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The mechanisms underlying longitudinal displacements of the arterial wall, that is, displacements of the wall layers along the artery, and the resulting intramural shear strain remain largely unknown. We have already found that these displacements undergo profound changes in response to catecholamines. Wall shear stress, closely related to wall shear rate, represents the viscous drag exerted on the vessel wall by flowing blood. The aim of the work described here was to study possible relations between the wall shear rate and the longitudinal displacements. We investigated the carotid arteries of five anesthetized pigs in different hemodynamic situations using in-house developed non-invasive ultrasound techniques. The study protocol included administration of epinephrine, norepinephrine and β-blockade (metoprolol). No significant correlation between longitudinal displacement of the intima-media complex and wall shear rate was found. This result suggests that one or multiple pulsatile forces other than wall shear stress are also working along arteries, strongly influencing arterial wall behavior., (Copyright © 2015 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.)

Using an in-house developed ultrasonic method, we have shown that there is distinct longitudinal multiphasic displacement of the human common carotid artery (CCA) wall during the cardiac cycle. Different subjects showed markedly different patterns of displacement. At present, it is not known if the pattern of displacement in an individual is stable over time. Therefore, in this study, we measured the longitudinal displacement of the right CCA in 10 healthy humans at two different occasions 4 months apart. The basic pattern of longitudinal displacement for an individual was highly stable, including intraclass correlation coefficient (ICC) of 0.88 for the ratio between the first antegrade and the retrograde displacement, and ICC of 0.76 for the magnitude of the first antegrade displacement. The stable basic pattern of displacement showed marked differences among subjects, also of the same age and gender. Further studies are needed to elucidate the underlying mechanisms, the physiologic, pathophysiologic and clinical implications of this phenomenon., (Copyright © 2012 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.)

Arterial diameter change is related to distending blood pressure and is used in estimation of arterial stiffness parameters. A common technique to track the arterial walls is by integration of wall velocities estimated by different methods using cross correlation or tissue Doppler. However, because of the high pulse repetition frequency and the need for separate pulsing sequences, the B-mode image quality is affected. We have previously developed a fast algorithm for direct measurement of lumen diameter using B-mode images. In this study we have improved the technique to be more robust and also implemented measurements of diameter change, maximum differential wall velocity and relative diameter change of the common carotid artery noninvasively in vivo. The influence of the lateral width of the region of interest (ROI; 1 pixel, 0.1 mm, 0.5 mm, 1 mm, 2.5 mm and 5 mm) was evaluated. Using the optimal lateral width (2.5 mm), the systematic and random differences between two consecutive measurements were 21 microm and 105 microm, respectively, for lumen diameter measurement; -7 microm and 39 microm, respectively, for lumen diameter change measurements; -0.2 mm/s and 0.9 mm/s, respectively, for maximum relative wall velocity; and -0.2 % and 0.8 %, respectively, for measurements of the relative diameter change. The coefficient of variation (CV) was 1.9%, 5.2%, 7.9% and 6.0%, respectively. The study indicates that the reproducibility is sufficient for in vivo studies when the width of the ROI is 1.0 mm or wider.

Following a brief review of the development of medical ultrasonics from the mid-1930s to the mid-1950s, the collaboration between Edler and Hertz that began in Lund in 1953 is described. Using an industrial ultrasonic flaw detector, they obtained time-varying echoes transcutaneously from within the heart. The first clinical applications of M-mode echocardiography were concerned with the assessment of the mitral valve from the shapes of the corresponding waveforms. Subsequently, the various M-mode recordings were related to their anatomical origins. The method then became established as a diagnostic tool and was taken up by investigators outside Lund, initially in China, Germany, Japan and the USA and, subsequently, world-wide. The diffusion of echocardiography into clinical practice depended on the timely commercial availability of suitable equipment. The discovery of contrast echocardiography in the late 1960s further validated the technique and extended the range of applications. Two-dimensional echocardiography was first demonstrated in the late 1950s, with real-time mechanical systems and, in the early 1960s, with intracardiac probes. Transesophageal echocardiography followed, in the late 1960s. Stop-action two-dimensional echocardiography enjoyed a brief vogue in the early 1970s. It was, however, the demonstration by Bom in Rotterdam of real-time two-dimensional echocardiography using a linear transducer array that revolutionized and popularized the subject. Then, the phased array sector scanner, which had been demonstrated in the late 1960s by Somer in Utrecht, was applied to cardiac studies from the mid-1970s onwards. Satomura had demonstrated the use of the ultrasonic Doppler effect to detect tissue motion in Osaka in the mid-1950s and the technique was soon afterwards applied in the heart, often in combination with M-mode recording. The development of the pulsed Doppler method in the late 1960s opened up new opportunities for clinical innovation. The review ends with a mention of color Doppler echocardiography. (E-mail:

