is zero and lim|∆r|→∞Υ(∆r) = 0. Under the postulate of

a Gaussian model, the expression of the direct correlation function Υ is given by Morse & Ingard12 (Eq. (8.2.26)):

Υ(∆r) ≈ Υ(0)1 − ∆r

2

3d2



e−∆r2/(2d2),

where Υ(0) = φi(1−φi), and the correlation distance d is

related to the cell radius a as d =31/321/6π1/6a ≈ 0.643092 ×

a as defined by Insana and Brown13 (Eq. (81) p.107).

Performing the integral in Eq. (24), one then obtains the Gaussian incoherent component expressed in Eq. (16).

1

F. L. Lizzi, M. Astor, T. Liu, C. Deng, D. J. Coleman, and R. H. Silverman, “Ultrasonic spectrum analysis for tissue assays and therapy evaluation”, Int. J. Imaging Syst. Technol. 8, 3-10 (1997).

2 M. F. Insana, R. F. Wagner, D. G. Brown, and T. J. Hall,

“Describing small-scale structure in random media using pulse-echo ultrasound”, J. Acoust. Soc. Am. 87 179-192 (1990).

3 R. M. Vlad, R. K. Saha, N. M. Alajez, S. Ranieri, G. J.

Czarnota, and M. C. Kolios, “An increase in cellular size variance contributes to the increase in ultrasound backscat-ter during cell death”, Ultrasound in Med. & Biol. 36, 1546-1558 (2010).

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4

E. Franceschini, R. Guillermin, F. Tourniaire, S. Roffino, E. Lamy, and J.-F. Landrier, “Structure factor model for understanding the measured backscatter coefficients from concentrated cell pellet biophantoms”, J. Acoust. Soc. Am. 135, 3620-3631 (2014).

5 M. Oelze and J. F. Zachary, “Examination of cancer

in mouse models using high-frequency quantitative ultra-sound”, Ultrasound in Med. & Biol. 32, 1639-1648 (2006).

6 H. Schmid-Schonbein, G. Gallasch, J. V. Gosen, E. Volger,

and H. J. Klose, “Red cell aggregation in blood flow. I. New methods of quantification”, Klin. Wschr. 54, 149-157 (1976).

7

H. Schmid-Schonbein, H. Malotta, and F. Striesow, “Ery-throcyte aggregation: causes, consequences and methods of assessment”, Tijdschr NVKS 15, 88-97 (1990).

8

D. Savery and G. Cloutier, “A point process approach to assess the frequency dependence of ultrasound backscatter-ing by aggregatbackscatter-ing red blood cells”, J. Acoust. Soc. Am. 110, 3252-3262 (2001).

9

F. T. H. Yu, and G. Cloutier, “Experimental ultrasound characterization of red blood cell aggregation using the structure factor size estimator”, J. Acoust. Soc. Am. 122, 645-656 (2007).

10

E. Franceschini, B. Metzger, and G. Cloutier, “Forward problem study of an effective medium model for ultrasound blood characterization”, IEEE Trans. Ultrason., Ferro-electr., Freq. Control 58, 2668-2679 (2011).

11 E. Franceschini, R. K. Saha, and G. Cloutier, “Comparison

of three scattering models for ultrasound blood characteri-zation,” IEEE Trans. Ultrason., Ferroelectr., Freq. Control 60, 2321-2334 (2013).

12 P. M. Morse and K. U. Ingard, “Theoretical Acoustics”,

(Princeton, NJ: Princeton University Press, 1968), Chap. 8, pp. 400-466.

13 M. F. Insana and D. G. Brown, “Acoustic scattering theory

applied to soft biological tissues”, in Ultrasonic Scattering in Biological Tissues, edited by K. K. Shung and G. A. Thieme (CRC, Boca Raton, FL, 1993), Chap. 4, pp. 76-124.

14

R. K. Saha, E. Franceschini, and G. Cloutier, “Assessment of accuracy of the structure-factor-size-estimator method in determining red blood cell aggregate size from ultra-sound spectral backscatter coefficient,” J. Acoust. Soc. Am. 129, 2269-2277 (2011).

15 V. Twersky, “Low-frequency scattering by correlated

dis-tributions of randomly oriented particles,” J. Acoust. Soc. Am. 81, 1609-1618 (1987).

16 M. S. Wertheim, “Exact solution of the Percus-Yevick

in-tegral equation for hard spheres”, Physical Review Letters 10, 321-323 (1963).

17 E. Franceschini and G. Cloutier, “Modeling of ultrasound

backscattering by aggregating red blood cells”, in Quanti-tative ultrasound in soft tissues, edited by J. Mamou and M. L. Oelze, (Springer, 2013), chap. 6, pp. 117-146.

18

E. L. Hinrichsen, J. Feder, T. Jossang, “Geometry of ran-dom sequential adsorption”, Journal of Statistical Physics 44, 793-827 (1986).

