Ultrasound at the microbubble resonance frequency can cause bubble rupture at high acoustic power (mechanical index (MI) greater than 0.5). The result is a transient high-amplitude, broadband signal containing all frequencies, not only the harmonics. It will create a strong signal in B-mode or a short-lasting multicolored, mosaic-like effect in color Doppler sonography.
Several terms for this typical signal have been used, e.g. induced or stimulated acoustic emission, loss of correlation imaging and sono-scintigraphy.

(HPD) Harmonic power Doppler is currently one of the most sensitive techniques for detecting ultrasound contrast agents. HPD works by transmitting multiple pulses toward the object to be imaged and detecting the pulse-to-pulse changes in the received echo signals.
Second harmonic bandbass filtering is applied to the received signals to exploit the non-linear behavior of scattering from bubbles (clutter). Harmonic power Doppler operates best at high output levels because of increased contrast destruction, and pulse amplitudes close to the maximum allowed are used much of the time.
With a high mechanical index, non-linear propagation of the sound will cause significant harmonic components from tissue, and the contrast agent to tissue ratio will decrease.
Also called Harmonic Power Angio. See also Multiple Frame Trigger.

Microbubbles filled with air or inert gases are used as contrast agents in ultrasound imaging. Compression and rarefaction created by an ultrasound wave insonating a gas-filled microbubble along with the mechanical index of the ultrasonic beam lead to volume pulsations of the bubbles, and it is this change that results in the signal enhancement.
Microbubbles have diameters from 1 μm to 10 μm and a thin flexible or rigid shell composed of albumin, lipid, or polymer confining a gas such as nitrogen, or a perfluorocarbon. These microbubbles can cross the pulmonary capillaries and have a serum half-life of a few minutes. Microbubbles in the 1-10 μm range have their resonance at the frequencies used in diagnostic ultrasound (1−15MHz). Smaller bubbles resonate at higher frequencies. Caused by this coincidence, they are such effective reflectors.
The intrinsic compressibility of microbubbles is approximately 17,000 times more than water, and they are very strong scatterers of ultrasound. Under acoustic pressure the vibrating bubble radius may have a conventional linear response or a harmonic non-linear response. Microbubbles usually increase the Doppler signal amplitude by up to 30 dB.

Power modulation is a non-linear method, based on a multi-pulse technique where the acoustic amplitude (and hence power) of the transmitted pulses is changed. Full and half amplitudes pulses are used to induce changes in the response of the contrast agent. The received echoes from the emitted half amplitude pulse are adjusted with the full amplitude pulse and this pairs of pulses are subtracted. Power modulation is used to separate contrast agent echoes at low mechanical index, allowing real-time perfusion imaging.
Power modulation can be used with a low frequency wide band transducer to increase the depth and transmit the sound beam homogenous allowing ultraharmonic imaging.

The rarefactional pressure is the amplitude of a negative instantaneous sound pressure in an ultrasound beam. Rarefaction is the reduction in pressure of the medium during the acoustic cycle.

See also Mechanical Index.