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Developing an Interface and Investigating Optimal Parameters for Real-Time Intracardiac Subharmonic-Aided Pressure Estimation
Journal article   Open access   Peer reviewed

Developing an Interface and Investigating Optimal Parameters for Real-Time Intracardiac Subharmonic-Aided Pressure Estimation

Cara Esposito, Kris Dickie, Flemming Forsberg and Jaydev K Dave
IEEE transactions on ultrasonics, ferroelectrics, and frequency control, v 68(3), pp 579-585
Mar 2021
PMID: 32784134
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7983258View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Acoustics Catheters Data acquisition Estimation Incident acoustic output (IAO) optimization real-time noninvasive pressure estimation Real-time systems SH signals Shape subharmonic (SH)-aided pressure estimation (SHAPE) Ultrasonic imaging ultrasound contrast agents (UCAs)
Thisstudy focuses on evaluating the real-time functionality of a customized interface and investigating the optimal parameters for intracardiac subharmonic-aided pressure estimation (SHAPE) utilizing Definity (Lantheus Medical Imaging Inc., North Billerica, MA, USA) and Sonazoid (GE Healthcare, Oslo, Norway) microbubbles. Pressure measurements within the chambers of the heart yield critical information for managing cardiovascular diseases. An alternative to current, invasive, clinical cardiac catheterization procedures is utilizing ultrasound contrast agents and SHAPE to noninvasively estimate intracardiac pressures. Therefore, this work developed a customized interface (on a SonixTablet, BK Ultrasound, Peabody, MA, USA) for real-time intracardiac SHAPE. In vitro , a Doppler flow phantom was utilized to mimic the dynamic pressure changes within the heart. Definity (15.0- 22.5~\mu \text{L} microspheres corresponding to 0.1-0.15 mL) and Sonazoid (GE Healthcare; 0.4- 1.2~\mu \text{L} microspheres corresponding to 0.05-0.15 mL) microbubbles were used. Data were acquired for varying transmit frequencies (2.5-4.0 MHz), and pulse shaping options (square wave and chirp down) to determine optimal transmit parameters. Simultaneously obtained radio frequency data and ambient pressure data were compared. For Definity, the chirp down pulse at 3.0 MHz yielded the highest correlation ( r = - 0.77\,\,\pm \,\,0.2 ) between SHAPE and pressure catheter data. For Sonazoid, the square wave pulse at 2.5 MHz yielded the highest correlation ( {r} = - 0.72\,\,\pm \,\,0.2 ). In conclusion, the real-time functionality of the customized interface has been verified, and the optimal parameters for utilizing Definity and Sonazoid for intracardiac SHAPE have been determined.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Acoustics
Engineering, Electrical & Electronic
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