19 A. Guinier, G. Fournet, C. B. Walker, and G. H.

Vine-yard, “Small-Angle Scattering of X-Rays”, Physics Today 9 (1955), Chap. 2, pp. 5-82.

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FIGURE CAPTIONS

Figure 1. (Color online) Examples of two cell aggregates of radius rag/a = 7, on the left with a

compactness of φi = 10%, and on the right with

a compactness of φi = 40%. The radius of the

external envelope in displayed with transparency.

Figure 2. (Color online) Differential backscatter-ing cross section of one cell aggregate of radius rag/a = 6 and of compactness φi = 0.3. The

symbols represent the σag,sim computation. (a)

The dashed line (or the solid line, respectively) rep-resents the theoretical coherent component σag,coh

given in Eq. (11) using F (rag) (or F



p5/3Rg

 , respectively). (b) The solid line (or the dashed line, respectively) represents the theoretical σag

(or σag,G, respectively), both using F



p5/3Rg



in the coherent component.

Figure 3. (Color online) Differential backscattering cross sections of one cell aggregate for different aggregate compactnesses. The symbols represents the σag,sim computation. The solid line (dashed

line, respectively) represents the theoretical σag

using Eqs. (1), (11) and (15), (or the theoretical σag,Gusing Eqs. (1), (11) and (16), respectively).

Figure 4. (Color online) Averaged krag limits,

as a function of the aggregate size ranging for rag/a =5 to 9, for three compactnesses φi = 10%

(a), φi = 25% (b) and φi = 40% (c). The solid

lines correspond to the limits of σag,coh computed

using Fp5/3Rg



(crosses), and using F (rag)

(squares). The dotted lines correspond to the limits of σag (diamonds) and σag,G (circles), both

computed using the modification of the radius in Fp5/3Rg



. Note that the curves marked with crosses and circles are superimposed in Figs. (a) and (b).

Figure 5. (Color online) Frequency dependent backscatter coefficients for various aggregate sizes and compactnesses. Symbols represent simulation results and lines represent theoretical BSCs computed using Eq. (17). (a) The volume fraction occupied by the cells in the medium is φ = 16% and the aggregate compactness is fixed to φi= 40%. Radii of aggregates vary from rag/a = 5

to rag/a = 9. (b) The volume fraction occupied

by the cells in the medium is φ = 4% and the aggregate size is fixed to rag/a = 7. Aggregate

compactnesses vary from φi = 10% to φi= 40%.

Figure 6. (Color online) (a) Theoretical form factor Fk;p5/3Rg



and structure factor S(k; a, φi)

computed as a function of the frequency for two compactnesses φ = 10% and φi = 40% and

aggregate size rag/a = 6. (b) and (c) Theoretical

differential backscattering cross sections of one cell aggregate σag, its coherent component σag,coh

and incoherent component σag,inc, as a function of

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𝑟ag/𝑎 = 7 𝜙𝑖 = 10%

𝑟ag/𝑎 = 7 𝜙𝑖 = 40%

FIG. 1. (Color online) Examples of two cell aggregates of radius rag/a = 7, on the left with a compactness of φi= 10%,

and on the right with a compactness of φi= 40%. The radius

(13)
(14)

Frequency (MHz) (b) 1 10 20 40 100 Frequency (MHz) (a) 1 10 20 40 100 D iffe re nt ia l ba cks ca tte ri ng c ros s s ec tion of one c el l a ggre ga te (dB.m m -1.s r -1) 10-20 10-18 10-16 10-14 ag,sim ag,coh ag,coh 𝜎 𝜎 𝜎 ag,sim ag 𝜎 𝜎 ag,G 𝜎 √ using 𝐹( 5/3 𝑅g) using 𝐹(𝑟ag) using 𝐹( √5/3 𝑅g) √ using 𝐹( 5/3 𝑅g)

FIG. 2. (Color online) Differential backscattering cross section of one cell aggregate of radius rag/a = 6 and of compactness

φi = 0.3. The symbols represent the σag,simcomputation. (a) The dashed line (or the solid line, respectively) represents the

theoretical coherent component σag,cohgiven in Eq. (11) using F (rag) (or F



p5/3Rg



, respectively). (b) The solid line (or the dashed line, respectively) represents the theoretical σag (or σag,G, respectively), both using F



p5/3Rg



in the coherent component.

