Abstract: Ultrasound-based acoustic streaming for deciding whether material is fluid is dependent upon any one or more of a variety of criteria. Examples are displacement, speed (230), temporal or spatial flow variance, progressive decorrelation, slope or straightness of accumulated signal to background comparisons over time, and relative displacement to adjacent soft tissue. Echogenicity-based area identification is combinable with the above movement characteristic detection in the deciding. Fluid pool identification is performable from the area-limited acoustic streaming testing and ultrasound attenuation readings. Candidates from among the areas (210) are screenable based on specific shapes or bodily organs detected. Natural flow can be excluded from streaming detection by identification of blood vessels (206). Processing for each FAST ultrasound view (202), or for the entire procedure, is performable automatically, without need for user intervention or with user intervention to identify suspected areas.

Abstract: Bubble presence within a region is monitored to determine if a predetermined condition is met such as whether the presence is of sufficient magnitude, the bubbles being subject to energizing (240). In some embodiments, the energizing only occurs when time- wise preceded by the determination (S508, S510). The determining can include measuring a grayscale value (104), or assessing the energy carried by a frequency component of the echo signal, in the region in real time. The energizing may occur region-by-region, automatically and without need for user intervention, in a treatment pass (S428) over the regions. The regions (232) in the pass might be subject to respective instances of the energizing without intervening monitoring, or, in another embodiment, to both the determining and the responsive energizing. The determining can be subject to, automatically and without need for user intervention, interruption (S408) and concurrent switching to a next region.

Abstract: Existing gas pocket detection approaches are based on visual observations of B-mode ultrasound images showing comparisons between normal soft tissue and gas pockets, which are time-consuming and dependent on operator experience. The present invention proposes an ultrasound system and a method of detecting a gas pocket. The ultrasound system comprises: an ultrasound probe (110) for transmitting an ultrasound signal toward the ROI and acquiring an ultrasound echo signal reflected from the ROI along a plurality of scanning lines; an obtaining unit (130) for obtaining a second harmonic component of the ultrasound echo signal for each depth of a plurality of depths along each scanning line of the plurality of scanning lines; and a deriving unit (140) for deriving a change in a center frequency of the second harmonic component along with the depth.

Abstract: The invention relates to a therapeutic system which comprises an ultrasound therapy unit (1, 518) arranged to insonify at least a portion of a body (2, 508) of a patient with high intensity ultrasound and a MR imaging unit (3, 500) arranged to acquire MR signals from the portion of the body (2, 508) and to reconstruct a thermographic MR image from the MR signals. It is an object of the invention to enable MR guided high intensity focused ultrasound (HIFU) treatment, in which temperature values within critical anatomic regions containing fat can be monitored. The invention proposes that the therapeutic system further comprises an ultrasound diagnostic unit (5, 518) which is arranged to acquire ultrasound signals from the portion of the body (2, 508) and to derive at least one local temperature value from the ultrasound signals.

Abstract: The invention relates to a temperature distribution measuring apparatus for measuring a temperature distribution within an object caused by heating the object. A temperature distribution measuring unit (13, 71) measures the temperature distribution in a measurement region within the object, while the object is heated, and a temperature measurement control unit (22) controls the temperature distribution measuring unit such that the measurement region is modified depending on the measured temperature distribution, in order to measure different temperature distributions in different measurement regions.

Abstract: Dynamically identifying a stationary body of fluid (102) within a test volume by scanning within the volume can entail using a first part of a pulse sequence to acoustically interrogate a region within the volume to detect pre-existing movement (124) and, via a separate acoustic interrogation constituting the second part of the pulse sequence, acoustically interrogating the region to distinguish solid from fluid. The scanning is with both interrogations as a unit, so as to span the volume with the interrogations. The body is identified, dynamically based on an outcome of the interrogations. The scanning may span, for the identifying, a current field of view (116), including normal tissue, within an imaging subject. The procedure, from scanning to identifying, may be performed automatically and without need for user intervention, although the user can optionally change the field of view to further search for stationary fluid.

