Microbubble Cavitation Imaging

Ultrasound cavitation of microbubble contrast agents has a potential for therapeutic applications such as sonothrombolysis (STL) in acute ischemic stroke. For safety, efficacy, and reproducibility of treatment, it is critical to evaluate the cavitation state (moderate oscillations, stable cavitation, and inertial cavitation) and activity level in and around a treatment area. Acoustic passive cavitation detectors (PCDs) have been used to this end but do not provide spatial information. This paper presents a prototype of a 2-D cavitation imager capable of producing images of the dominant cavitation state and activity level in a region of interest. Similar to PCDs, the cavitation imaging described here is based on the spectral analysis of the acoustic signal radiated by the cavitating microbubbles: ultraharmonics of the excitation frequency indicate stable cavitation, whereas elevated noise bands indicate inertial cavitation; the absence of both indicates moderate oscillations. The prototype system is a modified commercially available ultrasound scanner with a sector imaging probe. The lateral resolution of the system is 1.5 mm at a focal depth of 3 cm, and the axial resolution is 3 cm for a therapy pulse length of 20 mu s. The maximum frame rate of the prototype is 2 Hz. The system has been used for assessing and mapping the relative importance of the different cavitation states of a microbubble contrast agent. In vitro (tissue-mimicking flow phantom) and in vivo (heart, liver, and brain of two swine) results for cavitation states and their changes as a function of acoustic amplitude are presented

Effects Of Attenuation And Thrombus Age On The Success Of Ultrasound And Microbubble-Mediated Thrombus Dissolution

The purpose of this study was to examine the effects of applied mechanical index, incident angle, attenuation and thrombus age on the ability of 2-D vs. 3-D diagnostic ultrasound and microbubbles to dissolve thrombi. A total of 180 occlusive porcine arterial thrombi of varying age (3 or 6 h) were examined in a flow system. A tissue-mimicking phantom of varying thickness (5 to 10 cm) was placed over the thrombosed vessel and the 2-D or 3-D diagnostic transducer aligned with the thrombosed vessel using a positioning system. Diluted lipid-encapsulated microbubbles were infused during ultrasound application. Percent thrombus dissolution (%TD) was calculated by comparison of clot mass before and after treatment. Both 2-D and 3-D-guided ultrasound increased %TD compared with microbubbles alone, but %TD achieved with 6-h-old thrombi was significantly less than 3-h-old thrombi. Thrombus dissolution was achieved at 10 cm tissue-mimicking depths, even without inertial cavitation. In conclusion, diagnostic 2-D or 3-D ultrasound can dissolve thrombi with intravenous nontargeted microbubbles, even at tissue attenuation distances of up to 10 cm. This treatment modality is less effective, however, for older aged thrombi. (E-mail: [email protected]) (C) 2011 World Federation for Ultrasound in Medicine & Biology

Diagnostic Ultrasound Induced Inertial Cavitation To Non-Invasively Restore Coronary And Microvascular Flow In Acute Myocardial Infarction

Ultrasound induced cavitation has been explored as a method of dissolving intravascular and microvascular thrombi in acute myocardial infarction. The purpose of this study was to determine the type of cavitation required for success, and whether longer pulse duration therapeutic impulses (sustaining the duration of cavitation) could restore both microvascular and epicardial flow with this technique. Accordingly, in 36 hyperlipidemic atherosclerotic pigs, thrombotic occlusions were induced in the mid-left anterior descending artery. Pigs were then randomized to either a) 1/2 dose tissue plasminogen activator (0.5 mg/kg) alone; or same dose plasminogen activator and an intravenous microbubble infusion with either b) guided high mechanical index short pulse (2.0 MI; 5 usec) therapeutic ultrasound impulses; or c) guided 1.0 mechanical index long pulse (20 usec) impulses. Passive cavitation detectors indicated the high mechanical index impulses (both long and short pulse duration) induced inertial cavitation within the microvasculature. Epicardial recanalization rates following randomized treatments were highest in pigs treated with the long pulse duration therapeutic impulses (83% versus 59% for short pulse, and 49% for tissue plasminogen activator alone; p \u3c 0.05). Even without epicardial recanalization, however, early microvascular recovery occurred with both short and long pulse therapeutic impulses (p \u3c 0.005 compared to tissue plasminogen activator alone), and wall thickening improved within the risk area only in pigs treated with ultrasound and microbubbles. We conclude that although short pulse duration guided therapeutic impulses from a diagnostic transducer transiently improve microvascular flow, long pulse duration therapeutic impulses produce sustained epicardial and microvascular re-flow in acute myocardial infarction

