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Chapter 17
Harmonics and Contrast Agents
14
Physics
Undergraduate 3
10/10/2018

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Term
Harmonic Imaging
Definition
Creating an image from sound reflections at twice the transmitted frequency of the sound
Term
Fundamental Frequency
Definition
Frequency of the transmitted sound wave
Term
Harmonic Frequency
Definition

Twice the fundamental frequency

 

Aka second harmonic

Term
Nonlinear Behavior
Definition

Irregular or disproportionate behavior; modeled equation does not progress in a straight path

 

1) As sound waves travel into the body, a miniscule amount of energy is converted from the fundamental frequency to the harmonic frequency; created during transmission

 

2) Weak sound beams do not create harmonics; intermediate = miniscule amount; strong sound beams = significant harmonics (created along beam's main axis; fewer artifacts/side lobes/grating lobes)

Term
Gradual Signal Development
Definition

Strength of the tissue harmonic signal builds up as the wave travels deeper into the tissues then dies down

 

Tissue harmonics don't exist at superficial depths (increases signal to noise ratio)

 

 

Term
Physical Origin of Tissue Harmonics
Definition
Sound propagation in tissue -> sound wave distortion -> tissue harmonics
Term
Pulse Inversion Harmonic Imaging
Definition

A form of harmonic imaging where positive and negative pulses are transmitted down each scan line

 

Deconstructive interference in fundamental frequency

 

Constructive interference in harmonic frequency

 

Disadvantage: frame rate is 1/2 that of fundamental imaging; pulses inversion imaging degrades temporal resolution

 

Advantage: Improves image accuracy

Term
Power Modulation Harmonic Imaging
Definition

Sends one weak pulse (no harmonic frequency) and then one strong pulse down each scan line 

 

During reception, reflections of the first pulse are doubled then subtracted from the second pulse, canceling out the fundamental frequencies

 

Only the harmonic portion of the second pulse remains

Term
Contrast Agents
Definition

Substances used to enhance the contrast of structures or fluids within the body in medical imaging via microbubbles

 

Have different acoustic fingerprint than blood or tissue

 

Can be injected or ingested

 

Commonly used to enhance visibility of blood vessels and GI tract

 

Must be safe, metabolically inert, long lasting, strong reflector, and small enough to pass through capillaries

Term
Contrast Harmonics
Definition

Created by microbubbles that act in non-linear manner when struck by sound waves (resonance)

 

Bubbles grow greater than they shrink when interacting with a strong beam

 

Created during reflection 

 

Peak rarefaction pressure is most important

Term
Mechanical Index (MI)
Definition

= peak rarefaction pressure ÷ √F

 

Amount of estimated contrast harmonics

 

Increases with lower frequency sound and stronger sound waves

 

Nonlinear relationship between harmonic creation

Term
Mechanical Index Ranges
Definition

Low beams <0.1 -> do not create harmonics

 

Intermediate beams 0.1-1.0 -> small amount of harmonics

 

High beams >1.0 -> create substantial harmonics; bubbles may expand and break apart

Term
Ultrasound Contrast Agent Characteristics: Nature of Outer Shell
Definition

Trap gas and increase life of bubbles

 

Bubbles vanish quickly without

 

Flexible so can change shape without fracturing

Term
Ultrasound Contrast Agent Characteristics: Nature of Gas in Microbubble
Definition

Determines stability

 

Smaller molecules more likely to leak -> shrinkage

 

Larger molecules makes shell less permeable so molecules remain trapped

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