The standard way of suppressing movement artefacts in Doppler measurements is by means of a high-pass filter. This is because artefacts usually are of high amplitude, but have low frequencies. The immediate drawback is, then, that low-velocity blood flow is also filtered out. In this paper, a method to reduce movement artefacts in blood perfusion measurements is proposed, using simultaneous transmission and reception of multiple frequencies in a continuous-wave Doppler system. It is shown that Doppler signals originating from blood may be considered uncorrelated for a large enough frequency separation between channels, and tissue movements are more correlated. By subtracting perfusion estimates obtained by time-domain processing, correlated signals can be suppressed. The subtraction algorithm is shown to produce a linear perfusion estimate, but with twice the standard deviation compared to an estimate obtained by simply averaging channels. Movement artefacts in both in vitro and in vivo models are shown to be reduced by the algorithm. Imbalance between channels does, however, cause the artefacts to be only partly reduced. The problem can be alleviated by filtering the signals prior to subtraction, but this results in a nonlinear estimate, especially for large time constants in the filter. Some amount of filtering can still be desirable to suppress partly correlated artefacts, even if identical time-domain processing units are implemented, as could be done digitally.

An experimental system has been developed to verify the possibility of detecting flow activity using a technique called ultrasound Doppler vector tomography. A tomography algorithm is used to reconstruct blood flow vector fields using data from computer-controlled ultrasound continuous-wave Doppler scanning equipment. The result is a picture in which the brightness variations represent the reconstructed values of the curl of the velocity field (inverted delta x v). Continuous ultrasound is transmitted into a region with flow activity and the Doppler-shifted signals are received. To obtain measurement data suited for fan beam tomography, the scanning is performed in a plane from points encircling the region. Reconstructions have been achieved using measurement data from two different flow phantoms. A comparison between the experimental results and simulations shows good conformity.

There is evidence that adenosine is an endogenous neuroprotective substance in the gerbil and that propentofylline, a novel xanthine derivative that acts as a transport inhibitor, exerts part of its neuroprotective activity in this species by enhancing adenosine actions. Using autoradiography we have examined the distribution of adenosine A1 and A2A receptors and of equilibrative adenosine transporters in gerbil brain as well as the possible changes induced by repeated treatment with propentofylline. Nucleoside transporters, studied by [3H]NBMPR binding, were found to be widely distributed in the gerbil brain, with no clear relationship to the distribution of adenosine receptors. Adenosine A2A receptors, studied by [3H]CGS 21680 binding and by in situ hybridization, were found to be present in intrinsic neurons in the caudate putamen, nucleus accumbens and tuberculum olfactorium. Adenosine A1 receptors were studied by examining the binding of [3H]CHA, an agonist, and [3H]DPCPX, an antagonist. There was an overall similarity in the distribution of binding sites for these two ligands, and a similarity with the distribution in the rat. However, the antagonist was found to label certain structures, especially white matter structures, more than the agonist. It is argued that these binding sites for antagonists represent receptors that are in transit from the site of synthesis in the perikaryon to the destination in the nerve terminal, and are not coupled to G proteins. There were no differences in the binding of any of these ligands or in A2A mRNA following 2 weeks' treatment with propentofylline, indicating that the drug has minimal effects on adenosine mechanisms under basal physiological conditions. This also suggests that tolerance to adenosine-related effects of the drug is less likely to occur.

Due to its sensitivity to measurement artifacts, the ultrasonic Doppler technique has not yet become a clinically useful tool for blood perfusion measurements. One of these measurement artifacts is caused by ultrasonic wave interference in combination with the small changes of structures inside the ultrasonic field. These changes are a result of variations in blood pressure, small movements in muscles, and involuntary movements of the transducer. The changes alter the ultrasonic interference pattern, causing fluctuations in the measured perfusion value. In this paper a new multifrequency technique for blood perfusion measurement is presented. The technique is based on a multifrequency setup, with four ultrasonic frequencies simultaneously transmitted with the same transducer. It is shown that by averaging the measured values obtained from each frequency, the sensitivity to ultrasonic wave interference can be lessened. Measurement results from both in vitro and in vivo experiments are presented.

