PubMed · 10750184
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W O Robertson. 2000. A needed technical fix?. https://pubmed.ncbi.nlm.nih.gov/10750184/
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We sought to propose a simplified method to measure flow velocity based on ultrasonic microbubble destruction, and investigated the effect of microbubble shell fragility on such measurement. Acoustic density (AD) from the second harmonic short axis image of flow was obtained at variable velocities (2 to 73 mm/s) in an in vitro model during long (1000 ms) and short (33 ms) interval ultrasound (US) pulsing, allowing complete and partial microbubble replenishment between pulses, respectively. Microbubbles with shell elastic modulus of 0.4 MPa and 16 MPa were tested. By shortening pulsing interval, AD diminished gradually, rather than abruptly, to a plateau level for both microbubbles. The extent of AD decay was greater for the fragile than the strong microbubbles. A linear relationship existed between the magnitude of AD decay and flow velocity only in the higher and lower velocity range for the fragile and the strong microbubbles, respectively. Thus, difference in contrast intensities during long and short pulsing intervals, respectively, allowing complete and partial replenishment may provide for velocity measurement, in which choice of optimal microbubble fragility for the range of velocity to measure may increase the accuracy.
Coded excitation with compression on receive is used in medical ultrasound (US) imaging to increase signal-to-noise ratio (SNR) and penetration depth. We performed a computer simulation study to investigate if chirped pulse excitation can be applied in US contrast agent imaging to increase SNR and contrast-to-tissue ratio (CTR) and, thus, reduce contrast agent destruction and tissue harmonics. A new nonlinear compression technique is proposed that selectively compresses the second harmonic component of the response. We compared a chirp of 9.4-micros duration, 2-MHz centre frequency, 45% relative bandwidth to a Gaussian pulse with equal centre frequency and bandwidth. For peak pressures between 50 and 300 kPa, we found for resonant bubbles an increase in response between 10 and 13 dB. Moreover, the axial resolution after compression was comparable to axial resolution of conventional imaging. This effect was relatively insensitive to peak excitation pressure and was largest for bubbles having resonance frequency around the centre frequency of the excitation.
The diagnosis of unclear bleeding in the small bowel remains a gastroenterological problem. To date, the diagnostic approach routinely employed has been roentgen Sellink. With such newer techniques as magnetic resonance tomography (MRT) substantially more diagnostic information can now be obtained. A recent new development is capsule endoscopy, which is intended for use when conventional endoscopic examinations fail to identify the source of bleeding. Using this new option in the Ludwigshafen Klinikum the small bowel lesions were discovered in 81% of the 26 patients in whom they had been previously remained undetected. At present, the patients have to bear the cost of this examination themselves.