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Use of acoustic reflectometry in the detection of middle ear effusion.

The purpose of the present investigation was to compare the performance of the acoustic otoscope/DPU-411 printer and acoustic immittance with otoscopic examinations by a physician for the detection of middle ear effusion (MEE). Three hundred and two patients (11 months to 69 years) were evaluated with the acoustic otoscope, acoustic immittance, and otoscopic examinations. The patients were divided into two age groups for data analysis: 1 to 12 years (children) and 13 to 69 years (adults). Reflectivity and angle data were evaluated at different cut-off points and receiver operating characteristics (ROC) curves were determined. The variables were analyzed in different combinations for each study group. Sensitivity and specificity were poorest for the acoustic otoscope in children. Furthermore, acoustic immittance data compared more favorably with otoscopy than did the acoustic otoscope for all ages.

Acoustic Impedance Tests↗

Acoustic-immittance characteristics of children with middle-ear effusion: longitudinal investigation.

The purpose of this investigation was to describe, in a longitudinal prospective study, the acoustic-immittance profile during sessions with effusion and during sessions without effusion in children with recurrent middle-ear effusion (MEE). The static-acoustic middle-ear admittance, tympanometric width (TW), tympanometric peak pressure (TPP), and ipsilateral acoustic reflex (IAR) were evaluated in 36 ears of 18 children with recurrent MEE and 24 ears of 12 children without a history of MEE. Recurrent MEE was operationally defined as MEE diagnosed by microtoscopy and/or pneumotoscopy at four or more sessions over the first year of investigation. Subjects in the recurrent MEE group were followed over a time span of 1.1 to 3.0 years with an average intersession interval of 3.0 months. The results revealed that MEE was present at 78.3 percent of the sessions. A pure-tone average (PTA) exceeding 25 dB HL was present at 80 percent of the effusion sessions in the recurrent MEE group. The false-alarm rate for each of the individual acoustic-immittance measures, especially the TPP and IAR, was markedly higher during the otoscopically normal sessions of the recurrent MEE group than in the control group. This suggests that even when MEE is absent at a particular session, recurrent episodes of MEE appear to alter the acoustic-immittance characteristics of the middle ear. Negative findings on all or three of the four acoustic-immittance measures occurred in only 1 percent of the effusion sessions in the total recurrent MEE group as compared with 76 percent of the normal sessions in the control group.(ABSTRACT TRUNCATED AT 250 WORDS)

Acoustic Impedance Tests↗

Acoustic and perceptual evaluation of voice and speech quality: a study of patients with laryngeal cancer treated with laryngectomy vs irradiation.

OBJECTIVE: To compare voice and speech function in patients who underwent laryngectomy with that of 2 control groups. DESIGN: A cross-sectional study comparing acoustic and temporal variables with perceptual evaluations in 3 subject groups. SETTING: University hospital in Göteborg, Sweden. SUBJECTS: Two groups of patients with laryngeal carcinoma were examined: 12 male patients who had laryngectomy and were using a tracheoesophageal prosthesis and 12 male patients treated with radical radiotherapy who had a preserved larynx. The third group consisted of 10 normal controls without laryngeal disease. MAIN OUTCOME MEASURES: Acoustic variables were fundamental frequency, absolute fundamental frequency perturbation, speech rate, and maximum phonation time. Perceptual evaluation included 15 listeners' perceptual evaluation and the patients' self-assessment of speech intelligibility, voice quality, and speech acceptability. RESULTS: No significant acoustic or temporal differences were found between the laryngectomy and radical radiotherapy groups. There was a significant difference between the patient groups in perceptual evaluation. Both groups of patients differed from normal controls in acoustic and temporal measures, where the laryngectomy group generally deviated more from the normal controls than the patient group treated with radiotherapy. There was a weak, but significant, correlation between absolute fundamental frequency perturbation and perceived voice quality. CONCLUSIONS: Perceptual evaluations could indicate significant differences between the patients who underwent laryngectomy and irradiated patients, where the acoustic analysis failed to reflect these differences. Both patient groups could be distinguished according to acoustic and temporal measures when compared with normal controls. The acoustic analyses were more sufficient in voices without severe dysfunction.

Aged↗

Visualization of myocardial cellular architecture using acoustic microscopy.