In this study, the basal and evoked release of [3H]- and endogenous adenosine, inosine and hypoxanthine from rat hippocampal slices, labelled with [3H]adenine, was investigated. Evoked release was brought about by either electrical stimulation or energy depletion. The aim was to determine whether adenosine is formed intracellularly, and released as adenosine or extracellularly, from sequential extracellular hydrolysis of released ATP. All measurements were made in the presence of 5 microM erythro-9-(2-hydroxy-3-nonyl) adenosine (EHNA) to inhibit the enzyme adenosine deaminase. It was found that electrical field stimulation (5 min) increased the release of endogenous adenosine from hippocampal slices 10-fold and increased the proportion of [3H]-label associated with adenosine from approx 7% of the total released to 13% after the first stimulation and 20% after the second stimulation. Removal of oxygen and glucose from the superfusion medium (energy depletion) increased the release rate of endogenous adenosine 16-fold and increased the proportion of [3H]-label associated with [3H]adenosine from approx 10% of the total released to 50%. In order to prevent extracellular formation of adenosine, experiments were carried out in the presence of 50 microM alpha, beta-methylene ADP (AOPCP), an inhibitor of ecto-5'-nucleotidase. AOPCP was found to be without effect on either the basal or evoked release of adenosine. In contrast, L-homocysteine thiolactone (0.1-1.0 mM) which was used to "trap" intracellular adenosine reduced both the basal and evoked release of adenosine by 70-85%. This effect of L-homocysteine thiolactone also occurred in the presence of adenosine uptake inhibitors. It is concluded from these results that adenosine is formed predominantly intracellularly in hippocampal slices and is released as adenosine as a result of either tissue depolarisation or energy depletion. Furthermore, the finding that during energy depletion there is a proportionally greater release of adenosine than other ATP breakdown products, such as inosine and hypoxanthine, indicates that energy depletion is both a potent and selective stimulus for adenosine formation and release.

Serum samples from 13 blood group little p individuals were tested by radioimmunoassay for their IgG antibody subclass distribution against the P, P1 and Pk antigens. There was no uniform subclass distribution pattern, although all but one had IgG3 antibodies against all the P system antigens tested. Studies were performed adsorbing anti-Tja serum sequentially to columns with synthetic carbohydrate antigenic determinants within the P system coupled to silica beads (SynsorbsR). The effect on agglutinin and indirect antiglobulin titers was determined after adsorption to SynsorbsR with different P-system antigens (P1, Pk, P). Adsorption to all the three SynsorbsR was needed to eliminate or strongly reduce antibody titers. The effect on IgM, IgG, IgA as well as IgG subclass antibody binding to P, P1 and Pk antigens was also determined by radioimmunoassay and chromatogram binding assay. Anti-PP1Pk antibodies from a little p woman with repeated abortions were shown to bind to glycosphingolipid antigens prepared from one of the aborted placentae using a chromatogram binding assay. This binding was eliminated by serum adsorption to SynsorbsR with P1, Pk and P carbohydrates. Anti-PP1Pk antibodies were also shown to bind to extended structures in the globoseries, i.e. globopentaosylceramide, globohexaosylceramide (globo-H) and globoheptaosylceramide (globo-A). This binding is most probably due to antibodies recognizing internal sequences in the carbohydrate chain. Attempts were made to visualize the binding epitope of the antibodies by computer molecular modelling.

An ultrasound phase-locked, echo-tracking system was used for noninvasive measurements of pulsatile diameter changes in the descending aorta of 60 small, for gestational age (SGA), fetuses and of 60 fetuses appropriate for gestational age (AGA). Pulsed Doppler ultrasound was used for the recording of blood flow velocity in the aorta and in the umbilical artery of the SGA fetuses. In the SGA fetuses, a weight-related higher end-diastolic diameter and a lower relative pulse amplitude suggest that diastolic blood pressure was increased; a less steep rise of the initial ascending part of the pulse wave and a lower relative pulse amplitude suggest that the absolute stroke volume was decreased. Except for a positive correlation between relative pulse amplitude and mean velocity in the aorta, no correlation was found between diameter pulse waves and blood flow velocity. Aortic diameter pulse waves apparently yield no unequivocal information as to peripheral resistance, for which purpose blood flow velocity waveform analysis would seem, at least at present, to be the only available method.

