Evidence for ultrasonic finite-amplitude distortion in muscle using medical equipment

Finite-amplitude distortion of ultrasonic waves from medical equipment has been observed to occur following transmission through calf muscle in human volunteers. Measurements were made using both dynamic pulse-echo imaging equipment and physiotherapy equipment. In both cases irradiation was carried out under operating conditions commonly used clinically. Pressure waveforms were measured at the skin surface using a broadband polyvinylidene difluoride membrane hydrophone. Using a pulsed, weakly focused 2.5-MHz beam with input peak pressure of 0.8 MPa and a pressure gain of 5.3 at the focus, the mean second harmonic peak magnitude (16 measurements) was 17 dB below the fundamental peak. A 1.1-MHz continuous wave therapy set with input peak pressure of 0.5 MPa showed mean second harmonic magnitude 23 dB below the fundamental.