The resolution of an ultrasound transducer depends on its frequency. The resolution improves when higher frequency transducers are used. A 1000 MHz transducer has a resolution of approximately 1 micron. Acoustic microscopy utilizes very high-frequency ultrasound (600 to 1000 MHz) to visualize structures on a microscopic level. Unstained, deparaffinized, 5 microns sections of myocardial biopsy specimens from 10 patients were placed on a slide and imaged using an Olympus UH3 scanning acoustic microscope. To compare with light microscopy, the section used for acoustic microscopy was subsequently stained with hematoxylin and eosin and a serial section from the paraffin block was stained with PTAH stain. Myocytes, myofibrils, and interstitial tissue were accurately imaged. Pathologic phenomena such as cell fallout, interstitial fibrosis, and lymphocytic infiltration were identified by acoustic microscopy. Intramural vessels, nuclei of endothelial cells, and the media were clearly identified by this technique. There was close correlation between findings by acoustic microscopy and light microscopy. Acoustic microscopy permitted the visualization of cardiac cellular detail with a resolution similar to that of light microscopy. Unlike light microscopy, acoustic microscopy requires no staining of the specimen.

Biopsy↗

Protective effect of calcineurin inhibitors on acoustic injury of the cochlea.

This study examined the effect of immunosuppressants, cyclosporin A, FK506 and rapamycin on functional recovery of the cochlea after acoustic overexposure, in guinea pigs and mice. Thirty guinea pigs were exposed to a 2 kHz pure tone at 120 dB SPL for 10 min. The compound action potential threshold shift induced by acoustic overexposure was examined. Twenty-five mice were exposed to a 4 kHz pure tone at 128 dB SPL for 4h. Auditory brainstem response was used to examine the hearing threshold shift. In both the guinea pig and mouse experiments, cyclosporin A and FK506, intraperitonally given just before acoustic overexposure, significantly decreased the hearing threshold shift one or two weeks after acoustic overexposure. However, neither rapamycin nor the FK506 and rapamycin combined treatment groups showed improvement of the threshold shift. The present findings suggest that these two calcineurin inhibitors have a protective effect against acoustic injury of the cochlea, whereas the non-calcineurin inhibitor, rapamycin, not only has no effect against acoustic injury, but rather blocked the effect of FK506. This indicated a possible role of calcineurin against acoustic injury.

Action Potentials↗

Optimisation using measured Green's function for improving spatial coherence in acoustic measurements.

Aberrating materials can degrade acoustic measurements by distorting the acoustic wavefront and causing acoustic speckle (as opposed to speckle noise which is a manifestation of coherent backscatter). The amplitude and phase fluctuations associated with acoustic speckle can introduce considerable measurement uncertainty which is difficult to deal with. This paper demonstrates a new technique which optimises the spatial distribution of the generation of the ultrasound to compensate for the aberration. This technique uses experimentally measured Green's functions to allow the calculation of the field resulting from the generation wavefront during optimisation. The technique is used to improve the accuracy of velocity measurements in a steel sample using 82 MHz SAW waves. This is achieved by optimising for improved spatial coherence in the measurement region which suppresses the speckle noise. Experimental evidence of acoustic aberration arising from grain structure is shown for steel and aluminium and the measured Green's function optimisation technique is shown to overcome the resulting acoustic speckle. The technique was performed using the Adaptive Optical Scanning Acoustic Microscope (AOSAM) at Nottingham University, UK.

Journal Article↗

Pulse laser acoustics for the characterization of inhomogeneities at interfaces of microstructures.

Interfaces between neighbouring materials are often subjected to diffusion processes which cause layers having gradually varying mechanical properties--like densities, Young's moduli or shear moduli--perpendicular to the surface or interface. In this investigation particular interest is drawn on the question how the propagation characteristics of bulk acoustic waves are affected by diffusion layers. The reflection and transmission behavior of bulk acoustic waves encountering a continuum having a spatially dependent sound velocity is discussed based on numerical simulations as well as on experimental verifications. The simulated results are part of an on-going project in which material properties of MEMS devices are investigated by short pulse laser acoustic methods. Mechanical waves are excited and detected thermoelastically using laser pulses of 70 fs duration. For metals this leads to wavelengths of 10-20 nm and the corresponding frequencies amount to 0.3-0.6 THz. In contrast to previous work done in this field in which diffusion effects are generally considered as undesirable phenomena, the deliberate realization of microstructures having well defined gradually varying material properties in one or more dimensions represents a goal of this investigation. For metallic thin film multilayers thermally induced diffusion processes have shown to be an easy and reliable technique for the realization of layered structures having continuously varying mechanical properties within several 10 nm. Among the experimental methods suitable for the in-depth profiling of submicron metallic thin films providing resolutions of several nanometers, are short pulse laser acoustic methods, Rutherford backscattering spectroscopy (RBS), and glow discharge optical emission spectroscopy (GDOES). Short pulse laser acoustic methods and RBS have the advantage to be nondestructive. The short pulse laser acoustic method is described in detail and RBS measurements are presented for verification purposes. Finally potential engineering applications like micro-machined spectrum analyzers, acoustic isolation layers, and band pass filters, operating at very high frequencies are presented.