Abstract: A medical imaging probe (102) for contact with an imaging subject includes an indicium placement apparatus for, while the probe is in contact, selectively performing an instance of marking the subject so as to record a position of the probe. The device may further include a feed-back module for determining whether an orientation, with respect to a the mark, that currently exists for a medical imaging probe of the device meets a criterion of proximity to a predetermined orientation. Responsive to the determination that the criterion is met, a quantitative evaluation may be made automatically and without need for user intervention, vis live imaging via the probe, of a lesion that was, prior to the determination, specifically identified for the evaluation. Change, such as growth (116), in the lesion, like a brain lesion, may thereby be tracked over consistent sequential imaging acquisitions, such as through ultrasound.

Abstract: The invention relates to a temperature distribution determining apparatus (21) for determining a temperature distribution within an object, to which energy is applied, by using an energy application element (2). A first temperature distribution is measured in a first region within a first temperature range and a model describing a model temperature distribution in the first region and in a second region depending on modifiable model parameters is provided. A second temperature distribution is estimated in the second region within a second temperature range, while the energy is applied to the object, by modifying the model parameters such that a deviation of the model temperature distribution from the first temperature distribution in the first region is minimized.

Abstract: Bubble presence within a region is monitored to determine if a predetermined condition is met such as whether the presence is of sufficient magnitude, the bubbles being subject to energizing (240). In some embodiments, the energizing only occurs when time- wise preceded by the determination (S508, S510). The determining can include measuring a grayscale value (104), or assessing the energy carried by a frequency component of the echo signal, in the region in real time. The energizing may occur region-by-region, automatically and without need for user intervention, in a treatment pass (S428) over the regions. The regions (232) in the pass might be subject to respective instances of the energizing without intervening monitoring, or, in another embodiment, to both the determining and the responsive energizing. The determining can be subject to, automatically and without need for user intervention, interruption (S408) and concurrent switching to a next region.

Abstract: A device for delivery of a substance (144) using energy to protect, at a site of activation, against a side effect of another substance (156) that was delivered, is being delivered, and/or will be delivered, at another site. The activation may be non-invasive, remote and the energy beam (140) may be an ultrasound beam. A first of the substances can be activated at a particular energy level, and the second is then activated at a lower level so that a population of particles bearing the first substance is not inadvertently activated during activation of the second substance. The device may comprise a system to control the levels of energy applied.

Abstract: Ultrasound mediated delivery (USMD), real-time quantitative feedback derived (S264) therefrom, and proceeding by the system based on the feedback all are, in some embodiments, operable automatically and without need for user intervention. USMD may occur in a clinical setting accompanied by assays (S276) or real-time feedback, or by means of a wearable device that, based on feedback, regulates USMD in real time. Optionally, the user is provided an indication (S281) as to progress or success, of a treatment. Electrodes (128) may be attached across tissue in which transient pores are produced via sonoporation in the USMD procedure, and in vivo measurement is taken of an electrical parameter responsive to permeability. Therapeutic agent (S202) may be administered after particles activated for sonoporation are cleared from the circulation, to avoid, when it might exist, adverse interaction between the particles and agent.

Abstract: An imaging method uses a plurality of sets of carbon nanotubes. Within a set the carbon nanotubes carry markers for a respective receptor that is specific for the set and the carbon nanotubes have a geometry, characterized for example by a chiral number that gives rise to an electromagnetic absorption peak at a wavelength specific to the set. An image is formed by transmitting electromagnetic radiation to a body, substantially at the wavelengths of the absorption peaks of the sets, e.g. time multiplexed with each other, and detecting for example an ultrasound response to absorption of the transmitted electromagnetic radiation. Different images of the electromagnetic absorption as a function of position in the body are formed for different wavelengths.

Abstract: A fetal movement monitoring method that limits the ultrasound radiation to safe levels and conforms to the ALARA principle is disclosed. The disclosed method of monitoring fetal movements by Doppler ultrasound comprises accumulating the time for which ultrasound is radiated into a subject, comparing the accumulated time with a first reference total time, counting the number of fetal movements in the subject, comparing the number of movements with a reference number, deciding at least one of a further action of the device and an action to be recommended to the subject and conveying at least one of a further action of the device, an information to the subject about the counted fetal movements and an action recommended to the subject. A Doppler ultrasound device for monitoring fetal movements in a subject is also disclosed.