A theoretical study of inertial cavitation from acoustic radiation force impulse (ARFI) imaging and implications for the mechanical index

摘要

The mechanical index (MI) attempts to quantify the likelihood that exposure to diagnostic ultrasound will produce an adverse biological effect by a nonthermal mechanism. The current formulation of the MI implicitly assumes that the acoustic field is generated using the short pulse durations appropriate to B-mode imaging. However, acoustic radiation force impulse (ARFI) imaging employs high-intensity pulses up to several hundred acoustic periods long. The effect of increased pulse durations on the thresholds for inertial cavitation was studied computationally in water, urine, blood, cardiac and skeletal muscle, brain, kidney, liver and skin. The results show that while the effect of pulse duration on cavitation thresholds in the three liquids can be considerable, reducing them by, e.g., 6% – 24% at 1 MHz, the effect in tissue is minor. More importantly, the frequency dependence of the MI appears to be unnecessarily conservative, i.e., that the magnitude of the exponent on frequency could be increased to 0.75. Comparison of these theoretical results with experimental measurements suggests that some tissues do not contain the pre-existing, optimally sized bubbles assumed for the MI. This means that in these tissues the MI is not necessarily a strong predictor of the probability for an adverse biological effect.