Journal of Capital Medical University ›› 2023, Vol. 44 ›› Issue (6): 953-958.doi: 10.3969/j.issn.1006-7795.2023.06.008

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Influencing factors of the ultrasonic subharmonic-aided pressure estimation technology

Zhang Yanfen1,2, Zheng Shuai1, Chen Zhiguang1, Cheng Linggang1, Wang Hongbin1, Li Rui1,  Zhang Yukang1, Zhang Wei1, He Wen1*   

  1. 1. Department of Ultrasound, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China; 2. Department of Ultrasound Diagnosis, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha 410007, China
  • Received:2023-09-05 Online:2023-12-21 Published:2023-12-20

Abstract: Objective  To explore the factors influencing the ultrasonic subharmonic-aided pressure estimation (SHAPE)technology. Methods  An in vitro simulation of dynamic flow was constructed in a water tank. Three thousand and six hundred subharmonic amplitudes under different mechanical index (MI), sonazoid ultrasound contrast agent concentrations, and flow rates were obtained by SHAPE. The MI and subharmonic amplitude ranges during the pressure-related subharmonic rapid growth stage, the optimal ultrasound contrast agent concentration, and flow rate were quantified using a total fitting curve. Results  The MI and sub-harmonic amplitude ranges were 0.04-0.38 and -61.94--12.82 dB, respectively. When the other parameters were constant, the maximum differences of the subharmonic amplitude under different concentrations, flow rates, and MIs were -10.0 dB,-12.84 dB, and 35.96 dB, respectively. The subharmonic amplitude and MI demonstrated the strongest correlation (r=0.973) when the contrast agent concentration and flow rate were 3.2 μL/100 mL and 8 μL/min, respectively. With MI difference of 0.04, the mean relative subharmonic amplitude was (3.18±1.55)dB (95% CI: 2.80-3.56). Under the same concentration and flow rate, the increase of MI caused a gradual decrease in the subharmonic amplitude from 9 dB to 0.31 dB. Conclusion  Identification and quantification of the influencing factors may improve the accuracy and effectiveness of SHAPE.

Key words: subharmonic-aided pressure estimation technology, subharmonic amplitude, ultrasound contrast agent, influencing factors

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