Abstract: A medical imaging system configured to provide cardiac sonothrombolysis therapy is disclosed. Various embodiments of portable cardiac sonothrombolysis devices are disclosed. The devices may be configured to determine if one or more ultrasound probes have a proper view of the heart, and if not, may steer the beam to a desired location. The ultrasound probes may be configured for both imaging and cardiac sonothrombolysis therapy. The ultrasound probes may be configured to be hands-free. The portable devices may be configured to provide operating instructions to an operator. The instructions may be provided via graphics, audio, and/or video.

Abstract: An ultrasonic diagnostic imaging system scans a plurality of planar slices in a volumetric region containing tissue which has been perfused by a contrast agent. The plurality of slices scanned are parallel to each other. Following detection of the image data of the slices the slice data is combined by projecting the data in the elevation dimension to produce an elevationally combined slice image. Combining may be by means of an averaging or maximum intensity detection or weighting process or by raycasting in the elevation dimension in a volumetric rendering process. The elevationally combined slice image is processed to produce a qualitative or quantitative measure of perfusion, such as an image with degrees of perfusion indicated by a range of brightness levels, an image of color perfusion parameters, or a perfusion curve or curve parameter indicating rate of perfusion.

Abstract: A medical imaging system configured to provide cardiac sonothrombolysis therapy is disclosed. Various embodiments of portable cardiac sonothrombolysis devices are disclosed. The devices may be configured to determine if one or more ultrasound probes have a proper view of the heart, and if not, may steer the beam to a desired location. The ultrasound probes may be configured for both imaging and cardiac sonothrombolysis therapy. The ultrasound probes may be configured to be hands-free. The portable devices may be configured to provide operating instructions to an operator. The instructions may be provided via graphics, audio, and/or video.

Abstract: A method of generating three-dimensional (3D) full volume ultra-sound images with the uses of contrast agents includes acquiring ultrasound image data for multiple subvolumes (140,142,144,146) synchronized to an ECG (100) over multiple cardiac cycles (124,126,128,130) via triggering (104,114,106,116,108,118,110,120). Acquiring includes at least one of two acquisition protocols. The first acquisition protocol uses an output acoustic power insufficient for causing destruction of the contrast agents during ultrasound image data acquisition (10). The second acquisition protocol uses an output acoustic power sufficient for causing destruction of the contrast agents during ultrasound image data acquisition (10). Triggering (26,28) of respective ones of the ultrasound image data acquisitions of the multiple subvolumes (140,142,144,146) is selected to enable destroyed contrast agents to be replaced by new contrast agents prior to a subsequent triggering of ultrasound image data acquisition of a subsequent subvolume.

Abstract: An ultrasound imaging system transmits a broad beam of ultrasound into tissues that are perfused with blood containing microbubbles. The ultrasound has an intensity that is sufficient to destroy the microbubbles in the tissues. A plurality of ultrasound imaging beams are then transmitted into the tissues over a sufficient period to allow the tissues to re-perfuse, and reflections from the transmitted imaging beams are processed to provide a perfusion image. The transmitted microbubble-destroying ultrasound may be in the form of a single beam or a plurality of beams that insonify a substantially larger area than the area insonified by the transmitted imaging beams. As a result, the microbubbles are all destroyed at substantially the same time, and the imaging ultrasound is transmitted only into regions of the tissues from which ultrasound reflections will be received.

Abstract: An ultrasonic diagnostic imaging system scans a plurality of planar slices in a volumetric region containing tissue which has been perfused by a contrast agent. The plurality of slices scanned are parallel to each other. Following detection of the image data of the slices the slice data is combined by projecting the data in the elevation dimension to produce an elevationally combined slice image. Combining may be by means of an averaging or maximum intensity detection or weighting process or by raycasting in the elevation dimension in a volumetric rendering process. The elevationally combined slice image is processed to produce a qualitative or quantitative measure of perfusion, such as an image with degrees of perfusion indicated by a range of brightness levels, an image of color perfusion parameters, or a perfusion curve or curve parameter indicating rate of perfusion.

