Within the last decade safe and practical ultrasound contrast agents h
ave been introduced. Most of these are based on gas-filled microbubble
s, which markedly enhance Doppler signals and, in some cases, also gra
y-scale images. The clinical improvements expected from ultrasound con
trast is reviewed. Tissue-specific contrast agents constitute another
area of potential clinical significance. One particular agent is taken
up by the reticulo-endothelial system and produces so-called acoustic
emission signals when imaged. An introduction to the unique clinical
applications of acoustic emission is given,Harmonic imaging is a new c
ontrast-specific imaging modality, which utilizes the nonlinear proper
ties of some agents in an attempt to alleviate current limitations of
ultrasound contrast studies. Examples of harmonic images are presented
. (C) 1998 Elsevier Science B.V.