Abstract. Phonoangiography, the quantitative analysis of sounds produced by blood flow, has been used to investigate local fluid motion in arteries narrowed by atherosclerosis. The sound spectra measured in vivo were found to be identical to those obtained in laboratory investigations of turbulent pipe flow. A theoretical model is proposed which: (a) quantitatively relates the in vivo and in vitro data, and (b) allows estimation of the clinically important parameters of arterial diameter, flow velocity, local turbulence intensity, and wall pressure fluctuations. The results of calculations using data from human subjects agree with known arterial diameters and blood flow velocities.Atherosclerosis is responsible for nearly half of all deaths in the United States,1 many from coronary heart disease in males in the 35-55 age group. Study of the atherosclerotic process in man has been difficult. Direct assessment of the state of arteries for diagnostic2 or investigative3 purposes by catheter angiography is expensive, uncomfortable for the patient, and involves risk of infection, bleeding, and arrhythmia. Conversely, epidemiologic studies,4-7 which measure the effect of diet on the incidence of complications of arteriosclerosis, require large numbers of patients and years of study, detect only the sequelae of the atherosclerotic process, not the process itself, and do so only after irreparable damage is done.Noninvasive methods must be developed to determine the site and extent of atherosclerotic narrowing and to monitor the state of coronary and peripheral arteries repeatedly and inexpensively for both individual and epidemiologic studies. The most successful noninvasive technique previously reported uses externally applied ultrasonic waves.8-9 Echoes originating at the blood-tissue interface are interpreted to yield the local vessel diameter; the local blood velocity may be inferred from the frequency shift of the ultrasound radiation scattered by the moving column of blood.9 It is extremely difficult in practice to extract sufficient quantitative information with this technique to determine the effective degree of occlusion of a stenosed artery or details of the local blood flow.We present here a brief analysis of arterial fluid mechanics and report initial studies with phonoangiography, which we define as quantitative analysis of the sound generated by blood flow.Fluid-mechanical origins of cardiovascular sounds: For over 200 years, 935