Intravascular ultrasound contrast media are substances that increase t
he echogenicity of blood, Although not yet completely explored, the cl
inical applications of intravascular ultrasound contrast media are car
diologic, such as for chamber opacification and myocardial perfusion i
maging, the assessment of vascular diseases in general and the study o
f tumor vessels, Gas-filled bubbles are the preferred echo-enhancing c
ontrast media, Research in this field is concentrating on the creation
of very small, stable and non-toxic bubbles, capable of surviving pul
monary transit and appear into the left heart and peripheral vessels,
Contrast provided by such media is visible on grey-scale images of the
heart and also enhances Doppler signals, The potential clinical appli
cations and the problems related to the creation of ultrasound contras
t media suitable for clinical use are reviewed and illustrated by exam
ples of contrast injections performed on patients.