Method to measure ambient fluid pressure

• US 6,224,554 B1
• Filed: 03/31/1999
• Issued: 05/01/2001
• Est. Priority Date: 03/31/1999
• Status: Expired due to Fees

• Current Assignee: University of Pittsburgh of The Commonwealth System of Higher Education
• Original Assignee: POINT Biomedical Corporation
• Inventors: Tickner, E. Glenn, Conston, Stanley R.
• Primary Examiner(s): Jaworski, Francis J.
• Application Number:
  US09/282,514
• Time in Patent Office: 762 Days
• Field of Search: 600/437, 600/438, 600/458, 73/1.85
• US Class Current: 600/438
• CPC Class Codes: A61B 8/04 Measuring blood pressure
• 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

A method is provided for measuring real time ambient pressure at a region of interest in a fluid-filled body cavity by introducing into the cavity a composition of gas-containing microbubbles having a predetermined fragility threshold correlating to the rupture response of their capsules to the ambient fluid pressure and/or applied acoustic pressure. An ultrasonic signal is applied at the region of interest at a power level sufficient to destroy the microbubble population having a fragility threshold below the applied power level. The ultrasound backscatter response is detected from the population of intact and disintegrating microbubbles remaining at the region of interest and this backscatter signal is correlated to predetermined acoustic response properties to determine the ambient pressure at the region of interest.

Claims

1. A method for measuring ambient pressure at a region of interest in a fluid-filled body cavity or vessel comprising the steps of:

(a) introducing into said cavity or vessel a composition of gas-containing microbubbles, said microbubbles having a predetermined fragility threshold, said fragility threshold correlating the disintegration response of said microbubbles to a combination of fluid and applied acoustic pressure, said acoustic pressure being applied from an ultrasonic energy producing source and said composition having predetermined acoustic response properties correlating to ambient pressure of a surrounding fluid;

(b) applying an ultrasonic signal at said region of interest within said cavity or vessel at a power level sufficient to cause acoustic pressure to disintegrate a microbubble population, said power level being above or equal to said predetermined fragility threshold;

(c) detecting the returned acoustic signals backscattered from the population of disintegrating and intact microbubbles remaining at said region of interest;

(d) correlating said returned acoustic signals to said predetermined acoustic response properties of said composition to determine said ambient pressure at said region of interest;

(e) repeating steps (a)-(b).

2. A method according to claim 1 further comprising the step of displaying said correlation on a monitor of an ultrasound scanner.

3. A method according to claim 1 wherein said microbubbles are characterized by having a shell comprising one or more layers.

4. A method according to claim 3 wherein in step (a) the predetermined fragility of each of said microbubbles is controlled by selecting the thickness of one or more layers of the shell.

5. A method according to claim 3 wherein in step (a) the predetermined fragility threshold of said microbubbles is controlled through the use of materials in the shell of differing moduli of elasticity.

6. A method according to claim 3 wherein in step (a) the predetermined fragility threshold of said microbubbles is controlled through use of materials in the shell of differing molecular weight.

7. A method according to claim 3 wherein in step (a) the predetermined fragility threshold of said microbubbles is controlled through use of materials in the shell of differing hoop strength.

8. A method according to claim 3 wherein in step (a) the disintegration response of said microbubbles approximates a step function at one or more pressure levels.

9. A method according to claim 1 wherein said gas in said microbubbles comprises physiologically acceptable gas.

10. A method according to claim 9 wherein said gas comprises nitrogen.

11. A method according to claim 9 wherein said gas comprises air.

12. A method according to claim 9 wherein said gas comprises a fluorocarbon compound.

13. A method according to claim 1 wherein said composition is introduced into said cavity as a bolus.

14. A method according to claim 1 wherein said composition is introduced to said cavity as a controlled rate infusion.

15. A method according to claim 1 wherein in step (a) the disintegration response is a linear relationship with ambient pressure in combination with constant ultrasound pressure.

16. A method according to claim 1 wherein said step of applying an ultrasonic signal and said step of detection are accomplished with an ultrasound imaging system.

17. A method according to claim 16 wherein the returned acoustic signals of said microbubbles is detected utilizing B-mode harmonic imaging methods.