(15)

Frequency (MHz) (b) 1 10 20 40 100 Frequency (MHz) (a) 1 10 20 40 100 10-20 10-18 10-16 10-14 D iffe re nt ia l ba cks ca tt eri ng c ros s s ec ti on of one c el l a ggre ga te (dB.m m -1.s r -1) 𝜎ag,sim (rag/a=6, 𝜙i=10%) 𝜎ag,sim (rag/a=6, 𝜙i=30%) 𝜎ag,sim (rag/a=6, 𝜙i=20%) 𝜎ag,sim (rag/a=6, 𝜙i=40%) 𝜎ag 𝜎ag,G 𝜎ag 𝜎ag,G

FIG. 3. (Color online) Differential backscattering cross sec-tions of one cell aggregate for different aggregate compact-nesses. The symbols represents the σag,simcomputation. The

solid line (dashed line, respectively) represents the theoretical σag using Eqs. (1), (11) and (15), (or the theoretical σag,G

(16)
(17)

5 6 7 8 9 k R 1 1.5 2 2.5 3 5 6 7 8 9 1 1.5 2 2.5 3 5 6 7 8 9 1 1.5 2 2.5 3 Aggregate radius rag/a

(a) 𝜙

𝑖

=10%

(b) 𝜙

𝑖

=25%

(c) 𝜙

𝑖

=40%

Aggregate radius rag/a Aggregate radius rag/a 𝜎ag,G 𝜎ag √ using 𝐹( 5/3 𝑅g) using 𝐹(𝑟ag) 𝜎ag,coh 𝜎ag,coh

FIG. 4. (Color online) Averaged kraglimits, as a function of the aggregate size ranging for rag/a =5 to 9, for three compactnesses

φi= 10% (a), φi= 25% (b) and φi= 40% (c). The solid lines correspond to the limits of σag,cohcomputed using F



p5/3Rg



(crosses), and using F (rag) (squares). The dotted lines correspond to the limits of σag (diamonds) and σag,G (circles), both

computed using the modification of the radius in Fp5/3Rg



. Note that the curves marked with crosses and circles are superimposed in Figs. (a) and (b).

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(19)

Frequency (MHz) (a) 1 10 20 40 100 Ba cs cka tt eri ng c oe ffi ci ent (dB.m m -1.s r -1) 10-7 10-6 10-5 10-4 10-3 10-2 10-1 Frequency (MHz) (b) 1 10 20 40 100 BSCsim (rag/a=5) BSCsim (rag/a=7) BSCsim (rag/a=9)

(rag/a vary, 𝜙𝑖=40%, 𝜙=16%) (rag/a=7, 𝜙𝑖 vary, 𝜙=4%)

BSCEMTSFM

BSCsim (𝜙𝑖=10%)

BSCsim (𝜙𝑖=25%)

BSCsim (𝜙𝑖=40%)

BSCEMTSFM

FIG. 5. (Color online) Frequency dependent backscatter coefficients for various aggregate sizes and compactnesses. Symbols represent simulation results and lines represent theoretical BSCs computed using Eq. (17). (a) The volume fraction occupied by the cells in the medium is φ = 16% and the aggregate compactness is fixed to φi = 40%. Radii of aggregates vary from

rag/a = 5 to rag/a = 9. (b) The volume fraction occupied by the cells in the medium is φ = 4% and the aggregate size is fixed

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1 10 20 40 100 1 10 20 40 100 10-20 10-18 10-16 10-14 D iffe re nt ia l ba cks ca tte ri ng c ros s s ec tion of one c el l a ggre ga te (dB.m m -1.s r -1) 𝜎ag 𝜎ag,coh 𝜎ag,inc 𝜎ag 𝜎ag,coh 𝜎ag,inc Frequency (MHz) (a) 20 40 60 80 100 D im ens ionl es s F ac tors 10-10 10-5 100 𝐹(𝑘, 5/3𝑅g) 𝑆(𝑘,𝑎,𝜙𝑖) 𝑟ag/𝑎 = 6 𝜙𝑖 = 10% 𝑟ag/𝑎 = 6 𝜙𝑖 = 10% 𝑟ag/𝑎 = 6 𝜙𝑖 = 40% 𝑟ag/𝑎 = 6 𝜙𝑖 = 40% Frequency (MHz) (b) Frequency (MHz) (c) 𝐹(𝑘, 5/3𝑅g) 𝑆(𝑘,𝑎,𝜙𝑖) √ √

FIG. 6. (Color online) (a) Theoretical form factor Fk;p5/3Rg



and structure factor S(k; a, φi) computed as a function of

the frequency for two compactnesses φ = 10% and φi= 40% and aggregate size rag/a = 6. (b) and (c) Theoretical differential

backscattering cross sections of one cell aggregate σag, its coherent component σag,cohand incoherent component σag,inc, as a

Figure

FIG. 1. (Color online) Examples of two cell aggregates of radius r ag /a = 7, on the left with a compactness of φ i = 10%, and on the right with a compactness of φ i = 40%
FIG. 2. (Color online) Differential backscattering cross section of one cell aggregate of radius r ag /a = 6 and of compactness φ i = 0.3
FIG. 3. (Color online) Differential backscattering cross sec- sec-tions of one cell aggregate for different aggregate  compact-nesses
FIG. 4. (Color online) Averaged kr ag limits, as a function of the aggregate size ranging for r ag /a =5 to 9, for three compactnesses φ i = 10% (a), φ i = 25% (b) and φ i = 40% (c)
+3

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