Abstract: A method and apparatus for ultrasound imaging of microbubbles of a contrast agent in arterioles while all microbubbles of the contrast agent have been eliminated in the capillaries of a patient and tissue signal response to ultrasound imaging is suppressed. This method and apparatus permits ultrasound imaging for detecting coronary artery disease without the need for a stress test.

Abstract: Systems and methods for enhanced color-flow imaging of contrast-agent perfused blood vessels and other tissues within a patient's body are disclosed. The method generally comprises, introducing one or more contrast agents into the body, power-modulating transmit pulses into the body, receiving echoes from the body, processing the received echoes to reduce tissue-generated echoes and echoes from stationary contrast agent, using a color-flow processor to generate a color-encoded display responsive to contrast-agent motion. The method may be implemented by a system with a an excitation-signal source, a transducer, an ultrasound-processing system having multiple image processors including a color-flow processor, as well as, a clutter filter, and an arbiter, and a display-processing system.

Abstract: Ultrasonic imaging to receive a signal from contrast agent microbubbles in arterioles of a myocardium, without being masked by a signal from microbubbles in capillaries of the myocardium. For example, high power ultrasonic energy is emitted to destroy microbubbles in the arterioles and capillaries. A time delay passes from the destruction. The time delay is sufficiently long to allow the arterioles to refill with microbubbles and sufficiently short so that the capillaries do not completely refill with microbubbles. Ultrasonic imaging is then performed to receive a signal between harmonics from the microbubbles refilled in the arterioles. Various other destructive and non-destructive imaging techniques are disclosed.

Abstract: An improved ultrasound-imaging diagnostic system comprises a patient interface configured to measure a patient condition, an ultrasound-imaging system configured to obtain a plurality of medical diagnostic images of a patient treated with a contrast agent over time, a medical diagnostic image manager configured to associate at least one imaging parameter and the patient condition with each of the plurality of medical diagnostic images, and an operator interface configured to receive an operator preference for spatially arranging a plurality of medical diagnostic images.

Abstract: The present invention relates to a] A device for producing an image of a body part into which a contrasting agent has been introduced, the device including an image detecting device modifying the contrasting agent to provide a modified image, and a processor acquiring and processing the modified image so as to create an image which represents a rate of flow of blood or other fluid in the body part. The device may be an ultrasound imaging device or may be a magnetic resonance imaging device.

Abstract: Systems and methods for enhanced color-flow imaging of contrast-agent perfused blood vessels and other tissues within a patient's body are disclosed. The method generally comprises, introducing one or more contrast agents into the body, power-modulating transmit pulses into the body, receiving echoes from the body, processing the received echoes to reduce tissue-generated echoes and echoes from stationary contrast agent, using a color-flow processor to generate a color-encoded display responsive to contrast-agent motion. The method may be implemented by a system with a an excitation-signal source, a transducer, an ultrasound-processing system having multiple image processors including a color-flow processor, as well as, a clutter filter, and an arbiter, and a display-processing system.

Abstract: A system and method for fundamental real-time imaging of the non-linear response of tissue perfused with a contrast agent are disclosed. An image with increased sensitivity to non-linear responses can be achieved by detecting the ultrasound response at the fundamental frequency from tissue perfused with a contrast agent and excited by multiple excitation levels. The responses detected from the multiple excitation levels may be gain corrected in an amount corresponding to the difference in magnitude of the excitation levels, then mathematically combined. The mathematical manipulation serves to remove linear responses to the fundamental excitation from the detected image. An ultrasonic contrast agent and tissue imaging system can be implemented with a transducer, first and second transmitters, a receiver, a control system, a processing system and a display.