Journal Article↗

Acoustic streaming: an in vitro study.

The aims of this study were, first, to determine if cyst size and cyst-to-transducer distance have an impact upon acoustic streaming and, second, to investigate the effect of cyst content viscosity on acoustic streaming using an artificial ovarian cyst model. Artificial ovarian cysts were constructed and suspended in a tissue-mimicking bath. Although there was no subjective difference in acoustic streaming velocity between cyst sizes during B-mode insonation, with colour Doppler and pulsed Doppler examination, higher acoustic streaming scores were recorded for larger cysts. When the cyst-to-transducer distance was increased, the acoustic streaming velocity was noted to decrease in all scanning modalities. The second stage of the study demonstrated decreasing acoustic streaming velocity as the viscosity of the cyst content was increased. The finding of a clear association between cyst content viscosity and acoustic streaming velocity raises the exciting possibility that we may be able to make estimations of the viscosity of ovarian cyst contents, in the clinical setting, by sonographic means.

Body Fluids↗

Optical and acoustical dynamics of microbubble contrast agents inside neutrophils.

Acoustically active microbubbles are used for contrast-enhanced ultrasound assessment of organ perfusion. In regions of inflammation, contrast agents are captured and phagocytosed by activated neutrophils adherent to the venular wall. Using direct optical observation with a high-speed camera and acoustical interrogation of individual bubbles and cells, we assessed the physical and acoustical responses of both phagocytosed and free microbubbles. Optical analysis of bubble radial oscillations during insonation demonstrated that phagocytosed microbubbles experience viscous damping within the cytoplasm and yet remain acoustically active and capable of large volumetric oscillations during an acoustic pulse. Fitting a modified version of the Rayleigh-Plesset equation that describes mechanical properties of thin shells to optical radius-time data of oscillating bubbles provided estimates of the apparent viscosity of the intracellular medium. Phagocytosed microbubbles experienced a viscous damping approximately sevenfold greater than free microbubbles. Acoustical comparison between free and phagocytosed microbubbles indicated that phagocytosed microbubbles produce an echo with a higher mean frequency than free microbubbles in response to a rarefaction-first single-cycle pulse. Moreover, this frequency increase is predicted using the modified Rayleigh-Plesset equation. We conclude that contrast-enhanced ultrasound can detect distinct acoustic signals from microbubbles inside of neutrophils and may provide a unique tool to identify activated neutrophils at sites of inflammation.

Contrast Media↗

[Changes of the late acoustically evoked potentials in postlingually deaf patients with cochlear implants].

BACKGROUND: The speech recognition performances in postlingually deaf patients, which had a long duration of deafness, seem to be poorer than in patients with a short duration of deafness. The reason could be a functional reorganization in the auditory cortex. A long time of auditory deprivation may decrease neuronal activity in the auditory related cortices. As the late acoustically evoked potentials are generated in this region, we compared the speech recognition performances and also the late acoustically evoked potentials with the individual duration of deafness in a series of postlingually deaf patients. METHODS: In 9 patients (cochlear implant (CI), MED EL) with postlingual deafness the late acoustically evoked potentials and the HSM-set-test on the quiet were measured. Additionally 1 patient with prelingual deafness was examined. The CI-operation was done, when he was 14 years old. The relations between the late acoustically evoked potentials and the speech recognition performances in dependence of the duration of deafness were examined. RESULTS: Typical late acoustically evoked potentials could be measured in 3 patients only. The speech recognition in these patients was very good. The longest time of deafness in these patients was 6 years. In 6 patients the minimum duration of deafness was 12 years. Here were measured the N1-potentials only, the P2- and the N2-potentials were absent. In these patients the scores of the HSM-set-test were lower than in the others. In the 15-years old patient with prelingual deafness the speech recognition was absent. The late acoustically evoked potentials of this patient showed an atypical form. CONCLUSIONS: The results of this study showed a correlation between the duration of deafness, the forms of the late acoustically evoked potentials and the speech perception. The duration of deafness preceding CI-implantation should be very small in deaf children and in postlingually deaf patients.

Adolescent↗

Biomechanical monitoring of healing bone based on acoustic emission technology.