18. A method according to claim 16 wherein the returned acoustic signals of said microbubbles is detected utilizing power Doppler decorrelation imaging methods.

19. A method according to claim 18 wherein the ambient fluid pressure is determined by comparing the intensity of the returned power Doppler decorrelation signal and the predetermined acoustic response properties of said microbubbles.

20. A method according to claim 19 wherein the ambient fluid pressure result is displayed in real time.

21. A method according to claim 19 wherein the ambient fluid pressure result is displayed as a greyscale map of ambient pressure within said body cavity. map of ambient pressure.

22. A method according to claim 19 wherein the ambient fluid pressure result is displayed as a color map of ambient pressure within said body cavity.

23. A method according to claim 22 wherein the colors of the color map are coded to the amplitude of the ambient pressure.

24. A method according to claim 19 wherein the results are displayed as a map of ambient pressure and correlated to a predetermined electrocardiogram of the subject to display pressure as a function of time point within the cardiac cycle.

25. A method according to claim 1 wherein said composition comprises two or more population of microbubbles of differing fragility thresholds.

26. A method according to claim 1 wherein the response of said microbubbles is detected by way of interrogation with an ultrasound signal of a first low power signal to establish a baseline and a second higher power signal to disintegrate the microbubble population whose fragility threshold is below said second power level and with a subsequent third high power signal to measure the resultant signal.

27. A method according to claim 25 wherein the ultrasound signal comprises a single pulse train wherein the two differing power levels are produced such that a first low power pulse is sent at the beginning of said pulse train and second and third high power pulses at the middle and the end of said pulse train, respectively.

28. A method according to claim 25 wherein the ultrasound signal comprises two or more pulse trains wherein the first pulse train is of low power and subsequent pulse trains are of higher power.

29. A method according to claim 25 wherein the ultrasound signal comprises three or more pulse trains wherein the first pulse train is of low power and each subsequent pulse train is of consecutively higher power than the previous pulse train.

30. A method according to claim 26 wherein the backscatter intensity from said microbubbles from the first low power signal is recorded as a baseline value.

31. A method according to claim 30 wherein the backscatter intensity from the third high power signal is subtracted from said baseline to yield a difference value.

32. A method according to claim 31 wherein the difference value is compared to experimental reference values to measure ambient fluid pressure.

33. A method according to claim 31 wherein the ambient fluid pressure measurement is repeated and results are displayed on the screen of an ultrasound scanner associated with the defined region of interest.

34. A method according to claim 26 wherein the second high power signal is at a power level above the fragility threshold of one or more populations of said composition.

35. A method of determining the fragility thresholds of a plurality of populations of microbubbles and correlating said thresholds to ambient pressures at rupture surrounding said microbubbles comprising the steps of:

a) determining the fragility slope of each said population from respective curves, said curves determined by measuring acoustic density as each of said population as it is acoustically interrogated along a channel versus distance along said channel;

b) determining fragility curves by plotting each of said fragility slopes versus mechanical index, a measure of the acoustic power used to interrogate each said population;

c) identifying the intercept of substantially linear portions of each of said fragility curves at zero fragility slope as the mechanical index at the threshold fragility for each said population;

d) correlating each of said mechanical indices at the threshold fragility to an ambient pressure from a predetermined mechanical index-to-pressure relationship.

36. The method according to claim 35 wherein said fragility slopes are determined for a plurality of populations of microbubbles having differing wall thickness.

37. The method according to claim 35 wherein said fragility slopes are determined for a plurality of populations of microbubbles having differing moduli of elasticity.

38. The method according to claim 35 wherein said fragility slopes are determined for a plurality of populations of microbubbles having materials of differing molecular weight.

39. The method according to claim 35 wherein said fragility slopes are determined for a plurality of populations of microbubbles having materials of differing hoop strength.

40. The method according to claim 35 wherein said fragility curves are determined for a plurality of populations of microbubbles having differing wall thickness.

41. The method according to claim 35 wherein said fragility curves are determined for a plurality of populations of microbubbles having differing moduli of elasticity.

42. The method according to claim 35 wherein said fragility curves are determined for a plurality of populations of microbubbles having materials of differing molecular weight.

43. The method according to claim 35 wherein said fragility curves are determined for a plurality of populations of microbubbles having materials of differing hoop strength.