Abstract: Systems and methods for enhanced color-flow imaging of contrast-agent perfused blood vessels and other tissues within a patient's body are disclosed. The method generally comprises, introducing one or more contrast agents into the body, power-modulating transmit pulses into the body, receiving echoes from the body, processing the received echoes to reduce tissue-generated echoes and echoes from stationary contrast agent, using a color-flow processor to generate a color-encoded display responsive to contrast-agent motion. The method may be implemented by a system with a an excitation-signal source, a transducer, an ultrasound-processing system having multiple image processors including a color-flow processor, as well as, a clutter filter, and an arbiter, and a display-processing system.

Abstract: Systems and methods for enhanced color-flow imaging of contrast-agent perfused blood vessels and other tissues within a patient's body are disclosed. The method generally comprises, introducing one or more contrast agents into the body, power-modulating transmit pulses into the body, receiving echoes from the body, processing the received echoes to reduce tissue-generated echoes and echoes from stationary contrast agent, using a color-flow processor to generate a color-encoded display responsive to contrast-agent motion. The method may be implemented by a system with a an excitation-signal source, a transducer, an ultrasound-processing system having multiple image processors including a color-flow processor, as well as, a clutter filter, and an arbiter, and a display-processing system.

Abstract: Ultrasonic imaging to receive a signal from contrast agent microbubbles in arterioles of a myocardium, without being masked by a signal from microbubbles in capillaries of the myocardium. For example, high power ultrasonic energy is emitted to destroy microbubbles in the arterioles and capillaries. A time delay passes from the destruction. The time delay is sufficiently long to allow the arterioles to refill with microbubbles and sufficiently short so that the capillaries do not completely refill with microbubbles. Ultrasonic imaging is then performed to receive a signal between harmonics from the microbubbles refilled in the arterioles. Various other destructive and non-destructive imaging techniques are disclosed.

Abstract: A system and method for fundamental real-time imaging of the non-linear response of tissue perfused with a contrast agent are disclosed. An image with increased sensitivity to non-linear responses can be achieved by detecting the ultrasound response at the fundamental frequency from tissue perfused with a contrast agent and excited by multiple excitation levels. The responses detected from the multiple excitation levels may be gain corrected in an amount corresponding to the difference in magnitude of the excitation levels, then mathematically combined. The mathematical manipulation serves to remove linear responses to the fundamental excitation from the detected image. An ultrasonic contrast agent and tissue imaging system can be implemented with a transducer, first and second transmitters, a receiver, a control system, a processing system and a display.

Abstract: Quadrature demodulation apparatus and method for detecting a contrast agent in an ultrasonic echographic system, including an in phase/quadrature demodulator for determining the resolved complex real and imaginary in phase and quadrature components of return signals and a contrast agent detector determining the complex difference between first and second return signals. The detector is implemented as a magnitude of difference detector determining the magnitude of the complex difference of pairs of first and second return signals wherein the real and imaginary components of the return signals, including magnitude and phase information, are used to determine the magnitude of the complex difference between first and second return signals.

Abstract: An ultrasound system that has transmit and receive circuitry that, pursuant to a plurality of image settings, transmits ultrasound signals into a patient, receives echoes from a patient and outputs a signal representative of the echo. Control circuitry is provided that sequentially adjusts the image settings so as to cause the transmit and receive circuitry to have a sequence of imaging configurations during an ultrasound imaging study. A memory may be provided that stores a plurality of state diagrams, each defining a sequence of imaging configurations for a particular imaging study, which are accessible by the control circuitry, wherein the control circuitry accesses a selected state diagram to conduct an imaging study. Such a system is particularly useful for imaging studies that utilize contrast agents.

Abstract: An ultrasound imaging system enables discrimination between heart chamber blood flow and blood flow in a heart wall and includes a transducer for transmitting ultrasound pulses into a patient and for receiving ultrasound echoes from blood flow targets within the patient. A beam former/buffer converts the received ultrasound echoes into echo data patterns from which a relative velocity of a blood flow target within said patient is determinable. A strong filter preferentially enables passage of echo data pattern signals which represent a velocity that is higher than a velocity of echo pattern data signals from cardiac wall blood flow targets in the patient. A weak filter partially inhibiting echo signals from low velocity tissue targets.