Method of enhancing and prolonging the effect of ultrasound contrast agents

• US 5,735,281 A
• Filed: 08/09/1996
• Issued: 04/07/1998
• Est. Priority Date: 08/09/1996
• Status: Expired due to Term

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Hewlett-Packard Company (HP Inc.)
• Inventors: D'Sa, Alwyn P., Rafter, Patrick G., Gatzke, Ronald D.
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US08/695,267
• Time in Patent Office: 606 Days
• Field of Search: 128/660.01, 128/660.07, 128/662.02, 424/9.1, 424/9.32, 424/9.321
• US Class Current: 600/458
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 8/481 involving the use of contrast agent, e.g. microbubbles introduced into the bloodstream analysis of echo signal exploiting properties of a contrast enhancer in devices for short-range imaging with acoustic waves G01S7/52039
• CPC Class Codes: A61B 8/543 involving acquisition triggered by a physiological signal
• CPC Class Codes: G01S 15/8988 Colour Doppler imaging
• CPC Class Codes: G01S 7/52038 involving non-linear properties of the propagation medium or of the reflective target

Abstract

Ultrasound energy has been observed to rapidly destroy a large quantity of microbubbles. The duration and intensity of the contrast effect is greatly diminished by conventional imaging frame rates and power levels. Altering the imaging sequence by strategically shooting ultrasound image frames at various transmit powers and reducing the number of transmit lines per frame allows for enhancement of the contrast effect (increasing maximum intensity and duration).

Claims

1. A method for enhancing and prolonging the effect of ultrasound contrast agents comprising the steps of:

introducing an ultrasound contrast agent into a patient;

applying a high power stimulus each period to generate a high power stimulus image;

receiving and processing the high power stimulus image;

applying M (M≧

0) low power stimuli each period to generate multiple low power stimulus images; and

receiving and processing the multiple low power stimulus images.

2. A method of enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 1, wherein the high power stimulus begins each period.

3. A method of enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 2, wherein the high power stimulus is synchronized to the patient'"'"'s EGG and the period duration is N (N≧

1) cardiac cycles.

4. A method of enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 3, wherein the period is gated by the respiration signal of the patient.

5. A method of enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 2, wherein each subsequent period is incrementally delayed from an EGG synchronized trigger and the trigger occurs every N (N≧

1) cardiac cycles.

6. A method of enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 5, wherein the EGG synchronized trigger is further gated off the patient'"'"'s respiration signal.

7. A method of enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 2, wherein a series of periods is synchronized to an EGG based trigger and the trigger occurs every N (N≧

1) cardiac cycles.

8. A method of enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 7, wherein each period duration is a fixed fractional number of cardiac cycles for the series.

9. A method of enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 8, wherein the series is further gated by a respiration signal.

10. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 9, wherein N=1 cardiac cycle.

11. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 10, wherein the number of low power frames, M=0.

12. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 8, wherein the series consists of two periods, with one period beginning at end-diastole and the second period beginning at end systole.

13. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 8, wherein N=1 cardiac cycles.

14. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 13, wherein the number of low power frames, M=0.

15. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 1, wherein the low power stimulus is ≧

3 dB down from the high power stimulus.

16. A method enhancing and prolonging the effect of ultrasound contrast agents comprising the steps of:

introducing an ultrasound contrast agent into a patient;

applying Q (Q≧

1) high power stimuli each period to destroy the contrast agent and to generate multiple high power stimulus baseline images;

receiving and processing the multiple high power stimulus baseline images;

applying M (M≧

0) low power stimuli each period to generate multiple low power stimulus images;

receiving and processing the multiple low power stimulus images;

applying an additional high power stimulus in the same period which is delayed relative to the Q high power stimuli;

receiving and processing the second high power stimulus image;

applying a second group of S (S≧

0) low power stimuli each period to generate multiple low power stimulus images; and

receiving and processing the multiple low power stimulus images.

17. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 16, wherein a period is a sequence beginning with Q (Q≧

1) multiple high power stimuli followed by M (M≧

0) low power stimuli, subsequently followed by one high power stimulus, and ending with S (S≧

0) low power stimuli, with the period synchronized to a specific point of the ECG and having a duration of N (N≧

1) cardiac cycles and wherein a stimulus is a group of transit lines forming an image.

18. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 17, wherein the second high power stimulus is incrementally delayed relative to the first Q high power stimuli.

19. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 18, wherein the sequence is further gated by a respiration signal.

20. A method enhancing and prolonging the effect of ultrasound contrast agents, as defined in claim 18, wherein the low power stimulus is ≧

3 dB down from the high power stimulus.