Method and apparatus for mapping pressure and tissue properties

• US 5,749,364 A
• Filed: 06/21/1996
• Issued: 05/12/1998
• Est. Priority Date: 06/21/1996
• Status: Expired due to Term

• Current Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Original Assignee: Acuson Corporation (Siemens AG)
• Inventors: Hanafy, Amin M., Jung, Michelle L., Chandler, Paul E., Napolitano, David J., Sliwa, John W. Jr.
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US08/667,765
• Time in Patent Office: 690 Days
• Field of Search: 128/660.02, 128/662.02, 128/774, 128/672, 128/713, 424/9.5, 424/9.51, 424/9.52
• US Class Current: 600/438
• CPC Class Codes: A61B 8/04 Measuring blood pressure
• CPC Class Codes: A61B 8/08 Detecting organic movements or changes, e.g. tumours, cysts, swellings A61B8/02 - A61B8/06 take precedence
• 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

Abstract

The invention disclosed relates to a novel method of mapping and presenting fluid pressure information within a living body utilizing changes in acoustic behavior of microbubbles situated in a bodily fluid such as blood. Differences in the returned acoustic spectra from the microbubbles are related by an algorithm to fluid pressure which is colorized and presented in a manner similar to Doppler imaging. In a further aspect of the invention, the work output of an organ such as the heart may computed from the blood pressure information in association with flow information obtained through Doppler related imaging, which then, is presented in a colorized fashion. In a still further aspect, an improved method of assessing the health of tissue is disclosed utilizing changes in the acoustic spectra of microbubbles infused in the tissue in response to palpitation.

Claims

1. A method of mapping and presenting a fluid pressure parameter in a living body comprising the steps of:

introducing microbubbles into said body;

applying ultrasound waves to the body wherein returned waves from the microbubbles contribute to the formation of an acoustic spectrum associated with the microbubbles;

determining a fluid pressure parameter in response to at least one characteristic of the acoustic spectrum; and

mapping the fluid pressure parameter in at least two dimensions.

2. A method according to claim 1 wherein the microbubbles are introduced into the body such that they are suspended in a natural body fluid.

3. A method according to claim 2 wherein said fluid is one of blood, urine, brain-case fluid, placental fluid, and spinal fluid.

4. A method according to claim 1 wherein the fluid pressure parameter is a function of blood pressure.

5. A method according to claim 1 wherein the presented pressure parameter is colorized in accordance with a color scale relating to pressure.

6. A method according to claim 5 wherein said colorization relates to the pressure in a monotonic manner.

7. A method according to claim 1 wherein said characteristic includes any one of a phase, an amplitude, and a frequency.

8. A method according to claim 1 wherein the mapping step further comprises mapping temporal changes in at least one characteristic of the spectrum.

9. A method according to claim 8 wherein the mapping is accomplished by color coding.

10. A method according to claim 1 wherein the mapping step further comprises mapping spatial changes in at least one characteristic of the spectrum.

11. A method according to claim 1 further comprising the steps of computing the energy output of the heart from said pressure parameter in association with flow information obtained using Doppler techniques and displaying a colorized representation of the energy.

12. A method according to claim 1 comprising in the mapping step, representing dynamically changing pressure in the heart and associated regions during a heartbeat cycle.

13. A method according to claim 1 wherein said microbubbles further provide contrast enhancement for improved B-mode and Doppler related images.

14. A method according to claim 1 wherein said presented pressure information is displayed in association with any one of B-mode and Doppler-related ultrasound images.

15. A method according to claim 1 wherein the microbubbles are introduced into the body by one of oral and intravenous methodologies, whereby said microbubbles are comprised, at least in part, of any one of biocompatible gas, gel, and polymer material.

16. A method according to claim 1 wherein at least one of the mean pressure, maximum pressure, minimum pressure, and pressure swing is measured, recorded, and presented for at least one spatial point.

17. A method according to claim 16 wherein said colorization comprises a color scale relating color to at least one pressure-related parameter.

18. A method according to claim 1 wherein the returned waves are at least one of reflected waves or harmonically excited waves.

19. A method according to claim 1 wherein at least one pressure measurement is taken from the body using conventional means, and is used to calibrate pressure readings derived from said bubbles.

20. A method according to claim 1 wherein the characteristic includes any one of:

relative amplitudes of two or more harmonic peaks;

relative amplitudes of at least one harmonic peak; and

a characteristic in the primary spectrum.

21. A method according to claim 1 wherein the microbubbles introduced into the body are comprised of least two microbubble population types, each microbubble type having a distinct acoustic spectrum that contributes to combined spectra used to compute pressure within said body, said pressure being mapped, recorded, or presented in at least two dimensions.

22. A method of mapping and graphically presenting in at least two dimensions the hydraulic work performed by or on a bodily organ or vasculature comprising the steps of:

introducing microbubbles into a living body such that the microbubbles enter the organ or vasculature;

applying ultrasound waves to the body wherein returned waves from the microbubbles contribute to the formation of an acoustic spectrum associated with the microbubbles; and

determining a pressure parameter in response to at least one characteristic of the acoustic spectrum;

wherein said hydraulic work is computed from, at least in part, a product of pressure parameter and flow information obtained using Doppler-related techniques.