This article describes a light diffraction technique that allows a measurement of ultrasonic pressure and phase in the cross-section of an ultrasonic beam. The light diffraction measurements are based on the Raman-Nath model of ultrasonic continuous-wave light diffraction. The diffracted light intensity can be expressed as an integration of sound pressure along the light path. This integration is analogous to the integration of the absorption coefficient in x-ray tomography. Tomography algorithms can be employed on the light measurement data to calculate the pressure and phase in a measuring plane perpendicular to the ultrasound propagation vector. The reconstruction of the measurement plane is done with an implementation of an algebraic reconstruction technique (ART). Satisfactory results are obtained with 10 projections. The measurement method is applicable up to Raman-Nath parameter values of 2.3. The experimental results are compared to miniature PVDF hydrophone measurements.

A new ultrasonic method for fluid property measurements is described. The method uses ultrasound to generate acoustic streaming in a fluid. The resulting flow velocity will vary due to several viscous parameters of the fluid. If there are acoustic scatterers in the fluid, it will be possible to monitor the resulting flow velocity with an ultrasound Doppler device. The same acoustic energy is then utilized both to generate the acoustic streaming in the medium and to measure the resulting flow. The method seems to be very well suited for monitoring biological processes. Of special interest, for measurements on contaminated blood or on fluids in a fermentation process, is the method's ability to investigate liquids in a completely closed vessel.

The need to develop clinical methods for the noninvasive monitoring of regional blood perfusion, i.e., the blood flow through the very fine capillaries in body tissue, has long been felt. Hitherto existing methods exhibit limitations, such as insufficient measurement depth and poor time- or space-resolution, which restrict the measurements that can be performed. Dymling (1982) introduced a new CW Doppler ultrasound method for noninvasive blood perfusion measurement which might be one possible solution to this problem. Preliminary experiments indicated a correlation between blood flow and measured perfusion value. Unexpectedly large variations in the recorded perfusion values lead to further investigation of the method, both in vitro using a specially designed flow phantom and in vivo. This study indicates that at least some of the large variations recorded are the result of measurement errors caused by movement artifacts or ultrasonic signal interferences. Methods to diminish the effects of these artifacts are discussed.

Diagnostic ultrasound is an established, noninvasive and harmless method for imaging the shape and appearance of organs and other tissues inside the body, and it has been used in many clinical applications for more than three decades. We have now applied some of this well-known technique together with the use of airborne ultrasound in medical applications, to build an equipment for anthropometrical investigation outside the body, e.g., measuring and registration of the shape and form of the human back. This is mostly done for screening purposes of young people in an attempt to find patients developing scoliosis, and in order to circumvent some of the disadvantages with the traditional screening method in this field of medical application.

The need to investigate the elastic properties of arterial vessels in situ for the early recognition of degenerative disorders in arteries has long been apparent. Pulse-wave diagnostics has been used in traditional medicine, but only in a qualitative way. By measuring the vessel diameter change, simultaneously at two levels along an artery, it should be possible to calculate the pulse-wave velocity (PWV). A newly developed ultrasonic instrument, DIAMOVE, was designed to provide a two-dimensional, real time, B-mode image for display of the exact position of two measurement sites; a computer-controlled digital phased-locked loop detector for the measurement of diameter changes; and a personal computer for the display of the momentary displacement of the artery walls. The cross-correlation technique was used on the information from the vessel wall movements to calculate the resulting PWV. Early measurements on healthy patients showed some unexpected artifacts, which were found to be due to reflected waves, affecting the shape of the pulse-wave at the sites of measurement. A modified PWV estimation algorithm, where only the foot of the pulse-wave in every beat is utilized, seems to have solved this problem and now makes the method suitable for clinical use.

Airborne ultrasound has been utilized for remote measurement of distance, direction, size, form, volume and velocity. General anthropometrical measurements are performed with a newly constructed real-time linear array scanner. To make full use of the method, we expect a rapid development of high-frequency ultrasound transducers for use in air.