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Intraglottal pressure distributions depend upon glottal shape, size, and diameter. This study reports the effects of varying glottal angle on intraglottal and transglottal pressures using a three-dimensional Plexiglas model with a glottis having nine symmetric glottal angles and a constant minimal glottal diameter of 0.06 cm. The empirical data were supported by computational results using FLUENT. The results suggested that (1) the greater the convergent glottal angle, the greater outward driving forces (higher intraglottal pressures) on the vocal folds; (2) flow resistance was greatest for the uniform glottis, and least for the 10 degrees divergent glottis; (3) the greatest negative pressure in the glottis and therefore the greatest pressure recovery for diverging glottal shapes occurred for an angle of 10 degrees; (4) the smaller the convergent angle, the greater the flow resistance; (5) FLUENT was highly accurate in predicting the empirical pressures of this model; (6) flow separation locations (given by FLUENT) for the divergent glottis moved upstream for larger flows and larger glottal angles. The results suggest that phonatory efficiency related to aerodynamics may be enhanced with vocal fold oscillations that include large convergent angles during glottal opening and small (5 degrees - 10 degrees) divergent angles during glottal closing.

The acoustic posterior shadowing effects of bubbles influence the accuracy for defining the location and range of ablated thermal lesions during focused ultrasound surgery when using ultrasonic monitoring imaging. This paper explored the feasibility of using Nakagami distribution to evaluate the ablated region induced by focused ultrasound exposures at different acoustic power levels in transparent tissue-mimicking phantoms. The mean value of the Nakagami parameter m was about 0.5 in the cavitation region and increased to around 1 in the ablated region. Nakagami images were not subject to significant shadowing effects of bubbles. Ultrasound-induced thermal lesions observed in the photos and Nakagami images were overshadowed by bubbles in the B-mode images. The lesion size predicted in the Nakagami images was smaller than that predicted in the photos due to the sub resolvable effect of Nakagami imaging at the interface. This preliminary study on tissue-mimicking phantom suggested that the Nakagami parameter m may have the potential use in evaluating the formation of ultrasound-induced thermal lesion when the shadowing effect of bubbles is strong while the thermal lesion was small. Further studies in vivo and in vitro will be needed to evaluate the potential application.

As a multiparametric functional imaging technique, these improvements in the proposed scheme can be beneficial to accurately quantify and depict the hemodynamic perfusion features and details of tumor angiogenesis, and further can also assist clinicians in making a confirmed diagnosis.

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