Acoustic emission testing is a well-established method for assessment of the mechanical integrity of general construction projects. The purpose of the current study was to investigate the usefulness of acoustic emission technology in monitoring the yield strength of healing callus during external fixation. Thirty-five patients with 39 long bones treated with external fixation were evaluated for fracture healing by monitoring load for the initiation of acoustic emission signal (yield strength) under axial loading. The major criteria for functional bone union based on acoustic emission testing were (1) no acoustic emission signal on full weightbearing, and (2) a higher estimated strength than body weight. The yield strength monitored by acoustic emission testing increased with the time of healing. The external fixator could be removed safely and successfully in 97% of the patients. Thus, the acoustic emission method has good potential as a reliable method for monitoring the mechanical status of healing bone.

Adolescent↗

Theoretical and experimental investigation of acoustic streaming in a porous material.

An experimental and theoretical investigation of the influence of high-frequency acoustic waves on the flow of a liquid through a porous material has been made. Particular attention was paid to the phenomenon of acoustic streaming of the liquid in the porous material due to the damping of the acoustic waves. The experiments were performed on Berea sandstone cores. Two acoustic horns were used with frequencies of 20 and 40 kHz, and with maximum power output of 2 and 0.7 kW, respectively. A high external pressure was applied in order to avoid cavitation. A microphone was used to measure the damping of the waves in the porous material and also temperature and pressure measurements in the flowing liquid inside the cores were carried out. To model the acoustic streaming effect Darcy's law was extended with a source term representing the momentum transfer from the acoustic waves to the liquid. The model predictions for the pressure distribution inside the core under acoustic streaming conditions are in reasonable agreement with the experimental data.

Journal Article↗

Stability analysis of an acoustically levitated disk.

In this paper, a model is developed for the stability analysis of an acoustically levitated disk on the basis of analyzing eddy acoustic streaming and acoustic viscous stress. In the model, the effect of the acoustic streaming outside the boundary layer that is on the surface of the levitated disk is properly taken into account. Also, the calculation of sound field and acoustic viscous stress is limited to the range that has a dominant effect on the stability. By this method, we obtain a quite accurate solution of the stability coefficient. For the small horizontal shift of a large levitated disk, the model is verified by the good agreement between the experimental and theoretical results. By means of this model and relevant experiments, some factors that affect the stability of the levitated disk are investigated, and useful guidelines for design and application are obtained. It is found that the range from the edge to the outermost nodal circle of the disk-shaped vibrator has a large effect on the stability of the levitated disk. To stabilize the levitated disk by acoustic viscous force, the distance between the edge and the outermost nodal circle of the vibrator must be larger than a critical value, which is determined by the driving frequency and the sound velocity of the fluid between the levitated disk and the vibrator. When this condition is satisfied, increasing the distance between the edge and the outermost nodal circle leads to a decrease in the stability. It is also found that the property of the fluid between the levitated disk and the vibrator has a large effect on the stability. It is easier to stabilize the levitated disk in steam than in air, but more difficult to do so in carbon dioxide and hydrogen. In addition, theoretical results show that increasing the weight per unit area of the levitated object increases the stability for a given vibrator velocity. The distribution of the acoustic viscous stress and the dependence of the stability coefficient and the holding force on the horizontal shift of the levitated disk, which are obtained by this study, also are useful to a better understanding of the stability of the levitated disk.

Journal Article↗

Full-field imaging of Gigahertz film bulk acoustic resonator motion.

A full-field view laser ultrasonic imaging method has been developed that measures acoustic motion at a surface without scanning. Images are recorded at normal video frame rates by using dynamic holography with photorefractive interferometric detection. By extending the approach to ultra high frequencies, an acoustic microscope has been developed that is capable of operation at Gigahertz frequency and micron length scales. Both acoustic amplitude and phase are recorded, allowing full calibration and determination of phases to within a single arbitrary constant. Results are presented of measurements at frequencies of 800-900 MHz, illustrating a multitude of normal mode behavior in electrically driven thin film acoustic resonators. Coupled with microwave electrical impedance measurements, this imaging mode provides an exceptionally fast method for evaluation of electric-to-acoustic coupling of these devices and their performance. Images of 256 x 240 pixels are recorded at 18 fps rates synchronized to obtain both in-phase and quadrature detection of the acoustic motion. Simple averaging provides sensitivity to the subnanometer level at each pixel calibrated over the image using interferometry. Identification of specific acoustic modes and their relationship to electrical impedance characteristics show the advantages and overall high speed of the technique.

Journal Article↗

Administration of modified spherosome suspension (BY963) leads to an increase of acoustic impedance in dog brain tissue.