General Purpose Real-Time Object Tracking using Hausdorff Transforms

We describe a real-time computer-vision tracking module capable of using several Hausdorff distance based approaches to localize and match edge models in a scene. The implementation is based on widely supported software and hardware technologies such as Microsoft DirectX/DirectShow, Intel Image Processing and the Open Source Computer Vision libraries

Decay of scalar variance in isotropic turbulence in a bounded domain

The decay of scalar variance in isotropic turbulence in a bounded domain is investigated. Extending the study of Touil, Bertoglio and Shao (2002; Journal of Turbulence, 03, 49) to the case of a passive scalar, the effect of the finite size of the domain on the lengthscales of turbulent eddies and scalar structures is studied by truncating the infrared range of the wavenumber spectra. Analytical arguments based on a simple model for the spectral distributions show that the decay exponent for the variance of scalar fluctuations is proportional to the ratio of the Kolmogorov constant to the Corrsin-Obukhov constant. This result is verified by closure calculations in which the Corrsin-Obukhov constant is artificially varied. Large-eddy simulations provide support to the results and give an estimation of the value of the decay exponent and of the scalar to velocity time scale ratio

Training in critical care echocardiography

Echocardiography is useful for the diagnosis and management of hemodynamic failure in the intensive care unit so that competence in some elements of echocardiography is a core skill of the critical care specialist. An important issue is how to provide training to intensivists so that they are competent in the field. This article will review issues related to training in critical care echocardiography

Identification of snowfall microphysical processes from Eulerian vertical gradients of polarimetric radar variables

Polarimetric radar systems are commonly used to study the microphysics of precipitation. While they offer continuous measurements with a large spatial coverage, retrieving information about the microphysical processes that govern the evolution of snowfall from the polarimetric signal is challenging. The present study develops a new method, called process identification based on vertical gradient signs (PIVSs), to spatially identify the occurrence of the main microphysical processes (aggregation and riming, crystal growth by vapor deposition and sublimation) in snowfall from dual-polarization Doppler radar scans. We first derive an analytical framework to assess in which meteorological conditions the local vertical gradients of radar variables reliably inform about microphysical processes. In such conditions, we then identify regions dominated by (i) vapor deposition, (ii) aggregation and riming and (iii) snowflake sublimation and possibly snowflake breakup, based on the sign of the local vertical gradients of the reflectivity ZH and the differential reflectivity ZDR. The method is then applied to data from two frontal snowfall events, namely one in coastal Adélie Land, Antarctica, and one in the Taebaek Mountains in South Korea. The validity of the method is assessed by comparing its outcome with snowflake observations, using a multi-angle snowflake camera, and with the output of a hydrometeor classification, based on polarimetric radar signal. The application of the method further makes it possible to better characterize and understand how snowfall forms, grows and decays in two different geographical and meteorological contexts. In particular, we are able to automatically derive and discuss the altitude and thickness of the layers where each process prevails for both case studies. We infer some microphysical characteristics in terms of radar variables from statistical analysis of the method output (e.g., ZH and ZDR distribution for each process). We, finally, highlight the potential for extensive application to cold precipitation events in different meteorological contexts.</p

Oxidation of cellulose in pressurized carbon dioxide

This work presents first results upon oxidation of type II cellulose by nitrogen dioxide dissolved in carbon dioxide at high pressure. This reaction leads to oxidized cellulose, a natural-based bioresorbable fabric used for biomedical applications. The oxidation reaction takes place in a heterogeneous fluid–solid system. Kinetics of oxidation is presented here and effects of operating conditions such as pressure, temperature and initial moisture content of cellulose are investigated. Results are presented in terms of degree of oxidation of cellulose and quality of the final oxidized cellulose, which has been characterized using liquid-state and solid-state 13C NMR. The experimental results show the existence of possible secondary reactions which may lead to oxidized cellulose with insufficient mechanical strength. An attempt is made to evidence and understand the role of CO2 as a solvent in this system. Indeed, although supercritical CO2 appears to be a suitable candidate as a solvent for oxidation reactions, some inhibiting effect on nitrogen dioxide activity are observed in this case

SEARCH FOR NEUTRINO OSCILLATION AT BUGEY

The high flux of low energy [MATH]e produced by the core of a PWR reactor of Bugey power plant has been used to search for evidence of neutrino oscillations through the inverse beta decay reaction [MATH]e + p → e+ + n. Measurements have been performed at two distances (13.5 and 18.5m). About 50 000 [MATH]e events have been collected at the first position and 25 000 [MATH]e events at the second one. Data analysis is almost completed