Development of a Tool for Imaging the Pumping-Out Behavior of Poly- Vinyl Alcohol Shelled Microbubbles

Abstract: For many years, microbubbles have been used as ultrasound contrast agents to improve the quality of diagnostics, seeing that they produce more backscattering ultrasound than blood does. Novel types of microbubbles and increased knowledge about their different behaviors have led to other suggested areas of use. One notable example is the poly-vinyl alcohol (PVA) microbubble, which has been discovered to have a unique fracturing mechanism referred to as the pumping-out behavior. The PVA microbubble has the potential to be used, for instance, in local drug delivery of therapeutic gases, but further studies are needed. In this study, the aim was to develop a tool for imaging the pumping-out behavior of the PVA microbubbles. A linear transducer connected to the programmable Verasonics Research System operated by MatLab software was used to achieve it. The designed ultrasound sequences were tested on a tissue-mimicking phantom containing one vessel filled with PVA microbubbles and one with degassed water. The design was divided into two steps. First, an ultrafast imaging sequence, based on plane waves, was developed to achieve adequate acquisition rate for detecting escaping air from the microbubbles. Furthermore, coherent compounding was implemented to compensate for some of the loss in image quality due to the use of plane waves instead of focused waves. The second step of the design was to combine the imaging sequence with destruction pulses so that the pumping-out behavior could be imaged. The designed ultrasound sequence was evaluated by calculating the mean pixel intensities, contrast-to-tissue ratio (CTR), and contrast-to-noise ratio (CNR) of different regions of interest (ROI) in the acquired images. The results of this project agree with the result previously reported in a study of PVA microbubbles made by Kothapalli et al.. Thus, the developed tool can image the pumping-out behavior. However, further improvements to the imaging tool, such as use of a contrast specific method, is recommended for it to become more reliable and useful. In conclusion, the developed imaging tool works for imaging the pumping-out behavior, but improvements should be made. With a useful imaging tool, further studies can be performed to understand the parameters affecting the pumping-out behavior. In the end, the PVA microbubbles can possibly be used as, for example, local drug deliverers in the clinic.