Method to measure ambient fluid pressure

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.

What is claimed is:  
     
         1 . A method for measuring real time pressure at a region of interest in a fluid-filled body cavity comprising the steps of: 
 (a) introducing into said cavity a composition of gas-containing microbubbles, said microbubbles having a predetermined fragility threshold, said fragility threshold correlating the rupture response of their capsule to fluid pressure, applied acoustic pressure, or a combination of fluid and applied acoustic pressures, said acoustic pressure being applied from an ultrasonic energy producing source and said microbubble composition having predetermined acoustic response properties correlating to ambient pressure of a surrounding fluid;    (b) applying an ultrasonic signal at said region of interest at a power level sufficient to cause acoustic pressure sufficient to destroy the microbubble population having a fragility threshold below said power level;    (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 microbubble composition to determine said ambient pressure at said region of interest.    
     
     
         2 . A method according to    claim 1    further comprising the steps of displaying said correlation on a monitor of an ultrasound scanner.  
     
     
         3 . A method according to    claim 1    wherein said composition comprises of one or more layers.  
     
     
         4 . A method according to    claim 1    wherein said microbubbles contain a physiologically acceptable gas.  
     
     
         5 . A method according to    claim 4    wherein said gas is nitrogen.  
     
     
         6 . A method according to    claim 4    wherein said gas is air.  
     
     
         7 . A method according to    claim 4    wherein said gas is a fluorocarbon compound.  
     
     
         8 . A method according to    claim 1    wherein said composition is introduced into said cavity as a bolus.  
     
     
         9 . A method according to    claim 1    wherein said composition is introduced to said cavity as a controlled rate infusion.  
     
     
         10 . A method according to    claim 1    wherein the fragility th reshold of said microbubbles is controlled by selecting the thickness of one or more walls of the capsule.  
     
     
         11 . A method according to    claim 1    wherein the fragility threshold of said microbubbles is controlled through use of materials of differing moduli of elasticity.  
     
     
         12 . A method according to    claim 1    wherein the fragility threshold of said microbubbles is controlled through use of materials of differing molecular weight.  
     
     
         13 . A method according to    claim 1    wherein the fragility threshold of said microbubbles is controlled through use of materials of differing hoop strength.  
     
     
         14 . A method according to    claim 1    wherein the rupture response of said microbubbles approximates a step function at one or more pressure levels.  
     
     
         15 . A method according to    claim 1    wherein the rupture 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 response of said microbubbles is detected utilizing B-mode harmonic imaging methods.  
     
     
         18 . A method according to    claim 16    wherein the response 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 quantity or intensity of decorrelation events and the known response of said microbubbles.  
     
     
         20 . A method according to    claim 19    wherein the resultant ambient fluid pressure measurement is displayed on a monitor of an ultrasound scanner.  
     
     
         21 . A method according to    claim 19    wherein the results are displayed in real time.  
     
     
         22 . A method according to    claim 19    wherein the results are displayed as a greyscale map of ambient pressure.  
     
     
         23 . A method according to    claim 19    wherein the results are displayed as a greyscale map of ambient pressure.  
     
     
         24 . A method according to    claim 19    wherein the results are displayed as a color map of ambient pressure.  
     
     
         25 . A method according to    claim 19    wherein the results are displayed as a map correlating to the electrocardiogram of the subject to display pressure as a f.nction of time point within the cardiac cycle.  
     
     
         26 . A method according to    claim 23    wherein the colors of the color map are coded to the amplitude of the ambient pressure.  
     
     
         27 . A method according to    claim 1    wherein said composition comprises two or more population of microbubbles of differing fragility thresholds.  
     
     
         28 . A method according to    claim 1    wherein the response of said microbubbles is detected by way of interrogation with an ultrasound signal containing capsules of a first low power signal to establish a baseline and a second higher power signal to destroy 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.  
     
     
         29 . A method according to    claim 27    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.  
     
     
         30 . A method according to    claim 27    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.  
     
     
         31 . A method according to    claim 27    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.  
     
     
         32 . A method according to    claim 27    wherein the backscatter intensity from said microbubbles from the first low power signal is recorded as a baseline value.  
     
     
         33 . A method according to    claim 27    wherein the second high power signal is at a power level above the fragility threshold of one or more populations of said composition.  
     
     
         34 . A method according to    claim 31    wherein the backscatter intensity from the third high power signal is subtracted from said baseline to yield a difference value.  
     
     
         35 . A method according to    claim 33    wherein the difference value is compared to experimental reference values to measure ambient fluid pressure.  
     
     
         36 . A method according to    claim 34    wherein the ambient fluid pressure measurement is displayed on the screen of an ultrasound scanner associated with the defined region of interest.  
     
     
         37 . 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 populations 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 said populations;    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 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.    
     
     
         38 . The method according to    claim 36    wherein said fragility slopes are determined for a plurality of populations of microbubbles having differing wall thickness.  
     
     
         39 . The method according to    claim 36    wherein said fragility slopes are determined for a plurality of populations of microbubbles having differing moduli of elasticity.  
     
     
         40 . The method according to    claim 36    wherein said fragility slopes are determined for a plurality of populations of microbubbles having materials of differing molecular weight.  
     
     
         41 . The method according to    claim 36    wherein said fragility slopes are determined for a plurality of populations of microbubbles having materials of differing hoop strength.  
     
     
         42 . The method according to    claim 36    wherein said fragility curves are determined for a plurality of populations of microbubbles having differing wall thickness.  
     
     
         43 . The method according to    claim 36    wherein said fragility curves are determined for a plurality of populations of microbubbles having differing moduli of elasticity.  
     
     
         44 . The method according to    claim 36    wherein said fragility curves are determined for a plurality of populations of microbubbles having materials of differing molecular weight.  
     
     
         45 . The method according to    claim 36    wherein said fragility curves are determined for a plurality of populations of microbubbles having materials of differing hoop strength.