-Noninvasive pressure estimation within the heart cavities or coronary arteries is essential for providing information on blood perfusion and viability of the organ. Some ultrasound contrast agents (UCA) are particularly well suited for pressure measurements because pressure changes affect the reflectivity of the microbubbles after their injection. In-vitro experiments were conducted with UCA (Optison) using 2.0 MHz ultrasound pulses. Preliminary results indicate that, over the pressure range of 0-210 mmHg, the rate (slope) of decline as a function of time, of the amplitudes of the first and second harmonics and that of the sub-harmonic, may be a suitable parameter for estimation of the hydrostatic pressure changes. The difference between the amplitude of the first harmonic and that of the sub-harmonic stays almost constant throughout specific time window, thus demonstrating a good and stable correlation with the hydrostatic pressure.Keywords -Noninvasive, Hydrostatic pressure, Ultrasound, Contrast agent
I. INTRODUCTIONThe problem of noninvasive pressure estimation using ultrasound contrast agents (UCA) is studied here. The blood pressure measurement in heart cavities, in internal organs or in the peripheral vascular system is very important because these are the locations where the pressure needs to be known. It also allows calculation of the flow through valves, stenosed arteries, etc., and it provides essential information about the blood perfusion of the given organ. Currently such pressure measurements are invasive. The possibility of exploiting particular properties of UCA as a tool for noninvasive pressure estimation seems to be promising [1], [2]. Current investigations in this field use the assumption that changes of the ambient pressure alter significantly the bubble dimensions; consequently their resonant frequency is changed, resulting in changes in the characteristics of backscattered signal. Using harmonic and sub-harmonic frequencies instead of resonant original frequency, allows to exclude artifacts from the surrounding media and to improve signal-to-noise ratio [3].The current paper conducts comparative analysis of the pressure sensitivity of some UCA, using computer simulation. It also evaluates the parameter best correlated to the ambient pressure, using both computer simulation and 'in-vitro' experiments. The particular problem discussed here is how to avoid the UCA backscatter time dependence, so that hydrostatic pressure can be estimated.
II. METHODSThe aim of the current work was to assess the sensitivity of different UCA to ambient pressure changes and determine the particular properties that may make the UCA perform as 'pressure sensors'.
1) Simulation studies4 kinds of UCA micro-bubbles (air, Albunex, octafluoropropane, Optison) were compared for their pressure sensitivity, by studying the following features: frequency shift, first harmonic amplitude, second harmonic amplitude, the sub-harmonic amplitude and its threshold, "sub-harmonic to the first harmonic" and "sub-harmonic ...