This study provided one test of the hypothesis that hemorrhage in tissues c
ontaining ultrasound (US) contrast agents results from inertial cavitation.
The test relied on the prediction of classical cavitation theory that the
response of microbubbles to negative pressures is much greater than it is f
or positive pressures. An endoscopic electrohydraulic lithotripter was used
to generate a spherically diverging positive pressure pulse. A negative pr
essure pulse was produced by reflection of the positive pulse from a pressu
re release interface. Mice were injected with approximate to0.1 mL of Albun
ex(R) and exposed to 100 pulses at either + 3.6 MPa or -3.6 MPa pressure am
plitude. For comparison, mice were also exposed to the same acoustic fields
without injection of contrast agents. Sham animals experienced the same pr
otocols, with or without Albunex(R) injections, but were not exposed to the
lithotripter fields. Following exposure, mice were scored for hemorrhage t
o various organs and tissues. When Albunex(R) was present in the vasculatur
e, negative pressure pulses produced significantly more hemorrhage than pos
itive pressures in tissues such as the kidney, intestine, skin, muscle, fat
, mesentery and stomach. (C) 2000 World Federation for Ultrasound in Medici
ne & Biology.