A novel ultrasonic imaging method, wideband harmonic imaging, for nonlinear
imaging of microbubble contrast agents is evaluated. In wideband harmonic
mode, two pulses of alternate phase are send out. The image is then process
ed from the sum of both pulses, resulting in an image of nonlinear scattere
rs such as microbubbles. A prototype ultrasound system, Siemens Elegra, was
evaluated with in vitro investigations and animal trials, using convention
al, harmonic and wideband harmonic settings with the galactose based ultras
ound contrast agent Levovist. Wideband harmonic imaging offers superior sen
sitivity for ultrasound contrast agents compared to conventional imaging an
d harmonic imaging. At low transmit power settings (MI 0.1-0.5) the nonline
ar response is already sufficient to generate a image of the blood pool dis
tribution of Levovist in the rabbit kidney including the microvasculature,
with clear delineation of vessels and perfused parenchyma. At high transmit
amplitudes, nonlinear tissue response reduced the apparent image contrast
between contrast agent and tissue. The results suggest that wideband harmon
ic imaging is currently the most sensitive contrast imaging technique, main
taining highest spatial resolution. This may add to image quality and offer
new clinical potential for the use of ultrasound contrast agents such as L
evovist.