Ultrasound contrast agents change the acoustic properties of brain tissue. This can be quantified with acoustic densitometry. In a dog model, the authors examined changes in acoustic impedance in the thalamic and parietal white-matter regions of the brain after intravenous injection of the spherosome containing an ultrasound contrast agent (BY963) filled with perfluoropentane gas. The authors examined six sedated mongrel dogs with a Hewlett-Packard Sonos 1500 device. BY963 filled with perfluoropentane (0.2 ml/kg body weight) was injected three times with a time interval between injections of 5 minutes. Time-dependent changes in mean acoustic impedance were calculated. The authors found a significant increase in peak acoustic impedance after fractional injection of 0.6 ml/kg body weight (3 x 0.2 ml/kg body weight) in the thalamus region up to 7.0 IU (p = 0.006). In the parietal white matter the increase in peak acoustic impedance was not significant (p = 0.06). Statistical comparison of the increase in peak acoustic impedance between placebo and BY963 injection in the thalamus region showed a significant difference after the first injection (p = 0.01) but showed no significance after the second and third injections. The authors concluded that thalamus and parietal white matter of the brain showed different accumulations of BY963.

Animals↗

Visualization of acoustic radiation from a vibrating bowling ball.

This paper presents visualization of acoustic radiation from a vibrating bowling ball using the Helmholtz equation least squares (HELS) method. In conducting the experiments, the ball is excited by a vibration shaker using stationary random signals. The radiated acoustic pressures are measured using two microphones and taken as input to the HELS formulations. The reconstructed acoustic pressures on the bowling ball surface are compared with those measured at the same locations. Also shown are comparisons of the reconstructed and measured acoustic pressure spectra at various locations on the bowling ball surface. Results demonstrate that the accuracy of reconstruction based on measurements over a conformal surface is much higher than that over a finite planar surface. This is because the latter often extends beyond the near-field region, making the accuracy of measurements inconsistent. Nevertheless, satisfactory reconstruction of acoustic pressure fields over the entire bowling ball surface can still be obtained based on the measurements taken over a finite planar surface on one side of the source. In a similar manner, the normal component of the surface velocity is reconstructed. Once these acoustic quantities are determined, the time-averaged acoustic intensity is calculated. Also presented are the formulations for estimating a priori the numbers of expansion functions and measurements required by the HELS method and the guidelines for determining the reconstruction error and optimum measurement locations, given the overall dimensions of the source and the highest frequency of interest in reconstruction.

Journal Article↗

Roughness characterization of porous soil with acoustic backscatter.

The use of acoustics to determine the pore properties of soils, such as porosity, permeability, and tortuosity, is well established. A theoretical surface impedance and complex bulk wavenumber was developed by K. Attenborough for porous media that incorporated the soil pore properties as parameters [J. Acoust. Soc. Am. 73, 785-799 (1983)]. Acoustic level difference measurements were used as a noninvasive means of finding the soil pore properties. Acoustic reflection measurements showed that the sound field over porous rough surfaces is modified by the surface impedance and by surface roughness. It is not possible to separate the signal modification due to impedance and the signal modification from roughness scattering in a forward scattering measurement. In order to accurately determine the soil pore properties, the roughness effects must be known independently from the surface impedance. A means of measuring roughness apart from impedance would allow the effects of roughness to be taken out of the level difference measurements. The underwater acoustics community has used acoustic backscatter for many years to examine surface roughness. The feasibility of adapting these acoustic backscatter techniques to outdoor porous soil surfaces is examined.

Journal Article↗

The acoustic emission of a distributed mode loudspeaker near a porous layer.

Experimental and theoretical modeling of the vibro-acoustic performance of a distributed mode loudspeaker (DML) suggest that their acoustic emission can be significantly affected by the presence of a porous layer. The amplitude of the surface velocity of the panel and the acoustic pressure on the porous surface are reduced largely in the vicinity of structural resonances due to the additional radiation damping and visco-thermal absorption phenomenon in the porous layer. The experimental results suggest that a porous layer between a rigid base and a DML panel can considerably alter its acoustic emission in the near field and in the far field. This is illustrated by a reduction in the level of fluctuations in the emitted acoustic pressure spectra. These fluctuations are normally associated with the interference between the sound emitted by the front surface of the speaker and that emitted from the back. Another contribution comes from the pronounced structural resonances in the surface velocity spectrum. The results of this work suggest that the acoustic boundary conditions near a DML can be modified by the porous layer so that a desired acoustic output can be attained.

Journal Article↗