23. A method according to claim 22 wherein the bodily organ is a heart.

24. A method according to claim 22 wherein the bodily organ is a liver.

25. A method according to claim 22 wherein the bodily organ is a kidney.

26. A method according to claim 22 wherein the work is recorded on a recordable media.

27. A method according to claim 22 wherein the work performed is colorized in at least two dimensions that depicts areas of relatively higher work output as represented in red and areas of relatively low work output represented in blue and intermediate work output is represented by gradations in between red and blue.

28. A method according to claim 22 wherein the hydraulic work is at least one of presented, recorded and displayed in association with any one of B-mode and Doppler-mode ultrasound images.

29. A method according to claim 22 wherein a representation of work is presented and depicted in a static three dimensional colorized fashion.

30. A method according to claim 22 wherein a representation of work is presented and depicted in a dynamic three dimensional colorized fashion.

32. A method according to claim 22 wherein the condition of circulatory system is assessed from the work output of the heart.

33. A method according to claim 22 wherein the microbubbles introduced into the body are comprised of least two microbubble population types, each microbubble type having a distinct acoustic spectrum that contributes to combined spectra used to compute pressure within said body, said pressure being mapped, recorded, or presented in at least two dimensions.

31. A method according to 22 wherein microbubble behavior is observed in a time period of a blood pressure cycle.

34. A method of assessing the health of bodily organs, vasculature, or bodily tissue comprising the steps of:

introducing microbubbles into the body;

applying high frequency sound waves to the region to be examined thereby causing an acoustic spectrum to be returned from the microbubbles;

determining pressure changes in response to at least one characteristic of the returned acoustic spectrum of microbubbles infused in said organs and tissue, wherein differences in the spectral characteristics of the microbubbles are used to assess the presence of abnormalities in the examined region and are displayed in at least a two dimensional mapping for presentation to the user.

35. A method according to 34 wherein the characteristics are comprised of changes of at least one of:

a microbubble resonant frequency;

a microbubble harmonic frequency;

reflective power;

degree of contrast; and

amplitude and phase angle.

36. A method according to 34 wherein the presence of abnormalities is presented in a colorized fashion wherein the state of health is depicted as:

areas that contain no abnormalities are represented in blue;

areas containing abnormalities are represented in red; and

areas containing varying degrees of abnormalities are represented as a gradation between red and blue in accordance to the degree.

37. A method according to 34 wherein the mapped representation of the health of the organ, vasculature, or tissue is presented in conjunction with other ultrasound imaging modalities.

38. A method according to 34 wherein spectral characteristic is observed in a time period during the influence of an external probing low frequency wave applied to the region being examined.

39. A method according to 34 wherein spectral characteristic is observed in a time period after the influence of an external low frequency wave applied to the region being examined.

40. A method of detecting one of tumors, lesions, or abnormal growths in a human body comprising the steps of:

introducing microbubbles into a region of the body to be examined, wherein said microbubbles infuse into both healthy tissue and tumor tissue;

applying high frequency sound waves to the region to be examined thereby causing an acoustic spectrum to be returned from the microbubbles;

applying an external low frequency pressure wave to the region to be examined;

monitoring at least one characteristic of the acoustic spectrum of said microbubbles in response to the applied external compressional wave; and

ascertaining the presence of tumors, lesions, or abnormal growths from changes in the spectral characteristics between the healthy tissue and tumor tissue.

41. A method of detecting tumors according to claim 40 wherein the high frequency sound waves are applied through an ultrasound imaging transducer probe.

42. A method of detecting tumors according to claim 40 wherein the external pressure wave is a compressional wave or wave train.

43. A method of detecting tumors according to claim 40 wherein the external pressure wave is a tensional wave or wave train.

44. A method of detecting tumors according to claim 42 wherein the external compressional wave is applied through an external transducer probe.

45. A method of detecting tumors according to claim 42 wherein the external compressional wave is created by an examiner'"'"'s hand.

46. A method of detecting tumors according to claim 40 wherein pressure experienced by the microbubbles is computed and presented to the examiner to assess the properties of the growth.

47. A method of detecting tumors according to claim 40 wherein the changes in acoustic spectral characteristics are represented and displayed in a colorized fashion.

48. A method of detecting tumors according to claim 47 wherein the colorized display is depicted in conjunction with ultrasound B-mode and Doppler images.

53. A method of detecting tumors according to claim 40 wherein the microbubbles introduced into the body are comprised of least two microbubble population types, each microbubble type having a distinct characteristics that contributes to combined spectrum wherein the presence of tumors, lesions, or abnormal growths is ascertained from changes in the combined spectral characteristics.

54. A method according to claim 53 wherein said microbubbles are comprised, at least in part, of any one of biocompatible gas, gel, and polymer material.

49. A method according to 40 wherein the probing low frequency wave operates in cooperation with ultrasound imaging such that the images are sampled at specific times during or related to the probing excitation cycle.

50. A method according to 40 wherein the external static compressional wave is caused by the infusion of a liquid or gas into the region being examined resulting in probing pressure changes.

51. A method according to 50 wherein the infusion of said liquid includes microbubbles.

52. A method according to 51 wherein said liquid is injected via one of a syringe and a catheter.