DIFFERENCES IN MYOCARDIAL CONTRAST PRODUCED WITH TRANSIENT-RESPONSE IMAGING WHEN USING INTRAVENOUS MICROBUBBLES CONTAINING GASES OF DIFFERENT MOLECULAR-WEIGHT
Tr. Porter et al., DIFFERENCES IN MYOCARDIAL CONTRAST PRODUCED WITH TRANSIENT-RESPONSE IMAGING WHEN USING INTRAVENOUS MICROBUBBLES CONTAINING GASES OF DIFFERENT MOLECULAR-WEIGHT, Echocardiography, 14(5), 1997, pp. 441-446
The purpose of this study was to determine the effect of different mic
robubble gases on. the amount of myocardial contrast (MC) produced fro
m intravenously (TV) injected dextrose albuinin microbubbles when usin
g a new imaging modality termed transient response imaging (TRI). In 6
dogs (4 closed chest, 2 open chest) the peak anterior myocardial vide
ointensity (PMVI) and visual degree of MC were determined following IV
injections of equivalent doses of perfluorocarbon exposed sonicated d
extrose albumin (PESDA), sulfur hexafluoride-exposed sonicated dextros
e albumin (SHESDA), and room air exposed sonicated dextrose albumin (R
ASDA) microbubbles. TRI was performed by triggering ultrasound impulse
s to I point every one to two cardiac cycles. The PMVI produced with T
RI was compared to conventional 30 Hz frame rate imaging (CI) for each
gas. Visual anterior and posterior MC was evident with TRI in, all si
x: dogs using PESDA, but not in any dog with CI. Although RASDA and SH
ESDA did not produce MC with CI, visually evident anterior MC was seen
after 7 of 8 SHESDA and 4 of 9 RASDA injections when using TRI with b
oth gases. PESDA produced the higest peak PMVI of all three microbubbl
es when using TRI, while SHESDA produced a significantly higher PMVI t
han RASDA. We conclude that although MC can be produced with TRI using
microbubble gases of lower molecular weight, the brightest and most c
onsistent contrast is produced with fluorocarbon. containing microbubb
les.